Thanks for your question on Healthcare Magic.
I can understand your concern.
Altered echotexture and small size of liver are suggestive of liver cirrhosis.
It is one kind of disease in which liver start loosing it's functions.
Liver is having synthetic functions like synthesis of all nutrients,
immunoglobulins,
hemoglobin, protein etc.
So in cirrhosis, patient feels weakness, tiredness because liver is noted producing these essential substances.
Most common cause for this cirrhosis of liver is alcohol ingestion.
So if you are alcoholic then you should definitely quit it.
Other causes are primary billiary cirrhosis, cholangitic cirrhosis, idiopathic etc.
So for confirmation,
liver Biopsy is needed.
So
consult gastroenterologist and discuss all these. Early
liver transplantation is also recommended.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.