Which symptom indicates that Annette may have liver disease?

The expansion of the belly is a symptom that can indicate potential liver disease due to the development of ascites, which is the accumulation of fluid in the abdominal cavity. In liver disease, particularly conditions such as cirrhosis or hepatitis, the liver's ability to produce proteins and manage fluid balance in the body can be compromised. This can lead to increased pressure in the portal vein system due to portal hypertension and result in fluid leaking into the abdominal cavity, causing a noticeable swelling or expansion of the belly.

In contrast, other symptoms listed do not specifically indicate liver disease. An increased appetite might not relate to liver function, frequent headaches can have various causes unrelated to the liver, and shortness of breath can be a symptom of many conditions, including respiratory or cardiac issues but is not a specific sign of liver disease. Understanding the connection between ascites and liver dysfunction helps to recognize the significance of abdominal swelling in the context of liver health.