Thursday, June 8, 2017

Don't ignore these common symptoms of alcohol use disorder

Drinking too much alcohol causes serious short and long-term health effects. In fact, studies from the CDC state that an estimated 88,000 people die from alcohol-related causes each year. Alcohol Use Disorder (AUD) is a medical condition that doctors diagnose when a patient’s drinking causes distress or harm. It can be mild, moderate or severe but at any level, alcohol abuse and dependency is bad for your health. How do you know when it's time to seek help for a potential drinking problem?

People drinking at a bar

What is Alcohol Use Disorder?

AUD is a spectrum of alcohol-related issues that includes alcohol misuse, abuse, and dependency. It is not solely characterized by the amount of alcohol that is consumed, but rather the effects drinking habits have on social, physical, and mental health.

AUD includes:

  • Binge drinking—The most common pattern of misuse in the US. Personal harm, and unintended injury and death are the most common problems associated with binge drinking. Despite its dangers, binge drinking typically does not lead to abuse or dependence.
  • Alcohol abuse—A pattern of drinking that continues even though it affects relationships, jobs, or family life.
  • Alcohol dependence—Marked by cravings to drink. These cravings may be accompanied by withdrawal symptoms when drinking is stopped.

Warning signs of alcohol abuse

AUD affects people of all ages, even adolescents. Symptoms are different for everyone but some common issues include:
  • Experiencing temporary blackouts or short-term memory loss
  • Exhibiting signs of irritability and extreme mood swings
  • Making excuses for drinking such as to relax, deal with stress or feel normal
  • Choosing drinking over other responsibilities and obligations
  • Becoming isolated and distant from friends and family members
  • Drinking alone or in secrecy
  • Feeling hungover when not drinking
  • Changing appearance and group of acquaintances you hang out with

Medical complications from alcohol abuse

If you or a loved one are struggling with any of the above symptoms, seek help. If left untreated, alcohol abuse can lead to issues affecting your personal and professional life as well as your long-term health. Drinking too much alcohol can put you at increased risk of developing diseases of the brain, nervous system, heart, liver, and pancreas. Alcoholism causes many medical complications including:
  • Nutritional deficiencies
  • Certain cancers, especially of the liver, esophagus, mouth, throat, larynx, and pancreas
  • Acute and chronic pancreatitis
  • Liver damage, which can occur with hepatitis and cirrhosis
  • Gastrointestinal problems, such as bleeding, diarrhea, hemorrhoids, ulcers, and inflammation of the esophagus
  • Heart and circulatory problems, including arrhythmias
  • Mental health problems, including depression
  • High blood pressure, which can lead to a hemorrhagic stroke
  • Obesity
  • Diabetes
  • Pneumonia and acute respiratory distress syndrome (ARDS)
  • Osteoporosis
  • Neurological problems and brain damage (with long-term use)
  • Postoperative complications, including infections, bleeding, and delayed healing
  • Fetal alcohol syndrome (in the babies of women who drank during pregnancy)
  • Early death
Drinking too much alcohol can also weaken your immune system making you more likely to catch diseases and infections. Learn more about alcohol's effects on the body in this publication from the National Institute of Health: Understanding Alcohol's Impact on your Health.

Treatment options

There are many options for AUD treatment. The type of treatment depends on individual needs and the severity of AUD. The most important step is recognizing that a problem exists. Denial about the amount of alcohol that is consumed and the effect on life is common. There is no cure for AUD, treatment is aimed at managing the disease. A combination of medical, social, psychological, and behavioral approaches is often most effective. Most professionals also believe management means giving up alcohol completely and permanently. Relapse is common and part of the process, especially during times of stress. Start with your family medicine doctor and discuss the best treatment plan for you.

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