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Suggest Treatment For Alcoholism
I am married 43 years to the same man and he is an alcholic. He doesn't think he has a problem, but he does. Is there anything I can do to convince him of his problem? He needs help, which I am willing to pay for, but he won't go. He drinks daily, getting drunk pretty much daily, and most the time starts in the am. I don't know what to do, I don't know how much longer I can live with him.
Fri, 19 Dec 2014
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1. in alcoholics, duration and symptoms are important for diagnosis of ALD [alcoholic liver disease]
2. Avoidance of alcohol is gold standard for treatment, with carbohydrate rich diet.
3. avoid hepatotoxic drugs
4. check regularly with Bilirubin, BUN, Prothrombin Time and Serum proteins levels.
5. Hepato protective drugs like silymarin along with laxative like lactulose will help alleviate the symptoms.
6. whether or not it is curable will depend upon the stage identified by the physician, i.e. is it compensated or decompensated liver problem.
PS
Management: is based on the stage of disease at which therapy is started
• Abstinence: cessation of alcohol is the single most important treatment, without this all other therapies are of limited value.
• Diet: low fat, high carbohydrate and salt free high protein diet recommended (essential amino acids)
• Steroids: to suppress inflammation
• Antioxidants
• Treatment of Complications
• Liver transplant
1. in alcoholics, duration and symptoms are important for diagnosis of ALD [alcoholic liver disease]
2. Avoidance of alcohol is gold standard for treatment, with carbohydrate rich diet.
3. avoid hepatotoxic drugs
4. check regularly with Bilirubin, BUN, Prothrombin Time and Serum proteins levels.
5. Hepato protective drugs like silymarin along with laxative like lactulose will help alleviate the symptoms.
6. whether or not it is curable will depend upon the stage identified by the physician, i.e. is it compensated or decompensated liver problem.
PS
Management: is based on the stage of disease at which therapy is started
• Abstinence: cessation of alcohol is the single most important treatment, without this all other therapies are of limited value.
• Diet: low fat, high carbohydrate and salt free high protein diet recommended (essential amino acids)
• Steroids: to suppress inflammation
• Antioxidants
• Treatment of Complications
• Liver transplant
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