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Why can not "lower the degree" of alcohol?

Everyone knows that mixing different spirits is not very good. From this, you can get drunk faster or get alcohol poisoning. But why can not lower the degree of alcohol? Does this opinion have a scientific basis?

What will happen if you lower the degree of alcohol

Taking even low alcohol drinks is stress for the body. To counter it, the body includes protection from the harmful effects of alcohol toxins.

This happens as follows.

  1. A person drinks a small amount of alcohol of any strength.
  2. Special receptors in the body receive a signal that a toxic substance has got into the gastrointestinal tract, from which it is necessary to protect itself.
  3. For some time (it all depends on the parameters of the person and type of alcohol), the receptors are tuned, and the body begins to process alcohol at the necessary speed based on its strength.

The stronger the alcohol, the more resources the body spends on its processing.

Special receptors can only increase their activity, and not reduce it. Throughout the use of alcohol, they act more intensively and intensely. This allows you to split strong alcohol into water and acetic aldehyde at a safe rate for the body.

If after strong alcohol - vodka, cognac, whiskey - the beer, wine or champagne, weaker in strength, enters the body, the body continues to process them at the same speed. This leads to too rapid splitting of alcohol and the release of a large amount of aldehyde toxin, which causes severe intoxication, the appearance of a headache, and a violation of blood pressure. After several hours and even minutes, symptoms of general intoxication may appear: blanching of the skin, nausea and vomiting.

Differences in Alcoholic Beverages

Alcoholic beverages differ from each other in strength - the volume fraction of ethyl alcohol in it. It is expressed in degrees - percentages, which show the proportion of alcohol in the drink. So, for example, kvass contains from 0.6% to 2.6% alcohol, and whiskey - 50-60%

The strongest alcoholic drinks in the world are Spirytus Polish vodka and Everclear American liquor, which is currently banned in 13 states. They contain 95% and 96% pure alcohol, respectively. Before drinking this kind of drink, you need to think a hundred times. There are many adverse consequences: for example, if you drink a whole bottle, you may experience complete blindness, hearing loss, damage to the liver or brain.

Reasons for development

The main reason for the appearance of hepatitis of this type is the frequent use of alcohol. When it enters the body, only a small part (20%) is neutralized in the digestive tract and excreted by the lungs. The remaining amount of alcohol is processed by the liver. In this organ, alcohol is converted to acetaldehyde (toxin), and then to acetic acid.

Note! When alcohol is abused, acetaldehyde accumulates in the liver cells.

As a result of this, the following occurs:

  • the formation of fatty acids is disrupted,
  • the production of tumor necrosis factors increases (inflammation appears),
  • the amount of triglycerides increases.

The consequence of all these changes is the replacement of healthy organ cells with connective tissue: liver fibrosis develops. If treatment is not performed, cirrhosis appears over time.

The likelihood of alcoholic hepatitis is increased by such factors:

  • taking a large amount of ethanol-containing drinks at a time,
  • the frequency and duration of drinking (the disease develops with its daily intake for 5-7 years),
  • transferred viral hepatitis,
  • genetic predisposition
  • malnutrition or malnutrition (leads to a deficiency of nutrients),
  • excess weight,
  • long-term use of drugs that have a toxic effect on the liver,
  • the presence of autoimmune diseases
  • gender of a person who drinks alcohol: women have a higher propensity to develop the disease.

Alcoholic hepatitis is conditionally divided into types. The criteria according to which its classification is carried out:

  • Features of manifestation. The disease happens:
    • sharp
    • chronic.
  • The severity of the pathology. Such degrees are distinguished:
    • light
    • average
    • heavy.
  • The nature of the changes in the liver. Types of hepatitis:
    • persistent
    • progressive.

What experts say

The question why it is impossible to lower the degree of alcohol is also considered from a medical point of view. Experts have come to a practically unanimous opinion - it is undesirable to mix different alcoholic beverages, and lowering the degree can cause withdrawal symptoms.

There are several types of alcohol based on the technology of its preparation:

  • grape - is made from grape juice or oilcake. This includes all wines, champagne, cognac and port,
  • Grain - is made using malt from cereals. This is how most strong drinks (vodka, gin, whiskey) and beer appear,
  • sugar - rum, tequila, sambuca are made from the pulp of sugarcane, and alcohol in them is formed due to fermentation.

Studies and observations have shown that drinking drinks of different origins with different strengths can lead to extreme alcohol intoxication. For example, drinking champagne after whiskey is much more harmful for the body than a combination of vodka and beer. Especially dangerous are any sparkling drinks. They accelerate the ingress of ethyl alcohol into the bloodstream, and after hard drinks this speed increases significantly.

To avoid the serious consequences of mixing drinks and lowering the degree, doctors advise taking adsorbent preparations - activated carbon or Smecta.

What is alcoholic hepatitis?

You can explain what alcoholic hepatitis is: this is a condition that is characterized by the destruction of liver elements by the substances contained in alcohol.

The rate of development of pathology is directly related to the quality of alcohol consumed, the presence of concomitant pathologies in humans, and the duration of abuse.

On average, if a person takes alcohol daily, then pathology is detected in him after 4-5 years.

The concept of “alcoholic hepatitis” was introduced in the International Classification of Diseases in 1995 in order to describe inflammatory or degenerative liver lesions associated with alcohol abuse.

The development mechanism is due to toxic damage to liver cells. Ethyl alcohol and its decay products have a negative effect.

