Presentation
A 28-year-old male farmer presented to our emergency service with bilateral painful visual loss for the past 7 days that occurred suddenly after alcohol consumption. [ncbi.nlm.nih.gov]
Peak protection was present at 15.1-20.0 units/week (0.69, 0.53 to 0.89) and >4.5 units on the heaviest day (0.68, 0.57 to 0.82). [bmj.com]
Entire Body System
- Falling
Overall, men were more likely to fall in the moderate and high-risk behavioural profiles and show higher daily alcohol consumption patterns compared to women. [ncbi.nlm.nih.gov]
If you have diabetes, drinking alcohol may cause your blood sugar to either rise or fall. Plus, alcohol has a lot of calories. If you drink, do it occasionally and only when your diabetes and blood sugar level are well-controlled. [webmd.com]
To find out where you fall on the problem-drinking spectrum, read on for these surprising signs you may be drinking too much. John Lund/Getty Images You become a daredevil. [prevention.com]
It may also increase your risk of injury through road trauma, violence, falls and accidental death. What is a standard drink? A standard drink contains 10 grams of pure alcohol. [alcohol.gov.au]
And it's worrying, because older adults at are a high risk of death, injury or disease connected to alcohol use — from falls, for instance, or from adverse interactions between drugs and drinking. [npr.org]
- Weight Loss
A 43-year-old man presented with loose stools, abdominal pain and a weight loss of 15 kg. Investigations revealed a pancreatic insufficiency and an enteropathy with villous atrophy. Coeliaki was suspected. [ncbi.nlm.nih.gov]
[…] statistically significant) weight loss. [doi.org]
[…] gain or stalled weight loss** Interference with some medications Loss of bone density Bone fractures Osteoporosis Anemia Pancreatitis Changes to fat metabolism Muscle damage *Particularly if there’s alcoholism in your family **If drinking causes you [precisionnutrition.com]
- Fatigue
Too much endorphin release can cause depression, lower sex drive, low testosterone, infertility, and extreme fatigue, among other complications. Liver My oh my, how the liver takes a hit when you get drunk. [quitalcohol.com]
For the first six months of 2018, I tried to stick to eating a ketogenic diet (this is a good guide to keto), which worked well to increase alertness and reduce fatigue throughout the day, but was hard to keep to. [businessinsider.de]
Fatigue but decreased ability to sleep. Decreased ability to concentrate. Mood changes (depression, anxiety, etc.) Sweating. Increased blood pressure. Rapid pulse. [drugabuse.com]
- Chills
The results are chilling, especially in light of other substance abuse crises plaguing the country. [cnn.com]
- Sepsis
Prevention and Treatment of Nosocomial Sepsis in the NICU. Journal of Perinatology, Vol. 24, Issue. 7, p. 446. CrossRef Google Scholar Collins, Fiona and Hampton, Sylvie 2005. Hand-washing and methicillin-resistant Staphylococcus aureus. [cambridge.org]
Gastrointestinal
- Nausea
Alcohol can cause flushing, nausea, increased heart rate, and slurred speech. These may be confused with or mask the symptoms of low blood sugar. [webmd.com]
If you think you might be dependent on alcohol, or if you have physical withdrawal symptoms (e.g. shaking, sweating, nausea before you have your first drink of the day) then you should seek medical advice from your GP before you stop drinking. [drinkaware.co.uk]
Nausea. Vomiting. Dizziness/vertigo. Increased thirst. Redness of the eyes. Sensitivity to light and sound. Fatigue but decreased ability to sleep. Decreased ability to concentrate. Mood changes (depression, anxiety, etc.) Sweating. [drugabuse.com]
Mixing alcohol with certain medications can cause nausea, headaches, drowsiness, fainting, a loss of coordination, internal bleeding, heart problems, and difficulties in breathing. Alcohol can also make a medication less effective. [rethinkingdrinking.niaaa.nih.gov]
The sorts of withdrawal symptoms that suggest you may need medication include: anxiety after waking sweating and tremors nausea or retching in the morning vomiting hallucinations seizures or fits Staying healthy and in control Cutting down or stopping [nhs.uk]
- Abdominal Pain
A 43-year-old man presented with loose stools, abdominal pain and a weight loss of 15 kg. Investigations revealed a pancreatic insufficiency and an enteropathy with villous atrophy. Coeliaki was suspected. [ncbi.nlm.nih.gov]
Cardiovascular
- Heart Disease
The French have 3 times less heart disease in each age category than Americans. [drmcdougall.com]
The relationship of high density lipoprotein subfractions to alcohol consumption, other lifestyle factors, and coronary heart disease. [ncbi.nlm.nih.gov]
The relevant outcomes were circulating atherothrombotic biological markers associated with coronary heart disease. [bmj.com]
Psychiatrical
- Delusion
Too much of these neurotransmitters can lead to shortness of breath, high blood pressure, increased heart rate, night terrors, delusions, hallucinations, spasms, and increased levels of both aggression and depression. [quitalcohol.com]
Delusions. Delirium tremens. In addition to the predominantly physical signs of withdrawal above, it is common for a person to experience a number of symptoms that create psychological discomfort. These symptoms include: 13 Irritability. Agitation. [drugabuse.com]
- Anger
Feeling and naming emotions A big realization for me was that emotions (anger, sadness, fear, joy, excitement) are neither good nor bad; they’re just a form of data. [businessinsider.de]
The excitement phase exhibits the well-known signs of exhilaration, loss of socially expected restraints, loquaciousness, unexpected changes of mood, and unmodulated anger. [britannica.com]
