ABSTRACT
This chapter provides a case of a 54-year-old man who presents with abdominal pain for several days. The pain is a constant dull ache which is central and radiates to the right. He has had some associated vomiting but the vomit is usually bile as he has not been eating well. He has a ruddy complexion, several spider naevi on his face and red palms. He has a body mass index of 32. He is slightly tender in the right hypochondrium and lumbar regions and in the epigastric region of his abdomen. There is often co-morbidity with other mental illnesses such as depression, social anxiety, anxiety, obsessive-compulsive disorder, other substance misuse and personality disorders. The physical complications of alcohol misuse include liver disease such as fatty liver, alcoholic hepatitis or alcoholic cirrhosis. High blood pressure and other cardiac problems can occur especially if drinking is compounded by poor diet, low exercise and obesity.
