The addictive behavior underlying many cases of ALD often goes unaddressed. Experts offer their advice on how gastroenterologists can begin to change this in their practices.
For many people navigating the stresses of the COVID-19 pandemic, temporary relief came in the form of a stiff drink. In the United States, the pandemic years were accompanied byYet the pandemic merely accelerated a trend that was decades in the making.
Effectively treating ALD often means simultaneously treating alcohol use disorder , a common and chronic condition with varying grades of severity. The sooner AUD treatment can begin, the better the prognosis is for patients with ALD.of veterans with cirrhosis found that behavioral and/or pharmacotherapy‐based AUD treatment was associated with a significant reduction in incident hepatic decompensation and long‐term all‐cause mortality.
"There may be issues of insurance, with people in their family finding out, or religious implications, among other things, that keep people from discussing this," he said."It's important to avoid stigmatizing words such as 'alcoholic' or 'alcoholic liver disease' to create a supportive, nonjudgmental environment and to ask clear, direct questions," he said.
"Given the possibility of hepatotoxicity with disulfiram, it is not recommended for patients with ALD. Use of the other two medications should be made after careful consideration of the risks for an individual patient," he added.
Alcohol Dependence Addiction Biliary Disease Gallbladder Disease Alcohol Use Liver Disease Hepatic Impairment Alcoholic Liver Disease Liver Cirrhosis Preventive Screening Screening Substance Abuse Abuse Biomarker Biological Marker Multi-Biomarker Disease Activity MBDA Multibiomarker Disease Activity Pandemic Alcohol Abuse Clinical Guidelines Guidelines Facial Mental Illness
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