Liver disease: “early” symptoms include choluria which may show up in your pee

Alcohol-Related Liver Disease, or ARLD for short, is triggered by consuming large amounts of a popular but unhealthy beverage – alcohol. Although the early stages of liver disease usually don’t have many warning signs, an “early” symptom can occur when you go to the bathroom.

While you might not pay too much attention to the color of your pee, a certain hue could suggest liver issues.

In fact, choluria is considered one of the first signs of liver damage that can appear before other symptoms, according to MedLine Plus.

This “early sign” is characterized by a dark brownish color, resembling cola.

The reason your pee turns dark is bilirubin – a yellow substance produced during the normal process of breaking down red blood cells.

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MedLine Plus states, “Your liver uses bilirubin to make bile, a fluid that helps you digest food. A healthy liver removes most of the bilirubin from your body.

“But if there’s a problem with your liver, bilirubin can build up in your blood and get into your urine.”

According to Science Direct, choluria often appears with other warning signs, indicating liver damage, including clear stools and jaundice.

Jaundice details the whites of your eyes and skin that turn yellow, depending on the NHS.


The Health Department warns that ARLD may not show any red flags until your liver is severely damaged.

How does alcohol cause ARLD?

While your liver is able to filter out toxins, some of the cells in the organ die every time you drink alcohol.

The good news is that the organ is able to grow new ones and regenerate.

However, consuming too much of the popular drink can reduce this ability, leading to liver damage.

This is why the most reliable way to prevent ARLD is to stop drinking. But sticking to the recommended limits of regularly drinking no more than 14 units per week can also help.

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