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Alcoholic Liver Disease – Part 3

• Alcoholic liver disease is a condition which contributes to the hepatic manifestations of over consumption of alcohol.
• Alcohol is the basic reason for the rise of liver disease especially in Western countries.
• Although steatosis (fatty liver) will build up in a person who consumes a large level of alcohol based drinks spanning a long time, this is transient and reversible.

Treatment for Alcoholic Liver Disease

• The first management of alcohol-induced liver disease is cessation of alcohol consumption.
• To reverse liver damage this is the best option. This will also prevent worsening of liver injury.
• Without treatment, most sufferers with liver damage due to alcohol will lead to liver cirrhosis.

Other treatment for alcoholic hepatitis includes:
Nutrition
• Doctors recommend a calorie-rich diet that can help the liver in their regeneration process.
• Daily fat must be reduced because fat disrupts alcohol metabolism.
• The diet is often supplemented with vitamins and dietary minerals.
• Many nutritionists recommend an eating plan with an excellent source of protein.
• Take frequent small meals during the day which can be about 5–6.
• Nutritionally, supporting the liver and providing it with foods which are known to improve the liver function is recommended.
• Such as carnitine. It helps:
– Reverse fatty livers
– Vitamin C, which is an antioxidant. It aids in collagen synthesis.
– Increases the production of neurotransmitters.
– They are such as norepinephrine and serotonin.
– Supplementing using the nutrients that were depleted as a result of the drinking.
– Eliminating any food which might be manifesting as intolerance and alkalizing our bodies is normally important.
– There are several supplements which are recommended in lowering cravings for alcohol.
– These include choline, glutamine, and vitamin C.
– Glucose increases the toxicity of centrilobular hepatotoxicants.
– This can be done so by inhibiting cell division and repair.
– Essential fatty acids are utilized by the liver instead of glucose being a fuel source to help you with repairs.
– It’s advised that the patient consumes a diet that is elevated in protein and EFA’s e.g. omega.

Symptom treatment can include:
• Corticosteroids for severe cases
• Anticytokines
• Propylthiouracil to modify metabolism
• Colchicine to inhibit hepatic fibrosis.

Antioxidants
• Alcohol-induced liver damage occurs via generation of oxidants.
• Thus, alternative health care practitioners tell us to take supplements of natural antioxidant like blessed thistle.

Liver Transplant
• When everything else fails and the liver is severely damaged, the only alternative is usually a liver transplant.
• Liver transplant donors are very less and that also has a waiting list of different hospitals.
• One of several criteria being eligible for a liver transplant is always to discontinue alcohol consumption to a minimum of a few months.

Complications and Prognosis

• Because the liver scars, the bloodstream become non-compliant and narrow.
• This leads to increased pressure in the veins entering the liver.
• As time passes, this will cause a backlog of blood (portal hypertension), and it is related to massive bleeding.
• Enlarged veins, often known as varicose veins, also develop to bypass the blockages inside the liver.
• These veins are quite fragile and tend to bleed by rupturing.
• Variceal bleeding may be life-threatening as well as emergency treatment.
• After the liver is damaged, fluid accumulates inside the abdomen and legs.
• The fluid build-up presses around the diaphragm which enable it to make breathing very hard.
• As liver damage progresses, the liver cannot extinguish pigments like bilirubin and the skin and eyes turn yellow.
• The dark pigment also causes the urine to show up dark; however, the stools appear pale.
• Also, while using the progression of the disease, the liver can release toxic substances which in turn lead to brain damage.
• This results in altered psychological condition, and could cause behavior and personality changes.

Alcoholic Liver Disease Dr. Melissa Palmer’s Guide To Hepatitis and Liver Disease The Liver Cleansing Diet

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