What are the symptoms of stage 4 cirrosis?

Stage 4 cirrhosis, also known as decompensated cirrhosis, is the most advanced stage of the disease and is characterized by significant damage to the liver and a decline in liver function. Symptoms of stage 4 cirrhosis can include:

1. Jaundice: Yellowing of the skin and whites of the eyes due to the buildup of bilirubin, a waste product that the liver normally removes from the blood.

2. Ascites: Accumulation of fluid in the abdominal cavity, causing swelling and discomfort.

3. Edema: Swelling in the legs, ankles, and feet due to fluid retention.

4. Portal hypertension: Increased pressure in the portal vein, which carries blood from the intestines to the liver. This can lead to the development of varices, or enlarged veins, in the esophagus and stomach, which can rupture and cause life-threatening bleeding.

5. Hepatic encephalopathy: A condition in which toxins build up in the brain due to the liver's inability to filter them out of the blood. Symptoms can include confusion, disorientation, drowsiness, and, in severe cases, coma.

6. Fatigue and weakness: Cirrhosis can lead to anemia and a decrease in overall energy levels.

7. Loss of appetite and weight loss: Advanced cirrhosis can affect the liver's ability to digest and absorb nutrients, leading to malnutrition and weight loss.

8. Bleeding disorders: Cirrhosis can impair the liver's production of clotting factors, increasing the risk of bleeding and bruising.

9. Skin changes: Cirrhosis can cause spider angiomas (small, red, spider-like veins) on the skin, as well as increased pigmentation and itching.

10. Abdominal pain and discomfort: Cirrhosis can cause pain in the upper right abdomen due to liver enlargement and inflammation.

It's important to note that not all individuals with stage 4 cirrhosis will experience all of these symptoms. The specific symptoms and their severity can vary from person to person. If you have any concerns or experience any of these symptoms, it is crucial to consult with a healthcare professional for proper evaluation and management.