Can Alcohol Cause Cirrhosis?

Robert Gerchalk

Robert is our health care professional reviewer of this website. He worked for many years in mental health and substance abuse facilities in Florida, as well as in home health (medical and psychiatric), and took care of people with medical and addictions problems at The Johns Hopkins Hospital in Baltimore. He has a nursing and business/technology degrees from The Johns Hopkins University.

Think you have a drinking problem?

If you suspect you might have a drinking problem, don't wait to seek help. Call our hotline now for confidential advice, support, and the first step towards understanding your relationship with alcohol and beginning your journey to recovery.

What Is Cirrhosis?

Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions. It’s crucial to understand its symptoms, causes, and stages to seek timely treatment and prevent further damage.

Cirrhosis is a chronic, progressive disease characterized by the replacement of healthy liver tissue with non-functioning scar tissue. This scarring impedes the liver’s ability to detoxify the body, produce vital nutrients, and filter blood. Over time, cirrhosis can lead to liver failure, a life-threatening condition.

Symptoms of Cirrhosis

Cirrhosis often presents no signs or symptoms until liver damage is extensive. When they do occur, they can include fatigue, easy bruising or bleeding, loss of appetite, nausea, swelling in the legs, feet, or ankles (edema), weight loss, itchy skin, jaundice (yellowing of the skin and eyes), and confusion, drowsiness, or slurred speech (hepatic encephalopathy).

Causes of Cirrhosis

Cirrhosis is commonly caused by chronic alcohol abuse, hepatitis B and C, and fatty liver disease, which is often linked to obesity and diabetes. Less common causes include certain inherited diseases, long-term bile duct blockage, certain medications, and parasitic infections.

Stages of Cirrhosis

Cirrhosis progression is usually categorized into four stages:

  1. Compensated cirrhosis: The liver is heavily scarred but can still perform many important bodily functions. Symptoms may not be present.
  2. Early decompensated cirrhosis: The liver can no longer adequately perform its functions, leading to symptoms such as ascites (fluid buildup in the abdomen), variceal bleeding (bleeding from enlarged veins), and hepatic encephalopathy.
  3. Late decompensated cirrhosis: Symptoms become more severe, and other organs may begin to fail.
  4. End-stage liver disease (ESLD) or liver failure: The liver has lost all functionality, and without a liver transplant, the condition is typically fatal.

The transition between these stages can take many years, providing a window for treatment to slow disease progression.

Treatment and Support

While damage from cirrhosis can’t be reversed, treatment can sometimes slow or halt progression and reduce complications. Treatment typically involves managing the underlying cause, such as reducing alcohol consumption for alcohol-related cirrhosis, managing hepatitis infections, or controlling diabetes.

For individuals battling alcohol-related cirrhosis, it can be challenging to stop drinking, but it is crucial. Help is available through resources like, a 24/7 online resource providing free assistance and information for those struggling with alcohol abuse. provides round-the-clock support and resources for those struggling with alcohol dependency, which is a significant factor in developing cirrhosis. Their services can be the first step towards regaining control and preventing further liver damage. Remember, the sooner you seek help, the better the chances of minimizing damage and optimizing health outcomes.

Cirrhosis is a serious disease characterized by progressive liver damage. Understanding its symptoms, causes, and stages can help in seeking timely treatment and managing the disease. For those with alcohol-related cirrhosis, seeking help is crucial. Resources like are available to provide the support needed to overcome this challenge. Awareness and timely action can make a significant difference in managing cirrhosis and improving quality of life.