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2024-05-06 9:00
Alcohol and Health
Is Non-Alcoholic Wine Healthy For You?
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Non-alcoholic wine is a great alternative for some of us. However, it’s not for everyone. Learn more about the pros and cons of non-alcoholic wine in our latest blog.

22 min read

Drink Less and Thrive With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Have you ever heard that a glass of red wine could have health benefits? Well, research has concluded that the negative effects of alcohol far outweigh any benefits that wine may have. But could non-alcoholic wine be the answer? 

Non-alcoholic wine is generally considered a healthier alternative as it removes the detrimental effects of alcohol from the equation. However, as with most things in life, balance is key. Excessive consumption of non-alcoholic wine can still have negative effects. Let’s uncork the details on what exactly non-alcoholic wine is and how it can impact our health.

What Is Non-Alcoholic Wine?

A person's hands using a glucose meter, with a lancet device

Non-alcoholic wine is wine that goes through a process to have some or all of its alcohol removed. It starts out as alcoholic wine — going through the same fermentation process that gives it the same taste qualities. The alcohol is then removed using purification processes such as distillation and reverse osmosis. 

These processes of removing the alcohol from wine is what makes non-alcoholic wine distinct from simply grape juice. Its appeal is that it has the same qualities as wine — without the alcohol.

Non-alcoholic wine is known by several names:

  • Dealcoholized wine
  • Alcohol-free wine 
  • 0% wine
  • Zero-proof wine
  • NA wine

Although non-alcoholic wine goes through industrial processes to remove its alcohol, does all of it get removed?

Does Non-Alcoholic Wine Have Alcohol?

Despite its name, non-alcoholic wine can contain traces of alcohol. According to the Federal Drug Administration (FDA), the beverage must be less than 0.5% alcohol by volume (ABV) to be labeled as non-alcoholic. 

As a comparison, most alcoholic wine has around 12% alcohol, and standard beer has around 5% alcohol. Kombucha, a fermented tea, can contain up to 0.5% ABV. Some kombuchas can even go up to 1%–2% ABV (although they require a special label at that level).

Let’s examine how non-alcoholic wine and alcoholic wine compare with each other.

Comparing Non-Alcoholic Wine and Alcoholic Wine

Non-alcoholic wine is distinct from grape juice or other flavored beverages due to its resemblance to wine. Let’s look at the two beverages side by side to see how they’re similar and different.

Similarities

Dealcoholized wine is made the same way wine is made. Juice made from different parts of the grape is mixed with yeast, which initiates the fermentation process. Through this process, the sugars and starches are converted into alcohol — creating wine. Non-alcoholic wine goes through an additional process to remove the alcohol, changing the properties but preserving the taste. 

Since alcoholic wine and non-alcoholic wine are made in the same way using the same ingredients, the appearance and taste remain almost identical. Aside from these external factors, alcoholic wine and non-alcoholic wine are different in many aspects.

Differences 

The alcohol component in wine accounts for the differences between the way wine and non-alcoholic wine impact us. Some negative effects of alcohol include the following:

  • Intoxication. Alcohol is a drug that targets our central nervous system (CNS) and impacts messaging in our brain. This can cause symptoms of intoxication, including loss of coordination, impaired thinking, slurred speech, and more.
  • Hangovers. While our liver works to break down alcohol, the toxins found in alcohol can continue to trigger different symptoms in our body, in particular the unpleasant symptoms of hangovers
  • Long-term health conditions. Alcohol is linked to an increased risk of developing many different health conditions. These may include liver disease, cardiovascular disease, GI issues, certain types of cancers, and more.
  • Poor mental health. Alcohol causes disruptions to our mood and stress tolerance. Prolonged or excessive drinking can cause low mood and can also lead to mental health conditions such as anxiety and depression. 
  • Disruptions to social life. Drinking can take up our time and mental energy. This can take a toll on the amount of effort we can put into our relationships. Consequently, a negative relationship with alcohol can push our loved ones away, cutting us off from the social support we may need.
  • Stunting of goals. An unhealthy relationship with alcohol can negatively affect our goals as it may disrupt key aspects of our life, such as education, employment, or relationships. 

Since non-alcoholic wines don’t contain significant amounts of alcohol, they are not associated with the negative impacts of alcohol. However, they do contain the same sweeteners and additives as alcoholic wine, which present a variety of potential risks:

  • Increased blood sugar. Wine (especially sparkling wine) can contain a high amount of sugar. Non-alcoholic wine can sometimes contain even higher levels of sugar or added flavors to adjust the taste after the alcohol is removed. In excess, non-alcoholic wine can increase our blood sugar level, opening the door to other health conditions.
  • Heightened insulin resistance. Prolonged periods of high blood sugar from excess sugar consumption can also lead to increased insulin resistance. This is commonly associated with weight gain and an increased risk of Type 2 diabetes.
  • Allergy symptoms. Although non-alcoholic wine has the alcohol removed, it still contains histamines. These chemicals are released by our immune system and can cause allergy symptoms. Those of us who are sensitive to histamines may experience a negative response from drinking non-alcoholic wine.
  • Acid reflux. Like alcoholic wine, non-alcoholic wine is a relatively high-acidity beverage. It can cause symptoms of acid reflux, especially in those of us who are already prone to experiencing acid reflux. 

Moderate amounts of non-alcoholic wine may not have significant effects on our health, making it a safer alternative to alcohol. Since non-alcoholic wine is free from the specific harms that alcohol can cause, does this mean it’s healthy?

Benefits of Choosing Non-Alcoholic Wine

Is Non-Alcoholic Wine Good for You?

With the removal of alcohol, non-alcoholic wine may actually deliver some health benefit due to the presence of compounds called polyphenols. They are also present in alcoholic wine, but the negative effects of the alcohol outweigh any benefits. Polyphenols are produced during the fermentation process and are associated with these positive effects:

  • Decreased blood pressure. Research shows that polyphenols have positive effects on blood pressure by improving the health of blood vessels. They also balance our gut bacteria and have antioxidant and anti-inflammatory effects.
  • Improved insulin resistance. Insulin resistance can lead to conditions such as diabetes. While the impact of polyphenols on insulin resistance is still being researched, studies show promising results.
  • Reduced oxidative stress. A study on polyphenols concluded that polyphenols help reduce oxidative stress, which can play a role in the prevention of many diseases.

Choosing non-alcoholic wine over its alcoholic counterpart can be a companion in a variety of health goals:

  • Maintaining a healthy liver. The toxins in alcohol can directly damage our liver. Since non-alcoholic wine removes that threat, it’s a friendlier option for liver health. 
  • Preventing dehydration. Alcohol is a diuretic, meaning it can cause excess fluid elimination. Choosing non-alcoholic wine helps us avoid dry mouth and other symptoms of dehydration.
  • Lower in calories. Calories in alcohol can quickly add up. While non-alcoholic wine isn’t calorie-free, it’s often has fewer calories than traditional alcohol, making it a great option for those of us looking to cut back.
  • Fewer sleep disruptions. While alcohol may help us fall asleep faster in some instances, it disrupts our normal sleeping patterns, robbing us of a quality night of rest. Non-alcoholic options don’t have the same negative impacts on our sleep.
  • Stable mood. Alcohol can cause a short-term boost in our mood while drinking, followed by a crash. Non-alcoholic wine doesn’t have the same effects on our brain chemistry, meaning we can stay a little more even-keeled. 

We’ve acknowledged that non-alcoholic wine is a healthier alternative to alcoholic wine, but how does it compare to other non-alcoholic drinks?

Non-Alcoholic Wine vs. Non-Alcoholic Beer

All alcohol-free versions of alcoholic beverages, such as non-alcoholic wine and non-alcoholic beer, must meet the requirement of falling under 0.5% ABV to be labeled “zero-alcohol.” From there, they start to have differences.

Non-alcoholic wine and non-alcoholic beer, for example, are produced differently and have different effects on our health. Because beer is produced from cereal grain, it is usually high in carbohydrates. Although non-alcoholic beer may be lower in carbs than regular beer, it still contains more carbs than wine. On the plus side, NA beer has electrolytes you won’t find in non-alcoholic wine. It’s not a replacement for an electrolyte powder or sports drink, but it can do more for hydration than regular beer (which is actually dehydrating!).

For those of us looking for a lower-carb option, non-alcoholic wine may be a better choice. However, it's important to note that non-alcoholic wine is often higher in sugar. The nutritional value may vary depending on the type of non-alcoholic wine and non-alcoholic beer.

Ultimately, the benefits of going booze-free are the same regardless of which type of beverage you choose. Non-alcoholic drinks are always going to be better options than their alcoholic counterparts.

But is it okay to drink non-alcoholic beer every day, or is it okay to finish a bottle of non-alcoholic wine in one go? Let's take a closer look at some potential risks of non-alcoholic drinks — wine in particular.

Disadvantages of Non-Alcoholic Wine

Non-alcoholic wine is generally a much better option than alcohol as it doesn’t cause the same harmful effects. However, it can have some negative impacts and potential risks:

  • Altered social perception of alcohol. Zero-alcohol drinks and alcohol look almost identical. Drinking non-alcoholic wine frequently can drive the normalization of alcohol. 
  • A gateway to alcohol consumption. This is especially true for the younger generation. While non-alcoholic wine may seem harmless as it contains only minimal traces of alcohol, young sippers can become accustomed to the taste and develop a habit of drinking. Eventually, they may transition from non-alcoholic wine to alcoholic beverages.
  • Distraction from the main issue. Oftentimes, an unhealthy relationship with alcohol can stem from a deeper issue. Switching to non-alcoholic wine will undoubtedly be beneficial for our health. However, it may distract us from resolving the root problem. 
  • Financial strain. Non-alcoholic wine may not be as costly as some high-end wines, but by no means is it inexpensive. In fact, entry-level NA wine is often twice the price of basic table wines. As with alcohol, non-alcoholic alternatives can still dry out our wallets, especially if consumed excessively.

Along with the potential risks, the qualities of non-alcoholic wine can make it a poor option for some of us.

Who Shouldn’t Drink Non-Alcoholic Wine?

