Diagnosing Alcoholic Hepatitis
Alcoholic hepatitis is a serious, potentially life-threatening condition and can be difficult to diagnose. To diagnose alcoholic hepatitis, a doctor will ask about a person’s alcohol consumption and medical history. They may also do physical exams and laboratory tests, such as a blood test, to look for signs of liver damage.
Physical exam
During a physical exam, a doctor may look for signs of jaundice, a yellowing of the skin and whites of the eyes that occurs when the liver is not working properly. The doctor may also feel the abdomen for an enlarged liver or other signs of liver damage.
Blood tests
Blood tests can be used to measure the levels of certain liver enzymes, proteins, and other factors to check for signs of liver damage. Liver enzymes, such as aspartate aminotransferase (AST) and alanine aminotransferase (ALT), are usually elevated in people with alcoholic hepatitis.
Imaging tests
Imaging tests, such as an ultrasound or computed tomography (CT) scan, can be used to look for signs of inflammation or scarring in the liver.
Liver biopsy
A liver biopsy is a procedure in which a doctor takes a small sample of liver tissue for examination. This can be used to look for signs of cirrhosis, a condition in which the liver is badly scarred.
Once a diagnosis of alcoholic hepatitis has been made, a doctor may refer a person to a specialist for further treatment. Treatment may include lifestyle changes, medications, and in some cases, a liver transplant.