How long does it take an alcoholic to get liver cirrhosis if he has been a drinker and smoker on off for 20 years?

There is no definitive answer to this question as it depends on a number of factors, including the individual's age, sex, overall health, and drinking and smoking habits. However, it is generally accepted that alcoholic liver cirrhosis typically takes several years to develop, and can be accelerated by smoking.

Alcohol and smoking can both damage the liver, and the combination of the two can increase the risk of developing liver cirrhosis. Alcohol can cause inflammation and scarring of the liver, while smoking can damage the blood vessels that supply the liver with oxygen and nutrients. This damage can lead to liver cirrhosis, a condition in which the liver becomes scarred and hardened, and is unable to function properly.

The amount of time it takes for an alcoholic to develop liver cirrhosis can vary from person to person. Some people may develop cirrhosis after drinking heavily for a relatively short period of time, while others may be able to drink heavily for many years without developing any significant liver damage.

However, it is important to note that even moderate alcohol consumption can increase the risk of liver damage, and that smoking can further increase this risk. If you are concerned about your liver health, it is important to talk to your doctor.