Fact Checked

Alcoholic Hepatitis: Why You Should Drop the Bottle for Good

Dr. Bhavani A

Moderation is the key to a healthy and happy life.

If you have been heavily drinking for years, your liver must be crying for help. Being the largest organ in the body, the liver removes poison such as alcohol from the blood and purifies the body. However, if your system has been subjected to copious amounts of alcohol for a while now, it could have fat deposits leading to inflammation and scarring. That’s not all–you could even contract a serious illness called ‘alcoholic hepatitis’, primarily caused due to the inflammation of the liver. 

While this condition is common among those who have consumed a lot of alcohol over the years, it could also happen to someone who drinks moderately. In case you have been diagnosed with this disease, drop the bottle right away or else it could prove to be fatal. 

Symptoms of Alcoholic Hepatitis 

If you have recently noticed jaundice-like symptoms, including yellow eyes or fever and a stomach ache, you could have alcoholic hepatitis. Some of the most common symptoms of this disease include appetite loss, nauseous feeling, vomiting, tenderness in the abdomen, low-grade fever, and persistent fatigue. 

In fact, malnutrition is a common symptom of alcoholic hepatitis. This is essentially because alcohol reduces your appetite and heavy drinkers mostly get their share of calories from the drinks. 

Some of the other signs and symptoms include: 

  • Fluid accumulation in the abdomen 
  • Confusion and behavioural changes due to the accumulation of toxins in the body 
  • Kidney and liver failure 

Causes of Alcoholic Hepatitis 

As mentioned above, this condition occurs due to years of heavy drinking or if there is a history of this condition in the family, that eventually damages your liver. Generally, the liver breaks down alcohol and other toxic chemicals and eliminates them from your system. In the case of a heavy drinker, the chemicals lead to inflammation that eventually fatally harms liver cells. Over a span of time, the scars hurt healthy liver tissue and disrupt its normal functioning. This scarring is irreversible and is called cirrhosis, which is the eventual stage of liver disease caused by excessive alcohol consumption. In case you suffer from any other form of hepatitis and also drink, then you’re at a high risk of developing cirrhosis. 

Risk factors of Alcoholic Hepatitis 

As discussed above, the biggest risk factor for this disorder is the consumption of large amounts of alcohol. While one does not know how much alcohol puts you at risk, it is believed that most people with this condition have had a history of drinking more than 100 grams (equivalent to seven glasses of wine, beer or shots) daily for a minimum of 20 years SHOULDN’T SAY MINIMUM. Besides this, the other risk factors include: 

  • Your gender: Generally, this disorder is found more often in women than men, mainly because of differences in the way alcohol is processed in their respective systems 
  • Obesity: Those who are obese risk developing this condition and eventually move to cirrhosis 
  • Genetics: According to certain studies, there may be a genetic component in heavy drinkers that triggers this condition.
  • Binge drinking: If a man has five or more drinks within two hours and a woman consumes about four in the same time span, then there is a high risk of alcoholic hepatitis. 

Diagnosis and Treatment of Alcohol Hepatitis 

The diagnosis of this disorder begins with checking your medical history to see if there’s a cause for alcohol-related liver problems. The next step is to go for a few blood tests that check your liver enzymes. In case the parameters are high, you might be at risk of liver damage. Lastly, your doctor may require you to get a liver biopsy done in addition to blood tests. 

Coming to the treatment, the first step is to stop the consumption of alcohol, even if your symptoms are mild. Next, change your diet and include low-sodium foods as well as diuretics and vitamin supplements to heal from all the damage on your liver. Healing may become difficult if there’s fluid buildup due to scarring. Lastly, your doctor may prescribe antibiotics to prevent infections and steroids to reduce the symptoms. 


Alcoholic hepatitis could lead to other serious complications. These include: 

  • Increased fluid in the abdomen 
  • Oesophagus or stomach bleeding 
  • Brain fog and confusion

Indulgence is good, but only when you do it once in a while. Remember, ‘moderation is key’ to a healthy and happy life!

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