Alcoholic hepatitis : Causes-Symptoms-Diagnosis-Treatment
What is Alcoholic hepatitis?
Drinking alcohol can cause inflammation of the liver.
Alcoholic hepatitis is more likely to happen to people who drink heavily for many years. However, the relationship between drinking and alcoholic hepatitis is complicated. Not all heavy drinkers develop alcoholic hepatitis and the disease can occur in people who drink moderately.
If you are diagnosed with alcoholic hepatitis, you must stop drinking alcohol. Drinking alcohol increases your risk of serious liver damage and death.
Medical terms
Alcoholic hepatitis is a serious condition caused by the overconsumption of alcohol. It is characterized by inflammation of the liver, leading to symptoms like jaundice, abdominal pain, nausea, fever, and loss of appetite. Alcoholic hepatitis can range from mild to severe and can even be fatal if not treated. Heavy drinking for several years can cause scarring of the liver, known as cirrhosis, that increases the risk of developing alcoholic hepatitis.
Alcoholic hepatitis is a liver condition caused by excessive alcohol consumption. It is characterized by inflammation and swelling of the liver, which can potentially lead to cirrhosis if left untreated. This condition is not to be taken lightly, as it can be fatal if left untreated. Early diagnosis is crucial in order to start treatment and prevent more serious health issues from developing.
If you've got it, you would possibly get up and spot that your skin or the whites of your eyes look yellow -- a condition referred to as jaundice. you would possibly even have a fever, aching, or liquid buildup in your belly, and you will slim down. If you’ve been diagnosed with it or assume you would possibly have it, here’s what you would like to grasp. Learn a lot of concerning health issues caused by alcohol.
When alcoholic hepatitis is left untreated about 10 percent of those who suffer from it will develop cirrhosis On average it takes 2-20 years for this progression to occur The longer the untreated alcoholic hepatitis lasts the higher the risk of developing cirrhosis later in life
Alcoholic hepatitis is caused by long-term alcohol consumption In addition to malnutrition and fluid loss alcoholic liver disease (ALD) can lead to a buildup of fatty deposits in your liver These deposits are known as steatosis In extreme cases ALD can progress into cirrhosis and even liver cancer Mild symptoms of ALD include nausea weakness diarrhea and loss of appetite A number of treatments for ALD are available that aim to help boost the function of your liver --- with diet being one of the key components along with medications that increase the ability of your liver cells to absorb nutrients from food
Symptoms Alcoholic hepatitis
One of the signs of alcoholic hepatitis is a yellowing of the skin and whites of the eyes (jaundice).
Other signs and symptoms include:
Loss of appetite
Nausea and vomiting
Abdominal tenderness
Fever, often low grade
Feeling tired and weak.
People with alcoholic hepatitis are often malnourished. Drinking a lot of alcohol makes it hard to eat, since heavy drinkers mainly get their calories from alcohol.
Some signs and symptoms that may occur with severe alcoholic hepatitis include:
If you have fluid accumulation in your abdomen (ascites), that means there is too much fluid in your body.
Toxins can cause confusion and changes in behavior, as they are normally eliminated by the liver.
Kidney and liver failure
When to see a doctor
Alcoholic hepatitis is a serious disease that can be deadly.
See your doctor if you:
If you have signs or symptoms of alcoholic hepatitis, you may be sick.
Can't control your drinking
Can you help me by cutting back on your drinking?
Causes Alcoholic hepatitis
Alcohol damages your liver when you drink it. It's not clear exactly how alcohol harms the liver — and this happens only in some heavy drinkers.
Some factors that may contribute to alcoholic hepatitis are known:
The body's process of breaking down alcohol produces poisonous chemicals.
These chemicals cause inflammation which destroys liver cells.
Scars can eventually replace healthy liver tissue and impair liver function.
This serious scarring is the final stage of alcoholic liver disease.
