In many cases, the first sign of liver disease is inflammation. Inflammation is the body's natural reaction to injury or infection. It's how it signals the immune system to repel invaders and repair damaged tissue.

Liver inflammation does not usually result in any noticeable symptoms and often goes undiagnosed. Inflammation may be caused by viral infections (esp. Hepatitis A, B & C), autoimmune disorders, alcohol abuse, and more.

If inflammation persists, liver scarring may occur. This is known as fibrosis. Fibrosis replaces damaged parts of the liver with scar tissue, but the scarring can impede blood flow to the liver and make it less functional.

Like inflammation, fibrosis does not usually produce noticeable symptoms and this stage often goes undiagnosed.

Cirrhosis is present when more scarring in the liver builds up, making it harder for the liver to function. It can take years for scarring to reach the point of cirrhosis, which can help patients with known risk factors prevent or delay its onset.

Cirrhosis is usually when liver disease is diagnosed as it is the first stage with noticeable symptoms including abdominal pain, loss of appetite, yellowing of the skin (jaundice), and fluid retention.

Individuals with cirrhosis are at the highest risk for liver cancer, so regular monitoring every 6 months is highly recommended. Managing symptoms can help delay or prevent the onset of liver cancer. In cases where cancer can’t be prevented, early diagnosis significantly improves treatment options.

Liver cancer can occur at any stage of liver disease, but it is most common with cirrhosis. While serious, liver cancer is still a step away from complete liver failure and potentially curative treatment options may be available depending on how far the disease has progressed.

The warning signs of liver cancer are very similar to cirrhosis and you should speak with a medical professional as soon as possible if you experience any of the symptoms mentioned above.