The liver is a tough, resilient organ. Alcohol is the leading cause of cirrhosis in the United States, even teetotalers can develop the condition. Any scarring of the liver not caused by drinking is referred to by the broad term nonalcoholic cirrhosis.

Causes of nonalcoholic cirrhosis

• A chronic infection by the hepatitis C virus is the most common cause of nonalcoholic cirrhosis in the United States.
• Chronic infections of hepatitis B can also lead to cirrhosis.
• Nonalcoholic steatohepatitis
• Other rare causes of cirrhosis include blocked or inflamed bile ducts
• Severe reactions to medications or supplements such as methotrexate or Vitamin A
• Frequent bouts of heart failure

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