While non-alcoholic wine is a useful alternative for those of us who are looking to quit or cut back on alcohol, it’s not suitable for everyone. Three groups in particular are advised to avoid non-alcoholic wine:

  • Pregnant women. Although non-alcoholic wine is labeled as zero-alcohol, it often still contains trace amounts. Research has found that any amount of alcohol during pregnancy can be harmful. Drinking during pregnancy can lead to fetal alcohol spectrum disorders (FASD); it is also linked to higher maternal mortalities.
  • Breastfeeding women. Mothers who are breastfeeding are also advised to avoid non-alcoholic wine. Alcohol is a water-soluble molecule, which means that it can pass freely through substances like breast milk. No “safe” amount of alcohol has been identified — suggesting that any amount of alcohol can impact a baby’s development. 
  • Underage children. This is a point of contention among many people. On one hand, non-alcoholic wine can allow children to take part in toasts while preventing underage drinking, which continues to be a significant public health issue. On the other hand, there’s not enough research to clearly understand the effects of even small amounts of alcohol. Since non-alcoholic wine resembles alcoholic wine, it also could serve as a gateway to the alcoholic version for young people who may grow accustomed to the taste. Despite differing opinions, those under the legal drinking age are advised to avoid non-alcoholic wine due to the potential risks.

Even for those of us who may not fall into these categories, being mindful of our consumption of non-alcoholic wine can help us live a healthy, balanced lifestyle.

Preventing Excess Consumption

An excess of anything can lead to potentially negative effects. For example, broccoli has many health benefits; however, if we eat too much, it can lead to bloating, gas, and stomach pain. Similarly, while non-alcoholic wine may be a healthier alternative than alcoholic wine, too much can be a bad choice. There are several strategies we can

implement to help us avoid excess consumption:

  • Track consumption. While non-alcoholic drinks may not need to be tracked as closely as alcoholic versions, having an idea of how much we’re drinking helps us to be more mindful. It’s similar to spending: sometimes we may not know if we’re spending too much until we start keeping a budget.
  • Explore hobbies/interests. Although non-alcoholic wine can serve as a replacement for alcohol, exploring activities outside of drinking can help us focus our attention elsewhere. We can rekindle our passion for an old hobby or sign up to try something completely new. A life inside the bubble of drinking can make it seem like that’s all there is. However, exploring our passions and interests can help us open up our world to lead a more fulfilling life.
  • Set limits. Pouring glass after glass can be easy, especially if we feel like non-alcoholic wine has no consequences. But setting limits — for example, enjoying it only on special occasions or when others are drinking alcohol — can help us avoid drinking too much.
  • Drink more water. Even without the alcohol, non-alcoholic wine can still contain other sweeteners and additives that may not be the best for your health. Drinking more water helps you avoid overconsuming non-alcoholic wine and keeps your cells and organs functioning optimally.

  • Consider mocktails. If you’re interested in non-alcoholic wine, you may also be interested in mocktails. Luckily, there are tons of healthy mocktail recipes that pack a nutritional punch, which NA wine can’t always claim to do.

While these practices are helpful to avoid excess consumption of non-alcoholic wine, we can also apply them to more mindful alcohol consumption and balance in other areas of our life.

Avoiding “Pour” Decisions

Non-alcoholic wine, among other zero-alcohol beverages, is a better alternative to alcohol, especially when we’re looking to quit or cut back. It’s everything that wine has to offer without the detrimental effects of alcohol. That being said, the minimal traces of alcohol in non-alcoholic wine make it a poor alternative for pregnant or breastfeeding women and underage drinkers. Non-alcoholic wine is a healthier option, but drinking too much of it can still have negative effects. Non-alcoholic wine is fine, as long as we don’t cross the line!

Have you ever heard that a glass of red wine could have health benefits? Well, research has concluded that the negative effects of alcohol far outweigh any benefits that wine may have. But could non-alcoholic wine be the answer? 

Non-alcoholic wine is generally considered a healthier alternative as it removes the detrimental effects of alcohol from the equation. However, as with most things in life, balance is key. Excessive consumption of non-alcoholic wine can still have negative effects. Let’s uncork the details on what exactly non-alcoholic wine is and how it can impact our health.

What Is Non-Alcoholic Wine?

A person's hands using a glucose meter, with a lancet device

Non-alcoholic wine is wine that goes through a process to have some or all of its alcohol removed. It starts out as alcoholic wine — going through the same fermentation process that gives it the same taste qualities. The alcohol is then removed using purification processes such as distillation and reverse osmosis. 

These processes of removing the alcohol from wine is what makes non-alcoholic wine distinct from simply grape juice. Its appeal is that it has the same qualities as wine — without the alcohol.

Non-alcoholic wine is known by several names:

  • Dealcoholized wine
  • Alcohol-free wine 
  • 0% wine
  • Zero-proof wine
  • NA wine

Although non-alcoholic wine goes through industrial processes to remove its alcohol, does all of it get removed?

Does Non-Alcoholic Wine Have Alcohol?

Despite its name, non-alcoholic wine can contain traces of alcohol. According to the Federal Drug Administration (FDA), the beverage must be less than 0.5% alcohol by volume (ABV) to be labeled as non-alcoholic. 

As a comparison, most alcoholic wine has around 12% alcohol, and standard beer has around 5% alcohol. Kombucha, a fermented tea, can contain up to 0.5% ABV. Some kombuchas can even go up to 1%–2% ABV (although they require a special label at that level).

Let’s examine how non-alcoholic wine and alcoholic wine compare with each other.

Comparing Non-Alcoholic Wine and Alcoholic Wine

Non-alcoholic wine is distinct from grape juice or other flavored beverages due to its resemblance to wine. Let’s look at the two beverages side by side to see how they’re similar and different.

Similarities

Dealcoholized wine is made the same way wine is made. Juice made from different parts of the grape is mixed with yeast, which initiates the fermentation process. Through this process, the sugars and starches are converted into alcohol — creating wine. Non-alcoholic wine goes through an additional process to remove the alcohol, changing the properties but preserving the taste. 

Since alcoholic wine and non-alcoholic wine are made in the same way using the same ingredients, the appearance and taste remain almost identical. Aside from these external factors, alcoholic wine and non-alcoholic wine are different in many aspects.

Differences 

The alcohol component in wine accounts for the differences between the way wine and non-alcoholic wine impact us. Some negative effects of alcohol include the following:

  • Intoxication. Alcohol is a drug that targets our central nervous system (CNS) and impacts messaging in our brain. This can cause symptoms of intoxication, including loss of coordination, impaired thinking, slurred speech, and more.
  • Hangovers. While our liver works to break down alcohol, the toxins found in alcohol can continue to trigger different symptoms in our body, in particular the unpleasant symptoms of hangovers
  • Long-term health conditions. Alcohol is linked to an increased risk of developing many different health conditions. These may include liver disease, cardiovascular disease, GI issues, certain types of cancers, and more.
  • Poor mental health. Alcohol causes disruptions to our mood and stress tolerance. Prolonged or excessive drinking can cause low mood and can also lead to mental health conditions such as anxiety and depression. 
  • Disruptions to social life. Drinking can take up our time and mental energy. This can take a toll on the amount of effort we can put into our relationships. Consequently, a negative relationship with alcohol can push our loved ones away, cutting us off from the social support we may need.
  • Stunting of goals. An unhealthy relationship with alcohol can negatively affect our goals as it may disrupt key aspects of our life, such as education, employment, or relationships. 

Since non-alcoholic wines don’t contain significant amounts of alcohol, they are not associated with the negative impacts of alcohol. However, they do contain the same sweeteners and additives as alcoholic wine, which present a variety of potential risks:

  • Increased blood sugar. Wine (especially sparkling wine) can contain a high amount of sugar. Non-alcoholic wine can sometimes contain even higher levels of sugar or added flavors to adjust the taste after the alcohol is removed. In excess, non-alcoholic wine can increase our blood sugar level, opening the door to other health conditions.
  • Heightened insulin resistance. Prolonged periods of high blood sugar from excess sugar consumption can also lead to increased insulin resistance. This is commonly associated with weight gain and an increased risk of Type 2 diabetes.
  • Allergy symptoms. Although non-alcoholic wine has the alcohol removed, it still contains histamines. These chemicals are released by our immune system and can cause allergy symptoms. Those of us who are sensitive to histamines may experience a negative response from drinking non-alcoholic wine.
  • Acid reflux. Like alcoholic wine, non-alcoholic wine is a relatively high-acidity beverage. It can cause symptoms of acid reflux, especially in those of us who are already prone to experiencing acid reflux. 

Moderate amounts of non-alcoholic wine may not have significant effects on our health, making it a safer alternative to alcohol. Since non-alcoholic wine is free from the specific harms that alcohol can cause, does this mean it’s healthy?

Benefits of Choosing Non-Alcoholic Wine

Is Non-Alcoholic Wine Good for You?

With the removal of alcohol, non-alcoholic wine may actually deliver some health benefit due to the presence of compounds called polyphenols. They are also present in alcoholic wine, but the negative effects of the alcohol outweigh any benefits. Polyphenols are produced during the fermentation process and are associated with these positive effects:

  • Decreased blood pressure. Research shows that polyphenols have positive effects on blood pressure by improving the health of blood vessels. They also balance our gut bacteria and have antioxidant and anti-inflammatory effects.
  • Improved insulin resistance. Insulin resistance can lead to conditions such as diabetes. While the impact of polyphenols on insulin resistance is still being researched, studies show promising results.
  • Reduced oxidative stress. A study on polyphenols concluded that polyphenols help reduce oxidative stress, which can play a role in the prevention of many diseases.

Choosing non-alcoholic wine over its alcoholic counterpart can be a companion in a variety of health goals:

  • Maintaining a healthy liver. The toxins in alcohol can directly damage our liver. Since non-alcoholic wine removes that threat, it’s a friendlier option for liver health. 
  • Preventing dehydration. Alcohol is a diuretic, meaning it can cause excess fluid elimination. Choosing non-alcoholic wine helps us avoid dry mouth and other symptoms of dehydration.
  • Lower in calories. Calories in alcohol can quickly add up. While non-alcoholic wine isn’t calorie-free, it’s often has fewer calories than traditional alcohol, making it a great option for those of us looking to cut back.
  • Fewer sleep disruptions. While alcohol may help us fall asleep faster in some instances, it disrupts our normal sleeping patterns, robbing us of a quality night of rest. Non-alcoholic options don’t have the same negative impacts on our sleep.
  • Stable mood. Alcohol can cause a short-term boost in our mood while drinking, followed by a crash. Non-alcoholic wine doesn’t have the same effects on our brain chemistry, meaning we can stay a little more even-keeled. 

We’ve acknowledged that non-alcoholic wine is a healthier alternative to alcoholic wine, but how does it compare to other non-alcoholic drinks?

Non-Alcoholic Wine vs. Non-Alcoholic Beer

All alcohol-free versions of alcoholic beverages, such as non-alcoholic wine and non-alcoholic beer, must meet the requirement of falling under 0.5% ABV to be labeled “zero-alcohol.” From there, they start to have differences.

