In many cases, patients with alcohol-related liver disease do not have any noticeable symptoms until their liver has been severely damaged. Early symptoms Some patients may have some mild early symptoms, but they are usually atypical, such as: Abdominal discomfort Loss of appetite Fatigue Feeling nauseous Diarrhea Physical abnormalities Late symptoms As liver damage increases, more pronounced and severe symptoms may occur, such as: Yellowing of the skin, eyes, and urine Edema and swelling of both lower extremities, ankles, and feet Large amounts of ascites leading to bloating Episodes of fever, chills, and chills Itching of the skin Abnormally curved fingertips and nails Speckled red palms (hepatic palms) Significant weight loss Weakness and weight loss Memory loss, insomnia, and personality changes (toxic encephalopathy) Vomiting blood, blood in the stool, black stools Easy bleeding and bruising, such as frequent nosebleeds and bleeding gums Factors that may aggravate symptoms of alcoholic liver disease Heavy drinking over a short period of time and prolonged drinking above the upper limit of intake Overweight or obese women (Women are more susceptible to alcohol than men) Having a liver disease, such as hepatitis B or C Genetic factors Further tests: Hematological tests: transaminases, bilirubin, albumin, coagulation, blood work. However, in many stages of liver disease, these tests may be normal. Imaging tests: Ultrasound, CT, MRI, and liver stiffness tests can be effective in determining organic liver problems and whether organic liver changes such as fatty liver, liver fibrosis, cirrhosis, or even liver cancer are present. Liver biopsy: Liver puncture to obtain histopathology to determine the extent of cirrhosis and the cause of the damage. Gastroscopy: looking for the presence of varices in the esophagogastric fundic veins, which are also signs of cirrhosis.