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Alcoholic Fatty liver: Pleasure or pain?

Updated on August 13, 2015

Alcoholic Fatty Liver

Alcoholic Fatty Liver

Disciplined long queue infront of a liquor shop in Kerala
Disciplined long queue infront of a liquor shop in Kerala

Fatty liver pains!!!!!

Fatty infiltration of the liver and alcoholic fatty liver disease are not very uncommon terms. If you drive along the roads of Kerala, during the beginning of any month, you can see long queues in front of shops. Please don’t be mistaken. These are not the queues for shops selling essential commodities. They are the queues in front of liquor shops.

The news in one of the weekly magazines last year depicting Kerala as the state consuming maximum amount of liquor in India was not surprising to me. As per the news, Kerala has the highest per capita consumption of over eight litres (1.76 gallons) per year. This will be maximal during festival seasons like Onam and Christmas. Alcohol is used for celebrations. But in the long run, is it pleasure or pain? Maximum amount of damage is caused to the liver by prolonged alcohol consumption. In this hub, I try to look at the damage caused to the liver by alcohol such as fatty infiltration of the liver and cirrhosis of the liver.

Normal Liver

Normal liver has brown colour with a glistening smooth external surface
Normal liver has brown colour with a glistening smooth external surface

Normal Liver

The cut surface of normal liver has brown colour
The cut surface of normal liver has brown colour

Normal liver

A normal liver is about 1200 to 1600 grams and it performs the following functions

ØMetabolism – Carbohydrate, Fat & Protein

ØSecretory – bile, Bile acids, salts & pigments

ØExcretory – Bilirubin, drugs, toxins

ØSynthesis – Albumin, coagulation factors

ØStorage – Vitamins, carbohydrates etc.

ØDetoxification – toxins, ammonia, etc.


Alcoholic Fatty Liver

  • Another form of liver disease secondary to alcohol intake is alcoholic hepatitis.

  • It is developed acutely usually following bout of heavy drinking.

  • Here there is localised death of liver cells.

Alcoholic Fatty Liver Disease

Liver is the most common site for accumulation of fat because it plays the central role in fat metabolism. Alcoholic fatty liver disease is the most common cause for fatty liver. Fat in the form of free fatty acids enter the liver from dietary sources and from adipose tissue (tissue where fat is stored). Majority of these free fatty acids are first converted into triglycerides (another form of fat) and then converted as lipoproteins. Lipoproteins are released into the circulation from the liver cells as plasma lipoproteins i.e., low density lipoproteins and very low density lipoproteins.

Symptoms of fatty liver may not be evident in the beginning. Fatty liver symptoms occurs gradually over a period of time.

Alcoholic Fatty Liver

Fatty liver is grossly enlarged, yellow, and greasy and firm with a smooth and glistening capsule.
Fatty liver is grossly enlarged, yellow, and greasy and firm with a smooth and glistening capsule.

Alcoholic Fatty Liver

Alcoholic cirrhosis

Cirrhosis of the liver usually begins as micro nodular cirrhosis.

The liver will be very large, fatty and usually weighs above 2 kg.

The surface of the liver is studded with small nodules of almost equal sizes.

If the person does not stop drinking even after diagnosing liver cirrhosis it can progress to serious disease.

Alcoholic Fatty Liver

Micronodular cirrhosis

Nodules are formed as a result of regeneration by the surviving liver cells.

Image on the right shows the close up view of small nodules studded like buttons all over the surface of the liver

Glistening and smoothness of the surface of the liver is lost in cirrhosis of the liver

Oesophageal varices

Oesophageal Varices

In complicated cases of liver cirrhosis, blood vessels on the oesophagus will be dilated (known as oesophageal varices).

Oesophageal varices are formed because of obstruction in the portal veins (veins supplying the liver)

Engorged veins have a high tendency to bleed in patients with cirrhosis of the liver.

Caput Medusae

Caput Medusae


Caput medusae are engorged veins seen on the surface of abdomen (engorged vessels on abdomen) of a person with portal hypertension

It is because of the dilation of periumbilical collateral veins

Dear friends, unfortunately, if anyone of you has difficulty in quitting alcohol, please look at those images and think about the harm alcohol does to your body. Fatty infiltration of the liver if detected early is curable. If the person has the will and courage to stop excessive drinking, he/she can avoid getting alcoholic fatty liver disease and subsequently cirrhosis of the liver.

Comments

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    • thumbi7 profile imageAUTHOR

      JR Krishna 

      5 years ago from India

      Hi georgescifo,

      Thanks for that thoughtful comment

    • thumbi7 profile imageAUTHOR

      JR Krishna 

      5 years ago from India

      Hi Brett.Tesol,

      Thanks for the visit and comment

    • georgescifo profile image

      georgescifo 

      5 years ago from India

      May this hub be an eye opener for all those who drink excessively..

    • Brett.Tesol profile image

      Brett Caulton 

      5 years ago from Thailand

      An interesting and useful hub. Alcohol consumption is reaching scary levels in many countries.

      Shared, up, useful and interesting.

    • thumbi7 profile imageAUTHOR

      JR Krishna 

      6 years ago from India

      Thank you Carol.

      Happy to know that you have overcome food addiction. One girl in our neibouhood refuses to eat food if it does not taste good. She skips the whole meal and eats only if she is given the food of her preference.

      Is it food addiction?

    • carol3san profile image

      Carolyn Sands 

      6 years ago from Hollywood Florida

      You sure give the perfect picture of what alcohol does to the liver. My problem isn't alcohol, it is overeating (much of it is behind me now) But because of my food addiction, I can fully understand with all sympathy the alcholic's addiction. Voted up and useful.

    • thumbi7 profile imageAUTHOR

      JR Krishna 

      6 years ago from India

      Thank you Robie. I agree with you, a person who has real drinking problem will need professional help. Thanks for your valuable comment.

    • robie2 profile image

      Roberta Kyle 

      6 years ago from Central New Jersey

      Fascinating information on just exactly how alcohol damages the liver--unfortunately this information will not stop anybody who really has a drinking problem from drinking. Alcohol is insidious and its effects powerful. Thanks for sharing

    • thumbi7 profile imageAUTHOR

      JR Krishna 

      6 years ago from India

      Thank you Chuck G & Faceless.

    • profile image

      ChuckG 

      6 years ago

      I don't drink, but very interesting article.

    • Faceless39 profile image

      Kate P 

      6 years ago from The North Woods, USA

      Voted up, useful, and interesting. Pictures really tell the story well.. yucky. :)

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