1. Swelling (Thighs, Ankles, or Feet)
What it looks like: Shoes feel tight, sock marks remain visible, and pressing the skin leaves a dent that lingers for several seconds. Swelling usually worsens in the evening.
Liver connection: Damaged liver cells produce less albumin, disrupting fluid balance and leading to edema. Portal hypertension (increased pressure in the portal vein) also interferes with normal venous return, contributing to swelling.
2. Vascular “Stars” (Telangiectasias)
What they look like: Small red or purple, spider-web–like veins on the ankles, feet, or legs.