Hepatitis C used to be called the 'silent epidemic' because many people who had it weren't aware of it, Bacon explains. By the time you're showing signs or symptoms of liver problems—whether due to hepatitis, fatty liver disease, or something else—chances are good that cirrhosis has already set in, says Bruce Bacon, MD, a professor of internal medicine and chair of gastroenterology at the St. Louis University School of Medicine.

1. Abdominal aches
2. Yellow eyes or skin (jaundice)
3. Joint pain
4. Spider angiomas, or large skin blemishes
5. Confusion (excess copper buildup in the blood and brain)
6. Muscle wasting ( An oversize belly or swollen ankles coupled with skinny, weak arms and legs could result from fluid imbalances)

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