Hello,
1) Your diagnosis is Alcohol related liver
cirrhosis with portal hypertension
2) Alcohol damages liver by affecting work capacity of cells in liver. This damaged cells can not regenerate to produce more cells and as a result of that damaged liver cells are replaced by fibrous tissue. (Process is similar to healing of any deep wound on skin which would not be same skin)
3) Because of damage to liver tissue and decreased ability to reproduce new liver cells, liver function gets deteriorated gradually (Once
liver damage, this deterioration is irreversible)
4) Because of these changes, not only liver function is affected but vessels which supply blood to liver (Portal vein) are also affected and develop high pressure within this vein which causes portal hypertension (causes enlargement of
spleen). In severe cases portal hypertension may cause blood
vomiting. To prevent this periodic upper GI
endoscopy is necessary.
5) To evaluate condition periodically, USG abdomen for status of liver is mandatory
6) To support liver function, you may require medical gastroenterologist consultation and supportive treatment over long period of time with abstinence from alcohol