Alcoholic liver disease

People who regularly abuse alcohol face such a problem as alcoholic liver disease. As a result of its development, cirrhosis, fatty degeneration and hepatitis of the liver may occur. These diseases are very serious and difficult to treat. They most often affect men, but their development is faster in women. Timely assistance upon detection of such a problem will help get rid of serious consequences.

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Forms

Alcoholic liver disease manifests itself in only two forms: progressive and persistent. Each form has its own characteristics.

Progressive form

It occurs in three stages:

  • Mild
  • Moderate
  • Severe

In this form, liver damage occurs, which almost always leads to cirrhosis. If you stop drinking alcohol in a timely manner when the primary symptoms are detected, then you can completely stabilize the situation. But you cannot do without proper treatment and preventive measures. But even with this approach, relapses and the manifestation of residual effects are possible. After alcoholic liver disease is detected, the symptoms and treatment should be determined by a doctor, and all restorative procedures should be carried out by him.

Persistent form

This form of the disease is considered stable. That is, if you stop drinking alcohol in a timely manner, you can completely stop the development of inflammatory processes. Otherwise, the disease will develop into a progressive form with all the ensuing consequences. To identify alcoholic hepatitis of this form, it is necessary to undergo a series of laboratory tests, since it occurs without pronounced symptoms.

Forms

Symptoms of Alcoholic Liver Disease

Symptoms vary depending on the stage of the disease.

First stage

The first stage of the disease is asymptomatic. But in some patients it is possible to observe:

  • Pain in the right hypochondrium
  • Decreased appetite
  • Nausea

Jaundice may appear.

Second stage

Acute alcoholic liver disease does not show symptoms. It begins and progresses quickly, and often ends in death. At this stage, the following symptoms can be observed:

  • Dull pain on the right side
  • Nausea and vomiting
  • Diarrhea
  • Loss of appetite
  • Weakness

In addition, regardless of the stage of the disease, it is very often accompanied by hyperthermia.

Chronic form

The chronic form lasts a long time and is complicated. The following symptoms appear regularly:

  • Moderate pain in the right hypochondrium
  • Belching
  • Nausea
  • Constipation and diarrhea

Jaundice may occur very rarely. When the disease begins to progress, cirrhosis of the liver develops. In this case, the symptoms characteristic of it can be observed:

  • Redness of the palms
  • Spider veins
  • Change in nail consistency
  • Gynecomastia

The more cirrhosis develops, the more symptoms can be observed. That is why it is important to diagnose the disease in time and begin its treatment.

Reasons

The disease develops due to uncontrolled alcohol consumption. As a result, ethyl contained in alcohol enters the body. In fact, it is a poison for the human body. It enters the stomach and liver, where it is broken down and excreted from the body naturally. But if alcohol is consumed regularly, the body does not have time to cope with its processing and excretion. Thus, toxic substances accumulate in the liver, causing various diseases.

The main causes of liver disease:

  • Long-term consumption of alcohol in large doses
  • Genetic predisposition
  • Liver diseases, suffered or active

All this leads to the occurrence of the first stage of alcoholic liver disease. And if you do not start timely treatment, it will move to other stages, which will be difficult to cope with.

Stages of alcoholic liver disease

There are three of them: steatosis, alcoholic hepatitis, cirrhosis.

  • Steatosis of the liver

    This is the first stage - alcoholic fatty liver disease. It develops in almost all people who drink alcohol excessively. If you stop drinking, then within a few weeks the condition of the organ will normalize without medical intervention. But if you continue drinking alcohol, first alcoholic hepatitis will develop, then cirrhosis of the organ.

  • Alcoholic hepatitis

    At this stage, subacute inflammation of the liver develops. It is characterized by the appearance of giant mitochondria, Mallory bodies, and fibrosis develops. The disease occurring at this stage is accompanied by liver dysfunction, and ultimately cirrhosis develops. Very often, complications arise, such as bleeding from varicose veins. This is a symptom that the disease is progressing, and it is necessary to immediately begin its treatment by contacting a medical center.

  • Cirrhosis of the liver

    The last stage of the disease, which develops very often in alcohol-dependent people. Accompanied by massive fibrosis, disruption of the main functions of the liver. Leads to the development of portal hypertension. The risk of developing other diseases, for example, hepatocellular carcinoma, increases significantly. As a result, this leads to death.

General information

Diagnostics

After identifying the symptoms of alcoholic liver disease, you should contact a medical center and undergo a full diagnosis. It begins with collecting anamnesis to determine the frequency and amount of alcohol consumed. The doctor asks leading questions, which must be answered as truthfully as possible. This stage determines what subsequent steps the doctor will take to diagnose and eliminate the problem.

Then blood tests are prescribed. Laboratory tests can reveal the condition of the liver and what measures can be taken to normalize it. After this, an ultrasound examination of not only the liver, but also the abdominal cavity is mandatory. A number of other, additional studies are carried out:

  • MRI
  • Dopplerography
  • Computer tomography
  • Radionuclein study

It is possible to carry out instrumental studies, which include a biopsy, the size and shape of the liver are studied, and most importantly, changes occurring in it are identified. It is the biopsy that gives the final answer about the condition of the liver, after which the doctor develops a treatment strategy.

Treatment of alcoholic liver disease

If alcoholic liver disease is detected, treatment at an early stage can prevent its development and even restore the full functionality of the organ. When the disease progresses to other stages, treatment consists of relieving symptoms and preventing the progression of the disease. Preventive measures to prevent complications are mandatory.

