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Alcoholic liver disease

Alcoholic liver disease is a term that encompasses the hepatic manifestations of alcohol overconsumption, including fatty liver, alcoholic hepatitis, and chronic hepatitis with hepatic fibrosis or cirrhosis. It is the major cause of liver disease in Western countries. Although steatosis (fatty liver) will develop in any individual who consumes a large quantity of alcoholic beverages over a long period of time, this process is transient and reversible. Of all chronic heavy drinkers, only 15–20% develop hepatitis or cirrhosis, which can occur concomitantly or in succession.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with alcoholic liver disease, 61% report having sharp abdominal pain, 50% report having abusing alcohol, and 37% report having peripheral edema. The symptoms that are highly suggestive of alcoholic liver disease are abusing alcohol, abdominal distention, vomiting blood, blood in stool, and kidney mass, although you may still have alcoholic liver disease without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with alcoholic liver disease often receive hematologic tests, complete blood count, radiographic imaging procedure, glucose measurement, intravenous fluid replacement, electrolytes panel, urinalysis and plain x-ray .

Common Medications

The most commonly prescribed drugs for patients with alcoholic liver disease include furosemide, spironolactone, lactulose, folic acid, pantoprazole, thiamine, propranolol, digoxin, nadolol, octreotide, midodrine, zinc sulfate and tacrolimus (prograf) .

Furosemide
$4
(28 days)
Spironolactone
$11
(28 days)
Lactulose
$24
(21 days)
Folic Acid
$3
(28 days)
Pantoprazole
$110
(28 days)
Thiamine
$3
(28 days)
Propranolol
$18
(28 days)
Digoxin
$6
(28 days)
Nadolol
$13
(28 days)
Octreotide
$1745
(21 days)
Midodrine
$106
(28 days)
Zinc Sulfate
$4
(28 days)
Tacrolimus (Prograf)
$376
(28 days)

Who is at risk?

Groups of people at highest risk for alcoholic liver disease include sex == male age 45-59 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get alcoholic liver disease.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.2x
30-44 years
1.0x
45-59 years
2.6x
60-74 years
1.4x
75+ years
0.3x

Sex

Male
1.5x
Female
0.6x

Race/Ethnicity

Black
0.5x
Hispanic
1.1x
White
1.1x
Other
1.4x
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