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Symptoms of Alcoholic Hepatitis You Shouldn't Ignore
Published: Dec 03, 2023
Alcoholic hepatitis can be deadly if left untreated. Recognizing its symptoms early can save lives.
Common Symptoms
Key symptoms include jaundice, which is yellowing of the skin and eyes, and a loss of appetite leading to weight loss. Patients may also experience fever and abdominal pain, particularly in the upper right side. These symptoms often develop shortly after an increase in alcohol consumption.
Physical Exam Findings
During a physical exam, doctors may find an enlarged, tender liver, a condition known as hepatomegaly. Ascites, or fluid buildup in the abdomen, can also occur. In severe cases, patients may show signs of confusion or lethargy, indicating hepatic encephalopathy.
Understanding Laboratory Findings
Laboratory findings often show elevated liver enzymes, particularly an AST:ALT ratio of 2 or more. High bilirubin levels and a prolonged INR are also common. These lab results, combined with physical symptoms, help confirm the diagnosis.
Frequently Asked Questions
Jaundice is yellowing of the skin and eyes due to liver dysfunction.
Inflammation and swelling from liver injury cause tenderness.
It's confusion or lethargy caused by liver dysfunction affecting the brain.
Yes, but other causes should be ruled out first.
Recognizing the Signs
Early detection of symptoms is key to managing alcoholic hepatitis effectively.
References
- Schomerus G, Leonhard A, Manthey J, et al. The stigma of alcohol-related liver disease and its impact on healthcare. J Hepatol 2022; 77:516.
- Baraona E, Leo MA, Borowsky SA, Lieber CS. Alcoholic hepatomegaly: accumulation of protein in the liver. Science 1975; 190:794.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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