What are the body signs of stage 4 liver disease?

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Swelling of the liver can cause various symptoms, which can come from the onset of liver cancer or other health conditions. Symptoms include a hardening of the right side below the ribcage, pain in the upper right-hand side of the abdomen, discomfort around right shoulder blade, unexpected weight loss, jaundice, unexplained fatigue, nausea and appetite loss.

The defining feature of stage 4 is gastrointestinal bleeding, usually from ruptured varices in the esophagus or stomach. This type of bleeding can be immediately life threatening if not controlled. Even if bleeding stops or is medically controlled, however, individuals with stage 4 cirrhosis still face a high risk of dying within 12 months. 

People with stage 4 cirrhosis have end-stage liver disease and urgent evaluation for possible liver transplantation is necessary. Signs and symptoms that might develop include those that may occur with stage 3 cirrhosis as well as others, such as:

  • confusion, personality changes and/or extreme sleepiness
  • hand tremors
  • reduced urination, which may indicate kidney failure
  • high fever, signalling infection of the abdominal cavity.

It's very dangerous. You should see a doctor ASAP.

My sister in law is in ICU with bleeding problems and in need of blood transfusions but they don’t tellings us no use in giving her blood transfusions due to the fact that they don’t know where the bleeding is coming from. She’s stage 4
I can understand. In some situations, it is difficult to determine the cause and site of bleeding, but still you can transfuse blood to the patient to stabilize his/her conditions.