Presentation
The objective of this report was to present an unusual case of WD presenting with nonpersecutory delusional disorder and alcohol abuse in the absence of neurological signs. [ncbi.nlm.nih.gov]
Affected young people present medically with intoxication or its immediate consequences such as injury or self-harm. A significant number also suffer adverse psychosocial effects and longer-term adverse outcomes. [doi.org]
Entire Body System
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Falling
Both phrases are used to indicate a pattern of drinking which falls into stage 3 or stage 4 on the “road”. [drugs.ie]
He would fall often due to his deafness, balance issues, and, of course, his alcohol consumption. When he fell, he’d activate his personal alarm, which would notify a dispatch center and they would call me to check on him. [agingcare.com]
Many people assume there are two options: Either you don’t have a drinking problem, or you’re a “total alcoholic” whose life is falling apart. The reality is not simply black or white, but a spectrum with shades of gray. [gatewayfoundation.org]
You're more likely to have AUD if one or more of the following is true: You can't relax or fall asleep without drinking. You need a drink in the morning to get going. To be social, you have to drink. Alcohol serves as your escape from feelings. [webmd.com]
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Fatigue
2012, the authors completed a national survey of medical students from the American Medical Association's Physician Masterfile containing validated items assessing alcohol abuse/dependence, burnout, depression, suicidality, quality of life (QOL), and fatigue [ncbi.nlm.nih.gov]
Fatigue has been categorized as recent fatigue, prolonged fatigue and chronic fatigue, according to the time of evolution (less than one month, more than one month and more than six months, respectively) [ 1 ]. [doi.org]
Abstinent alcoholics tend to sleep poorly, with decreased amounts of SWS and increased nighttime wakefulness that could make sleep less restorative and contribute to daytime fatigue (22). [pubs.niaaa.nih.gov]
Symptoms of anemia include fatigue, shortness of breath, and lightheadedness. 2. Cancer Chronic alcohol drinking can increase your risk for developing cancer. [onhealth.com]
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Hypothermia
[…] see these signs in someone who has been drinking: confusion vomiting seizures slow breathing (less than eight breaths a minute) or irregular breathing (a gap of more than 10 seconds between breaths) blue-tinged skin or pale skin low body temperature (hypothermia [betterhealth.vic.gov.au]
Gastrointestinal
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Polydipsia
For excessive consumption of water and other liquids, see Polydipsia. [en.wikipedia.org]
Cardiovascular
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Palpitations
Alcohol Withdrawal and Detox Six Alcohol Withdrawal Symptoms Anxiety: Anxiety, restlessness, irritability, insomnia Head : Headaches, dizziness Chest : Chest tightness, difficulty breathing, palpitations GI : Nausea, vomiting, diarrhea, stomach aches [addictionsandrecovery.org]
Consuming alcohol after taking disulfiram results in symptoms such as palpitations, flushing, nausea, vomiting, and headache. More severe reactions could include myocardial infarction, congestive heart failure, respiratory depression, and death. [aafp.org]
The accumulation of acetaldehyde has such unpleasant effects (including facial flushing and heart palpitations) that most people who have inherited the ALDH2 variant are unable to consume large amounts of alcohol and therefore have a low risk of developing [cancer.gov]
This causes unpleasant effects such as sweating, headache, dyspnoea, flushing, sympathetic overactivity, palpitations, nausea and vomiting. Seizures, coma and death can occur. Patients should be educated about avoiding unintended sources of alcohol. [nps.org.au]
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Orthostatic Hypotension
hypotension Sadness Hyperactivity (initial phase) Fatigue 0.06-0.32 2.5/1 Traumatism Sport failure Mild disease Children and adolescent patients, although they do not strictly fulfil the CDC criteria, will benefit from an early intervention, with a substantially [doi.org]
Skin
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Sweating
[…] you depressed or anxious, hurt your health, or led to a memory blackout Have to drink more than you used to for the effect you want Found that you had withdrawal symptoms when the buzz wore off, like trouble sleeping, shakiness, restlessness, nausea, sweating [webmd.com]
They include trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, and sweating. In severe cases, you could have a fever, seizures, or hallucinations. [medlineplus.gov]
