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How Long Does Grade 1 Fatty Liver Take To Form Cirrhosis?

Posted on Mon, 3 Mar 2014

Question: Hi Doctor, My Medical History: I suffered from Jaundice in 2004 which was completely cured with Ayurveda medicine and strict rigorous food control for a duration of one month and I was also barred from using oil and meat products for 6 months. From 2006-2008 i use to do rigorous aerobic exercise and yoga when i was in India after my Studies. I came to Abu Dhabi in 2008 and became alcoholic and a party goer with friends and from 2008 - 2012, i was a staunch Alcoholic, upto an extent of 4 Hard Pegs almost daily and more on weekends, after which i started to feel slight pain on my liver area due to which i started controlling alcohol intake. I have attached my Ultrasound Report and Blood Report which is showing Grade 1 Fatty Liver. I am weighing 89 Kilo in a 5.6 ft body. My present symptom: Whenever i am drinking now a days, mostly 4 pegs in weekends or 2-3 beer (500ml) on every 3-4 days, next morning i feel a pain on my liver area and feels like something hard has been kept there. This symptom is relieved after 2-3 days of alcoholic abstinence. My question: (1) How long it will take to progress Grade 1 fatty liver to form Cirrhosis. (2) Is my Blood Report showing any deformities. (3) What is the significance of abnormal values in Globulin and Alkaline Phosphatase in my Liver Profile Blood Test Report. (4) What is the early warning symptoms of Cirrhosis? (5) How long it will take, with my present reports, to get my liver completely back to normal if i quit alcohol totally from today. It would be highly appreciable if you could suggest me your kind advice also along with the answers of above mentioned questions. Thanking you in anticipation.

Answered by Dr. Dr. Klerida Shehu (7 hours later)

Brief Answer: Kindly re-upload your test results.... Detailed Answer: Hi, Thank you for sharing your concern with XXXXXXX I have read your medical concerns and I did not receive any reports of the tests you did. Can you please re-upload them? I really appreciate your kind collaboration. (1) Generally, it will take 5 to 10 years from the fatty liver to form Cirrhosis in an alcoholic patient. However, it will depend on the individual, the amount of alcohol consumption, how fast the liver is being damaged, etc. (2) + (3) Must have the reports uploaded to get the answer. Thank you! (4) The early signs of cirrhosis include: - rash on the palm of hands - angioma stellatae (star-like pigmentation in the skin) - edema of the legs - bloated abdomen - GI bleeding, etc. (5) Once again, I'd kindly ask to have your reports. Usually, it will take up to 3 months after stopping alcohol for the TA to be optimized if you have not been diagnosed with cirrhosis but only alcoholic hepatitis or fatty liver. As you have been reporting to have jaundice in 2004, I'd also like to know what was the cause (hepatitis? and which type- A, B, C). In case you had hepatitis B and C, then, it could take more time for the TA to get normalized. So, please send your reports in and then, I can assist you with a more precise opinion. Thank you! Dr.Klerida

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Klerida Shehu (12 hours later)

Dear Doctor, I have attached my report, kindly review it and advice me. Awaiting your kind feedback I am not sure, but i presume that my jaundice was Hepatitis B and it was caused due to highly contaminated water in my college hostel.

Answered by Dr. Dr. Klerida Shehu (19 hours later)

Brief Answer: Generally,lab tests were normal Detailed Answer: Hi again, Thank you for following up. I have seen your reports, and apart grade I fatty liver, everything else is normal. If you think that jaundice came from contaminated water in your hostel; then, it is Hepatitis A that caused jaundice. If you think that you are at risk of hep.B, then, should run HBsAg test to rule it out. With regards to your globulin level, it is within the acceptable levels. Usually, we consider it abnormal if its levels will be less than 2. Yours are 2.09 (acceptable); so, nothing to be worried about. If you stop drinking alcohol, and conduct a healthy lifestyle/diet regimen, the slightly elevated cholesterol and fatty liver will be reversed too. Hope it was of help! Dr.Klerida

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Above answer was peer-reviewed by : Dr. Raju A.T