The most important factor in treatment, accelerating the entire process and guaranteeing a complete recovery is a complete refusal to drink alcohol. In addition, this will significantly improve the general condition of a person and relieve him of early-stage alcoholic liver disease.

The main method of treating the liver of the medical center is a special diet and the use of multivitamin complexes. In the case of severe anorexia, nutrition is carried out with a specialized probe. Detoxification is important. For this, drug therapy is carried out using pyridoxine and glucose solutions. Drugs are used that can regenerate liver cells to restore its functionality.

Treatment includes taking corticosteroids. They are especially relevant in acute or severe forms of alcoholic liver disease and when the patient's life is in danger. Ursodeoxycholic acid is prescribed as a hepatoprotector, which helps regulate lipid metabolism. But in addition to such treatment, it is necessary to normalize the patient's psychological state. For this purpose, heptral is used.

The last stage of treatment is restorative procedures:

  • Reflexotherapy
  • Physiotherapy
  • Electrophoresis
  • Massage therapy
  • Exercise therapy

In extreme cases, surgical correction is used, but more often they do without it. If the disease is advanced, then a liver transplant will be required. Before starting such an operation, alcohol consumption is prohibited for 6 months (before it begins). The final results are recorded in the medical history, where liver cirrhosis and alcoholic etiology are also recorded.

Do not self-medicate. At the first signs of alcoholic liver disease, you should contact a medical center to receive qualified help. This will help achieve complete recovery.

Complications

Alcoholic liver disease leads to complications such as:

  • Hepatic encephalopathy
  • Bleeding in the gastrointestinal tract
  • Renal failure

Liver cancer may develop. Complications always lead to serious consequences, and without timely elimination, death is possible. To avoid them, you must follow simple prevention rules.

Prevention of alcoholic liver disease

The recommendations of the attending physician must be strictly followed. The main rule of prevention is to avoid drinking alcohol. Even if the liver is already damaged, giving up alcohol will normalize its condition. Do not forget that most patients die from alcoholic liver disease within 5 years. Therefore, preventive measures are extremely important.

Prevention is not only giving up alcohol. To prevent the disease from moving to another stage, it requires timely treatment in a medical center. And for this, it is recommended to undergo regular diagnostics. Well, and the most important thing is proper nutrition, which should be developed by an experienced nutritionist.

Diet for alcoholic liver disease

The main thing in the diet is to balance the metabolism and protect the liver from harmful factors that lead to its destruction. The diet should include proteins, carbohydrates. Do not abuse fried, spicy and fatty foods. It is not recommended to overeat. Steamed or boiled dishes are the most useful. Baked and stewed food will not hurt. Do not use salt.

The following vegetables and fruits have an effective effect on the liver:

  • Cabbage
  • Beets
  • Pears
  • Carrots
  • Apples

You can eat meat, but lean: beef and veal are great. Fish should be lean, boiled. Milk - low-fat, cottage cheese and sour cream - will not hurt (in small quantities).

The following should be excluded from the diet:

  • Rye bread
  • Broth
  • Canned goods
  • Garlic
  • Mushrooms
  • Legumes
  • Pickled vegetables
  • Lard
  • Sausages
  • Margarine
  • Coffee and cocoa
  • Chocolate

The diet should be selected individually, with a nutritionist. Therefore, it is necessary to contact a medical center for detailed recommendations on proper nutrition.

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I was examined by Irina Vyacheslavovna. I would like to note that she is a specialist doctor who is very attentive to her patients, good-natured, and knowledgeable about her subject. In my opinion, Irina Vyacheslavovna has the qualities of a doctor that are needed in this profession. Thank her for her help and recommendations. I wish her professional growth.
12.02.2025
Airat Akhmadullovich A.
From the bottom of my heart... From the bottom of my heart Thank you! You are an impeccable specialist in your field, a kind-hearted person. My gratitude is sincere and boundless. I would like to wish you many years of successful medical practice, happy years of a prosperous life! Thank you for your overwhelming help in treatment, for your responsiveness and tremendous support! Thank you, you are an excellent doctor, the best specialist and just a good person. God bless you and your loved ones. After all, Health is the main benefit of life. Low bow to you!
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Margaryan Susanna Parkevna
Professional approach and attentive attitude. Treatment of colonic diverticulosis was successful.
02.10.2023
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The professionalism and attentiveness of the doctors at the clinic is amazing. I heard the name of the disease and was honestly scared, the doctors immediately calmed me down, prescribed treatment, and I’m on the mend.
18.07.2023
Anna
After much suffering with stomach pain, I went to the K+31 clinic. Esophageal candidiasis was diagnosed. Everything was thought out and implemented clearly. I especially liked that they prescribed me a minimum of medications and selected a good diet
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Alla
I thank “K+31” for your attentive attitude. If I had problems with my gallbladder, I came here, quickly underwent an examination and began treatment. The condition has improved noticeably.
15.05.2023
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21.01.2021
Ulugbek
I got with pain in the abdomen for a second appointment with Saida Faritovna. Thank you very much for her professionalism and attention to me. The pain was not from the field of gastroenterology, and I was recommended to visit a neurologist. However, along the way, I was diagnosed with Hp, which I will treat according to the scheme prescribed by this wonderful doctor. Impression of the reception 5+ (score) or 10 points! I recommend this doctor to everyone. Respectfully yours, Yu.M. Serova
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As a patient of Saida Faritovna, I declare that the doctor is very good. Calm and very smart doctor prescribing helpful treatment! Thank!
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