Symptoms of Alcoholic Hepatitis

Depending on the form of the manifestation of the disease, the following symptoms of alcoholic hepatitis are distinguished:

  1. Persistent hepatitis: its symptoms are rather scarce, the patient's condition is stable, periodically there is a heaviness in the hypochondrium on the right, nausea, a feeling of fullness in the stomach, belching. The patient may not be aware of the development of his disease. Sometimes it is revealed during the examination.
    In case of cessation of the use of ethanol-containing drinks, stabilization and reverse development of changes in the liver is possible. With the timely identification and conduct of therapeutic measures, observing a healthy lifestyle, hepatitis at this stage can be cured. With continued use of alcohol, the disease will progress.
  2. Progressive hepatitis is observed in every fifth patient with alcoholic hepatitis. The disease precedes cirrhosis of the liver, the formation of tissue necrosis (complete necrosis), an irreversible process. The following symptoms are characteristic of progressive hepatitis: jaundice, pain in the hypochondrium, fever, vomiting, diarrhea.

Depending on the development and course of the disease, special signs of hepatitis are distinguished. The disease can be acute (icteric, latent, fulminant and cholestatic) and chronic. If the first symptoms are pronounced, pronounced (the patient may turn yellow, experience pain and worsening condition), then the second may be asymptomatic and mild.

Alcoholic hepatitis: how much live with it

Many people who abuse alcohol think they can do this without any serious consequences for their bodies. They believe that when the first signs of liver disease appear, they will stop drinking and their health will return to normal.

Acute and chronic

There are two main forms of pathology: acute alcoholic hepatitis and chronic toxic hepatitis.

The acute form of the disease is observed in about 70% of cases. It is expressed in degenerative and inflammatory lesions of the liver. In this case, inflammatory reactions and infiltration of portal fields are observed.

The attack begins acutely and follows binge, manifested by severe pain in the liver, nausea and vomiting.

For acute hepatitis due to alcohol, the following pathological changes are characteristic:

  • damage to hepatocytes (an increase in size, the death of tissues in the center of the hepatic lobules),
  • hyaline formation. This is a dense consistency protein substance that belongs to the group of fibrillar proteins. It is synthesized by hepatocytes under the influence of ethanol.

The disease progresses rapidly.

The risk of developing the disease is increased by the following factors:

  • history of viral hepatitis,
  • excess weight
  • genetic predisposition to the development of liver pathologies,
  • improper diet, the predominance of animal fats and bad cholesterol in the diet,
  • the presence of autoimmune diseases (systemic lupus erythematosus),
  • prolonged use of drugs that have a toxic effect on the liver.

There are 4 main forms of acute alcoholic hepatitis:

  1. Jaundice, in which the affected organ increases in size and thickens. Sometimes complicated by erythema, the attachment of a bacterial infection and the development of pneumonia or peritonitis of a bacterial nature.
  2. Latent. The peculiarity of this form is a hidden current. Pathology can be detected only as a result of laboratory tests. To identify it, conduct a liver biopsy.
  3. Cholestatic. This is a rather rare form of pathology - it occurs in 5-13% of cases. Manifested in fever, dark urine, discoloration of feces. It is characterized by a long and severe course.
  4. Fulminant. The disease develops at lightning speed, causes jaundice, hemorrhage, renal failure and liver encephalopathy. Coma and death of the patient may occur.

Usually, the acute form of the disease develops slowly and, in the absence of adequate treatment, gradually develops into a chronic form.

Chronic alcoholic hepatitis develops 5-7 years after the onset of the inflammatory process of the liver structures. There is no clear symptomatology in this case. Because of this, the diagnosis of pathology is difficult.

The patient may feel tired, slightly unwell, his appetite decreases, and sometimes nausea occurs.

Rules for drinking

A few simple rules will help you drink right during your holiday or party with friends. Their implementation will prevent the rapid intoxication and the appearance of a strong hangover in the morning.

  1. You need to prepare for the feast. There are anti-hangover drugs that begin to work before drinking alcohol. They can reduce its toxic effect on the liver and brain. Therefore, even with a decrease in the degree, the consequences will not be so deplorable.
  2. Be sure to have a bite. The less a person eats while drinking, the faster he gets drunk. Each toast must be eaten with oily fish or a sandwich with butter. But abuse fatty foods is not worth it, as this can cause heartburn.
  3. Do not mix different drinks. Even a weak cocktail can be worse than a glass of pure vodka or a glass of whiskey. In no case should you mix sparkling drinks with others or drink alcohol with soda. Such a mixture leads to very fast intoxication and a strong hangover syndrome.
  4. Quantity control. The body of each person perceives alcohol differently. It depends on the person’s complexion, his health, gender and metabolic rate. Excessive use of it will lead to severe alcohol poisoning.

It is recommended to use only one type of alcoholic drink throughout the feast.

Acute alcoholic hepatitis

OAS, or acute alcoholic hepatitis, is considered a rapidly progressive disease that destroys the liver. It appears after prolonged binge.

There are four forms:

  1. Jaundice - weakness, pain in the hypochondrium, anorexia, vomiting, diarrhea. In men, jaundice without skin itching, weight loss, nausea is observed. The liver is enlarged, compacted, smooth, painful. Patient's hands tremble, ascites, erythema, bacterial infections, fever may occur.
  2. Latent - it is diagnosed only by the laboratory method, biopsy, hidden course.
  3. Cholestatic - is rare, the symptoms are severe itching, colorless feces, jaundice, dark urine, and urination disorders.
  4. Fulminant - symptoms progress, hemorrhages, jaundice, renal failure and liver encephalopathy are observed. Due to coma and hepatorenal syndrome, death occurs.

Pathogenesis of the disease

Among all alcoholic liver diseases (ABP), alcoholic hepatitis has a special place. The likelihood of its development is directly dependent on the frequency of consumption of alcohol-containing drinks and their volume. It doesn’t matter what a person drinks - beer, vodka, wine or whiskey.

