October 9, 2018

Millennials and Alcohol: More Young People are Drinking to the Point of Liver Damage

But many may not realize they're at risk

millennial man drinking alcohol

The liver is one of the most resilient organs in the body, with an impressive and unique ability to actually regenerate new, healthy tissue to replace damaged tissue.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

And we’re lucky it can do that because the liver plays an important role in removing toxins from the bloodstream and turning food into energy.

But the accumulation of certain toxins, including alcohol, can get in the way of the liver’s ability to do its job. And that’s a problem for a growing number of young people who are drinking alcohol in excess for long periods of time.

An alarming new study calls attention to an uptick in both the number deaths from liver disease and the number of young adults age 25 to 34 who died from alcohol-related cirrhosis – the latest stage of liver damage – between 1999 and 2016.

Hepatologist Christina Lindenmeyer, MD, says a trend toward diagnosing alcohol-use disorders more in young people is something she and her colleagues have observed in practice, too.

“It used to be a diagnosis that we didn’t make until people were in their 40s or 50s,” she says.

One of those increasingly common diagnoses is severe alcoholic hepatitis. The impact of alcohol on liver health varies from person to person, but people are generally at risk for severe alcoholic hepatitis when they drink at least 80 grams of alcohol a day for at least five years.

“You have this profound inflammation of the liver that carries an extremely high mortality,” Dr. Lindenmeyer says. “We used to say it took 10 to 20 years of drinking 80 grams of alcohol a day, but in this younger group of patients we’re seeing a shorter time to development of severe acute liver disease.”

Advertisement

What’s going on?

David Streem, MD, psychiatrist and Medical Director for the Alcohol and Drug Recovery Center, hasn’t noticed a significant change in the number of young people seeking behavioral treatment for alcohol addiction. But he notes that alcohol use disorders are the most common problem for which people request treatment. “Despite great variability in percentages of heavy drinking and binge drinking across the country, as a nation, Americans drink too much,” he says.

And the rise of craft beer, wine clubs that deliver bottles to your doorstep each month, and bottomless mimosa brunches make an abundance of alcohol readily available today.

Another factor contributing to overconsumption may be a lack of education around or attention to what one serving of alcohol (14 grams of pure alcohol) actually looks like. Dr. Lindenmeyer explains that sometimes, patients show up with severe liver disease and don’t even realize that they have been drinking too much.

“We say we should have no more than two drinks a day for men and no more than one per day for women. But when you ask people what they’re drinking, they might say they drank one 40-ounce beer,” she explains. “They also don’t take into account that they might be drinking a beer with 12% alcohol.”

This is also a problem with wine, as Dr. Streem points out. “Wine is typically served in portions that are unmarked and often much larger than the 5-ounce standard drink measurement,” he says. “In most restaurants, if you ordered a glass of wine and received a 5-ounce pour, you’d conclude that someone at your table had upset the waiter. So that can mislead people as to how much they’re drinking.”

In the United States, a standard drink contains about 14 grams of pure alcohol, which is the equivalent of:

  • 12 ounces of beer with about 5% alcohol content.
  • 5 ounces of wine with about 12% alcohol content.
  • 1.5 ounces of distilled spirits with about 40% alcohol content.

Dr. Lindenmeyer adds that often, patients who show up with liver problems have been longtime drinkers but have also experienced something in their life that’s caused an uptick in their recent alcohol use – maybe a stressful event, for example. Along those lines, the authors of the cirrhosis study point to The Great Recession as a potential trigger for financial stress that could have led young people to take up drinking in the last decade.

Advertisement

When to worry

For most people, moderate drinking will not cause liver disease. We’re talking about years of repeated overuse.

The first signs of liver disease tend to be yellowing of the skin and development of fluid overload in the abdomen or in the legs, Dr. Lindenmeyer says. Some people experience blood in the stool or even vomiting blood.

The optimistic news is that damage caused by inflammation to the liver can be repaired – at least to a certain extent. “We do know that the longer people are abstinent from alcohol, the better their livers get, even up to a year after stopping alcohol,” Dr. Lindenmeyer says. “It may not improve to be a completely normal liver, but it can improve to the point where they may not have complications related to their liver disease.”

If you are concerned about the drinking habits and health of someone you know, Dr. Streem suggests starting with online resources from the National Institute of Alcohol Abuse and Alcoholism about how to talk to loved ones about alcohol and how to find help.

Related Articles

Notes taped to window of possible new year's resolutions with hand in foreground holding marker.
December 1, 2023
How To Keep Your New Year’s Resolutions

Pick specific, measurable goals, but also be open to changing them if need be

person holding a thermometer with stress thought bubbles above head
December 1, 2023
Yes, There Is Such a Thing as Stress Sickness

From nausea, weight gain and eczema, stress can affect your immune system in many ways

bowl of soy-based cubes with hand
November 30, 2023
Can Soy Cause Breast Cancer?

Research consistently shows that soy-based foods do not increase cancer risk

person scratching neck that has eczema
November 29, 2023
How Lifestyle Changes and Self-Care Can Improve Your Atopic Dermatitis

Changing your wardrobe or environment won’t eliminate eczema, but it can help reduce flares

person stressing, with clock and books
November 29, 2023
6 Ways To Feel Less Anxious in the Mornings

Breathwork, sleep mediatation and avoiding screens can help fight back morning anxiety

covid toe
November 28, 2023
Are COVID Toes and Rashes Common Symptoms of the Coronavirus?

Chilblain-like skin lesions and rashes probably aren’t COVID related

magnesium pills out of container spelling out MG
November 28, 2023
Magnesium for Anxiety: Does It Help?

This supplement may help with regulating cortisol levels, which may help with stress

woman in her forties, using an inhaler
November 28, 2023
Why Sex Hormones Can Help (or Hurt) Your Asthma

Developmental changes like puberty and menopause can impact symptom severity

Trending Topics

group of hands holding different beverages
November 14, 2023
10 Myths About Drinking Alcohol You Should Stop Repeating

Coffee won’t cure a hangover and you definitely shouldn’t mix your cocktail with an energy drink

Person applies moisturizer as part of their skin care routine after a shower.
November 10, 2023
Korean Skin Care Routines: What You Need To Know

Focus on the philosophy — replenishing and respecting your skin — not necessarily the steps

glass of cherry juice with cherries on table
November 8, 2023
Sleepy Girl Mocktail: What’s in It and Does It Really Make You Sleep Better?

This social media sleep hack with tart cherry juice and magnesium could be worth a try

Ad