Deaths from cirrhosis and liver cancer are rising dramatically in the United States.

From 1999 to 2016, annual cirrhosis deaths increased by 65 percent, to 34,174, according to a study published in the journal BMJ. The largest increases were related to alcoholic cirrhosis among people ages 25 to 34 years old.

From 2009 to 2016 there was a 10.5 percent annual increase on average in cirrhosis-related mortality among people ages 25 to 34.

Cirrhosis, irreversible scarring of the liver, has many causes, including alcohol consumption, obesity, nonalcoholic fatty liver disease and hepatitis. Cirrhosis can lead to liver cancer and liver failure, both of which can be fatal.