Other factors that can contribute to alcoholic hepatitis include: -excessive drinking -having a family history of alcoholism -having certain medical conditions -being age 30 or older when first drinking alcohol
Other types of hepatitis.If you have hepatitis C, even if you only drink moderately, you're more likely to develop cirrhosis than if you don't drink.
Malnutrition.Many people who drink heavily are malnourished because they do not eat well or because alcohol and its byproducts block the body's ability to absorb nutrients. Lack of nutrients causes liver cell damage.
Risk factors Alcoholic hepatitis
There is a major risk factor for alcoholic hepatitis if you consume alcohol. It isn't known how much alcohol it takes to put someone at risk, but most people with the condition have been drinking more than 3.5 ounces (100 grams) in total — equivalent to seven glasses of wine. Drink at least seven beers or shots of spirits each day for at least 20 years.
Alcoholic hepatitis can occur among those who drink less and have other risk factors.
Other risk factors include:
Your sex.Women seem to have a higher risk of developing alcoholic hepatitis because of the way alcohol is processed differently in women.
Obesity.If you are a heavy drinker and are overweight, you might be more likely to develop alcoholic hepatitis and then progress to cirrhosis.
Genetic factors.There may be a genetic component to alcohol-induced liver disease, although it's difficult to determine which factors are due to genetics and which are due to environment.
Race and ethnicity.Blacks and Hispanics are at a higher risk for developing alcoholic hepatitis.
Binge drinking.Drinking five or more drinks in two hours for men and four or more drinks in two hours for women might increase your risk of developing alcoholic hepatitis.
Complications Alcoholic hepatitis
Complications of alcoholic hepatitis may result from severe liver damage, including scar tissue. Scar tissue can slow blood flow through the liver, leading to increasing pressure in a major blood vessel (portal vein) and the accumulation of toxins.Complications can include:
Enlarged veins (varices). If blood doesn't flow freely through the portal vein, it can back up into other blood vessels in the stomach and esophagus. These small, thin-walled vessels are likely to bleed if they're filled with too much blood. If you experience heavy bleeding in the upper part of your stomach or in your esophagus, call 911 immediately. If you experience an emergency, go to the hospital right away.
Ascites.If fluid accumulates in the abdomen, it might be infected and require treatment with antibiotics. Ascites are not life-threatening but are usually a sign of advanced alcoholic hepatitis or cirrhosis.
Hepatic encephalopathy is a condition that causes confusion, drowsiness, and slurred speech.If your liver is damaged, it may not be able to remove toxins from your body. This can lead to health problems such as brain damage. Severe hepatic encephalopathy (HE) can cause coma.
Kidney failure.A damaged liver can cause damage to the kidneys, which can affect blood flow. This can lead to damage to that organ.
Cirrhosis.This scarring of the liver can lead to liver failure.
Prevention Alcoholic hepatitis
You might reduce your risk of alcoholic hepatitis if you: Drink moderately and avoid excessive drinking. Avoid food that has been prepared in an alcoholic beverage.
Drink alcohol in moderation, if at all.For healthy adults, drinking moderate amounts of alcohol means up to one drink a day for women of all ages and men older than 65 and up to two drinks a day for men age 65 and younger. The only way to prevent alcoholic hepatitis is to avoid all alcohol.
Protect yourself from hepatitis C by getting vaccinated.If you have hepatitis C, drinking alcohol increases your risk of developing cirrhosis. If you have hepatitis C and do not drink, your risk is much lower than if you drink.
Before combining medications and alcohol, be sure to check the ingredients.Talk to your doctor before drinking alcohol while taking your prescription medications. Be sure to read the warning labels on over-the-counter medications. Don't drink alcohol when taking medications that may have complications when combined with alcohol, such as pain relievers.Acetaminophen (Tylenol, others) is a pain reliever.
Can alcoholic hepatitis be cured?
Alcoholic hepatitis is a disease that progresses over time with the individual's symptoms worsening during the course of the illness Although there is no cure for this condition treatments can help to relieve some of its symptoms.
