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General Info About
Alcohol Liver Disease |
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Alcohol abuse can harm bodies, minds, families, societies and
economies.
Winston Churchill, the former British Prime Minister said, "Always
remember that I have taken more out of alcohol than alcohol has
taken out of me." However, unlike Churchill, for many highly
talented souls alcohol has been a curse, for once addicted to it,
they have lost their brilliant career.
Man has always enjoyed getting intoxicated. Alcohol has always been
an important part of all social occasions and rituals. Today alcohol
consumption is one of the most serious public health problems not
just in our country but in developed countries as well. The ill
effect of alcohol consumption is not taken seriously because the
enjoyment of alcohol is socially accepted and even encouraged in
many cultures. The process by which an occasional drinker becomes an
excessive drinker, and then finally becomes dependent on drinking
can be gradual.
Alcohol abuse or excessive drinking is associated with a whole range
of problems such as - physical, psychological, social, criminal and
economical. Another silent killer associated with alcohol addiction
is liver disease known as Cirrhosis or Hepatitis. Liver Cirrhosis is
the terminal stage of the liver diseases in which the liver becomes
shrunk and fibrosed there by losing all its function. This stage
occurs after liver has undergone abuse and destruction for a long
period of time.
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What Are The Causes Of Alcohol Liver Disease |
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Ethanol: Alcohol consists of a substance called ethanol. In small
amounts ethanol stimulates the nerve cells in the brain. However,
when alcohol is taken regularly over years, the substance becomes
toxic to the cells of the body, especially the cells in the liver,
and this can in turn lead to cirrhosis of liver.
Alcoholic hepatitis: Excessive drinking for many years causes
inflammation of the liver cells called Alcoholic hepatitis. Regular
drinking weakens the normal functioning of liver and this leads to
the development of the disease.
Malnutrition: Alcohol consumed by a person blocks the essential
nutrients which one gets from food as it results in failure of the
liver cells to absorb adequate nutrients from the intestinal tract.
Thus, malnutrition contributes to aggravation of the liver disease.
Genetic factors can also contribute to the development of alcoholic
liver disease.
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What are the symptoms of alcoholic liver disease? |
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Symptoms may not be present until the disease is relatively
advanced. Symptoms vary with the severity of the disease and are
usually worse after a recent period of heavy drinking. The Symptoms
include:
Loss of appetite.
Swollen abdomen due to an enlarged liver.
Jaundice and fever.
Weight gain.
Mental confusion and difficulty with memory.
Rise in the rate of heart beat.
Alcoholics are at an increased risk for gastrointestinal disorders,
heart diseases and high blood pressure.
Excessive alcohol use can also cause peptic ulcers, aggression,
anxiety and depression.
A number of types of cancer can be developed as a result of
alcoholism. Cancer of mouth, throat,esophagus,
stomach and liver are
the few commonly occurring ones.
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How can we diagnose alcohol liver disease? |
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A complete blood count analysis (CBC) may show anemia and other
abnormalities.
Tests which determine the normal functioning of the liver show
abnormal results.
Liver biopsy shows typical findings for alcoholic liver disease.
To rule out other diseases, tests such as ultrasound and CT scan of
the abdomen may also be carried out.
Serious complications of alcohol consumption These include advanced
diseases such as brain damage (Alcoholic Encephalopathy) and
hypertension (high blood pressure within the liver). The disease
usually affects those who are older than 30 years.
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How can alcoholic liver disease be treated? |
The object of treatment is to stop the intake of alcohol and improve
the general nutrition of the individual.
Diet: Provide a high-carbohydrate, high-calorie diet to reduce
protein breakdown in the body. Vitamins, especially B1 and folic
acid, should be given to the patient.
Counseling: An alcohol rehabilitation program or counseling is
necessary to cure the alcohol addiction which has affected the mind
and body of the alcoholic.
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Frequently asked questions about alcoholic liver disease... |
Which specialist should I see if I am suffering from Alcoholic liver
disease?
You should consult a General Physician or a General surgeon.
Who are all susceptible to alcoholic liver disease?
Women may be more susceptible than men. Alcoholic liver disease may
not affect all heavy drinkers. In some people, the rate of alcohol
metabolism can be high enough to allow for the consumption of large
quantities of alcohol without raising the alcohol level in blood .
How does alcohol cause Cirrhosis of liver?
Ethanol in alcohol causes inflammation of the liver cells
(hepatitis). This can progress to a "fatty liver" where there is
abnormal collection of fat, and this eventually leads to cirrhosis.
Cirrhosis is the final phase of the disease.
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Glossary |
CBC - Complete Blood Count.
CT scan - Coaxial tomographic scan is an advanced scanning device.
Encephalopathy - Damage to brain tissue. |
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