The disease develops slowly: if critical doses of ethanol-containing drinks are regularly consumed, obesity of the liver will first occur. After a sufficiently long period of time, fatty degeneration is transformed into alcoholic steatohepatitis, and all will end with cirrhosis of the liver.

Chronic alcoholic hepatitis

This disease may not have a symptom. A gradual increase in the activity of transaminases with the dominance of AST over ALT is characteristic. Sometimes a moderate increase in cholestasis syndrome is possible. There are no signs of portal hypertension. The diagnosis is made morphologically - histological changes are characteristic, which correspond to inflammation, taking into account the absence of signs of the development of cirrhotic transformation.

It is quite difficult to diagnose alcoholic hepatitis, because Obtaining complete information about the patient is not always possible for obvious reasons. Therefore, the attending physician takes into account the concepts that are included in the definitions of “alcohol abuse” and “alcohol dependence”.

The criteria for alcohol dependence include:

  1. The use of large quantities of alcohol by patients and the continuous desire for its adoption,
  2. Most of the time is spent on the purchase and consumption of alcoholic beverages,
  3. Alcohol consumption in doses that are extremely dangerous to health and / or situations when this process is contrary to obligations to society,
  4. The continuity of alcohol intake, even taking into account the aggravation of the physical and psychological state of the patient,
  5. Increasing the dose of alcohol consumed in order to achieve the desired effects,
  6. The manifestation of signs of abstinence,
  7. The need for alcohol to further reduce withdrawal symptoms,

The doctor can diagnose alcohol dependence based on any 3 of the above criteria. Alcohol abuse will be identified based on one or two criteria:

  1. Alcohol consumption, regardless of the development of psychological, professional and social problems of the patient,
  2. Repeated use of alcohol in hazardous situations.

Causes and diagnostic methods

For those who have been abusing alcohol for 5-7 years, specialists diagnose a chronic form of alcoholic hepatitis. The rate of disease progression is directly dependent on the presence of hereditary factors and the patient’s health status.

However, according to studies, the daily intake of even 50 g of alcohol for a long period of time can become an impetus for the development of alcoholic hepatitis. These data primarily relate to men. In women, the disease occurs 2 times faster, and the dose of alcohol that can provoke its development is also less.

Diagnosing alcoholic hepatitis is not difficult: you just need to find out how long and how much a person has been drinking.

  • If a person’s weight is 70 kg, and every day for a year he drinks 150-180 ml of vodka, then his liver already has characteristic changes.
  • If a person’s alcohol experience lasts more than 3 years, we can safely say that he is the “owner” of chronic liver failure.

It’s easy to diagnose alcoholic hepatitis. To do this, it is enough to find out the anamnesis, examine and question the patient.

How does alcohol work?

Once in the body, alcohol is destroyed, various metabolites are formed - the decomposition products of ethyl alcohol (ethanol). One of the most important, acetaldehyde, is very toxic to the body and it is thanks to it that we feel a hangover in the morning. But before his destruction, he manages to affect many systems in the body.

So, the minimum doses of alcohol trigger dopaminergic and serotinergic systems of the brain. A person feels joy, stops thinking about his problems. In parallel, ethanol affects the central nervous system, reducing sensitivity and relaxing the body. Accordingly, the higher the concentration of ethanol in the blood, the greater the relaxation effect — up to the loss of consciousness.

Complications

Alcoholic hepatitis is dangerous in itself because of the risk of liver damage, but it can lead to a number of complications:

  • cirrhosis of the liver - scarring of tissues, wrinkling of the organ, violation of its functions,
  • esophageal varicose veins and bleeding from them are a life-threatening complication. Scar tissue in the liver interferes with normal blood flow, which causes an increase in veins in the esophagus. If they burst, the consequence may be death due to hemorrhage,
  • encephalopathy due to the inability of the liver to process and remove toxins. This can lead to changes in the mental state (confusion, overexcitation) and coma,
  • ascites (abdominal dropsy) leading to compression and disruption of internal organs. Up to 50% of patients die within two years.

So why can’t you lower the degree?

Generally speaking, in fact: you can lower the degree. The myth that when a person goes down quickly gets drunk is common only with us - few have heard about this in Europe and America. Could they just not notice this effect, right?

According to many researchers,recommendedDo not mix different types of drinks - wine and vodka, liquor and beer. Within one type, you can mix drinks as you like and drink in any order.

However, in some cases, “resistance” to alcohol may indeed develop. The causes of this effect are not fully understood, but one of them is stress. The human body has receptors that withstand the stress that occurs when drinking alcoholic beverages.

If a person drinks beer, and then switches to wine (a more alcoholic drink than beer), then the receptors begin to work more intensively and more powerful. Drunk is eliminated faster, and poisoning does not occur.

But what if someone decided to start with vodka? With this action, he launches his receptors at full capacity. And what is drunk later and has a lower degree is no longer perceived and rendered harmless, because the receptors simply cease to feel any drinks with a lower degree.

Persistent form

The persistent form of alcoholic hepatitis most often occurs without pronounced symptoms. For a long time, a person does not suspect that his liver is sick.

Periodically, he feels:

  • heaviness in the right hypochondrium,
  • slight nausea and belching,
  • discomfort in the stomach.

The persistent form of this disease can be detected through laboratory tests. Once discovered, it responds well to treatment. If you follow the diet prescribed by the doctor and stop drinking alcohol, you will feel better in the first 6 months.

Diagnostics

Diagnosis has certain difficulties. The mild course of the disease may not be accompanied by any specific symptoms, and it can be suspected only if changes in laboratory parameters are detected.

