Some PSCers have been T-total all their life. There is conflicting and confusing advice about alcohol consumption. You will be given alcohol advice by your consultant and this will vary depending on the severity of the disease and your general state of health.
At our 2009 Birmingham PSC Support Meeting, Professor David Adams said that he was relaxed about people with early stage liver disease drinking modest amounts of alcohol, other than those with ALD (Alcoholic Liver Disease). Patients should stick well within the government guide-lines and if their liver disease is advanced they should stop alcohol completely. “Because you’ve got a liver disease you’re more at risk from aggravating that liver injury if you drink alcohol excessively. If you’ve got end stage liver disease you should have no alcohol at all. But if you’ve got compensated disease and your liver is otherwise functioning OK then moderate social drinking is fine. No binge drinking – probably limit yourself to one or two small drinks a day.”
Similarly, Dr Roger Chapman said at our 2011 Oxford PSC Support Meeting, “It depends on how severe the liver disease is, but it’s ok in moderation. Keep 2-3 days a week free from alcohol and don’t exceed 10-11 units maximum a week (not all at the same time), but anyone with advanced liver disease should avoid alcohol completely. Otherwise carry on drinking moderately. Red wine has more alcohol per unit than white wine.”
- See also diet.