World Liver Day — Know The Impact Of Alcohol And Medication On Liver Health

(By: Dr Vivek Singh)

It is often seen in patients , that they underestimate the importance of liver, until its dysfunction is felt sharply. Liver is quite the unsung hero of our body. It is a metabolic powerhouse, tirelessly detoxifying and processing nutrients. But two common culprits — alcohol and drugs (certain medications), can quietly wreak havoc on this vital organ.

Let’s talk about how you can protect your liver while still enjoying life and managing your health.

ALSO READ: Fatty Liver To Cancer: 5 Serious Liver Diseases Alcohol Can Trigger

Alcohol And Your Liver: A Delicate Balance

We’ve all heard the phrase “drink responsibly,” but when it comes to your liver, this advice takes on a whole new meaning. Alcohol is one of the leading causes of liver damage worldwide, and it doesn’t take years of heavy drinking to see the effects.

Here’s what you need to know:

Short-term impact: Even occasional binge drinking can overwhelm your liver, leading to fatty liver disease — a condition where fat builds up in liver cells. While reversible with abstinence, repeated episodes can lead to permanent harm.

Long-term impact: Chronic alcohol use can lead to more serious conditions like alcoholic hepatitis (inflammation of the liver) and cirrhosis (permanent scarring). These conditions don’t just affect your liver, they can lead to life-threatening consequences.

What You Can Do:

The age old idea of alcohol being good for your heart, brain, kidney or liver if consumed in moderation is obsolete. There is “NO SAFE LEVEL OF ALCOHOL INTAKE”. But if you are used to consuming alcohol on regular basis, the initial step should be cutting down on alcohol intake.

Stick to moderation: For most adults, this means no more than one drink per day for women and two for men.

Give your liver a break: Consider alcohol-free days each week to let your liver recover. Avoid binge drinking episodes. Consult your hepatologist and enrol for de-addiction programme.

Listen to your body: If you notice symptoms like fatigue, jaundice (yellowing of the skin or eyes), or abdominal pain, seek medical advice immediately. Even in the absence of symptoms, if you have been consuming alcohol on regular basis get your liver functions tested and consult a physician or gastroenterologist or hepatologist.

Drug induced liver injury: Medications are meant to heal, but when misused or combined with certain conditions, they can strain your liver. Even over-the-counter drugs aren’t always as harmless as they seem.

Acetaminophen (Paracetamol): This common pain reliever is safe when taken as directed but can cause severe liver damage if overdosed even unintentionally. Be cautious about combining it with alcohol or other medications containing acetaminophen.

Prescription drugs: Some medications, like statins (used for cholesterol) or certain antibiotics, can have side effects that impact the liver. This doesn’t mean you should stop taking them, just ensure regular monitoring with your doctor.

Herbal supplements: “Natural” doesn’t always mean safe. Supplements like kava, green tea extract, or comfrey have been linked to liver damage in some cases. Inform your doctor about all medications and supplements you’re taking, they need the full picture to assess potential risks.

Get regular blood tests: If you’re on long-term medication, periodic liver function tests can catch issues early.

Dr Vivek Singh is Consultant Gastroenterology at Holy Family Hospital Bandra Mumbai

[Disclaimer: The information provided in the article, including treatment suggestions shared by doctors, is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.]

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