The liver is very resilient and capable of regenerating itself. Each time your liver filters alcohol, some of the liver cells die. The liver can develop new cells, but prolonged alcohol misuse (drinking too much) over many years can reduce its ability to regenerate.
Severe drinking may require three months to a year to fully regenerate the liver to its original capacity and functionality. Over time, the liver can heal itself from damages caused by alcoholic fatty liver disease and hepatitis. Unfortunately, when it comes to the scars of cirrhosis, these damages are irreversible.
Generally, symptoms of alcoholic liver disease include abdominal pain and tenderness, dry mouth and increased thirst, fatigue, jaundice (which is yellowing of the skin), loss of appetite, and nausea. Your skin may look abnormally dark or light. Your feet or hands may look red.
It takes upwards of ten years for alcohol-related liver disease to progress from fatty liver through fibrosis to cirrhosis to acute on chronic liver failure. This process is silent and symptom free and can easily be missed in primary care, usually presenting with advanced cirrhosis.
It is estimated that alcohol-related fatty liver disease develops in 90% of people who drink more than 40g of alcohol (or four units) per day. That's roughly the equivalent of two medium (175ml) glasses of 12% ABV wine, or less than two pints of regular strength (4% ABV) beer.
So what happens when you stop drinking? The good news is that the liver is the only organ that can restore and regenerate itself. Because the liver is in a constant state of regeneration, in many cases the healing process can begin within just weeks after foregoing alcohol.
Heavy drinkers and alcoholics may progress from fatty liver to alcoholic hepatitis to cirrhosis, and it is estimated that 10 percent to 15 percent of alcoholics will develop cirrhosis.
Having 2 to 3 alcoholic drinks every day or binge drinking can harm your liver. Binge drinking is when you drink more than 4 or 5 drinks in a row. If you already have a liver disease, you should stop drinking alcohol. There is no safe amount of alcohol for people with any type of alcoholic liver disease.
Myth 3: Drinking hard liquor is worse than drinking beer or wine. Contrary to popular belief, the type of alcohol you drink doesn't make a difference – what matters is how much you drink. "The safe limit is fixed at 14 units a week," explains Dr Lui. "Below this limit, alcoholic fatty liver is less likely to occur.
Alcohol-related liver disease (ARLD) is often first suspected when tests for other medical conditions show a damaged liver. This is because the condition causes few obvious symptoms in the early stages. If a doctor suspects ARLD, they'll usually arrange a blood test to check how well your liver is working.
A liver blood test measures the levels of various things in your blood, like proteins, liver enzymes, and bilirubin. This can help check the health of your liver and for signs of inflammation or damage.
At 3 weeks of not drinking, most drinkers have successfully reduced their risk of heart disease, including stroke, high cholesterol, and high blood pressure. Their kidney health and even their vision may improve. For dependent drinkers, blood pressure may reduce to normal levels by the 3rd or 4th week.
Men and women should drink no more than 14 units per week. Give your liver a regular break and have 2 to 3 alcohol free days each week – try to have them all in a row.
Limit the amount of alcohol you drink. Eat a well-balanced diet every day. That's five to nine servings of fruits and vegetables, along with fiber from vegetables, nuts, seeds, and whole grains. Be sure to include protein for the enzymes that help your body detox naturally.
Heavy alcoholics consuming at least 80 g of alcohol per day for more than 10 years will develop liver disease at a rate of nearly 100%.
Glucose levels stabilize - Alcohol inhibits the liver's ability to release glucose, which causes blood sugar levels to drop. Since your liver function improves after a month without alcohol, your glucose levels will also stabilize, which reduces your risk of developing diabetes.
Foods that support liver health include berries, cruciferous vegetables, beans, whole grains, nuts, and fatty fish. Coffee and green tea contain antioxidants that are helpful for liver health.
However, by day 4 without alcohol, most people will have got beyond any initial withdrawal symptoms. All the alcohol will have left your system by now, and your body will begin to bounce back. If you're not as focused on alcohol, you may be eating better, drinking water, moving more, and perhaps sleeping more deeply.
Here are some of the most common signs that you may be developing liver problems. A general unwell feeling. An underperforming liver can't filter toxins out of the bloodstream, resulting in fatigue, headaches and skin problems. Frequent gassy sensation.
Blood tests.
Blood tests are done to determine how well your liver works. A prothrombin time test measures how long it takes your blood to clot. With acute liver failure, blood doesn't clot as quickly as it should.