Alcoholic Hepatitis: Symptoms, Risks, and Next Steps - Gastroenterology and Hepatology

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Alcoholic hepatitis is a serious condition that arises from excessive alcohol consumption, leading to inflammation of the liver. It is part of a spectrum of alcohol-related liver diseases, which also includes fatty liver disease and alcoholic cirrhosis. The symptoms of alcoholic hepatitis can vary from mild to severe and may include jaundice (yellowing of the skin and eyes), abdominal pain, nausea, vomiting, loss of appetite, and fever. In more severe cases, it can lead to liver failure, which can be life-threatening.

Given your situation, where your liver function tests (LFTs) show significantly elevated levels (over 400), it is crucial to understand the implications of these results. Normal levels for liver enzymes, such as AST (aspartate aminotransferase) and ALT (alanine aminotransferase), typically range from 12-33 U/L and 5-35 U/L, respectively. Elevated levels, especially in the hundreds, indicate liver inflammation or damage, which could be due to alcoholic hepatitis, particularly if you have a history of regular alcohol consumption and late nights.

The first step in addressing alcoholic hepatitis is to stop drinking alcohol entirely. Continuing to consume alcohol can exacerbate liver damage and lead to more severe complications. It is essential to seek medical advice from a healthcare professional who can evaluate your condition more thoroughly. They may recommend additional tests, such as imaging studies (like an ultrasound) or a liver biopsy, to assess the extent of liver damage and to rule out other causes of liver dysfunction.

In addition to stopping alcohol consumption, your doctor may suggest lifestyle changes that can support liver health. This includes adopting a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, as well as maintaining a healthy weight. Regular exercise can also be beneficial, but it is essential to consult with your healthcare provider before starting any new exercise regimen, especially if your liver function is significantly impaired.

If your liver function continues to deteriorate, or if you develop severe symptoms such as confusion, persistent vomiting, or significant abdominal swelling, it may indicate a more severe form of liver disease that requires immediate medical attention. In some cases, hospitalization may be necessary for close monitoring and treatment, which could include medications to manage symptoms and complications.

In summary, alcoholic hepatitis is a serious condition that requires prompt attention. The best course of action is to stop drinking alcohol, seek medical evaluation, and follow your healthcare provider's recommendations for managing your liver health. Early intervention can significantly improve outcomes and prevent further liver damage.