Symptoms and Signs
A patient with primary sclerosing cholangitis may not experience any symptoms or may complain of the following:
Pain in the abdomen
The patient may pass excessive fat in the stools leading to bulky, foul smelling stools
On examination, the spleen and/or liver may be enlarged. The skin may show darkening and scratch marks due to itching. The patient’s abdomen may appear bloated in severe cases due to accumulation of fluid.