Understanding Alcohol-Related Liver Disease

A Comprehensive Guide for Patients

Gastroenterology

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Last updated: Mar 24, 2025

What is ARLD?

Alcohol-related liver disease is a condition caused by years of excessive alcohol consumption that damages the liver. The liver, which normally filters toxins from the body, becomes scarred and may eventually stop functioning properly.

Stages of ARLD

  1. Alcoholic Fatty Liver Disease

    • Earliest stage
    • Usually reversible with abstinence
    • Often no symptoms
  2. Alcoholic Hepatitis

    • Inflammation of the liver
    • Can be severe or life-threatening
    • May cause jaundice and abdominal pain
  3. Cirrhosis

    • Advanced scarring
    • Permanent damage
    • Most serious stage

Common Symptoms

  • Fatigue and weakness
  • Loss of appetite
  • Nausea and vomiting
  • Abdominal pain
  • Yellowing of skin and eyes (jaundice)
  • Swelling in legs and abdomen

Risk Factors

  • Regular heavy drinking
  • Gender (women are more susceptible)
  • Genetics
  • Poor nutrition
  • Obesity

Diagnosis

  • Blood tests
  • Liver function tests
  • Imaging (ultrasound, CT, or MRI)
  • Liver biopsy (if needed)

Treatment Options

Immediate Steps

  • Stop drinking alcohol completely
  • Nutritional support
  • Medications for complications

Long-term Management

  • Regular medical monitoring
  • Lifestyle changes
  • Support groups
  • Liver transplant (in severe cases)

Prevention

  • Limit alcohol consumption
  • Maintain healthy diet
  • Regular exercise
  • Regular medical check-ups

When to Seek Help

Contact your healthcare provider if you experience:

  • Severe abdominal pain
  • Persistent jaundice
  • Confusion or disorientation
  • Vomiting blood

Support Resources

  • Alcoholics Anonymous
  • Local support groups
  • Medical counseling
  • Family support services

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