How are alcoholic liver disease and fatty liver disease caused

Patient's question:

My friend went for a health check-up and the doctor found fatty liver. He's quite overweight, about 200 pounds (90 kilograms) for his 5'9" (175 cm) height. He loves eating meat and has it almost every meal, but he doesn't like drinking beer. I've heard about alcoholic liver disease before and would like to know how alcoholic liver disease and fatty liver are caused?

Doctor's answer:

Alcoholic liver disease is a liver condition caused by long-term heavy alcohol consumption. There are four common types of alcoholic liver disease: alcoholic fatty liver disease, alcoholic hepatitis, alcoholic cirrhosis, and alcoholic fatty liver disease generally shows no symptoms. Some people may experience fatigue, exhaustion, loss of appetite, abdominal pain, nausea, and vomiting. There may also be signs such as obesity and liver enlargement. Alcoholic hepatitis patients often have a history of heavy drinking in the short term before the onset of the disease. In addition to fever, abdominal pain, nausea, and vomiting, there is also significant weight loss. Patients may experience symptoms such as anemia, neutrophil, elevated transaminase levels, and elevated serum bilirubin levels. Alcoholic cirrhosis patients show no symptoms in the early stages, but in the middle and later stages, they may experience weight loss, loss of appetite, abdominal pain, fatigue, fever, dark urine, and gum bleeding.

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