Avoidance of Alcohol for Patients with Cirrhosis Cirrhosis Patients with cirrhosis, regardless of etiology, should not drink any alcohol at all.
Some can probably safely drink more than others; your size, genetics, lifestyle and state of your liver make a difference. But in general, less than 14 units, spread over at least three days a week should be OK. That's just under a bottle-and-a-half of wine (ABV 13.5%), or an average of one 175ml glass per day.
Avoiding Alcohol
Moderate or heavy alcohol use can cause additional damage and fat accumulation in the liver in people with NAFLD. Therefore, patients with NAFLD should avoid alcohol entirely if possible.
If you have a more serious form of ARLD – alcoholic hepatitis or cirrhosis – life-long abstinence is recommended. This is because stopping drinking is the only way to prevent your liver damage getting worse and potentially stop you dying of liver disease.
As the liver attempts to repair itself, after alcohol abuse, scar tissue forms. Over time, this scarring within the liver can lead to decreased liver function. Once the liver has been damaged by cirrhosis, this damage cannot be undone. Any use of alcohol will only damage the liver further.
Patients with cirrhosis, regardless of etiology, should not drink any alcohol at all.
Cirrhosis is a stage of ARLD where the liver has become significantly scarred. Even at this stage, there may not be any obvious symptoms. It's generally not reversible, but stopping drinking alcohol immediately can prevent further damage and significantly increase your life expectancy.
Your liver may keep working even when you have cirrhosis. However, cirrhosis can eventually lead to liver failure, and you can get serious complications, which can be life threatening. Treatment may be able to stop cirrhosis from getting worse.
But how much alcohol does it take to cause liver cirrhosis? For cirrhosis to develop in men, a person must drink more than about 3 ounces of alcohol a day for more than 10 years.
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.
If you have fatty liver disease, the damage may be reversed if you abstain from alcohol for a period of time (this could be months or years). After this point, it's usually safe to start drinking again if you stick to the NHS guidelines on alcohol units. However, it's important to check with your doctor first.
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.
Is there a cure for cirrhosis of the liver? No, there is no cure for cirrhosis. The damage already done to your liver is permanent. However, depending on the underlying cause of your cirrhosis, there may be actions you can take to keep your cirrhosis from getting worse.
Patients with compensated cirrhosis have a median survival that may extend beyond 12 years. Patients with decompensated cirrhosis have a worse prognosis than do those with compensated cirrhosis; the average survival without transplantation is approximately two years [13,14].
The risk of disease was twice as high in women than men, but only in the dose range 3–8 drinks/day. Only 4% of individuals consuming more than 6 drinks daily had cirrhosis and only 10% had any evidence of liver disease at all.
Stage 1 is inflammation of your liver, caused by your immune system reacting to a foreign substance, like toxins. Chronic inflammation can lead to an enlarged liver. Inflammation can result from fatty liver, hepatitis, and other causes. Stage 2 is liver fibrosis or liver scarring, caused by chronic inflammation.
In fact, some data suggest that “binge” drinking is less likely to lead to cirrhosis or alcoholic hepatitis compared to continuous drinking (9–11) (Table 1). As the underlying mechanisms of binge drinking remain elusive, further research is needed to clarify the role it plays in increasing the risk of advanced ALD.
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.
Even after years of heavy alcohol use, the liver has a remarkable regenerative capacity and, following alcohol removal, can recover a significant portion of its original mass and function.
Many people with cirrhosis can feel quite well and live for many years without needing a liver transplant. This is because the liver can function relatively well even when it is quite severely damaged. Cirrhosis is classified as compensated or decompensated.
Life expectancy by stage
Compensated cirrhosis: People with compensated cirrhosis do not show symptoms, while life expectancy is around 9–12 years. A person can remain asymptomatic for years, although 5–7% of those with the condition will develop symptoms every year.
Myth: I might have cirrhosis, but the liver will regenerate and heal itself naturally. Fact: The liver is a highly regenerative organ but only if it's still healthy enough to do so and doesn't have extensive scar tissue. Once cirrhosis is present, your liver's regeneration becomes very limited.
According to some reports, cirrhosis does not develop below a lifetime alcohol consumption of 100 kg of undiluted alcohol[8]. This amount corresponds to an average daily intake of 30 grams of undiluted alcohol for 10 years.
Stage 3: Cirrhosis
Cirrhosis refers to severe, irreversible scarring of the liver. There can be several years—decades, even—between the second and third stages of liver disease, so act early if you have any reason to suspect you are at risk.