Can chewing and swallowing tobacco cause damage to liver?
Patient: my liver enzyme level is slightly elevated and I have had liver sonograhm and hepititis screening.  The sonograhm was normal and the hepititus tested negative.  My doctor is having me fast from sugar and no alcohol for a week and then check liver enzyme again.  What I am wondering about is that I chew tobacco and do not spit, I also drink 2 or 3 drinks almost everyday.  I know about the risk of alcohol but am wondering about my tobacco use.  Is it possible that my chewing and swallowing habit is causing damage to my liver? Doctor: Ya chewing of tobacco effects liver also,it causes your liver shrunken, avoid chewing, but alcohol cause more dangerous effect than tobacco