Alcohol Problems
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It has been known for
thousands of years that abusing alcohol and excessive drinking lead to a number of social and personal
alcohol-related drinking problems.
Depending on the amount of alcohol that is consumed and how quickly the alcohol is ingested,
alcohol problems and drinking problems can range from mild headaches and slight nausea at one extreme and
traffic accidents, alcohol poisoning, alcohol related traffic fatalities, coma, and death at
the other.
An Overview of Alcohol Problems and the Human Body
Alcohol has a biphasic effect on the human body. This means that the effects of alcohol change over time. Initially, alcohol typically elicits feelings of relaxation
and cheer.
Increased consumption, however can result in coordination problems, dehydration, blurred
vision, and a whole array of social, medical, and health problems.
Quite obviously, higher quantities of alcohol can also lead to intoxication or
drunkenness. One of the consequences of intoxication is the lowering of an individual's inhibitions.
Consequently, when people are intoxicated they frequently do things they normally would not do
while sober, often ignoring social, legal, moral, and religious norms.
This, then, is a quick overview of some of the alcohol-related drinking problems.
What follows is a more detailed analysis of how alcohol problems escalate and become magnified as
an individual suffers through the alcoholism degenerative process.
Perhaps the most logical way to discuss alcohol problems is to first address the classic alcoholic
behaviors and problems that appear in the four states of alcoholism.
We will then examine some of the social problems associated with alcoholism, and finally, discuss
the diseases, medical conditions, and health problems that are caused directly or indirectly by alcohol
addiction.
Alcohol Problems During the First Stage of Alcoholism
In the first stage of alcoholism, drinking is no longer social but becomes a means of emotional escape from
inhibitions, stress, and problems.
Simply put, early in the illness the problem drinker starts to depend on the "mood altering" capabilities of
alcohol.
Another characteristic in the first stage of alcoholism is that a gradual increase in tolerance develops,
meaning that more and more alcohol is needed in order to experience a "high" or a "buzz."
The following list features some of the classic alcoholic behaviors and drinking problems experienced by problem
drinkers in the first stage of alcoholism:
- The use of alcohol as a way to forget problems or to "mellow out"
- Boasting and a "big shot" complex
- A conscious effort to seek out more drinking opportunities
- Gross Drinking Behavior - more frequent drinking of greater amounts
- An ability to drink great amounts of alcohol without any apparent impairment
- Drinking is not social but a psychological escape from stress and problems
- Increasing tolerance
- Lack of recognition by the person that he or she is in the early stages of a progressive illness
Alcohol Problems During the Second Stage of Alcoholism
In the second
stage of alcoholism, the need to drink becomes more severe. During this stage, moreover, the person with
the drinking problem typically starts to drink earlier in the day.
As tolerance increases, however, the problem drinker consumes alcohol not for emotional stress relief but
because of his or her dependence on alcohol.
During this stage, while the alcoholic's loss of control has not yet become noticeable on a regular basis, it
is, nonetheless, sporadically observed by others such as family members, friends, and coworkers.
It is interesting to note that a key aspect in this stage of the disease is that the problem drinker's physical
problems start to become more frequent and intensified.
The following list typifies some of the drinking problems and classic alcoholic behaviors suffered by problem
drinkers in the second stage of alcoholism:
Sneaking extra
drinks before social events
- Feelings of guilt and shame
- Drinking because of dependence rather than for stress relief
- Increasing physical problems
- More frequent blackouts
- Blaming problems on others and on things external to themselves
- Sporadic loss of control
- Unsuccessful attempts to stop drinking
- Chronic hangovers
- Increasing tolerance
- Denial
Alcohol Problems During the Third Stage of Alcoholism
In the third
stage of alcoholism, the loss of control becomes more prominent, meaning that the person with the drinking
problem is not able to drink in accordance with his or her intentions.
For instance, after the person has had the first drink, he or she typically can no longer control what will
happen, even though the intention may have been to have only one of two drinks.
During this stage of the disease, moreover, the individual with the drinking problem usually starts to encounter
alcohol-related employment, relationship, financial, and in many instances legal problems (such as multiple DUIs or
DWIs).
| The clinical assessment of current and past alcohol use and alcohol-related
disorders should be considered a routine part of all psychiatric or medical evaluations. |
Furthermore, during this stage of the illness the person starts to avoid family and friends and exhibits a loss
of interest in things that used to be fun or important. "Eye-openers" are also common during this stage.
Eye-openers are drinks that are taken whenever the problem drinker awakens as a way to help lessen a hangover,
calm the nerves, or to extinguish the feelings of sorrow the drinker experiences after going through a period of
time without consuming a drink.
The following typifies some of the classic alcoholic behaviors and drinking problems that are experienced by
problem drinkers during the third stage of alcoholism:
Loss of
willpower
- The start of physical deterioration
- Problems with the law (such as DWIs)
- A decrease in alcohol tolerance
- Neglect of necessities such as water, shelter, and food
- Half-hearted attempts at seeking medical aid
- Changes in friendships, such as associating only with friends who drink
- Loss of interest in activities that used to be important
- Aggressive and grandiose behavior
- Serious financial, relationship, and work-related problems
- The development of an alibi system - an elaborate system of excuses for their drinking
- Frequent violent or destructive behavior
- An increase in failed promises and resolutions to one's self and to others
- Unreasonable resentments
- Loss of control has become a pattern
- Eye-openers
- Diabetes
- Increasing tremors
- Avoidance of family and friends
| According to a 1995 Weekly Reader survey, more than half (54%) of fourth through
sixth graders reported learning about the dangers of illicit drugs at school, but fewer than a
third (30%) learned about the dangers of drinking and smoking at school. |
Alcohol Problems During the Fourth Stage of Alcoholism
The fourth and final stage of alcoholism is typified by a chronic loss of control. For instance, in the
earlier stages of the illness, the
person with the drinking problem may have been able to maintain employment.
