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Alcohol Abuse

WHAT YOU SHOULD KNOW

Many people can stop drinking after one or two beers or glasses of wine, vodka, whiskey, or other alcoholic beverages. Some people, however, can't stop, and are at great risk of alcoholism. Alcoholism affects both your body and your life. Excessive drinking over a long period can lead to dependency--so great a need for alcohol that you will become physically ill if you abruptly stop drinking. Constant drunkenness can lead to loss of job and family, serious accidents, and arrest. Large amounts of alcohol consumed year after year also result in severe damage to the liver, brain, and heart. Without treatment, an alcoholic faces increasing illness and a needlessly early death.

Causes

The cause of alcoholism is unknown. It may be present from birth. If women drink while they are pregnant, their infants can be born with fetal alcohol syndrome, a serious condition that affects the development of their brains and may cause serious illness.

Signs/Symptoms

Tip-offs of an alcohol problem include the need to drink more and more to get the same feeling or ""buzz,'' drinking daily until you get drunk, drinking in the morning and whenever you feel stress, and hiding the amount you drink. Alcoholics often react with guilt and anger when other people say something about their drinking. Drinking starts to control their lives; they may skip work or drive drunk. Another typical symptom: insomnia and bad dreams. As the problem gets worse, alcoholics begin to have blackouts, forgetting where they were and what they were doing. Other possible symptoms include liver, stomach, pancreas, and heart problems. Deprived of a drink, they may develop the condition called delirium tremens (DTs). Typical symptoms include shaking hands; sweating; nervousness, confusion, or depression; hallucinations, and seizures.

Care

Your doctor may give you a checkup to see if you have any other illnesses or injuries. Therapy may include a drug that makes you sick when you drink. You also may need treatment for withdrawal symptoms; and your doctor will probably ask you to see a counselor or join a support group.

WHAT YOU SHOULD DO

  • If you have been abusing alcohol, the first step to quitting is to admit you have a problem. Be honest and open with family and close friends. Ask for their help.
  • Stay away from people who use and abuse alcohol and who encourage others to drink.
  • The Alcoholics Anonymous (AA) program can provide you with essential support. Take advantage of it.
  • Get the help of a counselor and keep seeing him or her.
  • Don't give up. It can take many months or years of treatment for some people to stop drinking.
  • Eat a healthy diet, drink 6 to 8 glasses of water a day, and get plenty of rest.
  • Find new things to do. Get out of the house every day. Go for walks outside.

Call Your Doctor If...

  • You cannot fight the need to drink alcohol. Call your doctor, a counselor, friend, or family member you trust RIGHT AWAY.
  • You feel your problems are getting the best of you and you can't deal with them on your own.
  • You get an upset stomach and start vomiting.

Seek Care Immediately If...

  • You have severe chest pain, sweating, or trouble breathing.
  • You get a severe pain in your head or stomach or develop pain, a numb or prickly feeling, or burning in your arms or legs.
  • You have hallucinations, pass out, or have a seizure.

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