Your legs are screaming “HELP!”: 5 warning signs from your liver.

 

Edema, spider veins and more: how liver problems affect the legs and what to do?

Have you noticed unusual changes in your legs: nighttime swelling, vascular abnormalities, or itching? These are often attributed to fatigue or age. But did you know that your legs can be an important indicator of your liver’s health? This organ works tirelessly to neutralize toxins and regulate metabolism. When it starts to suffer, your legs are often the first to sound the alarm.

Why the legs?

• Gravity  : Blood and fluids accumulate more easily in the lower limbs.

• Circulation  : The liver is essential for protein synthesis and regulation of portal vein pressure. Its disorders directly affect the veins in the legs.

• Metabolism  : The liver produces proteins that retain fluid in the vessels. If they are deficient, the fluid “leaks” into the tissues.

• Detoxification  : Toxins accumulated due to poor liver function can cause skin reactions.

Warning signs on the legs suggesting liver problems

Swelling (of the thighs and feet)

What they look like  : Shoes feel tight, sock marks persist; when pressed, a dent remains, which slowly disappears. They usually worsen in the evening.
Liver connection  : When the liver is damaged, the production of albumin decreases, a protein that retains fluid in the vessels. Its low level leads to edema. In addition, portal hypertension disrupts normal venous flow.

Vascular “stars” (telangiectasias)

What they look like  : Small red or purple “spider webs” on the ankles and feet.
Liver connection  : Often seen in chronic diseases like cirrhosis. Caused by impaired hormone metabolism (especially estrogen) and increased pressure in the veins.

Change in skin color

What it looks like  : A yellowish tint (mild jaundice) or darkening (hyperpigmentation), most often around the ankles.
Liver connection  : Jaundice is a sign of a problem with the breakdown and excretion of bilirubin, and hyperpigmentation is the result of metabolic disturbances and the accumulation of melanin.

Itchy skin

What it looks like  : Constant, no rash, more common at night.
Liver connection  : One of the first signs of bile stasis (cholestasis). Accumulated bile acids irritate nerve endings in the skin.

Redness of the feet (plantar erythema)

What it looks like  : Abnormally red and warm skin on the feet, especially at the base of the big toe and the heel. The redness disappears momentarily with pressure.
Liver connection  : Like spider veins, this results from high estrogen levels and dilation of small vessels due to portal hypertension.

⚠️These symptoms  do not constitute a definitive diagnosis  of liver disease. They can also be observed in cases of heart failure, kidney problems, allergies, varicose veins, or skin diseases. However, if they appear simultaneously and progress, it is imperative to consult a doctor

What to do?

1. Don’t ignore the symptoms!  If you experience persistent swelling, spider veins, itching, or skin discoloration, especially if accompanied by additional symptoms such as fatigue, loss of appetite, nausea, heaviness under the right rib cage, or changes in urine and stool patterns, consult a therapist or gastroenterologist immediately.

2. Prepare for your exam  : Note when your symptoms started, what makes them worse or better, and if you have any other complaints.

3. Prepare for tests  : Blood tests (liver enzymes – ALT, AST, bilirubin, alkaline phosphatase, GGT, albumin), a complete blood count, and an ultrasound of the abdominal organs are usually ordered.

Your feet aren’t just a support for your body—they can be an accurate indicator of your liver health. Swelling, spider veins, itching, or skin discoloration shouldn’t be underestimated. These are important signs your body is sending you. Early detection and prompt medical attention are essential for effective diagnosis and treatment.