Drinking alcohol does not always constitute a problem. In fact, even in those who drink excessively, most are not considered to be alcohol dependent or alcoholics, per the National Institute of Justice. Alcohol is a central nervous system depressant, and when ingested in moderation, it is not always harmful. When you drink alcohol, although it enters your stomach first, about 80 percent of it is absorbed in the small intestine, and only about 20 percent is actually absorbed by the stomach. The liver then uses enzymes to break down and metabolize the alcohol. Therefore, if your body is given time to keep up with your alcohol intake, you may not experience some of the more dangerous side effects or get drunk.
- Distilled spirits: 1.5 ounces of 80 proof with 40 percent alcohol content
- Wine: 5 ounces of 12 percent alcohol content
- Malt liquor: 8 ounces of 7 percent alcohol content
- Beer: 5 ounces of 5 percent alcohol content
Consuming more than four drinks for a woman and five drinks for a man in one sitting is considered binge drinking, per the Centers for Disease Control (CDC). Heavy drinking is when a woman consumes eight drinks or a man consumes more than 15 drinks in a week. Both binge and heavy drinking, as well as drinking below the legal age of 21 or drinking alcohol when pregnant, can lead to short-term and long-term problems with alcohol.
Alcohol and the Brain
Intoxication occurs when the amount of alcohol in the body reaches levels that depress the central nervous system, altering one’s mental state, physical abilities, and mood. The amount of alcohol in the bloodstream can be measured, and the resulting ratio is called blood alcohol concentration, or BAC. Each drink consumed works to raise BAC levels. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) identifies binge drinking as raising the BAC to 0.08 or above. This is considered legally intoxicated.
The central nervous system includes the brain and spinal cord, and it is responsible for motor functions, thoughts, and memory processing as well as life functions like respiration, blood pressure, and heart rate. The brain works by sending messages around the body via the central nervous system. Alcohol interferes with the brain’s natural chemical messengers, or neurotransmitters, by inhibiting them, suppressing them, or exciting them, thereby increasing their effects.
The neurotransmitter gamma-amino butyric acid, or GABA, acts as a natural tranquilizer, and when stimulated by alcohol, it depresses the central nervous system functions, causing sluggish motor skills and impaired speech. Similarly, the chemical neurotransmitter dopamine, in the reward center of the brain, is also stimulated. Dopamine is responsible for pleasure, and it is what creates a euphoric feeling when alcohol is consumed. The excitatory natural stimulant glutamate is inhibited by alcohol, slowing down brain activity and energy levels.
Long-Term Health Risks
Chronic alcohol abuse may have lasting effects on the brain and body. Since alcohol depresses bodily functions like heart rate, blood pressure, and respiration, heavy drinkers may experience heart trouble in the form of cardiovascular disease or heart failure, as well as high blood pressure, stroke, obesity, and a higher risk for developing breast and other forms of cancer. The liver is overworked in someone who drinks excessively, which can lead to cirrhosis or liver damage that can be potentially life-threatening. Chronic drinkers may also have a higher risk for developing brain damage and dementia, or suffering from memory and learning issues.
Alcohol depletes the brain and body of necessary nutrients, and can lower blood sugar, cause dehydration, and use up essential vitamins and minerals. According to NIAAA, over 80 percent of alcoholics have a thiamine deficiency that can lead to the development of serious brain disorders, including Wernicke-Korsakoff syndrome, which impairs learning, coordination, and memory functions.
One of the potential health-risks associated with long-term heavy or binge drinking is developing an alcohol use disorder, or AUD. According to the National Survey on Drug Use and Health (NSDUH) in 2013, approximately 14.7 million Americans were classified with alcohol abuse or dependency. In order to be diagnosed with an AUD, a person may:
- Drink more than intended in a sitting
- Desire to cut back on drinking but have difficulty doing so
- Experience strong cravings for alcohol
- Drink despite social or health issues
- Experience withdrawal symptoms when alcohol is not present
- Develop a tolerance, therefore increasing the amount of intake to maintain desired effects
- Pull away from previously enjoyed social situations or activities in order to drink instead
- Take more risks or engage in risky behavior
- Have trouble with family and friends that is related to drinking
- Spend an excessive amount of time drinking or recovering from drinking
Most people who have consumed alcohol in their lifetimes have experienced a hangover the next day, with symptoms like nausea or vomiting, tiredness, dehydration, and headaches. Chronic alcohol abuse may lead to an exaggeration of these side effects and the addition of withdrawal symptoms when alcohol is removed, which can even be life-threatening if left untreated.
Alcohol withdrawal symptoms usually start within eight hours of the last drink but can be delayed until days later. They may include anxiety, depression, mood swings, irritability, fatigue, nightmares, tremors, headaches, insomnia, loss of appetite, nausea and vomiting, rapid heart rate, and sweating. A more serious form of alcohol withdrawal is called delirium tremens (DTs), and sufferers may experience severe confusion, hallucinations, agitation, fever, and seizures. DTs needs to be medically managed immediately.
Although as many as 17 million adults in the United States needed specialized treatment for an AUD in 2012, only 8.4 percent of these adults in need received proper care, as published by NIAAA. AUDs are highly treatable, however. In order to safely manage the side effects of alcohol withdrawal, a professional rehab program is often the best option.
Detox facilities can medically manage symptoms, helping to ease discomfort and make the detox process as smooth as possible. Round-the-clock medical supervision promotes the health and safety of everyone involved. Detox should be followed by intensive therapeutic treatment to effectively address the addiction issue.
Orlando Recovery Center provides a safe and secure environment with progressive treatment models that are best suited to promote healing. Professional and compassionate staff members are available to help you or your loved one. Call now to learn more.
Medical Disclaimer: Orlando Recovery Center aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.