Some doctors call it a pandemic within a pandemic.
"We're seeing a lot more liver disease and a lot more liver disease from alcohol," said Transplant hepatologist Dr. Brian Lee with Keck Medicine of USC.
At Keck Hospital of USC, admissions for alcoholic hepatitis and liver failure are up 30% in 2020 compared with the year before.
To treat damaged livers, Lee knows you must also treat hearts and minds.
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"There are a lot of social issues that come with being a liver doctor," he said. "It really is linked to mental health. Alcohol is the most common cause of end stage liver disease and death."
Pre-pandemic, alcoholism-related liver disease was already a growing problem. But this current wave of illness is compounded by the stress of a tumultuous year and a lack of mental health services.
"Like going to therapy, going to rehab, going to AA. All of those have been shut down during COVID. So you can imagine how big of a problem this has been," Lee said.
Every year, 66,000 Americans die from liver cirrhosis. Nearly half are caused by alcohol abuse. And heavy drinking among women has been rising faster than men.
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"And that's been accelerated with COVID," said Lee.
COVID has also accelerated another common cause of liver damage: fatty liver disease. It comes with obesity, diabetes and hypertension. Add chronic drinking and it's a combination of two lethal trends.
If you're using alcohol, drugs or food to cope, Lee said now is the time to reach out.
"I'm worried that this may be an ongoing epidemic after COVID is gone," he said. "It's important to talk about it. Whether you talk about it with your friends, family or doctors. That's really the first step to being able to identify the problem."
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