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Alcohol
1) Information on Alcohol


Drug Facts: Alcohol is classified under the drug category as a depressant that affects people in a variety of ways. Some people are pleasantly relaxed by the drug, others lose their inhibitions, while many make decisions they come to regret. As such, its use causes effects and changes in the body and brain. Alcohol use slows down many of the functions of the body, including blood pressure, heart rate and breathing. If a person has put a large amount of alcohol in his or her system, the "slowing down" can lead to "passing out" and unconsciousness. In addition, the vital organs, heart and lungs, can be slowed to the point of stopping.


Some research has shown that as people age they become more sensitive to alcohol's effects. In other words, the same amount of alcohol can have a greater effect on an older person than on someone who is younger.

Some medical conditions, such as high blood pressure, ulcers, and diabetes, can worsen with alcohol use.

Many medicines-prescription, over-the-counter, or herbal remedies-can be dangerous or even deadly when mixed with alcohol. This is a special worry for older people because the average person over age 65 takes at least two medicines a day. If you take any medicines, ask your doctor or pharmacist if you can safely drink alcohol. Here are some examples:

-Aspirin can cause bleeding in the stomach and intestines; the risk of bleeding is higher if you take aspirin while drinking alcohol.

-Cold and allergy medicines (antihistamines) often make people sleepy; when combined with alcohol this drowsiness can be worse.

-Alcohol used with large doses of the pain killer acetaminophen can raise the risk of liver damage.

-Some medicine, such as cough syrups and laxatives, have a high alcohol content.

Effects: Even drinking a small amount of alcohol can impair judgment, coordination, and reaction time. It can increase the risk of work and household accidents, including falls and hip fractures. It also adds to the risk of car crashes.

Heavy drinking over time also can cause certain cancers, liver cirrhosis, immune system disorders, and brain damage. Alcohol can make some medical concerns hard for doctors to find and treat. For example, alcohol causes changes in the heart and blood vessels. These changes can dull pain that might be a warning sign of a heart attack. Drinking also can make older people forgetful and confused. These symptoms could be mistaken for signs of Alzheimer's disease. For people with diabetes, drinking affects blood sugar levels.

People who abuse alcohol also may be putting themselves at risk for serious conflicts with family, friends, and coworkers. The more heavily they drink, the greater the chance for trouble at home, at work, with friends, and even with strangers.

Signs of Abuse: Alcohol addiction or dependence, is defined as having at least 3 of the following signs: a tolerance for alcohol (needing increased amounts to achieve the same effect), withdrawal symptoms, taking alcohol in larger amounts that was intended or over a longer period of time than was intended, having a persistent desire to decrease or the inability to decrease the amount of alcohol consumed, spending a great deal of time attempting to acquire alcohol, and finally, continuing to use alcohol even though the person knows there are reoccurring physical or psychological problems being caused by the alcohol.

A cluster of physiological, behavioral, and cognitive phenomena in which the use of alcohol takes on a much higher priority for a given individual than other behaviors that once had greater value. A central descriptive characteristic of the dependence syndrome is the desire (often strong, sometimes overpowering) to take alcohol. There may be evidence that return to alcohol use after a period of abstinence leads to a more rapid reappearance of other features of the syndrome than occurs with nondependent individuals.

Blackouts are another sign the once social drinker has become alcoholic. Blackouts are situations where the alcoholic can not account for periods of time. During this time, the alcoholic can not remember what they do, what they say or where they have been. To the average person, they may seem coherent, but the person in the blackout has no memory as to what has transpired.

Not everyone who drinks regularly has a drinking problem, and not all problem drinkers drink every day. You might want to get help if you or a loved one:

-Drink to calm your nerves, forget your worries or reduce depression.
-Gulp down drinks.
-Lie about or try to hide drinking habits.
-Hurt yourself or someone else while drinking.
-Need more alcohol to get high.
-Feel irritable, resentful, or unreasonable when not drinking.
-Have medical, social or financial worries caused by drinking.
-Frequently have more than one drink a day. (A standard drink is one 12-ounce bottle or can of beer or a wine cooler, one 5 ounce glass of wine or 1.5 ounces of 80-proof distilled spirits.)


Excessive alcohol use is generally considered the equivalent of 2 - 6 pints of beer (or 4 oz. of "hard" alcohol) per day for 1 week, or habitual use of alcohol that disrupts a person's life and routines.

The more heavily a person had been drinking every day, the more likely that person will develop alcohol withdrawal symptoms when they stop. The likelihood of developing severe withdrawal symptoms also increases if a person has other medical problems.

Alcohol Withdrawal: Alcohol withdrawal usually occurs in adults, but it may happen in teenagers or children as well. It can occur when a person who uses alcohol excessively suddenly stops drinking alcohol. The withdrawal usually occurs within 5 - 10 hours after the last drink, but it may occur up to 7 - 10 days later.

Mild-to-moderate psychological symptoms:

- Jumpiness or nervousness
- Shakiness
- Irritability or easy excitability
- Rapid emotional changes
- Difficulty thinking clearly
- Bad dreams
- Anxiety
- Depression
- Fatigue

Mild-to-moderate physical symptoms:

- Headache
- general, pulsating
- Sweating
- especially the palms of the hands or the face
- Nausea and vomiting
- Loss of appetite
- Insomnia (sleeping difficulty)
- Pallor
- Rapid heartbeat rate
- Eye pupils enlarged(dilated pupils)
- Clammy skin
- Tremor of the hands
- Involuntary, abnormal movements of the eyelids

Severe symptoms:
- Delirium tremens -- a state of confusion and visual hallucinations
- Agitation
- Fever
- Convulsions
- Black outs -- when the person forgets what happened during the drinking episode


Rehabilitation: Successful rehabilitation includes a calm, stress free environment, plenty of liquids, and replenishing of vitamins that have been burned out of the body. Use of a mild sedative to help sleep is often helpful, as the lack of sleep is what can cause the hallucinations. After feeling physically better, proper rehabilitation therapy can commence that deals with relapse prevention, dealing with the reasons the addict turned to drugs in the first place, and any personal failings that need strengthening. It is highly recommended that a daily routine of proper exercise, nutrition, and rest be followed as effective relapse and craving prevention. Ideally a cleansing program would be also administered to help rid the body of the residual toxins that can impair health in the future and cause cravings.




 

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