Acute laboratory signs are leukocytosis, less commonly leukopenia (with the toxic effects of alcohol on bone marrow), B12-deficient anemia, accelerated ESR, and an increase in liver damage markers. Ultrasound examination of the liver reveals an increase in its size, heterogeneity of the structure, smooth contours. Magnetic resonance imaging (MRI of the liver) determines collateral hepatic blood flow, concomitant damage to the pancreas.

In the chronic form, an ultrasound examination of the liver reveals a slight or moderate increase in the liver, an increase in its echogenicity, and uniformity of structure. Laboratory indicators are changed moderately. A liver biopsy with alcohol damage can identify specific signs of inflammation, fibrosis, necrosis. The severity of damage depends on the form of the disease and its duration.

Signs in men

Symptoms of acute alcoholic hepatitis in men are expressed in the following:

  • increased fatigue, constant general weakness, drowsiness,
  • nausea, bouts of vomiting,
  • increased sweating, especially at night. Sticky sweat
  • causeless weight loss,
  • a feeling of bitterness in the oral cavity,
  • increased anxiety and emotional instability,
  • intestinal motility disorder,
  • stool discoloration
  • dyspnea,
  • chills,
  • clouding of urine
  • trembling limbs
  • yellowness of the skin
  • nosebleeds
  • dry mouth
  • the formation of a dense plaque of yellow on the surface of the tongue,
  • hematomas even as a result of light pressure on the skin,
  • pain in the right side of the hypochondrium is dull or sharp,
  • colic in the gallbladder.

Signs of chronic chronic hepatitis are expressed in the following:

  • skin redness
  • expansion of subcutaneous capillaries in the face,
  • trembling of the head and limbs,
  • muscle pain and numbness
  • spider veins on the body,
  • increased density of the tendons of the palms, which is why the extensor and flexor functions are difficult,
  • swelling, swelling under the eyes,
  • redness of the palms, or erythema with alcoholic hepatitis of the liver,
  • increase in blood pressure.

A distinctive symptom of chronic alcoholic hepatitis in the stronger sex is the development of gynecomastia. Fatty deposits also appear in the hips, and the size of the testicles decreases. The mammary glands increase in size, body hair falls out.

How to drink in order to feel good in the morning?

Be sure to eat before a party where alcohol is planned. This is necessary so that alcohol is more slowly absorbed in the stomach - because it is already filled with food. You should also drink not only alcohol, but also ordinary water or juice, so that there is no intoxication of the body.

In the morning it is recommended to eat lemon, as it helps to quickly remove toxic substances from the body. The well-known pickle pickle helps not only quench thirst, but also replenish the supply of necessary minerals and vitamins.

And most importantly - in everything you need to know the measure. Prolonged and frequent use of alcohol leads to microcephaly. Large doses of alcohol cause the death of neurons, impaired cognitive functions: attention, memory, thinking. The toxic effects of alcohol on the digestive and cardiovascular systems have also been studied.

Every year, 3 million people die from acute poisoning and chronic alcoholism in the world. According to the medical journal Lancet, the largest mortality due to alcohol consumption in China, India and Russia.

Therefore, do not forget about the dangers of alcohol on the body!

Progressive form

Progressive alcoholic hepatitis is a harbinger of cirrhosis. A similar pathology occurs in 20% of patients suffering from alcoholic hepatitis.

In the patient’s liver, the cells begin to die quickly, sometimes foci of necrosis are formed, the state of human health deteriorates sharply.

The characteristic signs of the disease include:

  • vomiting and diarrhea, indicating toxic damage to the body,
  • fever
  • jaundice
  • pain in the right hypochondrium.

Nutrition and Diet

Fasting for hepatitis is contraindicated. The energy value of food should be at least 2000 calories per day for men and 1700 for women. Daily intake of protein - at least 1 g per 1 kg of body weight, carbohydrate - more than 400 g, fat - less than 80 g. Products must necessarily contain many vitamins (especially group B, folic acid, a deficiency of which is always observed in alcoholics).

With hepatitis, diet No. 5 is prescribed. The patient can and should not consume the following products:

CanIt is impossible
  • Rye bread (yesterday’s pastry),
  • Unfinished dough products (filling - boiled meat, fish, apples, cottage cheese),
  • Pasta milk soup
  • Soups on vegetable broths (cereals, cabbage soup, beetroot soup, fruit),
  • Low-fat fish species (fillet, baked, boiled, dumplings, meatballs),
  • Poultry meat (fat-free, skinless, boiled poultry, beef, rabbit, turkey eaten chopped or whole piece),
  • Dairy sausages, children's sausage,
  • Pilaf with a high content of carrots and boiled meat,
  • Stuffed cabbage,
  • Dairy products (yogurt, kefir, low-fat yogurt, cottage cheese, low-fat, not sharp cheese),
  • Vegetable oil,
  • Butter (in small doses),
  • Cereals (oatmeal, buckwheat),
  • Dried fruits,
  • Krupeniki,
  • Protein omelet without yolk
  • One yolk per day
  • Boiled, stewed or raw vegetables (green peas, broccoli, boiled onions, carrots, beetroot),
  • Salads from boiled zucchini (squash caviar),
  • Seafood (boiled),
  • Fruits and berries (not sour, in the form of compotes, jelly, mousse, jelly),
  • Vegetable juices
  • Green tea,
  • Rosehip broth,
  • Coffee with cream, milk,
  • In moderate doses, spices, parsley, dill, sour cream sauce are allowed.
  • Butter dough (products),
  • Fresh bread
  • Puff pastry,
  • Fried pies
  • Soup (mushroom, fish broth, sorrel soup, okroshka),
  • Fish (canned, fatty, smoked, salted),
  • Meat (smoked meats, brains, kidneys, liver, fatty pork with veins, lamb, poultry skin, goose, duck, fatty and smoked sausages),
  • Fat sour cream, fermented baked milk, cream, feta cheese, fat home-made cottage cheese,
  • Fat pig, lamb, chicken and mutton fat,
  • Legumes
  • Fried eggs,
  • Radish, spinach, sorrel, garlic, green onions,
  • Pickled vegetables,
  • Salted and pickled mushrooms,
  • Chocolate, pastries, pastries with cream,
  • Horseradish, mustard, hot pepper,
  • Strong coffee, strong tea,
  • The complete exclusion of alcoholic beverages of any kind.