How long does it take for alcoholic hepatitis to heal?
Hepatitis is an inflammation of the liver and it has two main forms acute and chronic Acute hepatitis occurs when the immune system is stimulated to attack viral particles or toxic compounds in the blood causing redness and swelling in the tissues The disease usually heals within a few months without treatment but can lead to chronic hepatitis if it isn't cleared up quickly Chronic hepatitis develops when damage done to the liver by other diseases like alcohol abuse leads to liver failure over time Chronic hepatitis generally takes much longer to heal than acute hepatic infection up to 10 years in some cases It is possible however.
Can mild alcoholic hepatitis be reversed?
Yes mild alcoholic hepatitis can be reversed However it is important to realize that you need to stop drinking alcohol if this needs to happen You may also have complications from your underlying liver disease like the development of scarring in the liver (cirrhosis) and/or a condition where the immune system becomes irritated within the liver (autoimmune hepatitis) Your doctor will advise on ways that you may be able to continue consuming alcohol but at a lower threshold than before such as reducing your intake or avoiding drinking on nights before work days.
Can you live a normal life with alcoholic hepatitis?
Alcoholic hepatitis is a type of liver disease It occurs when the immune system attacks healthy liver tissue while trying to digest alcohol in the body The result is inflammation of the liver which causes jaundice (a yellowing of the skin and whites of the eyes) and fluid accumulation in and around the liver Untreated alcoholic hepatitis can lead to permanent scarring of the liver (cirrhosis) as well as its failure.
Diagnosis Alcoholic hepatitis
Your doctor will do a physical examination and ask about your drinking habits. It's important to be honest, so your doctor might ask your family members for information.
To test for liver disease, your doctor might recommend a variety of methods, such as:
Blood tests
A scan of the liver using ultrasound or MRI technology
If other tests and imaging don't provide a clear diagnosis, a liver biopsy may be performed.
Treatment Alcoholic hepatitis
Alcoholic hepatitis can be treated by quitting drinking and using therapies to ease the signs and symptoms of liver damage.
Quitting drinking
If you have been diagnosed with alcoholic hepatitis, you must stop drinking alcohol and never drink alcohol again in order to reverse liver damage or prevent the disease from worsening. If you don't stop drinking, you are likely to develop a variety of life-threatening complications. Some health problems can occur.
If you want to stop drinking, your doctor may recommend a treatment plan that is specifically tailored for your needs. Stopping abruptly can be risky, so make sure to talk with your doctor about your plans before making any changes.
Treatment might include:
Medications
Counseling
If you are struggling with alcoholism, there are many support groups available. Alcoholics Anonymous or another group can help you get better.
A treatment program that is outpatient or residential has the advantage of being more convenient for you.
Treatment for malnutrition
Your doctor might recommend a special diet to correct deficiencies in nutrients. You might be referred to a dietitian who can suggest ways to increase your intake of essential vitamins and minerals.
If you can't eat properly, your doctor might recommend tube feeding. A tube is inserted into your throat or through a small cut in your side and fed into your stomach. A special diet of nutrient-rich liquid is then passed through the tube.
Medications to reduce liver inflammation
If you have severe alcoholism, your doctor might recommend:
Corticosteroids.These medications may have short-term benefits in increasing the survival of people with severe alcoholic hepatitis. However, corticosteroids have serious side effects and are generally not prescribed if you have failing kidneys, gastrointestinal bleeding, or an infection.
Pentoxifylline.If you have alcoholic hepatitis, your doctor might recommend this anti-inflammatory medication. Pentoxifylline has not been proven to be helpful for alcoholic hepatitis, and the results of studies are inconclusive.
Liver transplant
A liver transplant is a very risky procedure for people with severe alcoholic hepatitis. Without the transplant, many of these people will die.
