What initial symptoms are typically exhibited by those with cirrhosis?

The initial symptoms typically exhibited by individuals with cirrhosis predominantly include weakness and anorexia. Weakness can arise due to the liver's decreased ability to produce proteins essential for muscle function and overall energy metabolism. As the liver becomes increasingly impaired, it can lead to a state of energy deficiency, contributing to feelings of fatigue and overall weakness.

Anorexia, or loss of appetite, is also common in cirrhosis due to various factors, including altered metabolism and hormonal changes caused by liver dysfunction. The accumulation of toxins in the bloodstream, which the liver normally processes, can also affect the gastrointestinal system and lead to a decreased desire to eat. This can further exacerbate weakness as individuals may not be consuming enough nutrients to support their energy needs and overall health.

Together, these symptoms reflect the body's response to the compromised function of the liver. In contrast, the other symptoms listed, such as excessive energy, joint pain, and nausea, do not accurately characterize the typical initial presentation of cirrhosis.