Alcoholic hepatitis is a serious medical condition that can cause severe inflammation of the liver. While the most common symptom is jaundice, or yellowing of the skin and eyes, other symptoms may include fatigue, fever, abdominal pain, vomiting, and loss of appetite. While there is no single test to diagnose alcoholic hepatitis, medical professionals will use a combination of tests to determine if someone has the condition.
Physical Examination
A physical examination is a key part of diagnosing alcoholic hepatitis. During the exam, the doctor will look for signs of jaundice, as well as swelling of the abdomen, enlarged liver, swollen spleen, and difficulty breathing. The doctor may also feel the abdomen to check for tenderness, which could indicate inflammation.
Blood Tests
Blood tests are another important part of diagnosing alcoholic hepatitis. Doctors use a variety of tests to check for liver function and inflammation. Common tests include a complete blood count (CBC), liver function tests, and tests for antibodies or markers of inflammation.
Imaging Tests
Imaging tests, such as an ultrasound, CT scan, or MRI, can also help to diagnose alcoholic hepatitis. These tests can detect any enlargement of the liver, as well as any other types of damage.
Liver Biopsy
For a definitive diagnosis, a liver biopsy may be necessary. During the procedure, a small sample of liver tissue is taken and examined by a pathologist. This can show if there is any scarring or inflammation of the liver, as well as any other types of damage.
Treatment
The treatment for alcoholic hepatitis depends on the severity of the condition. In mild cases, abstinence from alcohol is the main treatment, as well as lifestyle changes such as eating a healthy diet and getting regular exercise. For more severe cases, medications such as corticosteroids may be prescribed. In some cases, a liver transplant may be necessary.