What Is Alcoholic Cirrhosis? Everything You Need to Know About Alcohol-Associated Liver Cirrhosis

woman thinking representing alcoholic cirrhosis
Updated August 5, 2024
Updated August 5, 2024
Picture of Authored By:

Authored By:

Joe Gilmore

Picture of Edited By:

Edited By:

Amy Leifeste

Picture of Medically Reviewed By:

Medically Reviewed By:

Javier Rodriguez-Winter

Picture of Authored By:

Authored By:

Joe Gilmore

Picture of Edited By:

Edited By:

Amy Leifeste

Picture of Medically Reviewed By:

Medically Reviewed By:

Javier Rodriguez-Winter

woman thinking representing alcoholic cirrhosis

Alcoholic cirrhosis is a condition that involves normal liver tissue being destroyed and replaced with scar tissue as a result of alcohol abuse. It’s the most advanced stage of alcoholic-related liver damage which can follow from steatotic liver (fatty liver) and acute hepatitis.

This guide to alcoholic liver cirrhosis explains how this condition develops and shows you how to get effective and compassionate treatment for alcohol abuse.

What Is The Definition of Alcoholism?

Alcoholism (alcohol use disorder) is a progressive condition where a person has trouble controlling their drinking. It means they keep drinking alcohol even when it causes problems in their life. These problems can be related to their health, work, or relationships with family and friends.

People with alcoholism might feel a strong need to drink, and they may not be able to stop once they start. Over time, they might need to drink more to feel the same effects, or they may feel sick when they don’t drink. Alcoholism can be mild, moderate, or severe depending on how many symptoms a person shows.

Getting help from doctors, counselors, and support groups can make it possible to recover and lead a healthier life.

What Is Cirrhosis?

Cirrhosis is a serious condition where the liver becomes heavily scarred and damaged. The liver is an organ that helps remove toxins from the blood, produces important proteins, and aids in digestion by making bile. When the liver is injured – whether by disease, infection, or excessive alcohol use – it tries to repair itself. In this process, scar tissue forms. Over time, if the liver is repeatedly damaged, more scar tissue develops, making it difficult for the liver to function properly. This happens in the case of alcoholic liver cirrhosis.

  • Cause: Cirrhosis can be caused by chronic alcohol abuse, viral hepatitis (B, C, and D), NAFLD (nonalcoholic fatty liver disease), and other conditions that damage the liver over a long period.
  • Symptoms: Many people experience no cirrhosis symptoms until significant liver damage has occurred. When symptoms appear, they can include fatigue, easy bruising, swelling in the legs and abdomen, jaundice (yellowing of the skin and eyes), and confusion.
  • Complications: Severe cirrhosis can lead to life-threatening complications like liver failure, increased risk of liver cancer, and severe bleeding due to varices (enlarged veins).

Cirrhosis is a progressive disease, meaning it worsens over time. Early diagnosis and treatment of the underlying cause can slow down or sometimes even reverse some of the damage.

image of people discussing what is cirrhosis

What Is Alcoholic Liver Cirrhosis?

Alcoholic liver cirrhosis is the most advanced form of liver disease caused by excessive alcohol consumption. It occurs after years of heavy drinking and represents the final stage in the progression of alcohol-related liver diseases, starting with fatty liver disease and progressing to alcoholic hepatitis.

  • Fatty liver disease: Drinking too much alcohol can cause fat to build up in the liver. This condition is called fatty liver disease, and it can occur even after short periods of heavy drinking. It is usually reversible with abstinence from alcohol.
  • Alcoholic hepatitis: Continued alcohol use can lead to inflammation and damage to liver cells, a condition known as alcoholic hepatitis. This can cause symptoms like jaundice, fever, and abdominal pain.
  • Alcoholic cirrhosis: Prolonged alcohol abuse can lead to severe scarring and damage to the liver tissue, resulting in cirrhosis. In this stage, the liver is stiff, swollen, and barely able to perform its essential functions.

Symptoms of alcoholic liver cirrhosis include:

  • Jaundice: Yellowing of the skin and eyes due to the liver’s inability to remove bilirubin from the blood.
  • Ascites: When fluid accumulates in the abdomen.
  • Portal hypertension: Increased blood pressure in the veins that carry blood to the liver, leading to varices that can burst and cause serious bleeding.
  • Mental confusion: Due to the buildup of toxins in the brain (hepatic encephalopathy).
  • Muscle wasting and weakness: Caused by poor nutrition and the liver’s inability to process nutrients effectively.

Treatments for Cirrhosis Induced by Alcohol

The primary treatment for alcoholic liver cirrhosis is complete abstinence from alcohol. This helps to prevent further liver damage and can improve some symptoms. Additional treatments may include:

  • Medications: To manage symptoms like fluid buildup, infections, and hepatic encephalopathy.
  • Nutritional support: Ensuring a balanced diet to help the liver function as well as possible.
  • Liver transplant: If the liver has sustained extensive damage, a liver transplant might be necessary. However, a person must demonstrate a commitment to sobriety to be considered for a transplant.

Preventing alcoholic liver cirrhosis involves reducing alcohol consumption, maintaining a healthy diet, and seeking help for alcohol use disorder if needed. Early intervention can make a significant difference in outcomes for those at risk.

Types of Alcohol Addiction Treatment

Getting help for alcohol addiction can make the difference between relapse and ongoing recovery. There are different ways to treat alcohol addiction, and each person may need a different approach. Here are some common types of treatment:

Medical detox

Detoxification is a process where doctors help people safely stop drinking and manage withdrawal symptoms. This is often the first step in treatment.

Inpatient rehab

Inpatient rehab is a treatment center where people stay for 30 to 90 days to get intensive help for addiction. They receive medical care, therapy, and support in a safe environment.

Outpatient rehab

With outpatient rehab, individuals visit a clinic or therapist regularly but continue to live at home. This allows them to get help while still going to work or school.

Medications

Medications approved by the FDA for treating alcoholism include:

  • Naltrexone: Helps reduce the craving for alcohol.
  • Acamprosate: Helps people stay away from alcohol after they have quit drinking.
  • Disulfiram: Makes people feel sick if they drink alcohol.

Counseling and therapy

Talk therapy helps people understand their addiction and find ways to cope without drinking. Behavioral therapies like CBT (cognitive behavioral therapy) teach skills to avoid triggers that cause drinking and help change drinking habits. DBT (dialectical behavioral therapy) helps people tolerate stress more effectively.

Support groups

AA (Alcoholics Anonymous) is a group where people share their experiences and support each other to stay sober. Many other groups also help people stop drinking by offering peer support and encouragement.

Untreated, alcohol addiction usually gets worse, but getting treatment can help people with alcohol addiction stop drinking and improve their health.

 

inside a room at california detox depicitng cirrhosis symptoms treatment

Get Compassionate, Insurance-Covered Alcohol Addiction Treatment at California Detox

If you need help with alcohol addiction, reach out to California Detox before you experience health issues like liver damage.

You can begin recovery with supervised detox at our luxury rehab in Laguna Beach, CA. This program provides access to medications and 24/7 care so you can withdraw from alcohol safely and smoothly. You will then transition to ongoing treatment at our beachside facility.

All alcohol addictions are different, so all our inpatient treatment programs deliver personalized treatments like:

Call our recovery experts today at 949.694.8305.

FAQs

Drinking heavily over many years can lead to liver cirrhosis. For men, this often means having more than 15 drinks per week, and for women, more than 8 drinks per week.
Not everyone who drinks heavily will develop liver complications, but long-term alcohol abuse significantly increases the risk of serious liver diseases like cirrhosis and alcoholic hepatitis.

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