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MEN?S ALCOHOLISM – CIRRHOSIS: DON’T PICKLE YOUR LIVER
Most men know more about needlepoint than they do about cirrhosis, a bit surprising considering cirrhosis of the liver is the third leading cause of death for men between the ages of 25 and 65.
Cirrhosis results when liver cells die, permanently scarring the soft liver tissue. Unfortunately, the liver is not an organ you can do without?it’s responsible for the storage and filtration of blood and the secretion of bile; it plays a key role in breaking down carbohydrates, fats, proteins, minerals and vitamins; and it converts potentially toxic substances into harmless ones.
“Alcohol is the most prevalent cause of cirrhosis by far,” says Vlado Simko, M.D., Ph.D., associate professor of medicine at the State University of New York Health Science Center at Brooklyn, New York. Cirrhosis has other causes. But for men in this, country, alcohol is the culprit to watch.
What really makes cirrhosis so dangerous is the way it sneaks up on you. Experts cite a wide range of warning signs?deep fatigue and weakness, nausea, yellowish skin, small spider-like blood vessels that may appear just under the surface of the skin?then in the next breath admit that most of them appear only after liver damage has become extensive.
“Probably the earliest sign of liver disease is weakness,” says Paul S. Pickholtz, M.D., a gastroenterologist in private practice in Yonkers, New York. “But you don’t usually have any of the other symptoms until you’re already in trouble.”
Given the insidious nature of the disease, experts recommend you adopt a simple approach. “You shouldn’t get to the point where you have cirrhosis because once you do, you’re in trouble,” says Dr. Pickholtz.
So avoid steady drinking. Cirrhosis isn’t brought on by the occasional weekend binge?it’s the result of daily drinking over 10 to 15 years.
“The liver has a remarkable potential for regeneration,” says Dr. Simko. “If you give enough time between bouts of drinking, even if there’s damage to a significant amount of liver cells, other liver cells will regenerate and replace the damaged cells. But if the damage occurs every day, that’s difficult to recover from.”
Outside of watching your drinking, probably the best thing you can do to prevent cirrhosis, says Dr. Simko, is to get a hepatitis B vaccine. Next to alcohol, hepatitis is the largest cause of cirrhosis. A hepatitis B vaccine works simply?it will stop the disease before it starts. Talk to your doctor if you don’t remember ever having received a vaccine.
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