Doctor insights on:
Cirrhosis Caused By Alcohol
It can be: Hepatic steatosis (fatty liver) can be caused by both alcohol use and having an unhealthy diet & being obese. In fact, the most common cause of fatty liver disease in the US is poor diet & lifestyle. The disease that includes this cause is NAFLD (non-alcoholic fatty liver disease). ...Read moreSee 1 more doctor answer
Complex: Yes, improved function can be achieved, but alcohol must be totally avoided, thiamine supplements are critical, liver function needs to normalize, and both psychological and medical interventions will be required as part of a rehab effort. Eventual outcome may well be unpredictable, but if all of the above can be done, odds of improvement are quite good. ...Read more
Depends, often yes: Alcohol harms the liver in stages, and until the very end stages (cirrhosis = scarring), the damage is reversible if one stops drinking. First is alcoholic hepatitis, which can show just on lab tests, or can cause right upper abdominal pain, nausea/vomiting, bloating, jaundice (yellow skin), bruising/bleeding, and hormone changes. Quitting drinking at any stage will improve health & decrease risks. ...Read moreSee 1 more doctor answer
Can asymptomatic liver disease caused by drug overdose present as mental illness due to toxic buildup?
Yes: Our liver is extremely important to keep our bodies in balance. By filtering and "getting rid" of substances that can harm our bodies, a healthy liver contributes to our overall health. Many patients with renal and liver problems, that are not properly treated or diagnosed, usually experience mental changes (in reasoning, memory, judgment,etc), that if left untreated can become permanent. ...Read more
Yes: If liver disease includes a rise in billirubin level, itching can become unbearable. I saw a pregnant woman once with elevated billirubin from pregnancy related liver stasis. Her itching was so intense that she would use coat hangers on the bottoms of her feet until they bled from her scratching. Obviously, the itching can be miserable in this situation. ...Read more
Broken blood vessel?: Patients with dry eyes and allergies can rub their eyes and experience recurrent broken blood vessels from the physical trauma of rubbing the eyes. In some patients it can be due to elevated inr (too much coumadin) or excessive use of Aspirin or ibuprofen. Treating the dry eye or allergies can reduce this. If you have easy bruising or bleeding, check with your primary care doctor. ...Read more
Liver Disease: The answer to your question really depends on the extent of drug induced damage which can be determined by lever function tests or even a liver biopsy. By all means, stay off medications or compounds that are hepatotoxic such as alcohol. If the extent of your liver damage is not extensive your liver may be able to heal itself.L. ...Read more
Yes, but...: Only to a certain point...Since it appears that cirrhosis, once established is irreversible...Though progression can be halted. ...Read more
Symptom control: Dementia from cirrhosis is actually called hepatic encephalopathy (build up of toxins like ammonia in the brain), with the common theme resulting in confusion. Hepatic encephalopathy can be controlled with certain medications, so i would recommend you see a liver specialist to discuss these options. Once hepatic encephalopathy occurs, liver transplantat discussion should occur with your doctor. ...Read moreSee 1 more doctor answer
Either: could be caused by either drug'; eliminate one and see what develops; ...Read more
How many liver biopsies are needed to rule out cirrhosis caused by alcohol? does it damage the liver evenly or in patches? is a fibroscan a good alt?
Bx and cirrhosis: Repeated liver biopsies are not necessary. Liver may be affected in heterogeneous fashion. Fibroscan is a good noninvasive test if available in your area. Blood tests can be helpful. Platelet count less than 150,000 is suggestibility cirrhosis. Fibrosure blood test or ultrasound can be helpful as well. ...Read more
Variable: Only a small proportion, about 20% of chronic drinkers get cirrhosis. The amount of alcohol needed to start the process towards cirrhosis varies with the genetic makeup of the person and other issues, such as chronic viral hepatitis, state of nutrition etc. I would urge you to not take more than one drink a day. ...Read more
Yes: Alcohol abuse can cause spider nevi. They can appear before lab abnormalities do. Just because labs are normal, does not mean that everything is perfect. If you think you might have an alcohol problem, please seek help before the situation does become irreversible. Hope this helps! ...Read more
I have alcohol cirrhosis when i eat n drink causes bad pain under my left n right rib cages n my stomach is painful to the touch. All I do is cry?
Alcohol caused husbands liver fibrosis. ammonia levels are slightly elevated and he takes lactulose. does fibrosis cause this when it's not cirrhosis?
Increased ammonia: By the time someone with alcoholic liver disease develops hepatic encephalopathy, cirrhosis of the liver is usually present. If the elevation is only slight and he is asymptomatic, it is possible to have fibrosis without cirrhosis, but he is certainly on his way to it. It is very important not to drink anymore alcohol at all. He also should not drive. He should follow up closely with his doctor. ...Read more
Varies: Depends on duration, dose, binge or regular/daily intake sex, other health issues, other liver issues including fatty liver, infections like hepatitis. Women are more sensitive to adverse effects of alcohol, i.e. Worse effects at same dose (even at the same weight as a man). ...Read moreSee 1 more doctor answer
Cant say: You may never develop cirrhosis; however, your question indicates a concern over an obviously heavy pattern of alcohol use. You need to stop drinking. (btw- its not helpful to count glasses of alcoholic drinks but to count ounces of alcohol used in order to determine the # of standard drinks). ...Read more
How long can a person with cirrhosis live who still drinks alcohol daily, doesn't eat very much or some days doesn't eat at all.
Cannot say...: ...Conservative estimate would be weeks, but could continue on for years. We were designed with fragility and resiliency. Other medical issues, extent of cirrhosis (the yellow indicates severe) and compliance with treatment (even while drinking). Info provided suggests several days to few weeks. ...Read moreSee 1 more doctor answer
I'm 36y/o male. Moderate cirrhosis from alcohol. Three years clean. Would intermittent fasting be ok? Trying to lose weight. 8 hrs on 16hrs fast
Yes: Although alcohol is the most common cause of cirrhosis, other causes are possible, even in someone who never drinks alcohol. The 2nd most common cause is hepatitis. It's important for someone with liver disease to be tested for hepatitis. Nash is another cause of cirrhosis. Here is a helpful article outlining all of this: http://consumer.Healthday.Com/encyclopedia/article.Asp?Aid=644390. ...Read moreSee 2 more doctor answers
Husband sleeping 16-18 hours a day and stopped eating a few days ago. has cirrhosis from alcohol, no other symptoms. why? is it an emergency?
Since cirrhosis slows down the metabolism of alcohol, if alcohol was consumed would the breathalyzer reading be higher Than a "normal" person?
See below: Alcohol is toxic to the liver fat accumulates in the liver when drinking occurs this progresses to alcoholic helpatis and then to cirrhosis cirrhosis leads to nodules shich have no resemblacne to normal lobules of the liver-and it is all because the liver detoxifies alcohol and this alcohol is itsef toxic to the llvier cells. ...Read more
Alcohol: Difficult to answer, not knowing how much/how long, & what your liver function tests showed. ...Read more
Variable: It depends on the amount of alcohol intake, other disorders, e,g. hepatitis C or chronic hepatitis B, iron deposition, nutritional status of the person and genetic susceptibility. Alcohol is a poison and it never did anybody any good. So rather than trying to titerate you intake, abstain entirely. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
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