Alcohol & Health
Treatment
Helping Alcoholics
Medically Reviewed by Annamarie Coy, BA, ICPR, MATS
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Do you enjoy an occasional glass of wine or drink at social gatherings? While moderate alcohol consumption may not hurt, indulging in it too often leads to health risks.
Among other problems, excessive drinking can affect your liver and even cause serious damage. Whether you’re a regular beer drinker or the type who indulges in spirits on the weekends, it’s important to know how far is too far when it comes to drinking.
This blog post discusses the early signs of liver damage from alcohol that should raise red flags for drinkers. With careful monitoring and awareness, you can prevent these consequences before they become health-threatening.
While moderate alcohol use doesn't typically affect liver function, chronic alcohol use can lead to liver damage and alcohol-related liver disease (ARLD). This is also known as alcoholic liver disease.
Not all liver damage is due to alcohol use. In fact, there are over 100 types of liver disease out there.9 The other causes of liver damage include:9
If you have alcohol-related liver damage, you should stop drinking.11 Alcohol is one of the most common causes of liver cirrhosis. It’s second only to hepatitis C virus (HCV) infection, contributing to about a quarter of cases of liver cirrhosis.1
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Alcohol-related liver damage refers to liver complications that arise as a result of alcohol use. Nearly all men who consume four drinks per day, and all women who consume about two drinks per day, show evidence of liver damage. However, less than half will develop a serious form of liver disease.4
People with alcohol use disorder (AUD) are at a higher risk of developing liver damage. AUD refers to a pattern of drinking that causes the drinker distress or harm, which may be either mild or severe.10
Men are more likely to develop alcoholic-related liver damage than women. But women may develop liver damage with less exposure to alcohol than men.5
There are some early symptoms of liver damage to keep in mind. While alcoholic liver disease may be asymptomatic, severe liver disease may lead to portal hypertension, jaundice, and brain disease (encephalopathy).
The most common early signs of liver damage from alcohol include:
As liver damage progresses through the three stages below, these symptoms of liver disease will likely worsen. New symptoms like yellowing of the skin may also start to occur.
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There are three stages of alcohol-related liver disease, which increase in severity over time:
Alcoholic fatty liver disease is when excess fat builds up in the liver due to heavy alcohol use. Fatty liver disease is the first phase and is still treatable.1
This condition is also known as hepatic steatosis.8 Almost everyone who drinks heavily develops fatty liver disease at some point. The symptoms of alcoholic liver disease include:
Alcoholic hepatitis/liver fibrosis is the second stage of alcohol-related liver disease. It happens when the cells in the liver become inflamed.1 This can last for years and progressively get worse over time. It may even become life-threatening.
The symptoms of alcoholic hepatitis include:
Alcoholic cirrhosis is the final stage of alcohol-related liver damage. Alcoholic cirrhosis happens when scar tissue takes over normal liver tissue. This is the most intense stage of alcoholic liver disease.5
Somewhere between 10 and 20 percent of people who drink heavily develop alcoholic cirrhosis. This generally happens after about 10 or more years of drinking alcohol.
Unfortunately, if liver damage reaches this stage, it may not be reversible. The symptoms of alcoholic cirrhosis include:
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A few types of liver function test can diagnose alcohol-related liver damage. For example, your doctor may administer a blood test to help determine liver health and function.6 Imaging tests like an ultrasound, CT, and MRI scan can also look at liver scarring.6
Your doctor may also do a liver biopsy to take a sample of the liver cells and send them to a laboratory for testing. They may also perform an endoscopy, which refers to passing a camera down through your esophagus and into your stomach.6
The course of treatment heavily relies on your medical practitioner's recommendations, which might include the following measures:
If damage is too far done, a liver transplant may be necessary. Seek professional medical advice to determine which treatment option is best for you.
Fortunately, early liver damage may be reversible. Your liver can repair itself and regenerate over time.9
If you don't detect alcoholic-related liver damage early, it can cause permanent issues. This can lead to more health complications later on.
For example, cirrhosis can lead to kidney problems and cause intestinal bleeding, fluid buildup in the belly, and severe infections. About 50 percent of people with cirrhosis also have gallstones.2 Liver damage can also lead to liver failure or liver cancer, which are life-threatening conditions.9
If you or someone you know is struggling with binge drinking, alcohol misuse, or addiction, speak with an addiction specialist today. Help is available.
First, know that you’re not alone. More than 29.5 million Americans 12 years old and above suffer from AUD.10 And many of them don’t seek treatment.
Treatment comes in various forms. For example, you may visit a therapist to talk about the triggers that drive you to drink. Other types of treatment include family counseling, marital counseling, and behavioral therapy.10
You may also choose to take medications that help assist the process. Currently, these drugs in the U.S. help people with alcohol addiction stop or cut back on their drinking and prevent relapse:
Alternatively, support groups exist to support you along the road to recovery. Alcoholics Anonymous is just one example.10
Alcohol-related liver damage is dangerous and can be life-threatening. It’s important to recognize its early signs and seek medical attention immediately.
As with any addiction, it’s key to first acknowledge the issue before committing to a road of recovery. Various treatments are available— from medications to support groups —so you or your loved one can get the help they need.
Remember that the earlier you acknowledge and start treatment, the better it is for your future health. Don't delay getting help. Reach out to your doctor or an addiction specialist today to regain control of your life and health.
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