Non-alcoholic wine and non-alcoholic beer, for example, are produced differently and have different effects on our health. Because beer is produced from cereal grain, it is usually high in carbohydrates. Although non-alcoholic beer may be lower in carbs than regular beer, it still contains more carbs than wine. On the plus side, NA beer has electrolytes you won’t find in non-alcoholic wine. It’s not a replacement for an electrolyte powder or sports drink, but it can do more for hydration than regular beer (which is actually dehydrating!).

For those of us looking for a lower-carb option, non-alcoholic wine may be a better choice. However, it's important to note that non-alcoholic wine is often higher in sugar. The nutritional value may vary depending on the type of non-alcoholic wine and non-alcoholic beer.

Ultimately, the benefits of going booze-free are the same regardless of which type of beverage you choose. Non-alcoholic drinks are always going to be better options than their alcoholic counterparts.

But is it okay to drink non-alcoholic beer every day, or is it okay to finish a bottle of non-alcoholic wine in one go? Let's take a closer look at some potential risks of non-alcoholic drinks — wine in particular.

Disadvantages of Non-Alcoholic Wine

Non-alcoholic wine is generally a much better option than alcohol as it doesn’t cause the same harmful effects. However, it can have some negative impacts and potential risks:

  • Altered social perception of alcohol. Zero-alcohol drinks and alcohol look almost identical. Drinking non-alcoholic wine frequently can drive the normalization of alcohol. 
  • A gateway to alcohol consumption. This is especially true for the younger generation. While non-alcoholic wine may seem harmless as it contains only minimal traces of alcohol, young sippers can become accustomed to the taste and develop a habit of drinking. Eventually, they may transition from non-alcoholic wine to alcoholic beverages.
  • Distraction from the main issue. Oftentimes, an unhealthy relationship with alcohol can stem from a deeper issue. Switching to non-alcoholic wine will undoubtedly be beneficial for our health. However, it may distract us from resolving the root problem. 
  • Financial strain. Non-alcoholic wine may not be as costly as some high-end wines, but by no means is it inexpensive. In fact, entry-level NA wine is often twice the price of basic table wines. As with alcohol, non-alcoholic alternatives can still dry out our wallets, especially if consumed excessively.

Along with the potential risks, the qualities of non-alcoholic wine can make it a poor option for some of us.

Who Shouldn’t Drink Non-Alcoholic Wine?

While non-alcoholic wine is a useful alternative for those of us who are looking to quit or cut back on alcohol, it’s not suitable for everyone. Three groups in particular are advised to avoid non-alcoholic wine:

  • Pregnant women. Although non-alcoholic wine is labeled as zero-alcohol, it often still contains trace amounts. Research has found that any amount of alcohol during pregnancy can be harmful. Drinking during pregnancy can lead to fetal alcohol spectrum disorders (FASD); it is also linked to higher maternal mortalities.
  • Breastfeeding women. Mothers who are breastfeeding are also advised to avoid non-alcoholic wine. Alcohol is a water-soluble molecule, which means that it can pass freely through substances like breast milk. No “safe” amount of alcohol has been identified — suggesting that any amount of alcohol can impact a baby’s development. 
  • Underage children. This is a point of contention among many people. On one hand, non-alcoholic wine can allow children to take part in toasts while preventing underage drinking, which continues to be a significant public health issue. On the other hand, there’s not enough research to clearly understand the effects of even small amounts of alcohol. Since non-alcoholic wine resembles alcoholic wine, it also could serve as a gateway to the alcoholic version for young people who may grow accustomed to the taste. Despite differing opinions, those under the legal drinking age are advised to avoid non-alcoholic wine due to the potential risks.

Even for those of us who may not fall into these categories, being mindful of our consumption of non-alcoholic wine can help us live a healthy, balanced lifestyle.

Preventing Excess Consumption

An excess of anything can lead to potentially negative effects. For example, broccoli has many health benefits; however, if we eat too much, it can lead to bloating, gas, and stomach pain. Similarly, while non-alcoholic wine may be a healthier alternative than alcoholic wine, too much can be a bad choice. There are several strategies we can

implement to help us avoid excess consumption:

  • Track consumption. While non-alcoholic drinks may not need to be tracked as closely as alcoholic versions, having an idea of how much we’re drinking helps us to be more mindful. It’s similar to spending: sometimes we may not know if we’re spending too much until we start keeping a budget.
  • Explore hobbies/interests. Although non-alcoholic wine can serve as a replacement for alcohol, exploring activities outside of drinking can help us focus our attention elsewhere. We can rekindle our passion for an old hobby or sign up to try something completely new. A life inside the bubble of drinking can make it seem like that’s all there is. However, exploring our passions and interests can help us open up our world to lead a more fulfilling life.
  • Set limits. Pouring glass after glass can be easy, especially if we feel like non-alcoholic wine has no consequences. But setting limits — for example, enjoying it only on special occasions or when others are drinking alcohol — can help us avoid drinking too much.
  • Drink more water. Even without the alcohol, non-alcoholic wine can still contain other sweeteners and additives that may not be the best for your health. Drinking more water helps you avoid overconsuming non-alcoholic wine and keeps your cells and organs functioning optimally.

  • Consider mocktails. If you’re interested in non-alcoholic wine, you may also be interested in mocktails. Luckily, there are tons of healthy mocktail recipes that pack a nutritional punch, which NA wine can’t always claim to do.

While these practices are helpful to avoid excess consumption of non-alcoholic wine, we can also apply them to more mindful alcohol consumption and balance in other areas of our life.

Avoiding “Pour” Decisions

Non-alcoholic wine, among other zero-alcohol beverages, is a better alternative to alcohol, especially when we’re looking to quit or cut back. It’s everything that wine has to offer without the detrimental effects of alcohol. That being said, the minimal traces of alcohol in non-alcoholic wine make it a poor alternative for pregnant or breastfeeding women and underage drinkers. Non-alcoholic wine is a healthier option, but drinking too much of it can still have negative effects. Non-alcoholic wine is fine, as long as we don’t cross the line!

Alcohol and Health
2024-05-03 9:00
Alcohol and Health
Does Drinking Alcohol Make Our Tongue Swell? 
This is some text inside of a div block.

Worried that your tongue hurts after drinking alcohol? Check out our latest blog to learn the science behind why alcohol can cause tongue swelling and what to do about it.

16 min read

Prioritize Your Health With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Feeling a bit wobbly, nauseous, and warm are well-known symptoms of intoxication. You also may have heard of some external effects of alcohol, such as tooth stains, tooth decay, and a lingering smell on our breath. But one side effect that may surprise you is a sore or swollen tongue. 

Whether you’ve experienced a swollen tongue from alcohol or other external factors, it’s helpful to understand why it happens and how we can prevent it. All the systems in our body work together for our overall functioning. However, alcohol’s effect on our immune system is the main culprit for a swollen tongue. 

How Alcohol Affects Our Immune System

woman sticking out her tongue with a challenging expression

Our immune system protects us from harmful substances to keep us healthy. Alcohol is a toxic substance that causes short- and long-term effects on our immune system and overall health. It impacts our immune system through two main methods:

  • Gastrointestinal system. Before alcohol gets to our liver to be broken down and eliminated, it goes through our gastrointestinal tract. Our stomach and intestines are chock-full of healthy bacteria that help them function and act as our first line of defense. Alcohol harms the helpful gut bacteria that aid in digestion and work as our immune system. Prolonged alcohol exposure can also damage the outside layer of our GI tract, allowing bacteria to leak into our bloodstream — causing what is known as leaky gut syndrome. The bacteria that leaks out can travel through our bloodstream and affect our immune system through other organs such as our liver.
  • Antibodies. This protective protein is produced by T cells and B cells in our bone marrow. Antibodies detect harmful substances such as bacteria and viruses — an essential aspect of our immune system. They attach to the foreign substances, allowing our immune cells to attack the bacteria and prevent them from spreading. Alcohol decreases the number of T cells and B cells, decreasing the number of antibodies that fight off harmful substances.

Since alcohol is a toxin, it stimulates our immune response and causes inflammation. It is our body’s defense mechanism, working to remove the harmful compounds in alcohol. Remember the red bump that the mosquito bite caused? This is an example of our immune system working to remove the pesky allergens. Unlike mosquitoes, alcohol can cause inflammation through different methods.

Main Causes of Alcohol-Related Tongue Swelling

3 Causes of Alcohol Tongue Swelling

Alcohol is a complex toxic substance that affects our body in many ways. To prevent a sore or swollen tongue, it is first important to determine the cause. Alcohol causes tongue swelling in three different ways:

Dehydration 

A common side effect of drinking is dehydration, caused by alcohol’s diuretic properties. Alcohol blocks the release of vasopressin, which signals to our kidneys to hold onto water until it is ready to be eliminated. Since alcohol blocks this signal, liquids reach our bladder more quickly, which explains our extra trips to the bathroom. 

Inflammation of our tongue is just one way that our body communicates that we are dehydrated. When we are not properly hydrated, our body starts to decrease saliva production to preserve body fluids. This can lead to a dry tongue, which can start to feel sore or swollen. Dehydration can also aggravate our papillae, those tiny bumps that cover our tongue and allow us to feel and taste. Our papillae can become inflamed, allowing bacteria to build up on our tongue and cause a white coating known as “white tongue.” 

Allergy

Another common cause of inflammation is an intolerance or allergy to alcohol. The two are mistakenly interchanged as they can have similar symptoms, but they have notable differences.

  • Alcohol intolerance. Intolerance refers to a metabolic deficiency in the way that our body processes alcohol. It is passed down genetically, and symptoms are typically less severe than an allergy. Symptoms of intolerance include skin flushing, upset stomach, inflammation, low blood pressure, headache, and a stuffy nose.
  • Allergy. An allergy is an immune system response to one or more ingredients in alcohol. The severity of allergic reactions varies from person to person. Less severe reactions may include rashes, itching, swelling, and severe stomach pain. Severe allergic reactions can cause anaphylaxis — trouble breathing, vomiting, dangerously low blood pressure, or swelling. Anaphylaxis is life-threatening and requires immediate medical attention. 

Blood tests can help identify an intolerance or allergy to alcohol. If we suspect that our swollen tongue is caused by an allergy or intolerance, it’s best to consult with a physician for individual medical instruction.

Glossitis

Glossitis is a condition marked by inflammation of the tongue. It is directly correlated with chronic and excessive alcohol consumption. While the exact cause is unclear, it’s theorized that prolonged injury to the tongue, oral disease, infection, and nutritional deficiency can increase the risk of glossitis. Alcohol not only causes tongue swelling by provoking an immune response, but its harmful effects on other systems in our body can add to the risk of developing glossitis. The toxins in alcohol damage the cells in our body and affect nutrient uptake, all of which are speculated to cause glossitis. While inflammation is the primary symptom, several other symptoms could indicate glossitis:   

  • Inflammation 
  • Pain
  • Itching
  • Change in color
  • Change in texture 
  • Trouble swallowing 
  • Difficulty eating/speaking properly

A swollen tongue, no matter the cause, is extremely unpleasant. Let’s explore different methods that can ease our symptoms.