Neurologic
- Stroke
Alcohol use is associated with numerous harmful health and social consequences, including an increased risk of a range of cancers, stroke and liver cirrhosis. [data.oecd.org]
A 58-year-old Caucasian man was receiving long-term anticoagulation with warfarin for the prevention of ischemic stroke; his international normalized ratio (INR) had been stable. [ncbi.nlm.nih.gov]
“Far too many people, their families and communities suffer the consequences of the harmful use of alcohol through violence, injuries, mental health problems and diseases like cancer and stroke,” said Dr Tedros Adhanom Ghebreyesus, Director-General of [who.int]
- Tremor
The sorts of withdrawal symptoms that suggest you may need medication include: anxiety after waking sweating and tremors nausea or retching in the morning vomiting hallucinations seizures or fits Staying healthy and in control Cutting down or stopping [nhs.uk]
Heavy drinkers who suddenly stop drinking can have physical withdrawal symptoms such as tremors, confusion, hallucinations, seizures, and other serious problems over the next few days. In some people these can be life-threatening. [cancer.org]
Shaking (tremors). Seizures. Sleep disturbances. Hallucinations. Delusions. Delirium tremens. [drugabuse.com]
- Insomnia
Increased risk drinking is defined as 180-400 g/week for men and 120-280 g/week for women, with effects of less energy, depression/stress, insomnia, impotence, risk of injury, high blood pressure. [iard.org]
- Amnesia
Blackouts are extremely common, and are actually bouts of amnesia. Alcohol poisoning is rampant, and more than ten types of cancer can be caused by excessive drinking. [quitalcohol.com]
- Hyperactivity
As little as one drink a day can raise the odds of miscarrying or having a baby with a low birth weight, and raise your child's risk of problems with learning, speech, attention span, language, and hyperactivity. [babycenter.com]
Workup
Reduction Aldehydes or ketones are reduced with sodium borohydride or lithium aluminium hydride (after an acidic workup). Another reduction by aluminiumisopropylates is the Meerwein-Ponndorf-Verley reduction. [en.wikipedia.org]
Serum
- Hypoglycemia
Hypoglycemia Hypoglycemia, according to the Mayo Clinic, is characterized by an abnormally low level of blood sugar. It is a condition typically associated with diabetes, but it can be caused by excessive alcohol consumption. [livestrong.com]
However, alcohol inhibits the liver from turning proteins into glucose which means you're at a greater risk of hypoglycemia once your blood sugars start to come down. [diabetes.co.uk]
If your stomach is empty enough, you could end up in hospital with hypoglycemia despite being under the legal driving limit. This is especially dangerous if you have diabetes and are already taking insulin to lower your blood sugar. [medbroadcast.com]
This might produce hypoglycemia, which can cause dizziness, weakness, and mood change. 14. If you know that you will have to drive after consuming alcohol, limit your consumption to no more than one drink an hour. [indiana.edu]
[…] own vomit • Be severely dehydrated, which can cause seizures, permanent brain damage and even death • Have slow and irregular breathing, which can eventually stop • Have irregular heartbeats, which can eventually stop • Develop hypothermia • Develop hypoglycemia [articles.mercola.com]
Treatment
The economic impact of alcohol reduction using nalmefene treatment was not evaluated. METHOD: The model simulates patient-level alcohol consumption over a 5-year time horizon across different treatment cohorts. [ncbi.nlm.nih.gov]
Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment, 2006. [drugabuse.com]
Prognosis
Conclusion: In total, 20% of people diagnosed with cancer were hazardous drinkers, despite the known relationship between alcohol use and a worse prognosis of the disease and an increased likelihood of recurrence. [ncbi.nlm.nih.gov]
Etiology
Males with AIP had lower total amount of spirits and lower proportion of binge drinking than those with AUD, suggesting the idiosyncratic etiology of AIP. [ncbi.nlm.nih.gov]
In recent years, increasing attention has been paid to the role of alcohol in the etiology of type 2 diabetes. A number of studies have investigated this issue, but with contradictory results. [care.diabetesjournals.org]
Second, as the etiology of AF remains incompletely understood in the majority of patients, identifying mechanisms of known risk factors might help to reveal new therapeutic targets. [jaha.ahajournals.org]
Epidemiology
KEYWORDS: DNA methylation; PACE consortium; alcohol; cord blood; epidemiology; epigenetics; meta-analysis; pregnancy [ncbi.nlm.nih.gov]
epidemiology 32, Marten H Hofker, professor of molecular genetics 76, S Goya Wannamethee, professor of epidemiology 77, Peter H Whincup, professor of cardiovascular epidemiology 78, Richard Morris, professor of medical statistics and epidemiology 77, [bmj.com]
Pathophysiology
Abstract Metabolomics studies of disease conditions related to chronic alcohol consumption provide compelling evidence of several perturbed metabolic pathways underlying the pathophysiology of alcoholism. [ncbi.nlm.nih.gov]
Our selection of biomarkers for study was guided by links to cardiovascular pathophysiology. [bmj.com]
Prevention
RESULTS: Approximately 14% of men and 12% of women reported alcohol consumption exceeding recommendations for cancer prevention. [ncbi.nlm.nih.gov]
American journal of preventive medicine / American College of Preventive Medicine ; Association of Teachers of Preventive Medicine New York, NY : Elsevier 1.1985 - Titel American journal of preventive medicine / American College of Preventive Medicine [zdb-katalog.de]