The diet is designed in such a way that provides good nutrition, helps to normalize the process of the gastrointestinal tract, liver. Following a diet ensures the accumulation of glycogen in the liver, which leads to the normalization of fat and cholesterol metabolism. Bile secretion is well stimulated, and all activity of the gastrointestinal tract is normalized.

The basis of nutrition is boiled food, in rare cases, stew. Products should be coarsely chopped, without chopping. Meat, fish in large boiled pieces, one at a time. The process of passerization of vegetables (passivation) in the preparation of gravy, frying is excluded. The grill is completely eliminated. Cold dishes and cold water should not be in the diet due to excessive irritation of the gastrointestinal tract, leading to a slowed down process of digestion of food.

Treatment standard

If symptoms of alcoholic liver damage are detected, you should immediately consult a doctor, since the consequences of the pathology can be most adverse.

To confirm the alleged disease, a diagnosis of alcoholic hepatitis is mandatory. The survey includes activities such as:

  • visual inspection (the specialist pays attention to the condition of the tissues of the face, eyelids and tongue, tremor of the limbs),
  • ultrasound examination of the affected organ,
  • Liver MRI
  • puncture biopsy
  • laboratory blood test
  • color duplex sonography.

Toxic liver damage should be differentiated from pathologies such as hepatitis of an infectious or viral origin, chronic pancreatitis, and obstruction of the biliary tract.

Drug treatment

With alcoholic hepatitis, drugs are prescribed:

  • suppressing acidity of the stomach: Omeprazole, Rabeprazole, Pantoprazole,
  • sorbents: Polysorb, Enterosgel,
  • milk thistle and preparations based on it,
  • hepatoprotectors: Heptral, Methionine, Glutargin. Essential acids of the "Essential" type - after the appointment of a hepatologist, gastroenterologist or therapist specializing in liver diseases,
  • a short course - antibiotics such as "Norfloxacin" or "Kanamycin",
  • lactic acid bacteria
  • lactulose preparations: "Normase", "Dufalac" and others.

You need to pay attention that it is impossible to prevent constipation here: with a delay in stool, you need to make an enema and increase the dosage of lactulose preparations.

Acute alcoholic hepatitis is treated only in a hospital.

Alcoholic hepatitis - can they get infected

Hello dear readers! We all know that alcoholism is a disease, moreover, very serious, leading to dire consequences. Regular drinking leads to a disease such as alcoholic hepatitis. This disease causes inflammation and destroys the liver. In this article I will talk about what kind of disease it is, how to treat it, and whether it can be infected.

Alcoholic hepatitis is a consequence of the use of ethanol (in other words, ethyl alcohol, wine alcohol or alcohol). The active substance of alcoholic beverages is a psychoactive substance, a depressant, which, when used excessively and continuously, inhibits the central nervous system.

How to treat?

Treatment of alcoholic hepatitis of the liver is carried out according to the standard. The goals of therapy are:

  • removal of toxic alcohol metabolites from the body,
  • regeneration and protection of affected liver elements,
  • increased resistance of the affected organ to adverse effects.

The detoxification of the body, that is, the removal of harmful substances and alcohol breakdown products, is carried out by the introduction of special drugs intravenously. Ringer's solution and glucose solution (5%) are used.

Also, a patient with toxic liver damage is prescribed the following groups of drugs:

  • sorbents (Atoxil, Smecta),
  • hepatoprotectors (Essential H, Hepagard, Phosphogliv),
  • diuretics (Furosemide, Veroshpiron),
  • choleretic drugs (Cholestil, Allohol),
  • fortifying agents and vitamin complexes (Stimol, vitamins of group B, K).

Acute form

Alcoholic hepatitis, depending on the degree of intensity of the development of pathology, is divided into acute and chronic.

The acute form of the disease is diagnosed in patients who already have certain liver problems (cirrhosis, chronic hepatitis), but continue to drink alcoholic beverages.

A disease can occur in one of four forms:

  • icteric
  • fulminant
  • latent
  • cholestatic.

An icteric form of alcoholic hepatitis is one of the most common. Moreover, in patients:

  • skin and mucous membranes turn yellow
  • weakness and nausea appear
  • broken stool
  • there are pains in the right hypochondrium,
  • vomiting opens
  • weight is reduced.

The exacerbation phase of latent hepatitis does not have pronounced symptoms. A disease can be detected only after certain laboratory tests have been carried out: a blood test will show a significant increase in transaminase levels, a biopsy will indicate the presence of a developing inflammatory process in the liver.

For the cholestatic form of the disease, the appearance of:

  • itchy skin
  • jaundice
  • bleached feces,
  • dark urine.

The fulminant form of acute alcoholic hepatitis is the most dangerous. The result of its progression is the development of hemorrhagic syndrome, renal failure and hepatic encephalopathy.

