Alcoholic liver disease history and symptoms: Difference between revisions
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(/* 2010 AASLD/ACG Alcoholic Liver Disease Guidelines : Abstinence (DO NOT EDIT){{cite web |url=http://www.aasld.org/practiceguidelines/Documents/Bookmarked%20Practice%20Guidelines/AlcoholicLiverDisease1-2010.pdf |title=www.aasld.org |format= |work...) |
(/* 2010 AASLD/ACG Alcoholic Liver Disease Guidelines : Abstinence (DO NOT EDIT){{cite web |url=http://www.aasld.org/practiceguidelines/Documents/Bookmarked%20Practice%20Guidelines/AlcoholicLiverDisease1-2010.pdf |title=www.aasld.org |format= |work...) |
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| colspan="1" style="text-align:center; background:LightGreen"|[[AASLD guidelines classification scheme#Class of recommendation|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[AASLD guidelines classification scheme#Class of recommendation|Class I]] | ||
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| bgcolor="LightGreen"| '''1.''' ([[AASLD guidelines classification scheme#Level of evidence|Level of evidence: C]] | | bgcolor="LightGreen"| '''1.''' Clinicians should discuss alcohol use with patients, and any suspicion of possible abuse or excess should prompt use of a structured questionnaire and further evaluation. ([[AASLD guidelines classification scheme#Level of evidence|Level of evidence: C)]] | ||
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| bgcolor="LightGreen"| '''2.''' ([[AASLD guidelines classification scheme#Level of evidence|Level of evidence: C]] | | bgcolor="LightGreen"| '''2.''' Patients with alcoholic liver disease (ALD) and suggestive symptoms should be screened for evidence of other end-organ damage, as appropriate. ([[AASLD guidelines classification scheme#Level of evidence|Level of evidence: C)]] | ||
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Revision as of 07:45, 28 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
- Recent history of heavy drinking
- Chronic alcohol intake i.e. > 80 g/d in men and 40 g/d in women with alcoholic hepatitis or cirrhosis.
Symptoms
- Abdominal pain and tenderness
- Dry mouth
- Excessive thirst
- Fatigue
- Fever
- Fluid collection in the abdomen (ascites)
- Jaundice
- Loss of appetite
- Mental confusion
- Nausea
- Unintentional weight gain (because of fluid collection)
Other symptoms that can occur with this disease:
- Abnormally dark or light skin
- Agitation
- Bloody, dark black, or tarry bowel movements (melena)
- Breast development in males
- Changing mood
- Confusion (encephalopathy)
- Changed level of consciousness
- Hallucinations
- Impaired short- or long-term memory
- Difficulty paying attention (attention deficit)
- Impaired ability to concentrate
- Impaired judgment
- Light-headedness or fainting, especially when standing
- Paleness
- Rapid heart rate (tachycardia) when rising to standing position
- Redness on feet or hands
- Slow, sluggish, lethargic movement
- Vomiting blood or material that looks like coffee grounds
Symptoms vary based on the severity of the disease. They are usually worse after a recent period of heavy drinking.
2010 AASLD/ACG Alcoholic Liver Disease Guidelines : Abstinence (DO NOT EDIT)[1]
| Class I |
| 1. Clinicians should discuss alcohol use with patients, and any suspicion of possible abuse or excess should prompt use of a structured questionnaire and further evaluation. (Level of evidence: C) |
| 2. Patients with alcoholic liver disease (ALD) and suggestive symptoms should be screened for evidence of other end-organ damage, as appropriate. (Level of evidence: C) |
References
- ↑ "www.aasld.org" (PDF). Retrieved 2012-10-27.