Now, however, due to the fact that drinking starts earlier in the day and typically continues throughout the
day, few, if any, full-time work positions can be maintained once a person reaches this state of affairs.
In the earlier stages of the illness, moreover, the alcoholic had a choice whether he or she would take the
first drink. After ingesting the first drink, the alcoholic frequently lost all control and would then
continue drinking.
In the last stage of alcoholism, however, problem drinkers who are alcoholics no longer have a choice: they
simply need to drink in order to make it through the day.
The following list characterizes some of the classic alcoholic behaviors and drinking problems that
manifest themselves in the fourth stage of alcoholism:
- The collapse of the alibi system
- "The shakes"
- Nameless fears and anxieties such as feelings of impending doom or destruction
- Indefinable fears
- Devaluation of personal relationships
- Auditory and visual hallucinations
- Impaired thinking
- Loss of tolerance for alcohol
- Persistent remorse
- Vague spiritual desires
- The possibility of alcoholic psychosis
- Moral deterioration
- Continual loss of control
- Benders, or lengthy intoxications
- Unreasonable resentments and hostility toward others
- The realization of being out of control
- The "DTs"
- An obsession with drinking
| Alcohol withdrawal syndrome is a group of symptoms manifested by individuals who
stop drinking alcohol after a pattern of continuous and excessive consumption. These symptoms
can range from mild to moderate to severe and include both psychological and behavioral
aspects. |
Alcohol Problems and Social Relationships
Alcoholism not only affects the problem drinker, but it also negatively influences those who are
closest to the alcoholic, namely his family, friends, other relatives, coworkers, and neighbors. The following
list is a sample of the social problems that result from alcoholism:
- Alcohol related traffic fatalities and injuries on the highways
- Birth defects such as fetal alcohol syndrome
- Broken, dysfunctional homes
- Work-related injuries and accidents
- Destroyed relationships
- Wife battering
- Child abuse
- Codependent behavior in others
- Destroyed lives
| Do you drink and drive, operate machinery or mix alcohol with over-the-counter or
prescription medicine? Are you pregnant or are trying to become pregnant and drink? Do
you drink alcohol while you are in charge of the lives of small children? Do you fail to
inform your doctor that you are a regular drinker? If you answered “yes” to any of these
questions, you are taking risks with alcohol. |
Alcohol Problems: Diseases and Medical Conditions
Alcoholism directly or indirectly causes a number of medical conditions, diseases, and health problems. We
will focus first on the various types of cancer associated with alcoholism and then discuss the non-cancerous
ailments and illnesses that are related to this disease.
Alcohol Problems: Cancer
The following is a list of various types of cancer that are directly or indirectly caused by alcohol
addiction:
- Rectum
- Throat
- Stomach
- Colon
- Larynx
- Liver
- Esophagus
- Kidneys
Alcohol Problems: Non-Cancerous Medical Conditions
The following is a list non-cancerous medical conditions, diseases, and health problems caused directly or
indirectly by alcohol dependency:
- Cirrhosis of the liver
- Cardiovascular problems such as strokes, cardiomyopathy (damage to the heart muscle), heart failure, and
high blood pressure
- Sever thiamine deficiency
- Brain damage
- Kidney and urinary tract infections
- Impaired learning ability
- Pneumonia
- Ulcers from the perforation of the stomach and the intestines
- Numbness of the feet and hands
- Alcohol withdrawal symptoms when the alcoholic stops drinking
- Alcohol Poisoning
- Vitamin D deficiency (which can result in bone fractures)
- Gastritis (inflammation of the stomach)
- Organ and system malfunction
- Inflammation of the digestive system
- Memory loss
- Vitamin deficiencies (such as folate, selenium, riboflavin, thiamin, and vitamin B6)
- Wernicke's disease (a memory disorder)
- Infections
- Coma
- Kidney failure
- Mental confusion
- Death (from alcohol poisoning, excessive intoxication, and organ malfunction)
- Harm to the fetus while the mother is pregnant
- Korsakoff's syndrome (a memory disorder)
- Problems with the immune system
- Pancreatitis
- Nervous system damage
- Destruction of brain cells
- Sexual problems such as erectile dysfunction and impotence in men
- Diabetes
- Dehydration
- Vitamin A deficiency (which can cause night blindness)
- Loss of intellectual abilities
| In the United States, roughly 50,000 cases of alcohol poisoning are reported each
year, and approximately once every week, someone dies from this preventable condition. |
Alcohol Problems: Conclusion
Drinking Problems. As one reflects on the four stages of alcoholism, it becomes apparent
that as the disease progresses, not only does the alcoholic experience more frequent and severe alcohol problems
but the disease also negatively and progressively affects family members, friends, relatives, coworkers, and
society in general.
In short, the drinking problems that are the consequence of alcoholism are widespread, extremely unhealthy,
damaging, destructive, and in many instances, fatal. Examples of the latter include alcohol related traffic
fatalities, cancer, heart disease, cirrhosis of the liver, and alcohol poisoning.
| About 43% of U.S. adults -- 76 million people -- have been exposed to alcoholism in
the family -- they grew up with or married an alcoholic or a problem drinker or had a blood
relative who was an alcoholic or problem drinker. |
| An alcoholic will negatively impact the lives of 4 or 5 other Americans (such as
associates, family, and friends) while under the influence of alcohol. |
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