Hepatoprotectors

There are 5 groups of hepatoprotectors:

  1. Milk thistle preparations (Silimar, Sibektan, Karsil, Gepabene, Legalon) have a pronounced antioxidant (reduce the effect of oxidative processes) and immunostimulating effect.
  2. Preparations with the active substance ademethionine (Geprtral, Ademethionine) neutralize toxins, improve the outflow of bile.
  3. Ursodeoxycholic acid from bear bile or the synthetic drug Uorsan have a choleretic effect and antifibrotic effect.
  4. Means of animal origin that stimulate regenerative processes in the liver (Sirepar, Hepatosan).
  5. Products containing essential phospholipids (Essliver Forte, Essential Forte N) are some of the best medicines. They have an antioxidant effect, anti-inflammatory, increase the detoxification function of liver cells, stimulate the development of new cells.

Alcoholic hepatitis - what is this disease?

The disease itself manifests itself in a diffuse inflammatory process throughout the structure of the liver tissue. It occurs as a result of toxic damage to the liver tissue by alcohol and its decay products. And if the process continues, then over time, normal liver cells begin to degenerate into coarse fibrous tissue.

The liver, as a filter, ceases to cope with its functions, including the neutralization of various toxins and poisons, the formation and storage of nutrients. And if you do not take any measures to improve the liver, then over time, alcoholic hepatitis passes into cirrhosis.

This disease usually develops after 5-7 years from the start of regular alcohol consumption - 40-60 grams per day of ethanol (pure alcohol) by men and more than 20 grams by women. 10 milliliters (ml) of ethanol corresponds to 25 ml vodka, 100 ml of wine, 200 ml of beer.

If you regularly take alcohol (whether every day, every other day, on Wednesdays, etc.), think: is this a dependency? Do you have a craving for drinking alcohol? Or maybe you are clearly feeling better after you “missed a glass,” and each time you need more to get drunk? In this case, you should worry if you have an alcohol addiction.

Is a diet required?

Diet for alcoholic hepatitis is necessary. A special diet allows you to remove the excessive load on the liver, as well as minimize the irritating and traumatic effect on the organ affected by toxins.

With alcoholic liver damage, you need to remove the following from the menu:

  • any seasonings and spices,
  • confectionery,
  • white bread, pastries,
  • fatty dairy products (cottage cheese, cheeses, sour cream),
  • eggs
  • fatty meat and fish,
  • industrial sauces,
  • mushrooms
  • smoked meats
  • sorrel,
  • garlic,
  • canned foods
  • radish
  • bow,
  • fat.

Strong tea, coffee, as well as drinks with gas cannot be drunk.

Cooking with such a disease is necessary exclusively by cooking in water and steam, as well as baking.

Chronic form

Chronic alcoholic hepatitis is accompanied by:

  • Bloating and rumbling in the stomach
  • Decreased appetite
  • Nausea
  • Pain in the right hypochondrium,
  • Enlarged liver
  • Decreased libido
  • Hypogonadism (insufficient secretion of androgens),
  • Gynecomastia (breast enlargement in male patients),
  • Sleep disturbance
  • Temperature rise
  • The appearance of Dupuytren's contracture (shortening of the palmar tendons).

Symptoms of alcoholic hepatitis, as well as methods of its treatment, are individual. Often suffering from chronic chronic hepatitis, there is only one or two (in rare cases, several) characteristic signs of this liver pathology.

Operation

With alcoholic hepatitis, palliative surgery can be performed. They facilitate the condition of the patient, but do not eliminate the underlying problem. It:

  • paracentesis - with ascites (accumulation of fluid in the abdomen),
  • clipping (“stitching” with metal clips) of the bleeding dilated vein of the esophagus.

These interventions are used mainly already at the stage of cirrhosis.

There is also a radical operation that solves the problem of death of the liver cells - this is a transplant of a donor liver (more precisely, a portion of the liver). Such an intervention can be performed in foreign clinics - for 150-200 thousand euros. It can be performed cheaper in domestic hospitals, but in this case, a long wait for such an operation is possible.

How to understand it's time to stop

If you spoil yourself too often with alcohol, after 1-2 years you will feel the first symptoms of the liver suffering.

Signs of hepatitis include frequent headache, memory loss, shortness of breath even with light exertion, irritability, and sleep disturbances. Frequent nausea or vomiting may appear (it may be mixed with blood), a constant alternation of constipation and diarrhea, frequent hiccups. An alarming “bell” will be aching pains in the region of the right and left hypochondria, which will become cutting when stressed or taken with alcohol.

Can it go away on its own if you stop drinking alcohol?

Patients with toxic liver damage often ask the doctor a question about whether alcoholic hepatitis will pass if you do not drink alcohol. Refusal of such drinks by itself will not cause a cure, but in any case, therapy implies a categorical refusal of alcohol.

There will be no cure, since the liver cells are already affected by the decay products of alcohol and the organ is especially vulnerable.

How many live with him?

What happens to the body when alcoholic hepatitis develops: how many live with it, is it possible to improve health? The life expectancy of the patient depends on the stage at which the disease was detected and treatment started.

If a toxic lesion was detected at an early or intermediate stage, then subject to the recommendations of the doctor and refusal of alcohol, it is possible to save the patient's life.

Review of reviews of sick people

This article collects reviews of those people who have been diagnosed with alcoholic hepatitis.

Michael (49 years old) was diagnosed with acute alcoholic hepatitis after several years of alcohol abuse. According to the ultrasound revealed vasoconstriction and compaction of the liver. Biochemical analysis showed an increase in bilirubin and cholesterol. The patient was prescribed conservative therapy, diet, life-long abandonment of alcohol in any dose and any strength.

Gradually, the patient's condition improves. The patient notes that you do not need to believe reviews that state that if you stop drinking, alcoholic hepatitis will pass: the treatment will be complex and lengthy.

