What Is the Number One Killer of Alcoholics?

The number one killer of people with alcoholism is liver disease, most commonly alcoholic cirrhosis and liver failure caused by long-term alcohol use. At Southeastern Recovery Center, we educate individuals and families about how chronic drinking affects the body over time and why early treatment can significantly reduce the risk of life-threatening complications. Alcohol-related deaths are often preventable, especially when support is accessed before irreversible damage occurs.

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Why is liver disease the leading cause of death among alcoholics?

The liver is responsible for breaking down alcohol and removing toxins from the body. When alcohol is consumed in excess over long periods, the liver becomes overwhelmed and damaged.

Alcohol related liver disease typically progresses through stages:

  • Fatty liver disease, which involves fat buildup in liver cells
  • Alcoholic hepatitis, marked by inflammation and liver injury
  • Cirrhosis, where healthy liver tissue is replaced with scar tissue

 

Cirrhosis severely limits the liver’s ability to function and can ultimately lead to liver failure and death.

infographic of #1 killer of alcoholic - liver disease

How common is alcoholic liver disease?

Alcoholic liver disease is one of the most common causes of chronic liver illness in the United States.

Risk increases with:

  • Daily or binge drinking over many years
  • Starting heavy drinking at a young age
  • Co existing conditions such as hepatitis or obesity
  • Poor nutrition

Many people do not experience symptoms until the disease is advanced.

What symptoms may indicate serious liver damage?

Advanced liver disease may cause:

  • Persistent fatigue or weakness
  • Yellowing of the skin or eyes
  • Abdominal swelling or pain
  • Easy bruising or bleeding
  • Confusion or memory problems

These symptoms require immediate medical evaluation.

warning signs of serious liver damage infographic

Are there other major causes of death related to alcoholism?

Yes. While liver disease is the leading cause, alcoholism also significantly increases the risk of death from:

  • Heart disease and high blood pressure
  • Stroke
  • Several types of cancer
  • Accidental injuries and motor vehicle crashes
  • Alcohol poisoning

Alcohol also worsens mental health conditions and increases suicide risk.

alcohol-related death risks beyond the liver infographic

Can stopping drinking reduce the risk of death?

Yes. Sobriety can dramatically lower the risk of alcohol-related death, especially if intervention happens early.

Benefits of stopping alcohol include:

  • Reduced liver inflammation
  • Improved heart and brain health
  • Lower cancer risk over time
  • Improved immune function

Early stage liver damage may partially or fully reverse with sustained abstinence.

When does liver damage become irreversible?

Cirrhosis is generally considered permanent. However, stopping alcohol can still slow or stop further damage and improve quality of life.

Even with advanced disease, treatment and sobriety can extend life expectancy and reduce complications.

How does Southeastern Recovery Center help individuals at risk?

At Southeastern Recovery Center, we focus on early intervention and whole person care.

Support may include:

  • Medically-supervised detox when needed
  • Education about alcohol-related health risks
  • Therapy to address the emotional drivers of drinking
  • Ongoing recovery and relapse prevention planning

Our goal is to help individuals protect their health before irreversible harm occurs.

peer support at southeastern for alcoholic recovery

When should someone seek help?

It may be time to seek treatment if:

  • Drinking has continued despite health warnings
  • Liver enzymes or imaging show abnormalities
  • Physical symptoms are developing
  • Attempts to cut back or quit have failed

Seeking help is a sign of strength, not failure.

A compassionate message from Southeastern Recovery Center

Alcoholism can quietly damage the body long before the danger feels real. Liver disease remains the leading cause of death among alcoholics, but it does not have to be the outcome. At Southeastern Recovery Center, we believe education, early care, and compassionate treatment can save lives. Recovery is possible, and taking action today can protect tomorrow.

Mecklenburg County. “Mecklenburg County Reports 200% Rise in Overdose Deaths Among Black and Hispanic Residents.” Mecklenburg County News Releases, 27 Feb. 2025, https://news.mecknc.gov/mecklenburg-county-reports-200-rise-overdose-deaths-among-black-and-hispanic-residents
Mecklenburg County. “Opioid and Substance Use Disorder Task Force.” Criminal Justice Services, https://cjs.mecknc.gov/Committees/SUDTF