Also typical are (1) loss of control—inability to stop drinking once begun; (2) withdrawal symptoms (symptoms associated with stopping drinking such as nausea, sweating, shakiness, and anxiety); and (3) tolerance (needing increased amounts of alcohol [jamanetwork.com]
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Flushing
This combination enables the body to flush out drugs and toxins lodged in the fatty tissues, the residues left behind by drug use and drinking. [narconon.org]
Physical dependence can also require detoxification, or detox, when alcohol is flushed out of the body. Medications can be prescribed to reduce withdrawal symptoms. [ulifeline.org]
3.5 (1.8–6.7) Parental alcohol problems, high facial flushing 0.2 (0.1–0.4) No parental alcohol problems, high facial flushing 0.2 (0.1–0.4) Table 3. [academic.oup.com]
Disulfiram Disulfiram (Antabuse ) interferes with degradation of alcohol, resulting in the accumulation of acetaldehyde, which, in turn, produces a very unpleasant reaction that includes flushing, nausea, and plapitations if a person drinks alcohol. [drugabuse.gov]
Drug that provokes a severe reaction to alcohol: Antabuse (disulfiram) causes a severe reaction when somebody drinks alcohol, including nausea, flushing, vomiting, and headaches. [medicalnewstoday.com]
Eyes
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Blurred Vision
On the evening of the seventh day, after taking 10 doses of varenicline, the patient developed severe anxiety, nausea, vertigo, blurred vision, and dizziness. [ncbi.nlm.nih.gov]
vision Anxiety Restlessness Lowered inhibitions Denial is often a byproduct of alcohol or other drug abuse. [americanaddictioncenters.org]
vision Long-Term Effects of Drinking in Moderation Longer life Reduced risk of heart disease and heart attack Increased ability to survive a heart attack Reduced risk of stroke Reduced risk of gallstones Reduced risk of kidney stones Reduced risk of [sciencenetlinks.com]
Some of the symptoms include blurred vision, drowning, headache, intense moods, lack of co-ordination, slurred speech, nausea and vomiting. [omicsonline.org]
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Diplopia
Adverse effects include dizziness and somnolence (which are not dose related), ataxia, impaired concentration, confusion, fatigue, paresthesias, speech difficulties, diplopia, and nausea. [aafp.org]
Face, Head & Neck
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Facial Edema
According to “Dental Considerations for the Alcoholic Patient,” we should observe patients for: “alcohol smell on breath; rhinepyma (red, beefy nose); dilated blood vessels; facial edema, including baggy eyes, producing a bloated appearance; jaundiced [dentistryiq.com]
Psychiatrical
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Euphoria
Vision, hearing, and reaction time will likely be impaired. 0.13-0.15 percent: Now the person will likely experience less euphoria and possibly anxiety or restlessness. There may be a dramatic loss of motor skills and coordination. [americanaddictioncenters.org]
Drug Effects: Opiates (Morphine, Heroin, Codeine, Opium) Include drowsiness, dizziness, mental confusion, constriction of pupils, and euphoria. Some opiate drugs, such as Codeine, Demerol, and Darvon, also have stimulating effects. [wilkes.edu]
The number of drinks taken per drinking day may be sufficient to achieve disinhibition and an acceptable level of euphoria below one leading to drunkenness and often unpleasant consequences. [academic.oup.com]
It might be that those whose emotional sphere oscillates between enthusiasm and despair or euphoria and discouragement use AC as a coping mechanism. [substanceabusepolicy.biomedcentral.com]
Social Issues Drinking in a group leads to the experience of greater euphoria than drinking the same quantity alone ( Pliner & Cappell, 1974 ), and drinking in a social setting facilitates more consumption than solitary drinking ( Storm & Cutler, 1981 [ncbi.nlm.nih.gov]
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Depersonalization
Emotional exhaustion and depersonalization domains of burnout were strongly associated with alcohol abuse/dependence. [ncbi.nlm.nih.gov]
Insomnia Irregular heart rate Sweating Tremors Nausea and/or vomiting Stomach pain and cramps Headache Dizziness High blood pressure Muscle weakness Anxiety Restlessness Depression Irritability Hallucinations Inability to feel pleasure Depersonalization [solutions-recovery.com]
[…] underlying experiences: "not only depressed mood but also, for instance, irritation, anger, loss of meaning, varieties of fatigue, ambivalence, ruminations of different kinds, hyper-reflectivity, thought pressure, psychological anxiety, varieties of depersonalization [en.wikipedia.org]
Neurologic
