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In the Spotlight

April 17, 2000

Fatty Liver: How Alcohol Can Turn Your Liver into a Flabby Wimp

By Adam Brochert M.D.
Personal MD.com Contributing Editor

 

The liver is a very important organ in the body with many responsibilities. It is also tough - and able to withstand quite a beating. However, one of the few opponents that manage to affect the liver is alcohol.

One of the main functions of the liver is to process the things we take into our bodies. This includes the food we eat, the medications we take, and the alcohol we drink. When we take in too much of a substance, the liver may get overloaded and inflamed, just as a muscle gets inflamed from overuse.

How does drinking alcohol affect the liver?

Alcohol is one of the most common reasons for the liver to become inflamed and damaged, and it is the number one cause of liver-related deaths in the US and the most common cause of cirrhosis.

One serving of alcohol equals:
12 ounces of regular beer,
4 ounces of wine, OR
1.5 ounces of 80 proof liquor

In the early stages of alcohol damage to the liver, the normal tissue of the liver becomes filled with fat. The deposits of fat occur because of a chemical imbalance in the liver due to chronic alcohol consumption. This often increases the size of the liver and may cause abdominal pain in the upper right side of the abdomen under the rib cage, the location of the liver. This pain is often the only symptom of alcohol-induced fatty liver and may not be present.

Usually, a person has to drink more than two or three servings of alcohol a day to develop a fatty liver. Women develop alcohol-induced liver damage with lower quantities of alcohol intake than men due to their weight and metabolic differences. The duration and exact amount of alcohol required to cause liver damage varies widely from one person to the next, but fatty liver can develop in as little as three months with moderate to heavy alcohol intake.

A diagnosis of fatty liver is suspected whenever a person drinks alcohol and their liver is noted to be enlarged or tender during a physical examination. Blood tests can reveal a fairly specific increase in certain liver enzymes found in the blood when alcohol-induced fatty liver is present. In rare circumstances, a special x-ray study such as an ultrasound is obtained to confirm the diagnosis or rule out other liver diseases.

What happens if the drinking continues?

Fatty liver is the earliest form of liver disease that can be recognized. If an affected person continues to drink, there is a fairly good chance that they will go on to develop worsening fatty liver and alcohol-induced hepatitis (severe inflammation of the liver caused by excessive drinking). Alcoholic hepatitis is the last stage of liver damage before cirrhosis of the liver occurs. Usually, it takes at least ten years of almost daily alcohol consumption of at least two drinks per day to cause cirrhosis.

What happens if the drinking stops?

The good news about alcohol-induced fatty liver is that it is fully reversible when a person stops drinking. As mentioned previously, the liver is a tough organ. If given the chance the liver will generally restore itself to normal before the serious, irreversible changes of cirrhosis occur. Thus, the treatment of fatty liver from alcohol is straightforward  the person must stop drinking.

This, of course, is often easier said than done. Those who develop alcoholic fatty liver often have an addiction to alcohol. But it is imperative to stop drinking, and maximal resources must be used in an attempt to get the person to stop drinking. This includes family intervention, supportive peer groups such as Alcoholics Anonymous, strict rehabilitation programs that may require an inpatient stay, and possibility even medications that make the person sick if they drink alcohol.

Alcohol-induced fatty liver is a condition that develops when the liver becomes exhausted by excessive alcohol abuse. This disorder is the liver's way of telling the affected person that it is now time to quit drinking before more serious problems occur. Alcoholic hepatitis, cirrhosis, liver cancer, and death may all occur if these warning signs are ignored. Don't let alcohol turn your liver into a flabby wimp!

 

Copyright © 2000 PersonalMD.com. All rights reserved.

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