Symptoms of stage 4 liver disease include vomiting, diarrhea and fatigue caused by reduced blood flow due to permanent liver scarring. Patients with stage 4 liver disease require immediate medical treatment to prevent death, according to Florida Hospital.
People with stage 4 liver disease also bleed or bruise easily. They may also have jaundice. Their legs and abdomen may swell due to fluid retention, and they may have intense itching on any part of the body. Some people with stage 4 liver disease have problems with concentration and memory due to hepatic encephalopathy, which causes permanent brain or nervous system damage from elevated blood toxin levels, according to the Mayo Clinic. Stage 4 liver disease may also cause bleeding in the gastrointestinal tracts due to esophageal varices, or enlarged veins in the esophagus.
People can take steps to reduce their risk of developing cirrhosis of the liver and stage 4 liver disease, according to WebMD. People who drink more than two alcoholic drinks per day increase their risk of developing cirrhosis. Hepatitis B or C from unprotected sexual contact with multiple partners can damage the liver. People who maintain a healthy weight have a lower risk of developing stage 4 liver disease than people who are obese.