What does alcoholic liver disease look like please? I’m concerned.

[practicemakes]

A friend , despite all of our support and best efforts , is drinking upwards f a litre of vodka per day and has been doing this for over a decade. She has lost her marriage and children to this horrendous disease. She does not want to give up alcohol but I’ve noticed that the whites of her eyes are now a bright yellow, her skin has red angry rashes, she has lost a lot of weight and her limbs are skin and bone, like they’ve wasted away.
I know that she has been told from the doctors that her liver is not good but that was a few years ago.
im so worried and scared for her as the decline seems extreme
andnshe looks decades older than her fifty years.
what can I do ?

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I'm sorry, it really sounds like her body is starting to shut down. My neighbour died of this disease, he just could not stop drinking, even when he turned yellow and was living in squalor. If she refuses help, there is nothing you can do. Have you tried a welfare check as she isn't replying?

yes. I believe a neighbour is keeping an eye on her house so can see her leaving and coming back.

Please quote whoever you're responding to @practicemakes

If you don't want to or can't see your friend maybe the neighbour could contact you if they don't see her for a few days but it's not really their responsibility. Are you planning on seeing her, does she answer your phone calls. What outcome are you looking for.

I want to be guided in an area that knows very little about and feel helpless.

What advice do you think would help,

Is there an Al Anon in your area

There really, truly, isn't anything you can do OP to help her.

By all means call round or ring if she'll answer the door/phone. Check with the neighbour if she's still alive.

My DH died on our bedroom floor vomiting pints of blood. That's a common means of death from alcohol cirrhosis.

I wouldn't see her afterwards or her home if I were you.

I found Al Anon, just one session, very helpful in helping me detach and realise that I couldn’t help DH but I could help me and our children.

That is so sad. Maybe how my DB’s friend died. He’d had a part of his liver removed as I recall. Then relapsed into drink and medics could no longer help him. Or he was too far gone after the op. Too little too late.

My husband died three years ago of alcoholic liver disease. He was thirty six when he died. By the last seven to six months of his life, his personality changed and he became belligerent and refused to think about getting well. We were separated but I hoped he would reconsider for our very very young DDs. He was emaciated aside from his belly which was swollen with ascites. His skin and eyes were yellow and he had weird red patches because that stage of liver disease makes it hard for blood to clot so you get the rashes and the damage. He also collapsed at one point due to varices bursting in his oesphagus. I would say if she is not heard from you need to call the police for welfare checks but there is very likely little to do and from your description, which sounds like my husband she has little time. Three weeks before his death, his doctors told me he has weeks maybe months if he didn’t stop drinking, but he would never make old bones from the damage done even if he detoxed, she may well have been told the same. He died in the end from a sudden arrhythmia because his electrolytes were so deranged. I think the posters advising al-anon or therapeutic support are wise. I and my children are still in semi regular therapy three years out. I will be thinking of you and your friend,.