Usually the damage cannot be reversed. Between 10 to 20 percent of heavy drinkers develop cirrhosis typically after 10 or more years of drinking.
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.
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. In some cases, “if the damage to the liver has been long-term, it may not be reversible,” warns Dr. Stein.
Severe drinking may require three months to a year to fully regenerate the liver to its original capacity and functionality. Over time, the liver can heal itself from damages caused by alcoholic fatty liver disease and hepatitis. Unfortunately, when it comes to the scars of cirrhosis, these damages are irreversible.
The liver is very resilient and capable of regenerating itself. Each time your liver filters alcohol, some of the liver cells die. The liver can develop new cells, but prolonged alcohol misuse (drinking too much) over many years can reduce its ability to regenerate.
The life expectancy of a person with alcoholic liver disease reduces dramatically as the condition progresses. On average, 1 in 3 people with the most advanced stage of liver disease and cirrhosis are still alive after 2 years. When the body can compensate and manage cirrhosis, the typical lifespan is 6–12 years.
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. Your feet or hands may look red.
Increased appetite: Digesting foods and nutrients can become easier as the liver healing continues. Usually, your appetite can improve as well. Improved blood work: Liver healing can lower toxin levels in your blood and improve liver function. You can see evidence of these improvements in your lab work.
Because the liver is a tolerant organ, he said positive changes can occur within weeks of going dry. Kumar added that in the absence of alcohol, “the liver can focus on its other jobs, such as breaking down other toxins produced by the body, metabolizing fats and excess hormones that need to be broken down.”
It's also recommended that you avoid alcohol for 24 hours before your test, as well as any strenuous exercise.
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.
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.
"Hard liquor contains more alcohol than beer or wine, making it more dangerous for your liver," continues Coleman. "A single shot of 80-proof hard liquor contains about 15 grams of alcohol and most shots contain even more alcohol than this." Another alcoholic beverage also takes a considerable toll on your liver.
The short answer is yes: blood testing can show heavy alcohol use. However, timing plays a significant role in the accuracy of blood alcohol testing. In a typical situation, blood alcohol tests are only accurate six to 12 hours after someone consumes their last beverage.
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.
Liver failure occurs when your liver isn't working well enough to perform its functions (for example, manufacturing bile and ridding your body of harmful substances). Symptoms include nausea, loss of appetite, and blood in the stool. Treatments include avoiding alcohol and avoiding certain foods.
Acute liver failure causes fatigue, nausea, loss of appetite, discomfort on your right side, just below your ribs, and diarrhea. Acute liver failure is a serious condition. It requires medical care right away. If treatments are not effective, you may be a candidate for a liver transplant.
This can lead to liver failure. Usually the damage cannot be reversed. Between 10 to 20 percent of heavy drinkers develop cirrhosis typically after 10 or more years of drinking.
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. These 3 ounces include drinking 6 cans of beer, 5 glasses of wine, or 6 shots of liquor.
The disease is common in people between 40 and 50 years of age. Men are more likely to have this problem. However, women may develop the disease after less exposure to alcohol than men. Some people may have an inherited risk for the disease.
If you stop drinking, fatty liver disease is completely reversible. The time it takes to reverse fatty liver depends on other factors like your weight and diet. But generally, healthy people with a good diet can recover from alcoholic fatty liver disease within six weeks of alcohol abstinence.
You can expect improved liver function almost immediately after you stop drinking alcohol. Experts predict that most drinkers' livers can return to completely normal function after 4-8 weeks of no alcohol.