Liver disease can indeed cause swelling in the ankles, a condition known as pedal edema. This swelling is often an early warning sign of liver dysfunction, which can progress if not addressed promptly. According to Dr. Pradip Vekariya, a gastroenterologist, pedal edema is a crucial yet often overlooked symptom of liver damage. He emphasizes that swollen feet should not be dismissed as merely a result of standing for long periods or walking more than usual[1].
Liver disease, particularly when it progresses to cirrhosis, can lead to fluid retention in the body. This fluid buildup can manifest as swelling in various parts of the body, including the ankles. The liver plays a vital role in producing proteins that help maintain fluid balance in the body. When the liver is not functioning properly, it may not produce enough of these proteins, leading to fluid accumulation in the legs and ankles[6].
Fatty liver disease, which includes conditions like nonalcoholic fatty liver disease (NAFLD), can also cause swelling in the ankles. NAFLD often has no symptoms in its early stages, but as it progresses, symptoms such as fluid buildup in the ankles (edema) may appear[5]. This condition is sometimes referred to as a silent disease because it can progress without noticeable symptoms until it reaches more advanced stages[4].
In addition to liver disease, other medical conditions can cause ankle swelling. These include kidney disease, heart failure, and circulatory problems[2][7]. Identifying the underlying cause of swelling is crucial for appropriate treatment and addressing any potential health issues.
To check for pedal edema, one can perform a simple test. Press firmly on the skin of the lower leg above the ankle for several seconds. If a dent or pit remains after removing the finger, it indicates pitting edema, which could be a sign of fluid retention due to liver dysfunction[1].
It is important to seek medical attention if ankle swelling persists or worsens. Early detection and treatment of liver disease can significantly improve outcomes and prevent complications such as cirrhosis[1][4].
In conclusion, liver disease is a significant cause of ankle swelling, and recognizing this symptom can lead to early intervention and better health outcomes. It is essential to consult a healthcare provider if swelling in the ankles is persistent or accompanied by other symptoms of liver dysfunction.
References:
[1] https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/fatty-liver-disease-this-common-leg-symptom-is-an-early-warning-a-top-gastroenterologist-reveals/articleshow/124270435.cms
[2] https://footnanklecenters.com/top-5-most-common-causes-of-swollen-feet-and-ankles/
[3] https://www.okddsi.net/blog/navigating-liver-health-signs-causes-and-consults
[4] https://www.medicalnewstoday.com/articles/fatty-liver
[5] https://liverfoundation.org/liver-diseases/fatty-liver-disease/nonalcoholic-fatty-liver-disease-nafld/
[6] https://eroffortworthtx.com/blog/7-signs-your-liver-is-dying/
[7] https://veininstitute.com/ankle-swelling/