Tatyana, 38 years old, suffered acute hepatitis. The first symptom was pain in the right hypochondrium, but the woman did not attach any importance to this. She believed that any deviation can go away on its own, without treatment, it is only necessary to reduce the dose of alcohol. But other symptoms were added to the pain syndrome, and treatment became necessary. She was found to have an alcoholic liver lesion of moderate severity, a little more - and the pathology could turn into cirrhosis.

The woman underwent a course of conservative therapy, but after minor improvements she broke down and drank some alcohol. After this, Tatyana’s condition worsened so much that she was immediately hospitalized. The doctor said there was a risk of coma. After leaving the hospital, the woman decided to code using the hypnosis method to save her life.

How to "alcoholically determine" alcoholic destruction of the liver

In people suffering from this disease, redness of the face with spider veins is always noticeable, limbs are swollen, hands often tremble unreasonably, or even flexion and extension of the fingers are disturbed. Of course, this is not enough to make a terrible diagnosis, so the doctor conducts a more in-depth study using the latest technology.

Treatment of alcoholic hepatitis

Treatment of alcoholic hepatitis, like all other liver diseases, is possible only with a complete refusal to drink. Unfortunately, many people suffering from this pathology simply cannot fulfill this condition: their craving for alcohol is too great.

According to statistics, only 30% of patients at the time of treatment are able to stop drinking alcohol-containing drinks. Another 30% of patients are ready to gradually reduce the dose of alcohol consumed, and the rest, unfortunately, continue to drink during therapy. Patients in this category become regular customers not only of hepatologists, but also of narcologists.

Thanks to the rejection of alcohol, you can get rid of not only jaundice, but also a number of symptoms.

To achieve maximum results, specialists use all methods, including:

  • diet therapy
  • conservative treatment,
  • surgical intervention.

Treatment prognosis - how many live with alcoholic hepatitis?

Without treatment, the prognosis of alcoholic hepatitis is negative - life expectancy in toxic liver disease, according to the pathological anatomy and pathology, depends on the individual characteristics of the body, its endurance and stage of the disease. With proper treatment, you can stop the problem and continue to lead your usual lifestyle, provided that you completely abandon alcohol.

Unfortunately, patients suffering from the third stage of alcoholism continue to abuse alcohol after successfully treating the disease and more than 30% of them die prematurely due to relapse and complications. Therefore, an important aspect in the treatment of liver disease is the preliminary treatment of alcohol dependence.

Diet

Due to the long intake of alcoholic beverages, the digestive system is disrupted. In the process of treating the liver, the patient’s nutrition should be balanced, vitamins, nutrients, and microelements should be regularly and regularly supplied to his body.

With alcoholic hepatitis, the patient needs to follow a strict diet. Doctors recommend meals according to Pevzner (table number 5).

The Pevzner diet has a number of features:

  • Dishes should be boiled or baked. Fried foods are prohibited.
  • Spicy, salty, fatty and cold dishes should be excluded from the diet.
  • Products that contain coarse fiber (sinewy meat and vegetables) should be grated before use.
  • Food should be fractional (at least 5 times a day), portions - small and equal in volume.
  • You can not drink coffee, cocoa, carbonated drinks, grape juice and, of course, drink alcoholic beverages.
  • Under the ban are broths of meat, fish, mushrooms. Vegetable and fruit soups are a priority.

"Medical" research methods

How is toxic hepatitis diagnosed? By biochemical analysis of body fluids, by ultrasound. In the blood of such patients there are fewer red blood cells (red blood cells, carry oxygen to the organs), platelets (the main ones in blood coagulation), white blood cells (they fight infection). There will also be little glucose, which impairs brain function.

A protein may appear in the patient's urine, the number of red blood cells will increase (normally they are not in the urine).

On ultrasound, this organ will be enlarged, but it is impossible to judge the cause of the disease using only this research method. The most informative instrumental method is the collection of organ tissue using a special needle (biopsy). The resulting material is then examined under a microscope.

Prevention

Prevention of alcoholic hepatitis is the only way to avoid a long period of treatment and the associated difficulties. First of all, it implies the rejection of the regular use of ethanol-containing drinks.

What is the allowable daily dose of pure ethanol? For women, this figure is 20 g, for men, the threshold is slightly higher - 40 g. Calculations must be made based on the fact that 1 ml of alcohol contains about 0.79 g of ethanol.

The best solution for people who want to maintain their health is to completely stop drinking alcohol.

Whether or not alcoholic hepatitis will develop in a person who periodically consumes alcohol depends on many factors: the amount of drinks drunk, lifestyle, heredity, diet, etc. In any case, it’s not worth the risk: if you don’t have enough strength to defeat alcohol addiction, you need to contact specialists and start complex treatment in a timely manner.

How is this disease treated?

Treatment for alcoholic liver inflammation includes:

  1. Complete abandonment of alcohol (two-thirds of patients ignore this recommendation, due to which cirrhosis subsequently develops),
  2. Drug treatment based on cleansing and restoring the body,
  3. Mandatory diet prescribed by a doctor,
  4. In severe cases, liver transplantation.

Medications

Alcoholic hepatitis is treated with hepatoprotectors - drugs conventionally divided into 5 categories:

  • Thistle-based products that can support the active functioning of liver cells.
  • Ademethionine-based products that protect liver cells from damage and help normalize the flow of bile and remove toxins.
  • Means containing bear bile, which accelerates the recovery processes.
  • Organisms of animal origin that contribute to the activation of intracellular renewal processes.

If hepatitis is severe, antibiotics cannot be dispensed with: they will minimize the risk of infection. A special role in the treatment of alcoholic hepatitis is given to detoxification measures, which consist of injection courses of special drugs that stop most of the symptoms of pathology.

