Alcohol-Associated Liver Disease
What is Alcohol-Associated Liver Disease?
Alcohol-related liver disease (ALD) is caused by excessive consumption of alcohol and is both common and preventable. ALD presents in three different stages depending on the severity of liver inflammation. ALD presents in three different stages depending on the severity of liver injury. The three stages of ALD are alcohol-related fatty liver, alcoholic hepatitis, and Cirrhosis.
Alcohol-related Fatty Liver
Also called alcoholic steatosis, is the earliest stage and the most common form of ALD
It is characterized by an excessive accumulation of fat inside liver cells, which makes it harder for the liver to function.
Usually there are no symptoms, although the liver can be enlarged, and you may experience upper abdominal discomfort on the right side.
Alcohol related Fatty liver occurs fairly soon in almost all people who drink heavily. The condition will usually go away if you stop drinking before fibrosis (scarring) begins to occur.
Alcoholic Hepatitis
Alcoholic hepatitis is acute inflammation, or swelling, of the liver accompanied by the destruction of liver cells. This usually occurs after drinking very large amounts of alcohol continuously over a period of days to weeks.
Up to 35 percent of heavy drinkers develop alcoholic hepatitis, which can be severe and even fatal.
Symptoms may include fever, jaundice, nausea, vomiting, abdominal pain and tenderness.
The disease may occur suddenly – after binge drinking for instance and can quickly lead to life-threatening complications, including severe liver scarring (cirrhosis), the most serious complication of alcohol-related liver disease.
-National Institute on Alcohol Abuse and Alcoholism-
Is there a safe level of drinking?
For most people, moderate drinking will not lead to alcohol-related liver disease. According to the Dietary Guidelines for Americans, moderate drinking is one drink a day for women and two drinks a day for men. More recent guidelines suggest limiting alcohol intake to 2 drinks per week for both men and women.
Each of these alcoholic beverages, in the following amounts, is considered one drink and contains the same amount of alcohol:
- One 12-ounce bottle of beer
- One 4-ounce glass of wine
- One 1-ounce shot of hard liquor
If you have chronic liver disease, even small amounts of alcohol can make your liver disease worse. People with alcohol-related liver disease and those with cirrhosis from any cause should abstain from alcohol completely.