What Helps for Alcohol Withdrawals?

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image: doctor writing in chart of patient with alcohol withdrawal symptomsAbout 95% of the people who quit drinking alcohol suffer from mild to moderate withdrawal symptoms and can normally be treated on an out-patient basis by your doctor or by another healthcare professional. 

Due to the fact that so many individuals suffer from withdrawal symptoms when they quit drinking alcohol, however, a number of them ask the following question:  "what helps for alcohol withdrawals"?  Please continue reading to discover more relevant and important information about what helps for alcohol withdrawals.

Mild to Moderate Psychological Withdrawal Symptoms

Alcohol withdrawal syndrome is a group of symptoms exhibited by individuals who stop drinking alcohol after a pattern of continuous and excessive consumption. 

image: woman consoling another woman about her alcoholic boyfriendThese symptoms can range from mild to moderate to severe and include both behavioral and psychological components.

Occasionally, various individuals over-emphasize the physical consequences of withdrawal and deemphasize the psychological effects. 

Keep in mind, however, that the emotional results of alcohol withdrawal can be as painful and debilitating, if not more so, than the physical consequences. 

With this in mind, the following represents mild to moderate psychological symptoms that typically occur within 6 to 48 hours after the last alcoholic drink:

  • Nightmares
  • Feeling nervous or jumpy
  • Rapid emotional changes
  • Depression
  • Difficulty with thinking clearly
  • Anxiety
  • Fatigue
  • Easily excited, irritability  

Mild to Moderate Physical Withdrawal Symptoms

The following represents mild to moderate physical symptoms that typically occur within 6 to 48 hours after the last alcoholic drink:

  • Clammy skin
  • Abnormal movements
  • Insomnia, sleeping difficulties
  • Rapid pulse rate
  • Nausea
  • Vomiting
  • Sweating (especially on the face or the palms of the hands)
  • Tremor of the hands
  • Involuntary, abnormal movements of the eyelids
  • Looking pale, without color
  • Eyes or pupils different size (enlarged, dilated pupils)
  • Headache (especially those that pulsate)
  • Loss of appetite

Severe Alcohol Withdrawal Symptoms

The following represents severe alcohol withdrawal symptoms that typically occur within 48 to 96 hours after the last alcoholic drink:

  • Muscle tremors
  • Seizures
  • Delirium tremens (DTs)
  • Fever
  • Visual hallucinations
  • Severe autonomic nervous system overactivity
  • Agitation
  • Black outs
  • Profound confusion
  • Convulsions
Since no level of alcohol consumption during pregnancy has been proven safe, the March of Dimes strongly urges pregnant women to refrain from all alcohol, including beer, wine, wine coolers, and hard liquor during their entire pregnancy AND also while nursing.

Most Withdrawal Cases Rarely Require Hospitalization

Recent evidence shows that it may be important to treat every person who is experiencing alcohol withdrawal. Having said this, it can be noted that approximately 95% of the people who quit drinking alcohol suffer from mild to moderate withdrawal symptoms and can normally be treated on an out-patient basis by a healthcare professional.

The remaining 5% of people who experience withdrawal symptoms, however, suffer symptoms so severe that they must be treated in a hospital or in an alcohol rehab facility that specializes in detoxification.

Long-term excessive drinking can lead to pancreatitis (that is, an inflammation of the pancreas). Pancreatitis is associated with severe abdominal pain and excessive weight loss and can result in death.

So the first question that should be asked when experiencing alcohol withdrawal symptoms is probably not "what helps for alcohol withdrawals?" but rather "who should I contact about the alcohol withdrawal symptoms I am experiencing"?

And the best answer to this latter question is this: seek medical assistance immediately so that your doctor, urgent care center personnel, healthcare provider, or emergency room doctor can assess the severity of your withdrawal symptoms and suggest the best option for treatment.

During the last stage of alcoholism, benders are typical. More specifically, during this stage, the alcoholic frequently gets helplessly drunk and may remain in this condition for days at a time. The unattainable goal for the alcoholic at this time is to find the feeling of euphoria they once experienced.

Non-Drug Detoxification

A number of different techniques exist for managing alcohol withdrawal.  While some of these treatments use medications, many do not.  In fact, according to the current research literature, it appears that the safest way to treat mild withdrawal symptoms is without medications.  Such forms of non-drug detoxification use screening and extensive social support during the withdrawal process.  Other non-drug detox programs use vitamin therapy (especially thiamin) and proper nutrition in treating mild withdrawal symptoms.

In spite of the debate in the medical, neurobiological, and psychological research communities about the existence as well as the character of the addictive personality, it is, however, observable and verifiable that brain functions contribute to different addictions. Building on this perspective, many researchers currently believe that the predisposition to addiction is more accurately a combination of psychological, biological, and environmental factors.

Detoxification with Drugs

On the other hand, numerous researchers now advocate that chronic alcoholics who cannot maintain sobriety should receive drug therapy to control withdrawal symptoms.  By using the medication route, these alcohol-dependent individuals are less likely to experience possible seizures and/or brain damage.

It is estimated that 30% of all Americans will be involved in an alcohol-related motor vehicle accident sometime
during their lives.

Recent research suggests that the drugs most likely to produce effective results when treating alcohol withdrawal are the benzodiazepines, for instance, the longer-acting benzodiazepines like Librium and Valium or the shorter-acting benzodiazepines such as Serax and Ativan.

Historically, when administering benzodiazepines, doctors have employed a progressive decrease in doses over the time-span of the withdrawal. 

During the second stage of alcoholism, physical symptoms such as stomach problems, blackouts, hangovers, and hand tremors increase. Rather than focusing on their drinking as the cause of the many problems they face, alcoholics, during this stage start to blame others and things external to themselves.

Moreover, due to the fact that these drugs do not linger in the person's system and they allow for measurable dose reductions some researchers have suggested that intermediate to short half-life benzodiazepines should be used for treating withdrawal symptoms. 

Researchers have found that various environment factors can interact with one's genetics. Examples include peer pressure or peer influence, the relative ease of obtaining alcohol, where and how a person lives, a person's culture, and one's family and friends.

Inpatient Versus Outpatient Detox Programs

One more point needs to be discussed:  studies have shown that inpatient detoxification is more effective and long-lasting than outpatient detoxification.  The upshot of this seems to be the following:  the more severe the alcohol-related withdrawal symptoms, the more likely that inpatient detox programs should be considered. 

The 9.6% of American adult alcoholics drink 25% of the alcohol that is consumed by all adult drinkers.

What Helps for Alcohol Withdrawals:  Conclusion

Perhaps the most important lesson learned from the information articulated above is this:  when experiencing alcohol withdrawal symptoms, the first concern should be "who should I contact about the alcohol withdrawal symptoms I am experiencing" rather than "what helps for alcohol withdrawals?"

When suffering from alcohol withdrawal symptoms, always see your healthcare provider or your doctor immediately so that he or she can evaluate the severity of your condition and suggest treatment that will be best for your particular situation. 

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Every year, 1,400 American college students between the ages of 18 and 24 die from inadvertent alcohol-related injuries, including motor vehicle accidents.

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