Alcohol-Related Liver Disease: Stages, Risks & Recovery
Understanding alcoholic liver disease — fatty liver, hepatitis, and cirrhosis — and how addiction treatment supports liver health at Keystone Health Group.
Alcohol-related liver disease (ARLD) is one of the most serious medical consequences of chronic heavy alcohol use. It exists on a spectrum from alcoholic fatty liver disease (reversible with abstinence) to alcoholic hepatitis (potentially life-threatening) to alcoholic cirrhosis (largely irreversible scarring of the liver). The most important intervention for all stages of ARLD is cessation of alcohol use. At Keystone Health Group, our medical team assesses liver health during treatment and coordinates with hepatology when needed.
Stages of Alcohol-Related Liver Disease
Alcoholic fatty liver disease (steatosis) occurs in up to 90% of heavy drinkers and is largely reversible with abstinence. Alcoholic hepatitis is inflammation of the liver that can range from mild to severe and potentially fatal. Alcoholic cirrhosis is irreversible scarring of the liver that impairs liver function and can lead to liver failure, portal hypertension, and liver cancer.
Liver Assessment During Treatment
Our medical team screens all clients with heavy alcohol use histories for liver disease during the initial assessment, including liver function tests (LFTs) and, when indicated, imaging studies. Clients with significant liver disease are managed in coordination with hepatology specialists.
The Role of Abstinence
Abstinence from alcohol is the most important intervention for all stages of ARLD. Fatty liver disease typically resolves within weeks of abstinence. Alcoholic hepatitis improves significantly with abstinence. Even in cirrhosis, abstinence slows progression and significantly improves survival.
Signs & Symptoms of Addiction
Our Treatment Approach
Frequently Asked Questions
Can the liver recover from alcohol damage?
Fatty liver disease is largely reversible with abstinence. Alcoholic hepatitis improves significantly with abstinence. Cirrhosis is largely irreversible, but abstinence slows progression and improves survival.
Can I receive addiction treatment if I have liver disease?
Yes. Our medical team is experienced in managing addiction treatment in clients with liver disease, including adjusting medication choices based on liver function.
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