Could Your Fatigue and Symptoms Indicate Liver Issues? - Gastroenterology and Hepatology

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Am I having liver problems?


I have been feeling very sleepy and fatigued lately, even after sleeping for more than 10 hours, and I still don’t feel rested.
I often feel unwell, sometimes experiencing palpitations and shortness of breath, along with dizziness, eye strain, and a loss of appetite with nausea.
Could this be a liver issue? I have gained some weight recently, but my weight has suddenly dropped.
Should I see a doctor? Should I go to internal medicine or a gastroenterology and hepatology specialist?

Ji Er, 20~29 year old female. Ask Date: 2006/06/12

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: Pregnancy, excessive work fatigue, high stress, and endocrine disorders can all contribute to fatigue.
It is recommended to consult with an internist or a family medicine specialist.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2006/06/12

More Info


Your symptoms of persistent fatigue, excessive sleepiness, and gastrointestinal discomfort could indeed be indicative of underlying liver issues, especially given your recent weight loss and other symptoms like palpitations and dizziness. The liver plays a crucial role in many bodily functions, including metabolism, detoxification, and the production of essential proteins. When the liver is not functioning optimally, it can lead to a variety of systemic symptoms.

Chronic fatigue is a common complaint among individuals with liver disease. The liver is responsible for filtering toxins from the blood, and when it is compromised, these toxins can accumulate, leading to feelings of fatigue and malaise. Additionally, liver dysfunction can disrupt the metabolism of nutrients, which may contribute to feelings of weakness and lack of energy.

Your symptoms of heart palpitations and shortness of breath could also be related to liver issues. The liver is involved in the regulation of various hormones and electrolytes, and imbalances can lead to cardiovascular symptoms. Furthermore, if your liver is inflamed or damaged, it may not be able to produce enough proteins like albumin, which can lead to fluid retention and other complications that might affect your heart and lungs.

The sudden weight loss you mentioned is particularly concerning. Unintentional weight loss can be a sign of several serious conditions, including liver disease. In some cases, liver disease can lead to a loss of appetite and subsequent weight loss, as the body struggles to process food properly. Additionally, if you are experiencing nausea and a feeling of wanting to vomit, this could indicate that your liver is not functioning well, as it can affect digestion and nutrient absorption.

Given your symptoms, it is advisable to seek medical attention promptly. You should consider visiting a healthcare provider who specializes in liver diseases, such as a hepatologist or a gastroenterologist. They can perform the necessary tests, including blood tests to check liver function (such as ALT, AST, and bilirubin levels) and imaging studies like an ultrasound to assess the liver's condition.
In the meantime, it is essential to monitor your symptoms closely. If you experience worsening symptoms, such as severe abdominal pain, jaundice (yellowing of the skin or eyes), or confusion, you should seek immediate medical attention.
In summary, your symptoms could indeed suggest liver issues, and it is crucial to consult a healthcare professional for a thorough evaluation. Early detection and management of liver problems can significantly improve outcomes and quality of life.

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