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Alcoholic liver disease is damage to the liver and its function due to alcohol abuse.
Causes
Alcoholic liver disease occurs after years of heavy drinking (more than 10 units per week, each unit being equal to 30ml of whisky/a glass of wine/beer or equivalent). It initially causes fat deposits in the liver. If the damage continues, it causes inflammation in the liver. Over time, scarring and cirrhosis can occur. Cirrhosis is the final phase of alcoholic liver disease.
Alcoholic liver disease does not occur in all heavy drinkers. On the other hand, you do not have to get drunk for the disease to happen.The chances of getting liver disease go up the longer you have been drinking and more alcohol you consume. Whether and with what amount of alcohol a person will develop serious liver damage also depends on individual metabolic capacity and the genetic make up.
The disease seems to be more common in some families. Women may be more likely to have this problem than men.
Symptoms
Symptoms vary, based on how bad the disease is. You may not have symptoms in the early stages. Symptoms tend to be worse after a period of heavy drinking.
Abdominal symptoms include:
Skin problems such as:
Brain and nervous system symptoms include:
Problems with thinking, memory, and mood
Fainting and lightheadedness
Numbness in legs and feet
Exams and Tests
Tests to rule out other liver diseases include:
Blood tests such as Hepatitis B, Hepatitits C, Autoimmune disease
Treatment
The most important part of treatment is to stop using alcohol completely. If liver cirrhosis has not yet occurred, the liver can heal if you stop drinking alcohol. Once cirrhosis develops, it is irreversible.
An alcohol rehabilitation program or counseling may be necessary to break the alcohol addiction. Vitamins, especially B-complex and folic acid, provide some nutrients that are deficient due to malnutrition.
If cirrhosis develops, you must be montored by a liver specialist to manage the potential complications of cirrhosis. Eventually, you may need a liver transplant if there has been a lot of liver damage.
Outlook (Prognosis)
Continued excessive drinking can shorten your lifespan. Your risk for complications such as bleeding, brain changes, and severe liver damage go up. The outcome will be poor if you keep drinking.
When to Contact a Medical Professional
Call a liver doctor if:
Prevention
Do’s and don’ts
Talk to your doctor about your alcohol intake. The doctor can counsel you about how much alcohol is safe for you.