104. What are the early symptoms of alcoholic liver disease?

Alcoholic liver disease is a liver disease that often has no obvious early symptoms and is easily overlooked, so many people discover it when the condition is already very serious. If people who drink frequently find themselves feeling fatigued for no apparent reason, have little appetite, have fever, lose weight, or have diarrhea, bloating, or nasal bleeding, they must be careful about alcoholic liver disease.

1. Symptoms of early stage of alcoholic liver disease

1. Fever: The reason why alcoholic liver patients experience fever is that fever activators act on the body, which in turn leads to the production of endogenous pyrogens and enters the brain to act on the body temperature regulation center, ultimately causing fever symptoms in alcoholic liver patients.

2. General fatigue: The reason for this early symptom of alcoholic liver disease is that patients with alcoholic liver disease often suffer from protein deficiency in their daily lives. Too little nutrition in the body leads to lack of energy and lack of spirit.

3. Loss of appetite: caused by long-term drinking. Alcohol can damage the taste buds on the tongue that are responsible for taste, and alcohol can also directly damage the gastric mucosa, so that patients will experience symptoms of alcoholic liver disease such as loss of appetite.

2. Classic symptoms of alcoholic liver disease

1. Weight loss: Weight loss is a common symptom of alcoholic liver disease. This symptom of alcoholic liver disease is mainly caused by loss of appetite, insufficient food intake, gastrointestinal digestion and absorption disorders, and reduced albumin synthesis in the body.

2. Bleeding: Bleeding. Decreased liver function affects the synthesis of prothrombin and other coagulation factors, and hypersplenism causes thrombocytopenia. Therefore, bleeding from the gums and nasal cavity, purple spots or bleeding spots on the skin and mucous membranes, or vomiting blood and black stools often occur. Women often have symptoms of alcoholic liver disease such as excessive menstruation.

3. Diarrhea: Diarrhea is quite common, and is mostly a symptom of alcoholic liver disease caused by intestinal wall edema, intestinal malabsorption, niacin deficiency and parasitic infection.

4. Abdominal distension: Abdominal distension is a common symptom of alcoholic liver disease, which may be caused by hypochronicemia, gastrointestinal flatulence, ascites and hepatosplenomegaly.

III. Treatment principles for patients with alcoholic liver disease

1. Stop drinking and drinking

It is the most important treatment measure, and its efficacy is related to the severity of alcoholic liver disease. For mild patients without fibrosis, their clinical and pathological changes can be significantly improved within weeks to months after quitting drinking. For alcoholic fatty liver, quitting drinking is the only effective treatment.

2. Nutritional support

Patients with alcoholic liver disease need good nutritional support. On the basis of abstinence from alcohol, they should be provided with a high-protein, low-fat diet, and pay attention to supplementing B vitamins, vitamin C, vitamin K and folic acid.

3. Pay attention to liver cirrhosis

Patients with alcoholic liver disease often have pathological changes of liver fibrosis, and attention should be paid to anti-liver fibrosis treatment. Actively treat the complications of alcoholic cirrhosis (such as portal hypertension, esophageal varices, spontaneous bacterial peritonitis, hepatic encephalopathy and hepatocellular carcinoma).