The singer talked to his good friend, Jada Pinkett Smith, about his daily fight.
August Alsina scared fans in September 2014 after collapsing on stage during a performance.
The 24-year-old said very little about the incident (claiming it had to do with coma recovery at the time) until now.
In a sit-down interview with friend Jada Pinkett Smith, for what appears to be a special, the New Orleans-bred singer says he's suffering from a liver disease.
"I have a liver disease where my autoimmune system is fighting against itself," he says. "Reality is I'm sick all the time. I'd really like to talk about it and I'm not looking for anybody's sympathy. Don't treat me like I’m a f--king cancer patient, because I’m not."
The strong words, although not indicative of many cancer patients, revealed his frustrations with trying to hide his illness for years. But he did ask for forgiveness in the Instagram post of the video.
"Please excuse my defense mechanism in this clip," Alsina captioned the video.
"I'm sicker than ever and having a hard time accepting what I feel and what the Doctors are saying is most true. After sitting down and talking with my fathers mother and sister.. They explained to me that sickness and illness runs in my family. My father and grandfather both died of severe illness. But they were FIGHTERS and that's all that matters. Just ride with me is all I ask."
Also revealed from the interview is how close Pinkett feels to the star.
"Through you I’ve been able to close some open wounds that were left in regards to my relationship with 'Pac," she says about her late friend and rapper, Tupac Shakur.
Hopefully fans can see the full interview soon.