How to Treat Tongue Swelling From Alcohol

There’s no magic pill that can get rid of our swollen or sore tongue, but several remedies can help alleviate uncomfortable symptoms:

  • Ice. Sucking on ice chips or drinking ice water can relieve pain and swelling. Ice constricts our blood vessel, which reduces blood flow to the area.
  • Rinse. Warm salt water helps to dislodge and remove bacteria on our tongue. It has antibacterial properties that also help reduce inflammation. 
  • Brush or scrape. Gentle brushing or scraping helps remove bacteria or other particles that build up around our papillae. 
  • Hydrate. Drinking plenty of water can combat symptoms of dehydration. It also reduces swelling as our body no longer needs to retain as much water.
  • Stop drinking. Continuing to drink alcohol with a swollen tongue can make symptoms worse and potentially lead to long-term damage. 
  • Take medication. Over-the-counter medication can help ease symptoms such as inflammation or pain. However, it’s not a sustainable treatment method as there can be side effects and interactions with alcohol. If our swelling is caused by infection, we may be prescribed antibiotics or antimicrobials to treat the underlying condition.

These methods can help reduce symptoms after the fact. However, addressing the root cause helps us eliminate tongue swelling. 

Combating Alcohol Tongue Swelling

Inflammation is our body sending a signal that something is wrong. Although we can relieve the symptoms of a swollen tongue, preventing it from happening through the following three practices is the best course for our health. 

  1. Identify the cause. Determining the root cause helps us address and avoid a swollen tongue in the future. Keep a record of what symptoms arise and track drinking patterns to determine what could be causing our sore tongue. After identifying the cause of our tongue swelling, we can better address it. For example, if dehydration is the cause, we can be more intentional about staying hydrated by implementing electrolyte supplements. If excessive drinking causes glossitis, we can seek support and take steps to quit or cut back on drinking. 
  2. Cut back or quit drinking. The most effective method to prevent alcohol-related tongue swelling is to cut back on or quit alcohol. Set limits when going out and try alcohol-free drinks to reduce uncomfortable reactions. Support and resources on the Reframe app can help us develop a healthier relationship with alcohol and improve our overall health. 
  3. Limit other triggers. Along with alcohol, other irritants can also cause a swollen tongue. Stay away from spicy foods, tobacco, high-acidity foods, and abrasive mouthwashes and toothpaste. Proper oral hygiene also helps with limiting bacteria and reducing the risk of inflammation.

Drinking Alcohol With a Swollen Tongue

We’ve determined that alcohol can cause tongue swelling, but what if our tongue is already swollen? Drinking with a swollen tongue is not recommended as it can cause additional health complications. When we have a swollen tongue, alcohol can further aggravate symptoms and lead to conditions such as oral thrush, ulcers, leukoplakia, lichens planus, and geographic tongue. 

Along with developing into other oral health conditions, severe inflammation of the tongue can impact our daily functioning. It can make speaking properly difficult and even impact our breathing and swallowing. This can easily turn into a medical emergency if our swollen tongue blocks our airway or causes a choking hazard. According to an analysis completed in 2021, the chance of death by choking is higher than death by plane accident or accidental gun discharge in the United States. Oral health is not always talked about, but it can greatly affect our overall well-being.

Without “Biting Our Tongue” 

As little as it’s talked about, alcohol can undoubtedly cause a swollen tongue. Whether it’s from dehydration, allergy, or excessive drinking, the discomfort of a swollen tongue is no joke. At the end of the day, home remedies and over-the-counter medications can help alleviate symptoms, but cutting back or quitting alcohol is the best way to prevent it from happening at all. Cutting back is an oral health hack!

Feeling a bit wobbly, nauseous, and warm are well-known symptoms of intoxication. You also may have heard of some external effects of alcohol, such as tooth stains, tooth decay, and a lingering smell on our breath. But one side effect that may surprise you is a sore or swollen tongue. 

Whether you’ve experienced a swollen tongue from alcohol or other external factors, it’s helpful to understand why it happens and how we can prevent it. All the systems in our body work together for our overall functioning. However, alcohol’s effect on our immune system is the main culprit for a swollen tongue. 

How Alcohol Affects Our Immune System

woman sticking out her tongue with a challenging expression

Our immune system protects us from harmful substances to keep us healthy. Alcohol is a toxic substance that causes short- and long-term effects on our immune system and overall health. It impacts our immune system through two main methods:

  • Gastrointestinal system. Before alcohol gets to our liver to be broken down and eliminated, it goes through our gastrointestinal tract. Our stomach and intestines are chock-full of healthy bacteria that help them function and act as our first line of defense. Alcohol harms the helpful gut bacteria that aid in digestion and work as our immune system. Prolonged alcohol exposure can also damage the outside layer of our GI tract, allowing bacteria to leak into our bloodstream — causing what is known as leaky gut syndrome. The bacteria that leaks out can travel through our bloodstream and affect our immune system through other organs such as our liver.
  • Antibodies. This protective protein is produced by T cells and B cells in our bone marrow. Antibodies detect harmful substances such as bacteria and viruses — an essential aspect of our immune system. They attach to the foreign substances, allowing our immune cells to attack the bacteria and prevent them from spreading. Alcohol decreases the number of T cells and B cells, decreasing the number of antibodies that fight off harmful substances.

Since alcohol is a toxin, it stimulates our immune response and causes inflammation. It is our body’s defense mechanism, working to remove the harmful compounds in alcohol. Remember the red bump that the mosquito bite caused? This is an example of our immune system working to remove the pesky allergens. Unlike mosquitoes, alcohol can cause inflammation through different methods.

Main Causes of Alcohol-Related Tongue Swelling

3 Causes of Alcohol Tongue Swelling

Alcohol is a complex toxic substance that affects our body in many ways. To prevent a sore or swollen tongue, it is first important to determine the cause. Alcohol causes tongue swelling in three different ways:

Dehydration 

A common side effect of drinking is dehydration, caused by alcohol’s diuretic properties. Alcohol blocks the release of vasopressin, which signals to our kidneys to hold onto water until it is ready to be eliminated. Since alcohol blocks this signal, liquids reach our bladder more quickly, which explains our extra trips to the bathroom. 

Inflammation of our tongue is just one way that our body communicates that we are dehydrated. When we are not properly hydrated, our body starts to decrease saliva production to preserve body fluids. This can lead to a dry tongue, which can start to feel sore or swollen. Dehydration can also aggravate our papillae, those tiny bumps that cover our tongue and allow us to feel and taste. Our papillae can become inflamed, allowing bacteria to build up on our tongue and cause a white coating known as “white tongue.” 

Allergy

Another common cause of inflammation is an intolerance or allergy to alcohol. The two are mistakenly interchanged as they can have similar symptoms, but they have notable differences.

  • Alcohol intolerance. Intolerance refers to a metabolic deficiency in the way that our body processes alcohol. It is passed down genetically, and symptoms are typically less severe than an allergy. Symptoms of intolerance include skin flushing, upset stomach, inflammation, low blood pressure, headache, and a stuffy nose.
  • Allergy. An allergy is an immune system response to one or more ingredients in alcohol. The severity of allergic reactions varies from person to person. Less severe reactions may include rashes, itching, swelling, and severe stomach pain. Severe allergic reactions can cause anaphylaxis — trouble breathing, vomiting, dangerously low blood pressure, or swelling. Anaphylaxis is life-threatening and requires immediate medical attention. 

Blood tests can help identify an intolerance or allergy to alcohol. If we suspect that our swollen tongue is caused by an allergy or intolerance, it’s best to consult with a physician for individual medical instruction.

Glossitis

Glossitis is a condition marked by inflammation of the tongue. It is directly correlated with chronic and excessive alcohol consumption. While the exact cause is unclear, it’s theorized that prolonged injury to the tongue, oral disease, infection, and nutritional deficiency can increase the risk of glossitis. Alcohol not only causes tongue swelling by provoking an immune response, but its harmful effects on other systems in our body can add to the risk of developing glossitis. The toxins in alcohol damage the cells in our body and affect nutrient uptake, all of which are speculated to cause glossitis. While inflammation is the primary symptom, several other symptoms could indicate glossitis:   

  • Inflammation 
  • Pain
  • Itching
  • Change in color
  • Change in texture 
  • Trouble swallowing 
  • Difficulty eating/speaking properly

A swollen tongue, no matter the cause, is extremely unpleasant. Let’s explore different methods that can ease our symptoms.

How to Treat Tongue Swelling From Alcohol

There’s no magic pill that can get rid of our swollen or sore tongue, but several remedies can help alleviate uncomfortable symptoms:

  • Ice. Sucking on ice chips or drinking ice water can relieve pain and swelling. Ice constricts our blood vessel, which reduces blood flow to the area.
  • Rinse. Warm salt water helps to dislodge and remove bacteria on our tongue. It has antibacterial properties that also help reduce inflammation. 
  • Brush or scrape. Gentle brushing or scraping helps remove bacteria or other particles that build up around our papillae. 
  • Hydrate. Drinking plenty of water can combat symptoms of dehydration. It also reduces swelling as our body no longer needs to retain as much water.
  • Stop drinking. Continuing to drink alcohol with a swollen tongue can make symptoms worse and potentially lead to long-term damage. 
  • Take medication. Over-the-counter medication can help ease symptoms such as inflammation or pain. However, it’s not a sustainable treatment method as there can be side effects and interactions with alcohol. If our swelling is caused by infection, we may be prescribed antibiotics or antimicrobials to treat the underlying condition.

These methods can help reduce symptoms after the fact. However, addressing the root cause helps us eliminate tongue swelling. 

Combating Alcohol Tongue Swelling

Inflammation is our body sending a signal that something is wrong. Although we can relieve the symptoms of a swollen tongue, preventing it from happening through the following three practices is the best course for our health. 

  1. Identify the cause. Determining the root cause helps us address and avoid a swollen tongue in the future. Keep a record of what symptoms arise and track drinking patterns to determine what could be causing our sore tongue. After identifying the cause of our tongue swelling, we can better address it. For example, if dehydration is the cause, we can be more intentional about staying hydrated by implementing electrolyte supplements. If excessive drinking causes glossitis, we can seek support and take steps to quit or cut back on drinking. 
  2. Cut back or quit drinking. The most effective method to prevent alcohol-related tongue swelling is to cut back on or quit alcohol. Set limits when going out and try alcohol-free drinks to reduce uncomfortable reactions. Support and resources on the Reframe app can help us develop a healthier relationship with alcohol and improve our overall health. 
  3. Limit other triggers. Along with alcohol, other irritants can also cause a swollen tongue. Stay away from spicy foods, tobacco, high-acidity foods, and abrasive mouthwashes and toothpaste. Proper oral hygiene also helps with limiting bacteria and reducing the risk of inflammation.

