House of Health
Alcohol-Related Liver Disease

Alcohol-Related Liver Disease: ARLD Specialist Care

Alcohol-Related Liver Disease (ARLD) happens when the liver is damaged by drinking too much alcohol over time.

Dr Nadir Abbas is a leading liver scarring specialist who provides non-judgmental assessment & evidence-based expert care to help your liver heal.

Understanding ARLD

What is Alcohol-Related Liver Disease (ARLD)?

ARLD is a condition where the liver becomes swollen or scarred due to alcohol. It is a very common cause of liver problems in the UK. Many people do not know their liver is struggling because the damage often happens slowly.

If caught early, some stages of the disease can be completely reversed.

Dr Nadir, a dedicated ARLD specialist, works with you to create a clear path toward clinical recovery and better health.

As Seen On

Disease Progression

Stages of Alcohol-Related Liver Disease

Dr Nadir uses advanced tests to see exactly how much damage has occurred:

1

Alcoholic Fatty Liver (Steatosis)

In the earliest stage, fat builds up in the liver. It is often quiet with no symptoms and can be fully reversed if you stop drinking.

2

Alcoholic Hepatitis

Stage 2, i.e., alcoholic hepatitis, is serious, where the liver suddenly becomes red and swollen. It can cause yellow skin (jaundice) and tummy pain.

3

Liver Cirrhosis

This is the most advanced stage, with deep liver scars. As a liver scarring specialist, Dr Nadir focuses on managing these scars to prevent more serious problems.

Recognise the Signs

Symptoms of Alcohol-Related Liver Disease

In the early stages, you might not feel sick at all. However, as the liver damage grows, common signs include:

  • Feeling very tired or weak.
  • Yellow skin or eyes (jaundice).
  • Pain in the upper right side of your abdomen.
  • Loss of appetite or weight loss.
  • Swelling in the legs or abdomen.
Root Causes

Causes of ARLD

Alcohol is a toxin that the liver has to break down. If the liver has too much to deal with, its cells become damaged.

Cell Damage

Regular heavy drinking causes the liver to become inflamed and swollen.

Healing Power

The liver is amazing because it can often repair itself and regenerate if alcohol is stopped early enough.

Scarring

If the drinking continues, the liver can no longer heal, and permanent scars (fibrosis) begin to form.

Expert Diagnosis

Consultant-led Diagnostic Pathway for ARLD

Dr Nadir provides a thorough, private check-up to assess your liver health. He draws on his extensive experience to create a safe space for you to discuss your concerns and receive clear answers.

1

Confidential Consultation

A detailed 30-minute private talk where Dr Abbas listens to your health history and alcohol use in a completely safe, non-judgemental space.

2

Full Blood Panel

A comprehensive set of deep blood checks to look at your liver enzymes, kidney function, and how well your blood clots (coagulation).

3

FibroScan

A high-tech, painless scan that uses sound waves to measure liver scars (fibrosis) exactly, without the need for any needles or uncomfortable biopsies.

4

Endoscopy Referral (If Required)

If your liver has established scars, Dr Nadir may refer you for an endoscopy, i.e., a procedure in which a tiny camera is used to check your food pipe for any swelling or varices to help keep you safe from internal bleeding.

Treatment Options

ARLD Management from Dr Nadir: Liver Scarring Specialist

Dr Nadir, along with a multidisciplinary team, follows the best medical guidelines (EASL and BSG) to help you get better.

Phase 1: Abstinence Strategy

Stopping alcohol completely is the most powerful clinical tool. It instantly stops further toxic injury to your liver cells.

Phase 2: Nutritional Repair

Alcohol severely depletes vital nutrients. We use targeted clinical diet plans to restore your physical health and support cell repair.

Phase 3: Targeted Medicine

We use specific drugs to control fluid build-up (ascites), reduce swelling, and prevent serious complications in advanced disease.

Meet the Liver Scarring Specialist
Dr Nadir Abbas - Liver Scarring Specialist

Dr Nadir Abbas

MBBS, MRCP (London), ESEGH, PhD

Consultant Hepatologist & Gastroenterologist

Director of Private Gut and Liver Services at House of Health

Dr Nadir Abbas is an award-winning NHS consultant and internationally recognised researcher who brings world-class expertise in gut and liver disorders to House of Health as Director of Gut & Liver Private Services in Birmingham, UK.

He combines expert patient care with internationally recognised research in liver and digestive disorders. Dr Abbas has contributed to British guidelines on the management of liver cirrhosis, published extensively in peer-reviewed journals, and presented at international conferences.

At House of Health, he leads a multidisciplinary team providing personalised care for complex gastrointestinal and liver conditions.

Highlights:

  • 14+ years of clinical experience.
  • A PhD specifically in Primary Biliary Cholangitis (PBC) from the University of Birmingham, UK.
  • Specialist in all aspects of liver diseases, including PBC, autoimmune hepatitis, PSC, Fatty Liver Disease (MASLD/MASH), IBS, IBD, GORD, pancreatic and biliary disorders, alongside general gastroenterology issues.
  • Research expertise in primary biliary cholangitis and liver cirrhosis.
  • International conference speaker and published author.
  • Leads a multidisciplinary team of dietitians, radiologists, GPs, and gut-directed therapists.
  • Skilled in advanced endoscopy and comprehensive digestive investigations.

Confidential Assessment & Recovery Pathways

Dr Nadir Abbas offers confidential, non-judgmental care for people living with alcohol-related liver disease in Birmingham. As a private hepatologist and ARLD specialist in the UK, he carefully assesses the stage of liver damage, from early fatty liver to alcoholic hepatitis or liver cirrhosis, and creates a clear, evidence-based treatment plan.

With over 14 years of experience, his focus is on supporting recovery and allowing the liver to heal when alcohol is stopped early. For advanced liver scarring or cirrhosis, Dr Abbas follows the latest British clinical guidelines to manage complications safely.

Your Questions Answered

Frequently Asked Questions

Yes. Every consultation is completely private. We provide a highly secure, non-judgemental environment focused entirely on your medical recovery.

Yes, it is highly capable of regeneration. If we diagnose you at the an earlier liver stage, stopping alcohol can stop or reverse the damage in some instances.

In most cases, no. We use a painless FibroScan to accurately and safely measure your liver scarring in minutes.

In cases of cirrhosis, we can suggest strategies with nutrition, exercise and medications to help you optimise your liver function and have regular surveillance.

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