Alcohol related liver disease (ARLD) – Overview of Causes, Symptoms, Diagnosis, Risk factor, Prevention Treatment in India

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Alcohol-related liver disease (ARLD)
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Introduction about Alcohol-related liver disease
(ARLD)

• Alcohol-related liver disease (ARLD) refers
  to liver damage caused by alcohol misuse.
  Alcohol-related liver disease (ARLD) covers a
  range of conditions and associated symptoms.

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What causes Alcohol-related liver disease (ARLD)?

• Alcohol-related liver disease (ARLD) occurs after
  years of heavy drinking (more than 10 units per
  week, each unit being equal to 30ml of whisky/a
  glass of wine/beer or equivalent). It initially
  causes fat deposits in the liver. If the damage
  continues, it causes inflammation in the liver.
  Over time, scarring and cirrhosis can
  occur. Cirrhosis is the final phase of alcoholic
  liver disease.
• Alcohol-related liver disease (ARLD) does not
  occur in all heavy drinkers. On the other hand,
  you do not have to get drunk for the disease to
  happen. The chances of getting liver disease go
  up the longer you have been drinking and more
  alcohol you consume. Whether and with what amount
  of alcohol a person will develop serious liver
  damage also depends on individual metabolic
  capacity and the genetic make-up.
• The disease seems to be more common in some
  families. Women may be more likely to have this
  problem than men.

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Symptoms

• FAQ's
• 1.What are the symptoms of Alcohol-related liver
  disease (ARLD)?
• Symptoms vary, based on how bad the disease is.
  You may not have symptoms in the early stages.
  Symptoms tend to be worse after a period of heavy
  drinking.
• Some of the abdominal symptoms are
• - Pain and swelling in the abdomen
• - Decreased appetite and weight loss
• - Nausea and vomiting
• - Fatigue
• - Dry mouth and increased thirst
• - Esophageal bleeding (enlarged veins in the
  lower part of the food pipe)

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Symptoms
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• 2. What are the tests and diagnosis available
  for Alcohol-related liver disease (ARLD) in
  India?
• Some of the tests and diagnosis available for
  Alcohol-related liver disease (ARLD) are
• - Complete blood count (CBC)
• - Liver function Test
• - Ultrasound of the abdomen
• - Endoscopy
• - Abdominal CT scan
• 3. What are the treatments available for
  Alcohol-related liver disease (ARLD) in India?

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Symptoms
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• The most important part of Alcohol-related liver
  disease (ARLD) treatment is to stop using alcohol
  completely. If liver cirrhosishas not yet
  occurred, the liver can heal if you stop drinking
  alcohol. Once cirrhosis develops, it is
  irreversible.
• An alcohol rehabilitation program or counseling
  may be necessary to break the alcohol addiction.
  Vitamins, especially B-complex and folic acid,
  provide some nutrients that are deficient due to
  malnutrition.
• If cirrhosis develops, you must be monitored by
  a liver specialist to manage the
  potential complications of cirrhosis. Eventually,
  you may need a liver transplant if there has been
  a lot of liver damage.
• Continued excessive drinking can shorten your
  lifespan. Your risk for complications such as
  bleeding, brain changes, and severe liver damage
  go up. The outcome will be poor if you keep
  drinking.
• 4. What are the possible ways to prevent
  Alcohol-related liver disease (ARLD)?

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Symptoms
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• There are certain steps to reduce the risk of
  Alcohol-related liver disease (ARLD) which
  include
• - Drink in moderation i.e. not more than 10
  units per week
• - Drink a lot of non-alcoholic fluids especially
  lemonade after consuming alcohol
• - Never drink alone
• - Avoid mixing your drinks
• - Take "alcohol-free breaks" e.g. 3 months in a
  year. This helps in partial recovery of the
  liver damage
• 5. What are the risks associated with
  Alcohol-related liver disease (ARLD)?
• The main risk factors for Alcohol-related liver
  disease (ARLD) include

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Symptoms
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• Kidney failure.
• - Bleeding by portal hypertension.
• - Diabetes.
• - Breast enlargement in men.
• - Reduction of oxygen in the body.

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Treatment

• Which specialty of doctor to be consulted for
  the treatment of Alcohol-related liver disease
  (ARLD) in India?
• What is the cost of Alcohol-related liver
  disease (ARLD) treatment in India?
• A Gastroenterologist is to be consulted for
  the treatment of Alcohol-related liver disease
  (ARLD) in India.
• Which hospital to be preferred for
  Alcohol-related liver disease (ARLD) treatment in
  India?
• Medanta - The Medicity hospital in India to be
  preferred for Alcohol-related liver disease
  (ARLD) treatment in India.

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