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Seizure
Seizures Heavy or binge drinking, or alcohol withdrawal can lead to a form of epilepsy called status epilepticus, or an acute, prolonged epileptic seizure, which is a life-threatening condition. [onhealth.com]
The symptoms associated with alcohol poisoning include but are not limited to irregular or slow breathing, low body temperature, paleness, and seizures. [americanaddictioncenters.org]
Binge drinking also causes other dangerous health issues, including vomiting (which puts you at risk for choking), seizures, dehydration, and unconsciousness. [everydayhealth.com]
Heavy drinkers may experience tremors, panic attacks, confusion, hallucinations, and seizures. People with alcohol problems often drink alone and say they use alcohol to help them sleep or deal with stress. [health.harvard.edu]
[…] hurt your health, or led to a memory blackout Have to drink more than you used to for the effect you want Found that you had withdrawal symptoms when the buzz wore off, like trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, a seizure [webmd.com]
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Irritability
They include trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, and sweating. In severe cases, you could have a fever, seizures, or hallucinations. [medlineplus.gov]
But if you've found yourself feeling tense and irritable when you're not drinking, you may have a problem. [consumer.healthday.com]
Alcoholism is known to cause: inflammation of the liver leading to cirrhosis lowered blood pressure increasing chances of heart disease, stroke and high blood pressure irritation of the stomach lining leading to ulcers inflammation of the pancreas (pancreatitis [teenchallenge.ca]
Although alcohol can temporarily reduce symptoms of social anxiety – which is the reason many turn to it – Stein and Walker note that alcohol can also increase anxiety, irritability, or depression a few hours later or the next day. [adaa.org]
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Confusion
TEENS WHO DRINK INCREASE THEIR RISK OF: Developing an alcohol use disorder Learning and memory problems, including poor school performance Injury Sexual assault Death THE EFFECTS INCLUDE: Reduced inhibitions Slurred speech Motor impairment Confusion Memory [itmattersks.org]
These effects can include: Reduced inhibitions Slurred speech Motor impairment Confusion Memory problems Concentration problems Coma Breathing problems Death Other risks of drinking can include: Car crashes and other accidents Risky behavior Violent behavior [niaaa.nih.gov]
Others may drink to lessen feelings of guilt, loneliness, or confusion. What are the symptoms of alcoholism? Symptoms are different for each person. [my.clevelandclinic.org]
With respect to addiction medicine, this can lead to confusion at best and a misdiagnosis at worse. Understanding the terminology of alcoholism will help you in understanding the different aspects and treatments of the disease. [alcoholanswers.org]
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Headache
Symptoms of withdrawal include headaches, nausea, tremors, and in severe cases, hallucinations and seizures. Compulsion You experience intense cravings to drink alcohol, and find yourself unable to stop drinking even when you want to. [apibhs.com]
Headaches. Slurred speech. Impaired judgment. Anxiety. Insomnia. Trouble concentrating. Memory loss. Problems breathing. Risk of significant personal harm or long-term health problems are increased with chronic alcohol consumption. [drugabuse.com]
Alcohol abuse has a wide range of consequences, from nausea and headaches from a hangover to severe liver problems from chronic drinking. Short-Term Effects In the short-term, drinking too much can be very dangerous, sometimes deadly. [dependency.net]
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Tremor
Hasin found that requiring tremor for withdrawal gave it a stronger prognostic meaning ( Hasin et al ., 2000 ). We recalculated the values for withdrawal when tremor was required. [academic.oup.com]
[…] tension Used as a nightcap or to sleep; used to relieve physical discomfort Drinks alone Money is used for alcohol rather than paying bills Hides alcohol or fact of drinking Blackouts are profound and experienced often Drinks more than planned Morning tremors [innerwisdom.com]
Symptoms of withdrawal include headaches, nausea, tremors, and in severe cases, hallucinations and seizures. Compulsion You experience intense cravings to drink alcohol, and find yourself unable to stop drinking even when you want to. [apibhs.com]
[…] cheek and nose; broken teeth or dentures, facial cuts and bruises; angular chelitis or other signs of poor nutrition and depression of the immune system; and chronic asymptomatic bilateral swelling of the parotid gland. (10) Other things to look for are tremors [dentistryiq.com]
