The evaluation of alcoholism begins with a history and physical exam.

Physical findings in those with alcoholism may include:

• Black stool
• Confusion
• Jaundice
• Liver enlargement
• Liver tenderness
• Pale skin
• Rectal bleeding
• Skin bruises
• Urine color change:
• Brown urine

The diagnosis of alcoholism can be made without testing.

Tests that may be used to evaluate alcoholism include:

• Electrolyte profile
• Liver profile
• Complete blood count
• Hepatitis panel
• Coagulation profile
• Ultrasound of the abdomen
• CT scan of the abdomen
• MRI scan of the abdomen
• Liver biopsy