Drinking Alcohol With a Swollen Tongue

We’ve determined that alcohol can cause tongue swelling, but what if our tongue is already swollen? Drinking with a swollen tongue is not recommended as it can cause additional health complications. When we have a swollen tongue, alcohol can further aggravate symptoms and lead to conditions such as oral thrush, ulcers, leukoplakia, lichens planus, and geographic tongue. 

Along with developing into other oral health conditions, severe inflammation of the tongue can impact our daily functioning. It can make speaking properly difficult and even impact our breathing and swallowing. This can easily turn into a medical emergency if our swollen tongue blocks our airway or causes a choking hazard. According to an analysis completed in 2021, the chance of death by choking is higher than death by plane accident or accidental gun discharge in the United States. Oral health is not always talked about, but it can greatly affect our overall well-being.

Without “Biting Our Tongue” 

As little as it’s talked about, alcohol can undoubtedly cause a swollen tongue. Whether it’s from dehydration, allergy, or excessive drinking, the discomfort of a swollen tongue is no joke. At the end of the day, home remedies and over-the-counter medications can help alleviate symptoms, but cutting back or quitting alcohol is the best way to prevent it from happening at all. Cutting back is an oral health hack!

Alcohol and Health
2024-05-03 9:00
Alcohol and Health
Can Drinking Alcohol Cause a UTI?
This is some text inside of a div block.

Can drinking alcohol cause a UTI? Can you drink on antibiotics for UTI symptoms? We’ve got the answers you’re looking for in our latest blog.

18 min read

Ready To Say Goodbye to Alcohol-Related UTIs? Reframe Can Help!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Can Drinking Alcohol Cause a UTI?

What happens in the bathroom usually stays in the bathroom, but when it comes to urinary tract infections (UTIs), it’s a different story. The burning, itching, and downright painful sensation that happens when we urinate is a telltale sign — and one that calls for a trip to the doctor to get treatment.

UTIs can happen any time and have many different causes. But could alcohol be one of them? Can alcohol cause kidney infections or bladder infections? Let’s find out if that painful urination after drinking alcohol could be an alcohol-related UTI and, if so, what to do about it.

Understanding UTIs

A person holding their lower abdomen with both hands, indicating discomfort

The urinary and digestive systems share some responsibilities when it comes to getting rid of waste, but the two really don’t mix well. While urine is sterile and doesn’t contain bacteria, the digestive tract is a whole different story. Unfortunately, the two systems are right next door to each other. This leaves plenty of opportunities for contamination, which happens if bacteria from the colon gets into the urethra, causing urinary tract infections. (You know how girls are always taught to wipe from front to back when going to the bathroom? Well, this is exactly why.) 

UTIs can happen anywhere from the bladder to the kidneys but are more common in the lower part of the tract (specifically, in the bladder). Kidney infections are less common but more serious than bladder infections. We’ll discuss them in a bit more detail later on.

UTI Causes and Risk Factors

According to the CDC, there are several risk factors for UTIs:

  • A previous UTI can increase our chances of getting one in the future.
  • Sexual activity can contribute to UTIs by pushing the bacteria toward the urethra.
  • Changes in vaginal flora — a fancy name for the bacteria that live inside the vagina — can be a trigger. 
  • Pregnancy ups the risk of UTIs.
  • Age can be a contributing factor — toddlers who are potty training and older adults are more likely to get them.
  • Structural problems in the urinary tract can be a factor. 
  • Poor hygiene can serve as a trigger.

However, in addition to these factors, there are others that can contribute to UTIs without directly causing them. And yes, one of them could be alcohol!

Can Alcohol Cause UTIs?

First things first: alcohol doesn’t “cause” UTIs, strictly speaking. So no, that margarita won’t send you to the bathroom doubling over in pain (well, it might — especially if you have too many — but it probably won’t be because of a UTI). However, drinking can create an environment that makes these pesky infections more likely.

There are a couple of different pathways that connect alcohol and UTIs, all of which ultimately have to do with an increase in inflammation and accumulation of bacteria that heighten our chance of infection. Let’s explore these pathways in more detail.

1. Alcohol Causes Dehydration, Which Irritates the Bladder

Alcohol is notoriously dehydrating, sending us to the bathroom many times throughout the evening (and often well into the night). And as it turns out, it’s not just due to all the liquid we’ve consumed. The reason has to do with a hormone known as vasopressin, which tells the kidneys to hold on to water. Alcohol suppresses vasopressin, so the kidneys open the floodgates and keep us going back to that long line in the bar’s restroom. (For a closer look, check out: “Breaking the Seal: Why Does Alcohol Make You Pee So Much?”).

The result? We wake up feeling parched and, probably, with a nagging hangover headache. 

The dehydration, in turn, irritates the bladder by causing urine to be highly concentrated and more acidic. As it sits in the bladder, it puts pressure on it, and the acidity adds to the irritation. Any bacteria hanging out in the area around the urethra jump on the opportunity to invade while defenses are weak.

2. Alcohol Throws a Wrench in the Immune System

Alcohol does more than dehydrate us; it also weakens our immune system. Studies show that even one bout of heavy drinking increases our susceptibility to illnesses, such as colds or the flu.

Over time, alcohol poses an even bigger threat to immunity because it lowers our ability to fight off diseases and impacts our innate and adaptive immunity. Part of the reason for that is the fact that our body’s resources get sidetracked to focus on getting alcohol out of our system and cleaning up after it. At the same time, alcohol itself causes inflammation, which uses up the immune system’s resources. When those resources are needed to fight off an infection — such as a UTI — they are left in short supply, leading to longer recovery times (For more information, take a look at: “Alcohol's Impact on the Immune System”).

What Are the Most Common UTI Symptoms?

Besides that dreaded burning feeling — a telltale sign that an infection might be brewing down there — are there any other symptoms? As it turns out, there are a few. We might expect different symptoms depending on where our infection originates. 

Most UTIs involve the lower tract (usually the bladder) and come with some characteristic symptoms:

  • Changes in urination. We’re likely to experience painful, burning, and (unfortunately) frequent urination.
  • Urge to urinate. We might also feel like we need to go to the bathroom even when our bladder is empty. 
  • Color and smell changes. Our urine might be cloudy or bloody and might also have an odd smell (don’t overthink this one — you’ll know it when you smell it).
  • Pain. We might feel some pressure or cramping in the lower abdomen.

Symptoms of a kidney infection (pyelonephritis) are a bit more intense and usually involve fever or chills, loss of appetite, nausea or vomiting, and pain in the side or back.

Both types of infection are usually easily treatable with antibiotics, but a timely call to the doctor is a must! If a UTI is left untreated (or if our infection requires additional care), we can be looking at possible complications.

Should I Drink With a UTI?

There’s another question that might be on our mind: does alcohol make UTIs worse if we already have one? To be on the safe side, it’s better to wait a week or two until our UTI is at bay.

The truth is, alcohol can worsen existing UTI symptoms through the same mechanism that makes us more susceptible to them after we drink. Besides, if we’re taking UTI medication, that’s another reason to wait. Why? Let’s explore the reasons in more detail.

Tips To Prevent and Recover From UTIs

Can You Drink on UTI Antibiotics?

In general, antibiotics and alcohol don’t mix, and those prescribed for a UTI are no exception. Once a diagnosis is made through a urine test that checks for bacteria, the doctor might prescribe some medication.

Here’s what we might be taking if we’re diagnosed with a UTI:

  • Nitrofurantoin (Macrobid). While alcohol doesn’t interact with Macrobid directly, it can intensify some of the side effects, such as headaches or nausea (which alcohol also causes).
  • Sulfamethoxazole/trimethoprim (Bactrim). Bactrim is definitely one of the meds to be careful with. Mixing it with alcohol can cause a disulfiram-like reaction, leading to intense nausea, cardiovascular effects, headaches, facial flushing, and blood pressure fluctuations. The combo could also lead to intensified side effects of both the drug and the alcohol.
  • Ciprofloxacin (Cipro). Both alcohol and Cipro can cause gastrointestinal side effects (such as nausea and vomiting), dizziness, and headaches. Mixing the two could make them more intense. Plus, Cipro is processed by the liver, so adding alcohol to the mix could cause unnecessary strain.
  • Amoxicillin-clavulanic acid (Augmentin). The mix of alcohol and Augmentin could boost side effects such as indigestion, diarrhea, and nausea. Once again, it’s processed by the liver, so drinking could create extra stress.

Finally, antibiotics tend to be dehydrating, and, as we already know, so is alcohol. The last thing we want when we’re already dealing with a UTI is to dry things up even more!

Those UTIs Might Be a Kidney Infection

Remember how we mentioned kidney infections back at the beginning? Chronic UTIs can lead to them. Although bladder and kidney infections are both classified as UTIs, the second is a lot more serious and can have long-term implications.

Alcohol plays a special role here, too. Alcohol misuse and bouts of heavy drinking can compromise kidney function, so it’s one more reason to stay safe and err on the side of moderation or switch to booze-free options altogether.

Tips To Prevent and Recover From UTIs

Finally, here are some tips to help you stay UTI-free and recover more quickly if you’ve already got one!

  • See a doctor if you’re having symptoms. This one’s key: if you’ve got symptoms such as painful urination, see your doctor right away. They’ll prescribe antibiotics if you need them and will check for other issues if a UTI is not what’s going on.

  • Avoid alcohol, coffee, and spicy foods as you recover. All of these can irritate your urinary tract or cause dehydration, which will slow your recovery.

  • Sip on some cranberry juice or tea. Cranberry juice is known to have urinary tract benefits, so adding it to your diet can help stave off those UTIs or help you get over one faster.

  • Maintain proper hygiene. You know, all that stuff about wiping from front to back that we were told as kids? It’s good to remember it!

  • Hydrate. Hydration is a huge factor in whether or not bacteria are able to set up camp in our urinary tract, so remember to drink lots of water, especially if you choose to drink alcohol. Alternate drinks with water or, better yet, swap your usual cocktail for a hydrating mocktail instead!

  • Take vitamin C supplements. According to Johns Hopkins Medicine, vitamin C helps limit the growth of bacteria in the urinary tract.
Let it breathe. Let everything down there get plenty of ventilation by wearing cotton undies and loose clothing, especially as you recover. Stay away from nylon and anything too constricting.

