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Is the increase in cirrhosis associated with increased drinking during the blockade?

According to Denise Mann HealthDay Reporter

Friday, May 14, 2021 (HealthDay News)

Many drank more to deal with it stress About the coronavirus pandemic and the restrictions it imposes on daily life, and now new studies suggest that all of this drinking is causing serious spikes. alcoholRelated illness.

“Hospitalization rate alcoholRelated gastrointestinal (GI) and Liver disease Has increased quite dramatically since the beginning of COVID-19 (New Coronavirus Infection) Research author Dr. Wai Hong Chung is a researcher in the Department of Gastroenterology at the Warren Alpert Medical School at Brown University in Providence, Rhode Island.

“Our study only targeted patients with enough illness to come to the hospital, but we expect the problem to be much worse in outpatient situations where patients are not ill enough to seek treatment. I’m still …

The study will be presented at the Virtual Gastrointestinal Diseases Weekly Conference on May 21st. The findings presented at the conference should be considered preliminary until published in a peer-reviewed journal.

For research, researchers looked at people who saw alcohol-related GI experts liver State in hospital COVID-19 (New Coronavirus Infection) The blockade and reopening phases on Rhode Island are from March 23 to May 10, 2020, and from June 1 to July 19, 2020, respectively. Investigators compared these with consultations that took place around the same time in 2019.

The total number of all GI consultations decreased by 27% during the blockade due to widespread shelter-in-place orders, but with alcohol-related GIs. liver Illness surged by nearly 60%, including alcohol-related consultations hepatitis Or with liver inflammation Cirrhosis (Liver scarring), the study found.

Studies found that as Rhode Island began to reopen, the number of GI visits under all conditions returned to pre-pandemic levels, but the proportion of GI visits for alcohol-related issues increased by 80%.

In addition, the number of people who come to the hospital because of alcoholism hepatitis Compared to 2019, it has more than doubled when resuming, and more people need endoscopy during their stay. This suggests that they are experiencing gastrointestinal bleeding, which is a sign of a more serious illness.

Other symptoms of severe alcoholism hepatitis May be included jaundice (Or yellowing of the skin and eyes), stomach ache In the right quadrant where your liver sits, nausea, vomiting, confusion, Swelling of the legs And / or Black stool..

“These people drink a lot, but never get sick, and then get fatal and hospitalized,” said Dr. Stephen Fulham, a hepatologist at the Northwestern Memorial Hospital in Chicago.

Fulham, who was not part of the new study, said this was a very dramatic shift in events. “They get very sick, even if they are afraid to leave the house. COVID-19 (New Coronavirus Infection), They will come to the hospital, “he added.

There is no good cure for acute alcohol hepatitisChung added, and the only way to prevent it from progressing Cirrhosis It is to stop drinking.

“Let’s make it a wake-up call and ask for help to stop drinking,” Chung urged.

The study examined only hospitalizations across Rhode Island, but “the findings are likely to be accurately reflected in many other cities and suburban cities throughout the United States,” he said.

They certainly reflect what Dr. David Bernstein, director of the Sandra Atlas Bath Center for Liver Disease in Northwell Health, Manhasset, NY, sees at his hospital.

“Since then, the number of people in hospitals related to alcohol use COVID-19 (New Coronavirus Infection) Epidemics are on the rise — especially in young people, ”says Bernstein, who was not involved in the new study.



Question

Prolonged heavy alcohol consumption can cause:
See answer

It was a perfect storm in many ways. “Many people have lost their jobs or feel isolated, depression“Liquor stores are considered an integral business, and people go out once or twice a week and move from drinking a glass or two of wine to drinking every night,” Bernstein said. It was.

For more information

Alcohol Problem Help is available in the United States National Institute for Alcohol Abuse and Alcoholism..

Source: Waihong Chung, MD, PhD, Researcher, Department, Gastroenterology, Warren Alpert Medical School, Brown University, Providence, Rhode Island. Stephen Fulham, MD, Hepatologist, Northwestern Memorial Hospital, Chicago; David Bernstein, MD, Dean, Director, Sandra Atlas Bath Center for River Diseases, Northwell Health, Manhasset, New York ..Gastroenterology Week, Presentation, May 14, 2021

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Is the increase in cirrhosis associated with increased drinking during the blockade?

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