Essentials of Diagnosis:-


• Anorexia, nausea, abdominal discomfort in a patient after a recent period of heavy drinking.
• Tender hepatomegaly and often jaundice.
• Fever, splenomegaly, ascites, encephalopathy, abdo- minal pain and tenderness when present, further support the diagnosis.
• Elevated serum alkaline phosphatase. (Rarely more than three times of normal value). Increased SGOT, serum bilirubin, elevated serum globulin and depressed albumin.
• Liver biopsy is confirmatory.


Treatment:-


-Avoid alcohol.
-Hydration is to be maintained by oral fluids or IV
supplementation.
-Vitamin K for elevated prothrombin time as 10 mg
IM.
-Vitamin B supplementation especially thiamine
and folic acid.
-Low dose steroids to be used only if everything
else fails.
-If patient has severe dehydration elevated proth-
rombin time (> 1.5 times of normal), intractable nausea or vomiting, marked rise of bilirubin, hepa- tic encephalopathy, azotemia person may require hospitalisation.

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