  • Cut back on drinking. Last but not least, consider cutting back or taking a break from booze. Reframe is here to help you every step of the way! There’s absolutely nothing to lose and a whole world of mindful, healthy alternatives to explore.

If you’re dealing with a UTI, it might feel like it’s taking forever to go away, but rest assured, it will. We’re wishing you a speedy recovery — and a UTI-free future!

Summing Up

In the end, a UTI is a pain and a nuisance to deal with, but it’s temporary and very treatable — provided we take the necessary steps and don’t let it progress. Adding alcohol to the mix will only slow things down, so it’s best to stay away from booze until we feel better. And to lower our chances of getting a UTI in the first place, we can consider taking a step back from drinking. We might find that the benefits — even if we only cut back a bit — go far beyond reducing risks of UTIs and include perks such as better sleep, weight loss, a healthier heart, a better metabolism, and sharper cognitive skills. Why not try it out?

Can Drinking Alcohol Cause a UTI?

What happens in the bathroom usually stays in the bathroom, but when it comes to urinary tract infections (UTIs), it’s a different story. The burning, itching, and downright painful sensation that happens when we urinate is a telltale sign — and one that calls for a trip to the doctor to get treatment.

UTIs can happen any time and have many different causes. But could alcohol be one of them? Can alcohol cause kidney infections or bladder infections? Let’s find out if that painful urination after drinking alcohol could be an alcohol-related UTI and, if so, what to do about it.

Understanding UTIs

A person holding their lower abdomen with both hands, indicating discomfort

The urinary and digestive systems share some responsibilities when it comes to getting rid of waste, but the two really don’t mix well. While urine is sterile and doesn’t contain bacteria, the digestive tract is a whole different story. Unfortunately, the two systems are right next door to each other. This leaves plenty of opportunities for contamination, which happens if bacteria from the colon gets into the urethra, causing urinary tract infections. (You know how girls are always taught to wipe from front to back when going to the bathroom? Well, this is exactly why.) 

UTIs can happen anywhere from the bladder to the kidneys but are more common in the lower part of the tract (specifically, in the bladder). Kidney infections are less common but more serious than bladder infections. We’ll discuss them in a bit more detail later on.

UTI Causes and Risk Factors

According to the CDC, there are several risk factors for UTIs:

  • A previous UTI can increase our chances of getting one in the future.
  • Sexual activity can contribute to UTIs by pushing the bacteria toward the urethra.
  • Changes in vaginal flora — a fancy name for the bacteria that live inside the vagina — can be a trigger. 
  • Pregnancy ups the risk of UTIs.
  • Age can be a contributing factor — toddlers who are potty training and older adults are more likely to get them.
  • Structural problems in the urinary tract can be a factor. 
  • Poor hygiene can serve as a trigger.

However, in addition to these factors, there are others that can contribute to UTIs without directly causing them. And yes, one of them could be alcohol!

Can Alcohol Cause UTIs?

First things first: alcohol doesn’t “cause” UTIs, strictly speaking. So no, that margarita won’t send you to the bathroom doubling over in pain (well, it might — especially if you have too many — but it probably won’t be because of a UTI). However, drinking can create an environment that makes these pesky infections more likely.

There are a couple of different pathways that connect alcohol and UTIs, all of which ultimately have to do with an increase in inflammation and accumulation of bacteria that heighten our chance of infection. Let’s explore these pathways in more detail.

1. Alcohol Causes Dehydration, Which Irritates the Bladder

Alcohol is notoriously dehydrating, sending us to the bathroom many times throughout the evening (and often well into the night). And as it turns out, it’s not just due to all the liquid we’ve consumed. The reason has to do with a hormone known as vasopressin, which tells the kidneys to hold on to water. Alcohol suppresses vasopressin, so the kidneys open the floodgates and keep us going back to that long line in the bar’s restroom. (For a closer look, check out: “Breaking the Seal: Why Does Alcohol Make You Pee So Much?”).

The result? We wake up feeling parched and, probably, with a nagging hangover headache. 

The dehydration, in turn, irritates the bladder by causing urine to be highly concentrated and more acidic. As it sits in the bladder, it puts pressure on it, and the acidity adds to the irritation. Any bacteria hanging out in the area around the urethra jump on the opportunity to invade while defenses are weak.

2. Alcohol Throws a Wrench in the Immune System

Alcohol does more than dehydrate us; it also weakens our immune system. Studies show that even one bout of heavy drinking increases our susceptibility to illnesses, such as colds or the flu.

Over time, alcohol poses an even bigger threat to immunity because it lowers our ability to fight off diseases and impacts our innate and adaptive immunity. Part of the reason for that is the fact that our body’s resources get sidetracked to focus on getting alcohol out of our system and cleaning up after it. At the same time, alcohol itself causes inflammation, which uses up the immune system’s resources. When those resources are needed to fight off an infection — such as a UTI — they are left in short supply, leading to longer recovery times (For more information, take a look at: “Alcohol's Impact on the Immune System”).

What Are the Most Common UTI Symptoms?

Besides that dreaded burning feeling — a telltale sign that an infection might be brewing down there — are there any other symptoms? As it turns out, there are a few. We might expect different symptoms depending on where our infection originates. 

Most UTIs involve the lower tract (usually the bladder) and come with some characteristic symptoms:

  • Changes in urination. We’re likely to experience painful, burning, and (unfortunately) frequent urination.
  • Urge to urinate. We might also feel like we need to go to the bathroom even when our bladder is empty. 
  • Color and smell changes. Our urine might be cloudy or bloody and might also have an odd smell (don’t overthink this one — you’ll know it when you smell it).
  • Pain. We might feel some pressure or cramping in the lower abdomen.

Symptoms of a kidney infection (pyelonephritis) are a bit more intense and usually involve fever or chills, loss of appetite, nausea or vomiting, and pain in the side or back.

Both types of infection are usually easily treatable with antibiotics, but a timely call to the doctor is a must! If a UTI is left untreated (or if our infection requires additional care), we can be looking at possible complications.

Should I Drink With a UTI?

There’s another question that might be on our mind: does alcohol make UTIs worse if we already have one? To be on the safe side, it’s better to wait a week or two until our UTI is at bay.

The truth is, alcohol can worsen existing UTI symptoms through the same mechanism that makes us more susceptible to them after we drink. Besides, if we’re taking UTI medication, that’s another reason to wait. Why? Let’s explore the reasons in more detail.

Tips To Prevent and Recover From UTIs

Can You Drink on UTI Antibiotics?

In general, antibiotics and alcohol don’t mix, and those prescribed for a UTI are no exception. Once a diagnosis is made through a urine test that checks for bacteria, the doctor might prescribe some medication.

Here’s what we might be taking if we’re diagnosed with a UTI:

  • Nitrofurantoin (Macrobid). While alcohol doesn’t interact with Macrobid directly, it can intensify some of the side effects, such as headaches or nausea (which alcohol also causes).
  • Sulfamethoxazole/trimethoprim (Bactrim). Bactrim is definitely one of the meds to be careful with. Mixing it with alcohol can cause a disulfiram-like reaction, leading to intense nausea, cardiovascular effects, headaches, facial flushing, and blood pressure fluctuations. The combo could also lead to intensified side effects of both the drug and the alcohol.
  • Ciprofloxacin (Cipro). Both alcohol and Cipro can cause gastrointestinal side effects (such as nausea and vomiting), dizziness, and headaches. Mixing the two could make them more intense. Plus, Cipro is processed by the liver, so adding alcohol to the mix could cause unnecessary strain.
  • Amoxicillin-clavulanic acid (Augmentin). The mix of alcohol and Augmentin could boost side effects such as indigestion, diarrhea, and nausea. Once again, it’s processed by the liver, so drinking could create extra stress.

Finally, antibiotics tend to be dehydrating, and, as we already know, so is alcohol. The last thing we want when we’re already dealing with a UTI is to dry things up even more!

Those UTIs Might Be a Kidney Infection

Remember how we mentioned kidney infections back at the beginning? Chronic UTIs can lead to them. Although bladder and kidney infections are both classified as UTIs, the second is a lot more serious and can have long-term implications.

Alcohol plays a special role here, too. Alcohol misuse and bouts of heavy drinking can compromise kidney function, so it’s one more reason to stay safe and err on the side of moderation or switch to booze-free options altogether.

Tips To Prevent and Recover From UTIs

Finally, here are some tips to help you stay UTI-free and recover more quickly if you’ve already got one!

  • See a doctor if you’re having symptoms. This one’s key: if you’ve got symptoms such as painful urination, see your doctor right away. They’ll prescribe antibiotics if you need them and will check for other issues if a UTI is not what’s going on.

  • Avoid alcohol, coffee, and spicy foods as you recover. All of these can irritate your urinary tract or cause dehydration, which will slow your recovery.

  • Sip on some cranberry juice or tea. Cranberry juice is known to have urinary tract benefits, so adding it to your diet can help stave off those UTIs or help you get over one faster.

  • Maintain proper hygiene. You know, all that stuff about wiping from front to back that we were told as kids? It’s good to remember it!

  • Hydrate. Hydration is a huge factor in whether or not bacteria are able to set up camp in our urinary tract, so remember to drink lots of water, especially if you choose to drink alcohol. Alternate drinks with water or, better yet, swap your usual cocktail for a hydrating mocktail instead!

  • Take vitamin C supplements. According to Johns Hopkins Medicine, vitamin C helps limit the growth of bacteria in the urinary tract.
Let it breathe. Let everything down there get plenty of ventilation by wearing cotton undies and loose clothing, especially as you recover. Stay away from nylon and anything too constricting.

  • Cut back on drinking. Last but not least, consider cutting back or taking a break from booze. Reframe is here to help you every step of the way! There’s absolutely nothing to lose and a whole world of mindful, healthy alternatives to explore.

If you’re dealing with a UTI, it might feel like it’s taking forever to go away, but rest assured, it will. We’re wishing you a speedy recovery — and a UTI-free future!

Summing Up

In the end, a UTI is a pain and a nuisance to deal with, but it’s temporary and very treatable — provided we take the necessary steps and don’t let it progress. Adding alcohol to the mix will only slow things down, so it’s best to stay away from booze until we feel better. And to lower our chances of getting a UTI in the first place, we can consider taking a step back from drinking. We might find that the benefits — even if we only cut back a bit — go far beyond reducing risks of UTIs and include perks such as better sleep, weight loss, a healthier heart, a better metabolism, and sharper cognitive skills. Why not try it out?

Alcohol and Health
2024-05-03 9:00
Alcohol and Health
Alcohol-Related Deaths Per Year: The Facts, Impacts, and Solutions
This is some text inside of a div block.