Mayo Clinic warns that the following are possible signs of alcohol poisoning: Slowed or irregular breathing Nausea and vomiting Significant mental confusion Hyperthermia (low body temperature) Tremors or seizures Blue color to skin, nails, and/or lips [solutions-recovery.com]
Workup
[…] routine examination Features of EtG are as follows: Becomes positive shortly after intake of alcohol, even in small amounts [5] After complete cessation of alcohol intake, EtG can be detected in urine for up to 5 days after heavy binge drinking [6, 7] See Workup [emedicine.medscape.com]
Serum
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Normocytic Anemia
Laboratories revealed acute renal failure (BUN 15 mg/dL, creatinine 2.5 mg/dL), elevated serum transaminase (AST of 83 IU/L), hyperammonemia (187 ug/dL), and marked normocytic anemia requiring transfusion of three units of packed red cells (hemoglobin [ncbi.nlm.nih.gov]
Treatment
Army-specific barriers to AUD treatment include treatment being recorded on health records, command being notified of participation, and perceptions that seeking treatment would interfere with promotion or retention in the military. [ncbi.nlm.nih.gov]
Thus, along with determining the effects of treatments to reduce adolescent alcohol use, a secondary aim of the current study is to compare the effects of individual treatments with family-based treatment approaches. [dx.doi.org]
Prognosis
High expression of valosin-containing protein predicts poor prognosis in patients with breast carcinoma. Tumour Biol. 36, 9919–9927 (2015) 48. Yamamoto, S. et al. [nature.com]
See also: Alcoholism - support group Expectations (prognosis) How well a person with alcoholism or alcohol abuse does depends on whether or not they can stop drinking. Alcoholism is a major social, economic, and public health problem. [web.archive.org]
Prognosis Figure 1 Diagnostic protocol for patients with suspected CFS. [doi.org]
Etiology
The etiology of escalating problems with alcohol can be traced, in part, to a relative absence of parent supervision during a time when peer interactions assume special significance. Copyright 2015 by the American Academy of Pediatrics. [ncbi.nlm.nih.gov]
"Preventing Drug Abuse in Schools: Social and Competence Enhancement Approaches Targeting Individual-Level Etiological Factors." Addictive Behaviors 25:887–897. [education.stateuniversity.com]
Preventing drug abuse in schools: social and competence enhancement approaches targeting individual-level etiologic factors. Addict Behav 2000; 25(6):887-997. [ Links ] 8. Barkin S, Smith KS, Durant RH. [scielo.br]
Epidemiology
These findings are discussed with respect to their implications for prevention policies and the need to integrate epidemiological and intervention research. [ncbi.nlm.nih.gov]
Abstract ABSTRACT: Datu,from 27,616 c’urrml andfortner drinkers intentiewed in the 1992 Narionul Longitudinal Alcohol Epidemiologic Survey were used to exuminr the rela-tionship between age af,first LLSP of ulwhol and the preL ulettce of lifetime alcohol [citeseerx.ist.psu.edu]
Pathophysiology
To report on a case of acute renal failure (ARF) induced by rhabdomyolysis due to strenuous exercise and alcohol abuse and to describe the pathophysiology of this type of ARF. [ncbi.nlm.nih.gov]
Pathophysiologically, ARDS is characterized by diffuse alveolar damage, increased pulmonary alveolar-capillary permeability, and the subsequent accumulation of extravascular lung water. [clinicaltrials.gov]
As DSM-III chief architect Robert Spitzer and DSM-IV editor Michael First outlined in 2005, "little progress has been made toward understanding the pathophysiological processes and cause of mental disorders. [en.wikipedia.org]
Pharmacotherapy: a pathophysiologic approach. 4th ed. Stamford, Conn.: Appleton & Lange, 1999. 9. Croop RS, Faulkner EB, Labriola DF. The safety profile of naltrexone in the treatment of alcoholism: results from a multicenter usage study. [aafp.org]
Furthermore, in addition to sharing several symptoms with CFS, currently available evidence suggests that those diseases also share similar pathophysiologic mechanisms [ 8, 9 ]. [doi.org]
Prevention
Abstract The current study explores community perspectives on alcohol abuse prevention strategies in rural Kenya. [ncbi.nlm.nih.gov]
Explain why population-based prevention programs are important help control these problems. Describe prevention-minded approaches relevant to the practicing psychiatrist. [healio.com]
Awareness campaigns are aimed at: preventing young people from drinking before they turn 18 preventing harmful alcohol consumption preventing people from becoming psychologically or physically dependant on alcohol reducing harm caused by alcohol abuse [government.nl]