Treatment with folk remedies

How to treat this disease with folk remedies? Here are some simple recipes:

  • Drink one cup of a mixture of radish and red beet juice daily in a 1: 1 ratio
  • Drink cabbage juice every day for a month and a half.Juice can be used both from fresh and from sauerkraut.
  • Every day, drink the infusion of dill. It will take 1.5 cups of hot water and 1 tbsp. l chopped fruits, give them time to insist
  • Every day, take half a glass of pumpkin juice and a pound of grated raw pumpkin pulp.
  • Make an infusion of grass and the roots of flowering strawberries. Brew 2 bushes dried in a dark and ventilated room, like ordinary tea, let it steam for half an hour. You should drink in the morning and in the evening, like regular tea, you can add sugar and milk to taste. You need to drink for a long time, so that the effect of the treatment is noticeable.
  • No less effective will be the constant use of a decoction of chicory. For this, 2 tbsp. l brew any part of the plant in 0.5 liters of hot water, let it brew. Strain, add 1 tsp. lemon or apple cider vinegar and 2 tbsp. honey. This broth should be taken only in hot form, like hot tea.
  • Brew 1 tbsp. St. John's wort with a glass of boiling water and boil another 15 minutes, strain. A decoction should be taken in a quarter cup 2-3 times a day. This decoction is used as an anti-inflammatory and choleretic agent. St. John's wort is generally said to cure 99 diseases.
  • If pain occurs in the liver, then poultices can be made from mashed potatoes, cooked in their uniforms. Learn about the beneficial properties of potatoes from this article.

These simple recipes will help get rid of such a terrible disease as chronic alcoholic inflammation of the liver.

Surgical intervention

Surgical treatment involves a liver transplant. Currently, such operations are rare and are quite expensive. A liver transplant is performed only if the patient has been diagnosed with the last degree of liver failure.

The point is not only the high cost of the operation. The problem, most often, is finding a donor. They can only become the owner of excellent physical and mental health, it is best if the donor is a relative of the patient. The donor will have to give 60% of his liver: after the operation, the organ will be able to recover to its original volume.

Is this disease contagious?

Many people think that this type of hepatitis is contagious. Is it so? This is a big mistake. Relatives of the patient can calmly communicate with the patient, maintain tactile contacts, use common household items with him. Since alcoholic hepatitis is a toxic lesion of the liver tissue, this type of hepatitis does not have a danger to others.

Hepatitis A, which is infected through infected water and if personal hygiene is not followed, and hepatitis B, C, which are infected through infected blood and medical instruments contaminated by it, are contagious.

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Wishing you good health Taisia ​​Filippova

Is alcoholic hepatitis contagious?

The question of how alcoholic hepatitis is transmitted, humanity has been troubled for a long time. Most likely, the excitement is caused by the fact of the existence of a large group of viral hepatitis # 8212, A, E, B, C, D and others. However, in alcoholic liver disease, the main etymological factor is not the virus, but alcohol itself. It is alcohol that triggers in the body that many reactions that subsequently contribute to liver damage. Therefore, there is no need to discuss the ways of transmission of this disease, to think whether alcoholic hepatitis is contagious or to study how it is transmitted. Alcoholic hepatitis is always the reaction of the human body to the regular introduction of alcohol.

Who is prone to hepatitis?

So, what is alcoholic hepatitis in fact? This term refers to the stage of alcoholic liver disease. The disease is accompanied by inflammatory processes in the tissues of the organ. The consequence of progress is cirrhosis. Doctors convince that, as a rule, alcoholic hepatitis occurs after 6 years of regular drinking. Although this does not mean that this rule has no exceptions. There are facts when the disease matured more rapidly and in a severe form.

There are two forms of alcoholic hepatitis:

  • persistent - a relatively slow lesion of the liver tissue, the organ continues to perform its functions,
  • progressive - the onset of cirrhosis.

How to recognize alcoholic hepatitis?

In the understanding of medicine, alcoholic hepatitis is an inflammation of the liver tissue. Consequently, the main symptoms in their majority resemble the symptoms of other varieties of the disease. The patient complains of nausea and vomiting, heaviness and pain under the right hypochondrium, jaundice. At later stages, the appearance of fluid in the abdomen is possible, the contours of the veins are clearly visible (this symptom is called by the doctors “the head of the Medusa of the Gorgon”).

But still, if alcoholic hepatitis is just a consequence of alcoholism, why is this disease so terrifying all over the world? The problem is that often the alcoholic form of liver disease is accompanied by viral hepatitis. And they are transmitted very easily.

What is hepatitis dangerous?

The most common viral hepatitis in the world is type B. It is often diagnosed in alcohol-dependent patients. About a third of the world's population is infected with hepatitis B virus, another 600 million people are chronic carriers of the infection. Each year, about 50 million earthlings become infected with hepatitis B for the first time, and about 2 million die after complications # 8212, cirrhosis and liver cancer. Statistics say that one in four infected with hepatitis in childhood does not live to old age. Most of them die from cirrhosis.

Hepatitis is a terrible disease with an equally terrible outcome. It’s not sad to be aware that you can become infected almost everywhere: in dentistry, in a beauty salon, in a hospital, on the street ... And you can even thoughtlessly become the cause of your own illness - first alcoholic hepatitis, and then other types of illness ...

Hello dear readers! We all know that alcoholism is a disease, moreover, very serious, leading to dire consequences. Regular drinking leads to a disease such as alcoholic hepatitis. This disease causes inflammation and destroys the liver. In this article I will talk about what kind of disease it is, how to treat it, and whether it can be infected.

Alcoholic hepatitis is a consequence of the use of ethanol (in other words, ethyl alcohol, wine alcohol or alcohol). The active substance of alcoholic beverages is a psychoactive substance, a depressant, which, when used excessively and continuously, inhibits the central nervous system.

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