The number of alcohol-related deaths continues to grow each year. Check out our latest blog for more data on alcohol-related mortalities and what we can do to improve it.

20 min read

Worried About Your Relationship With Alcohol? Try Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

“Just say no!” and “Drugs can kill!” are slogans we commonly hear growing up to discourage drug use. But what about alcohol? Unbeknownst to some, alcohol is a drug, and it is more deadly than some of the substances we frequently think of when we hear the word “drug.” 

Alcohol is one of the leading causes of preventable deaths in the world — a fact that urges us to take a closer look at the issue and what we can do about it. “Out of sight, out of mind” can work for some things, but in this case, looking past the fatal effects of alcohol will allow it to continue taking more and more lives. Let’s take a deep dive into how alcohol can cause death and how we can fight back.

How Much Alcohol Can Kill You?

A person sitting with their head bowed down, several bottles of alcohol on a table

Drinking is commonly associated with feelings of intoxication, which we refer to as being drunk. Common symptoms include slurred speech, impaired motor function, nausea, decreased awareness, and more. However, excessive drinking can cause more serious symptoms and can even be fatal. 

Studies show that alcohol can be potentially fatal when our blood alcohol concentration (BAC) is at or above 0.40%. To put it into perspective, a BAC of 0.40% is about 25 standard drinks. Although this may seem like a lot, it’s important to note that common drinks we order at the bar can contain more than what is considered a standard drink. For example, one standard drink is 12 oz of beer, but a pint is 16 oz. Similarly, one shot of a spirit is one standard drink. However, most cocktails contain anywhere from 1 to 3 shots, depending on the bar and the drink. 

Although we can get a rough estimate of how much alcohol can be fatal, it will vary from person to person. Factors such as sex, weight, age, health, and tolerance can impact the amount of alcohol that can be fatal. In addition to being aware of our tolerance level, it’s helpful to be aware of signs of alcohol overdose:

  • Vomiting
  • Low heart rate
  • Low body temperature 
  • Seizures
  • Pale/blue/ashen skin
  • Slow/irregular breathing
  • Unconsciousness
  • Altered mental state  
  • Confusion

Overdose from alcohol can be fatal and requires immediate medical attention. For medical and safety emergencies in the U.S., call 911.

Types of Alcohol-Related Deaths

Alcohol overdose is just one way that alcohol can cause death. To understand the extensive impact that alcohol has on public health and safety, let’s further examine the different types of alcohol-related deaths.

Alcohol Poisoning

Poisoning or overdose from alcohol occurs when the alcohol level in our blood is so high that our brain begins to shut down. Since our brain controls basic life functions such as breathing, heartbeat, and blood pressure, excessive drinking can lead to coma and death. 

Alcohol poisoning commonly occurs as a result of binge drinking. According to the Centers for Disease Control and Prevention (CDC), binge drinking is a pattern of drinking in a short period that results in a BAC of .08% or higher. According to the Alcohol-Related Disease Impact (ARDI) application, from 2020 to 2021, alcohol poisoning accounted for 12% of alcohol-related deaths. 

Alcohol-Related Health Conditions

The majority of alcohol-related deaths are due to health conditions that stem from chronic alcohol misuse. Dying from alcoholism accounted for 66% of total alcohol-related fatalities in 2020. 

Alcohol has severe impacts on our health. It is directly linked with an increased risk of developing disease and cancer. These alcohol-related chronic diseases account for a high number of deaths per year:

  • Alcoholic liver disease 
  • Hypertension 
  • Liver cirrhosis 
  • Coronary heart disease
  • Liver cancer 

Chronic and excessive drinking impacts the way our cells and organs function. While most alcohol-related deaths occur from health conditions that develop over time from excessive drinking, sudden death from chronic alcoholism is also common. The shocking number of alcohol-related fatalities is a sobering reminder of the detrimental impacts of alcohol.

Mental Health 

Alcohol’s negative impact on our mental health can also be destructive if not fatal. 

ARDI reports that 9,801 alcohol-related suicides occurred in 2020. Along with homicides, mental health-related deaths account for almost 10% of alcohol-related deaths per year. Mental health is just as important as physical health. The 988 Lifeline is available 24/7 for suicide and crisis support.

Alcohol-Related Accidents

Because it impairs our judgment and our coordination among other things, alcohol can make simple activities dangerous. Alcohol-related accidents like drowning, falling, and aspiration (to name a few) make up 17% of all alcohol-related mortalities, and drunk driving accidents account for at least half of that number. 

It’s easy to talk in percentages, but each of these incidents was a tragedy that marred a family. And this is only a small piece of the big picture. To even begin to grasp the extensiveness of alcohol-related deaths per year and why it’s important, we have to zoom out. 

How Many People Die From Alcohol Each Year?

According to the CDC, about 178,000 alcohol-related deaths occur in the U.S. each year. This amounts to an average of 488 deaths per day. The following chart outlines alcohol-related fatalities per state using the ARDI application. 

How Many People Die From Alcohol Each Year

An analysis of alcohol-related deaths in 2019 by the National Center for Drug Abuse Statistics (NCDAS) reported the following findings:

  • New Mexico has the highest rate of death per 100,000 people.
  • 80% of alcohol-related deaths involved adults at or over the age of 35.
  • Long-term health consequences are the leading cause of alcohol-related deaths. 

A 2022 analysis by the CDC, reported similar findings: 

  • The age group between 55 and 64 had the highest number of deaths in 2020.
  • Alcoholic liver disease is the most frequent underlying cause of alcohol-related deaths.

Through the data on alcohol-related deaths per year, we can see the detrimental impacts of alcohol. As the world has gone through several significant events throughout the years, let’s take a closer look at how the numbers have changed in recent years. 

Analyzing the Trends in Alcohol-Related Deaths Per Year

A recent study by the CDC showed that alcohol-related deaths increased an appalling 29% from 2016 to 2021. The study highlighted an especially sharp increase from 2019-2021, which may be attributed to COVID-19. Pandemic aside, alcohol-related deaths continue to show an upward trend.

Impacts of COVID-19

A rise in alcohol-related death rates during the peak years of COVID-19 is speculated to be attributed to several factors:

  • Change in alcohol regulations. As social distancing regulations were put in place, alcohol regulations loosened. We could get alcohol delivered to our doorstep and purchase alcoholic beverages to enjoy outside of licensed establishments. The increased availability is directly correlated with an increase in overall alcohol consumption. 
  • Lower federal taxes. Despite inflation, taxes on alcohol have decreased within the last several years. The low taxation on alcohol continues to promote excessive alcohol consumption.
  • Health. COVID-19 took a toll on our health, and we saw a rise in hospitalizations and related deaths. Alcohol-related health conditions, when combined with poor health, caused an even greater incline in fatalities. 
  • Mental health. The global pandemic led to more than just physical health impacts. Many of us said goodbye to loved ones, lost employment, and had our lives turned upside down. Substance misuse is positively correlated with poor mental health, which also contributes to the increase in death rates from 2019 to 2021. 

COVID-19 contributed significantly to the surge of alcohol-related mortalities in recent years, but it’s not the only reason for the upward trend.

The War on Drugs

Over the years, we’ve seen increasing focus on the war on drugs. Policies to crack down on drugs such as cocaine, fentanyl, and methamphetamine have been enforced more strongly. But the same can’t be said for alcohol. Despite alcohol being a drug, it’s often not thought of as one or treated like one. The social acceptance of drinking and the lack of policies to regulate alcohol contribute to the growing number of alcohol-related deaths per year.

Female Death Rates

A rise in alcohol-related deaths has been disproportionately higher in females. Research shows that female-focused alcohol advertising may be to blame. 

Trends such as “wine moms” and targeted marketing including a focus on slimness, motherhood, female friendships, and femininity have ramped up in recent years. These toxic trends and gender-specific marketing help to explain the significant rise in alcohol-related deaths, specifically among women.

Why the Rising Rate of Alcohol-Related Deaths Is Important

Alcohol remains one of the leading causes of preventable deaths in the U.S. and around the world. A mantra of Alcoholics Anonymous (AA) is “Nothing changes if nothing changes.” This saying also goes for preventing alcohol-related fatalities. If we do not implement changes to reduce our overall alcohol consumption, the rate of alcohol-related deaths will continue to rise. 

While drinking is massively accepted, alcohol misuse and alcohol use disorder (AUD) continue to be stigmatized. According to an NIAAA’s Core Resource on overcoming barriers to care, stigma continues to be a significant contributing factor to the undertreatment of AUD. Getting treatment or support for alcohol misuse or dependence is crucial in helping prevent AUD and potential alcohol-related health conditions and fatalities. 

How To Help a Loved One With Alcohol Dependence

At times, it can be difficult to recognize that our relationship with alcohol is becoming unhealthy. Approaching a loved one with alcohol dependence in the right way can help them get the clarity and support they need. There are several ways we can support them:

  • Learn more. Having a better understanding of what alcohol dependence is and what causes it can help us approach someone with empathy.
  • Approach and listen with compassion. Approaching someone with alcohol dependence in a confrontational manner can deter them from opening up or reaching out for support. 
  • Offer support. Support can vary depending on what someone may need. Offer to be an accountability partner, suggest alcohol-free activities, or simply provide a safe space for them to express their feelings. 
  • Help explore treatment options. Although different treatment options are available, they are not always easy to access. Show support by exploring different treatment options that may best support their needs.

As we support our loved ones, we might find it helpful to rethink our own relationship with alcohol. 

Developing a Healthy Relationship With Alcohol

When we’re ready to develop a healthier relationship with alcohol, there are five simple steps we can take:

  1. Keep track. Whip out the old pen and paper or check out mindful drinking apps to help you keep track and practice moderation. Acknowledging that our drinking may be a problem is the first step in getting the support we need.

  2. Set goals. Setting goals for cutting back on alcohol helps to keep us accountable. Based on information we’ve gathered by tracking our drinking habits, we can develop achievable goals to work toward. Small steps add up over time and help us work toward better health. 

  3. Limit triggers. Identifying our triggers helps us better prepare for them. We can set ourselves up for success by practicing boundary setting or developing a support system we can lean on.

  4. Find alternatives. Healthy distractions are a great tool to focus our energy on more positive things. Keep a list of bar mocktails or explore new interests and hobbies to develop a fulfilling life outside of alcohol. 

  5. Reach out for support. Having a support system is incredibly helpful in working to develop a healthier relationship with alcohol. We can reach out to family and friends, explore treatment options, and check out online tools and resources to help us on our journey.