People with alcoholic hepatitis have not historically been good candidates for liver transplants because they are at high risk of returning to drinking and harming their health. Recent studies suggest that selected patients with severe alcoholic hepatitis have good post-transplant survival rates. People who have liver transplants are similar to those with other types of liver diseases.
To transplant plants, you would need: -Sunny weather -Soft, moist soil -Plants that are compatible with the climate and soil conditions where you live
There is a program out there that is specifically designed for liver transplant patients who have alcoholic hepatitis.
To be a good candidate for the alcohol abstinence program, I would need to commit to living a lifetime without drinking, as well as meet other specific requirements of the transplant center.
Preparing for your appointment
If you have a digestive disease, you might be referred to a gastroenterologist.
What you can do
When you make the appointment, ask about any dietary restrictions that may be necessary for the test.
Make a list of:
Your symptoms,Please bring any relevant documentation with you to the appointment, such as records from previous appointments or test results.
All medications,Supplemental vitamins and minerals you take, as well as the doses you take them at.
Key medical information, including other conditions you have.
Key personal information,Tell your doctor about the recent changes in your life so that they can monitor your alcohol consumption.
Questions to ask your doctor.
If possible, have a friend or relative accompany you while you are learning this information.
Questions to ask your doctor
What are the most likely causes of my symptoms? Are there other possible causes I should consider?
What tests will I need? How do I need to prepare for them?
Is my condition temporary or chronic?
What treatments are available? What do you think is the best one?
I have other health issues. How can I best manage my conditions together?
If you have any questions, don't hesitate to ask.
What to expect from your doctor
Your doctor may ask you questions, including:
How often do your symptoms occur? Are they occasional or persistent?
Do any changes make your symptoms worse or better?
Have you had hepatitis or yellowing of the skin?
Do you use drugs for recreation?
Do your family and friends think that you drink too much? Has drinking had social consequences, such as an arrest?
Do you get angry or anxious when people talk about drinking?
Do you feel guilty about drinking?
Do you drink in the morning?
General summary
Alcoholic hepatitis is most commonly defined as a histologic diagnosis of diffuse or panlobular liver cell injury and inflammation caused by chronic excessive ingestion of alcoholic beverages Alcoholic hepatitis is an important entity that has recently been shown to have a significant impact on public health By all accounts it represents the leading cause of chronic liver disease in Western societies after viral infection.
(or alcoholic liver disease) is a serious cause of chronic liver damage that occurs in individuals who consume alcohol regularly Alcoholic hepatitis is caused by long-term consumption (more than three to four drinks per day) of alcohol and is typically associated with alcoholism A direct toxic effect on the liver from ethanol toxicity acetaldehyde toxicity or nutritional deficiencies may also contribute to the development of alcoholic hepatitis.
Alcoholic hepatitis is a severe form of alcoholic liver disease, in which inflammation and necrosis of the liver occur. It is caused by a combination of heavy drinking, toxin accumulation and other factors. Acute alcoholic hepatitis causes severe abdominal pain, jaundice, ascites and even death in some cases. It is therefore important to diagnose it early and begin treatment promptly to improve the chances of a successful outcome.
Alcoholic hepatitis is a condition that occurs when the liver becomes inflamed due to excessive alcohol use. It is a serious condition that can lead to liver damage, cirrhosis, and even death. Symptoms of alcoholic hepatitis include jaundice, abdominal pain, loss of appetite, nausea, vomiting, and fatigue. Long-term alcohol abuse can lead to alcoholic hepatitis and should be taken seriously as it is a serious liver disease that can have long-term health consequences.
Alcoholic hepatitis (AH) is a form of liver disease that is caused by excessive drinking, usually over a period of years. It is characterized by inflammation of the liver and can lead to symptoms such as fever, abdominal pain, and jaundice. Generally speaking, AH can be managed through reducing alcohol intake and lifestyle changes. In more severe cases, it can require hospitalization, and even require certain medications or surgical intervention.
