However, despite these general figures, it's crucial to note that no one can tell you in advance how much or how long you can drink before you develop cirrhosis. In people who drink in extreme amounts for two decades or longer, the chances of developing the disease are roughly 50/50.
How long do you have to drink before liver damage? People with serious liver damage have usually been drinking for 20 or more years. But complications can develop after 5 to 10 years of heavy drinking.
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.
According to estimates derived from the research: Alcoholics seeking treatment drink an average of 160 g of undiluted alcohol per day. About 14 percent of alcoholics will develop cirrhosis if they drink this quantity for a period of 8 years.
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.
Do all alcoholics get alcoholic hepatitis and eventually cirrhosis? No. Some alcoholics may suffer seriously from the many physical and psychological symptoms of alcoholism, but escape serious liver damage. Alcoholic cirrhosis is found among alcoholics about 10 to 25 percent of the time.
“Apart from alcohol consumption, several contributory factors, including diet, lifestyle, mental health, viral infection and gender, influence the risk of developing cirrhosis. There is also evidence that genes influence the development and progression of this disease,” Professor Day said.
Depending on the cause, cirrhosis can develop over months or years. There is no cure. Treatment aims to halt liver damage, manage the symptoms and reduce the risk of complications, such as diabetes, osteoporosis (brittle bones), liver cancer and liver failure.
“The scary thing is that they're only in their 30s and 40s,” he says, noting that the chances of developing liver disease go up the longer a person has been drinking and is most common between the ages of 40 and 50. Other Yale Medicine doctors have diagnosed people with liver disease when they are still in their 20s.
Cirrhosis
Up to one in every five long-term heavy drinkers will develop alcohol-related liver cirrhosis. While cirrhosis is not reversible, there is good evidence that stopping drinking completely improves the outcome for some people.
Between 10 and 20 percent of heavy drinkers develop cirrhosis, usually after 10 or more years of drinking. Anything that damages the liver over many years can lead the liver to form scar tissue.
Some alcohol-related liver damage can be reversed if you stop drinking alcohol early enough in the disease process. Healing can begin as early as a few days to weeks after you stop drinking, but if the damage is severe, healing can take several months.
Chronic liver failure: The most common type of liver failure is chronic, which can take months or years to develop. Chronic liver failure is a slow decline in liver function that occurs alongside cirrhosis, or severe scarring of the liver.
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].
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.
"Alcohol-related liver cirrhosis used to be considered a disease that would happen after 30 years of heavy alcohol consumption," Shah says. "But this study is showing that these problems are actually occurring in individuals in their 20s and 30s."
Drinking too much alcohol can damage the liver's cells. Alcohol-related cirrhosis usually develops after 10 or more years of heavy drinking. Women who drink heavily are more likely to get liver damage than men, partly because of their different size and build.
In the past, liver cirrhosis was considered an irreversible phenomenon. However, many experimental data have provided evidence of the reversibility of liver fibrosis. Moreover, multiple clinical studies have also shown regression of fibrosis and reversal of cirrhosis on repeated biopsy samples.
The main symptoms of cirrhosis include: tiredness and weakness. feeling sick (nausea) and loss of appetite resulting in weight loss. red patches on your palms and small, spider-like blood vessels on your skin (spider angiomas) above waist level.
About 2% of American adults have liver disease, and therefore are at risk of developing cirrhosis. However, those who drink too much alcohol, those who are overweight and those with viral hepatitis are at a greater risk. Not everyone with these risk factors develop cirrhosis.
Stage 3 is cirrhosis of your liver, caused by severe liver scarring. At the cirrhosis stage, you may experience more symptoms of liver damage including jaundice, weakness, fatigue, appetite and weight loss, abdominal bloating, and edema in your extremities.
In some cases, depending on the cause of liver disease, these symptoms may come on suddenly. It is also possible that about 50% of people with acute liver disease will have no symptoms. People living with chronic liver disease may not experience any symptoms until the disease has progressed for many years.
Avoidance of Alcohol for Patients with Cirrhosis Cirrhosis
Patients with cirrhosis, regardless of etiology, should not drink any alcohol at all.