Three Men in a Boat (To Say Nothing of the Dog)

How did narrator conclude that he had some liver ailment?

Chapter one.

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The narrator was certain he had a liver ailment because he had every symptom listed on the liver-pill brochure he'd been reading.

"I knew it was my liver that was out of order, because I had just been reading a patent liver-pill circular, in which were detailed the various symptoms by which a man could tell when his liver was out of order."

Source(s)

Three Men in a Boat (To Say Nothing of the Dog) / Chapter One