The Bottom Line

Hiding behind the facade of a fun social beverage, alcohol can rob us of even our vitality. As F. Scott Fitzgerald explains in his novel The Great Gatsby, “First you take a drink, then the drink takes a drink, then the drink takes you.” From the data, we can see the multifarious ways that alcohol can lead to death. Leading causes of alcohol-related deaths, including motor accidents, long-term health conditions, and alcohol poisoning, highlight the acute and chronic impacts of drinking. While structural changes are crucial in changing the trajectory of alcohol-related fatalities, we can implement individual changes to cut back on alcohol. Practicing mindful drinking and developing a healthier relationship with alcohol can prevent negative alcohol-related impacts.

“Just say no!” and “Drugs can kill!” are slogans we commonly hear growing up to discourage drug use. But what about alcohol? Unbeknownst to some, alcohol is a drug, and it is more deadly than some of the substances we frequently think of when we hear the word “drug.” 

Alcohol is one of the leading causes of preventable deaths in the world — a fact that urges us to take a closer look at the issue and what we can do about it. “Out of sight, out of mind” can work for some things, but in this case, looking past the fatal effects of alcohol will allow it to continue taking more and more lives. Let’s take a deep dive into how alcohol can cause death and how we can fight back.

How Much Alcohol Can Kill You?

A person sitting with their head bowed down, several bottles of alcohol on a table

Drinking is commonly associated with feelings of intoxication, which we refer to as being drunk. Common symptoms include slurred speech, impaired motor function, nausea, decreased awareness, and more. However, excessive drinking can cause more serious symptoms and can even be fatal. 

Studies show that alcohol can be potentially fatal when our blood alcohol concentration (BAC) is at or above 0.40%. To put it into perspective, a BAC of 0.40% is about 25 standard drinks. Although this may seem like a lot, it’s important to note that common drinks we order at the bar can contain more than what is considered a standard drink. For example, one standard drink is 12 oz of beer, but a pint is 16 oz. Similarly, one shot of a spirit is one standard drink. However, most cocktails contain anywhere from 1 to 3 shots, depending on the bar and the drink. 

Although we can get a rough estimate of how much alcohol can be fatal, it will vary from person to person. Factors such as sex, weight, age, health, and tolerance can impact the amount of alcohol that can be fatal. In addition to being aware of our tolerance level, it’s helpful to be aware of signs of alcohol overdose:

  • Vomiting
  • Low heart rate
  • Low body temperature 
  • Seizures
  • Pale/blue/ashen skin
  • Slow/irregular breathing
  • Unconsciousness
  • Altered mental state  
  • Confusion

Overdose from alcohol can be fatal and requires immediate medical attention. For medical and safety emergencies in the U.S., call 911.

Types of Alcohol-Related Deaths

Alcohol overdose is just one way that alcohol can cause death. To understand the extensive impact that alcohol has on public health and safety, let’s further examine the different types of alcohol-related deaths.

Alcohol Poisoning

Poisoning or overdose from alcohol occurs when the alcohol level in our blood is so high that our brain begins to shut down. Since our brain controls basic life functions such as breathing, heartbeat, and blood pressure, excessive drinking can lead to coma and death. 

Alcohol poisoning commonly occurs as a result of binge drinking. According to the Centers for Disease Control and Prevention (CDC), binge drinking is a pattern of drinking in a short period that results in a BAC of .08% or higher. According to the Alcohol-Related Disease Impact (ARDI) application, from 2020 to 2021, alcohol poisoning accounted for 12% of alcohol-related deaths. 

Alcohol-Related Health Conditions

The majority of alcohol-related deaths are due to health conditions that stem from chronic alcohol misuse. Dying from alcoholism accounted for 66% of total alcohol-related fatalities in 2020. 

Alcohol has severe impacts on our health. It is directly linked with an increased risk of developing disease and cancer. These alcohol-related chronic diseases account for a high number of deaths per year:

  • Alcoholic liver disease 
  • Hypertension 
  • Liver cirrhosis 
  • Coronary heart disease
  • Liver cancer 

Chronic and excessive drinking impacts the way our cells and organs function. While most alcohol-related deaths occur from health conditions that develop over time from excessive drinking, sudden death from chronic alcoholism is also common. The shocking number of alcohol-related fatalities is a sobering reminder of the detrimental impacts of alcohol.

Mental Health 

Alcohol’s negative impact on our mental health can also be destructive if not fatal. 

ARDI reports that 9,801 alcohol-related suicides occurred in 2020. Along with homicides, mental health-related deaths account for almost 10% of alcohol-related deaths per year. Mental health is just as important as physical health. The 988 Lifeline is available 24/7 for suicide and crisis support.

Alcohol-Related Accidents

Because it impairs our judgment and our coordination among other things, alcohol can make simple activities dangerous. Alcohol-related accidents like drowning, falling, and aspiration (to name a few) make up 17% of all alcohol-related mortalities, and drunk driving accidents account for at least half of that number. 

It’s easy to talk in percentages, but each of these incidents was a tragedy that marred a family. And this is only a small piece of the big picture. To even begin to grasp the extensiveness of alcohol-related deaths per year and why it’s important, we have to zoom out. 

How Many People Die From Alcohol Each Year?

According to the CDC, about 178,000 alcohol-related deaths occur in the U.S. each year. This amounts to an average of 488 deaths per day. The following chart outlines alcohol-related fatalities per state using the ARDI application. 

How Many People Die From Alcohol Each Year

An analysis of alcohol-related deaths in 2019 by the National Center for Drug Abuse Statistics (NCDAS) reported the following findings:

  • New Mexico has the highest rate of death per 100,000 people.
  • 80% of alcohol-related deaths involved adults at or over the age of 35.
  • Long-term health consequences are the leading cause of alcohol-related deaths. 

A 2022 analysis by the CDC, reported similar findings: 

  • The age group between 55 and 64 had the highest number of deaths in 2020.
  • Alcoholic liver disease is the most frequent underlying cause of alcohol-related deaths.

Through the data on alcohol-related deaths per year, we can see the detrimental impacts of alcohol. As the world has gone through several significant events throughout the years, let’s take a closer look at how the numbers have changed in recent years. 

Analyzing the Trends in Alcohol-Related Deaths Per Year

A recent study by the CDC showed that alcohol-related deaths increased an appalling 29% from 2016 to 2021. The study highlighted an especially sharp increase from 2019-2021, which may be attributed to COVID-19. Pandemic aside, alcohol-related deaths continue to show an upward trend.

Impacts of COVID-19

A rise in alcohol-related death rates during the peak years of COVID-19 is speculated to be attributed to several factors:

  • Change in alcohol regulations. As social distancing regulations were put in place, alcohol regulations loosened. We could get alcohol delivered to our doorstep and purchase alcoholic beverages to enjoy outside of licensed establishments. The increased availability is directly correlated with an increase in overall alcohol consumption. 
  • Lower federal taxes. Despite inflation, taxes on alcohol have decreased within the last several years. The low taxation on alcohol continues to promote excessive alcohol consumption.
  • Health. COVID-19 took a toll on our health, and we saw a rise in hospitalizations and related deaths. Alcohol-related health conditions, when combined with poor health, caused an even greater incline in fatalities. 
  • Mental health. The global pandemic led to more than just physical health impacts. Many of us said goodbye to loved ones, lost employment, and had our lives turned upside down. Substance misuse is positively correlated with poor mental health, which also contributes to the increase in death rates from 2019 to 2021. 

COVID-19 contributed significantly to the surge of alcohol-related mortalities in recent years, but it’s not the only reason for the upward trend.

The War on Drugs

Over the years, we’ve seen increasing focus on the war on drugs. Policies to crack down on drugs such as cocaine, fentanyl, and methamphetamine have been enforced more strongly. But the same can’t be said for alcohol. Despite alcohol being a drug, it’s often not thought of as one or treated like one. The social acceptance of drinking and the lack of policies to regulate alcohol contribute to the growing number of alcohol-related deaths per year.

Female Death Rates

A rise in alcohol-related deaths has been disproportionately higher in females. Research shows that female-focused alcohol advertising may be to blame. 

Trends such as “wine moms” and targeted marketing including a focus on slimness, motherhood, female friendships, and femininity have ramped up in recent years. These toxic trends and gender-specific marketing help to explain the significant rise in alcohol-related deaths, specifically among women.

Why the Rising Rate of Alcohol-Related Deaths Is Important

Alcohol remains one of the leading causes of preventable deaths in the U.S. and around the world. A mantra of Alcoholics Anonymous (AA) is “Nothing changes if nothing changes.” This saying also goes for preventing alcohol-related fatalities. If we do not implement changes to reduce our overall alcohol consumption, the rate of alcohol-related deaths will continue to rise. 

While drinking is massively accepted, alcohol misuse and alcohol use disorder (AUD) continue to be stigmatized. According to an NIAAA’s Core Resource on overcoming barriers to care, stigma continues to be a significant contributing factor to the undertreatment of AUD. Getting treatment or support for alcohol misuse or dependence is crucial in helping prevent AUD and potential alcohol-related health conditions and fatalities. 

How To Help a Loved One With Alcohol Dependence

At times, it can be difficult to recognize that our relationship with alcohol is becoming unhealthy. Approaching a loved one with alcohol dependence in the right way can help them get the clarity and support they need. There are several ways we can support them:

  • Learn more. Having a better understanding of what alcohol dependence is and what causes it can help us approach someone with empathy.
  • Approach and listen with compassion. Approaching someone with alcohol dependence in a confrontational manner can deter them from opening up or reaching out for support. 
  • Offer support. Support can vary depending on what someone may need. Offer to be an accountability partner, suggest alcohol-free activities, or simply provide a safe space for them to express their feelings. 
  • Help explore treatment options. Although different treatment options are available, they are not always easy to access. Show support by exploring different treatment options that may best support their needs.

As we support our loved ones, we might find it helpful to rethink our own relationship with alcohol. 

Developing a Healthy Relationship With Alcohol

When we’re ready to develop a healthier relationship with alcohol, there are five simple steps we can take:

  1. Keep track. Whip out the old pen and paper or check out mindful drinking apps to help you keep track and practice moderation. Acknowledging that our drinking may be a problem is the first step in getting the support we need.

  2. Set goals. Setting goals for cutting back on alcohol helps to keep us accountable. Based on information we’ve gathered by tracking our drinking habits, we can develop achievable goals to work toward. Small steps add up over time and help us work toward better health. 

  3. Limit triggers. Identifying our triggers helps us better prepare for them. We can set ourselves up for success by practicing boundary setting or developing a support system we can lean on.

  4. Find alternatives. Healthy distractions are a great tool to focus our energy on more positive things. Keep a list of bar mocktails or explore new interests and hobbies to develop a fulfilling life outside of alcohol. 

  5. Reach out for support. Having a support system is incredibly helpful in working to develop a healthier relationship with alcohol. We can reach out to family and friends, explore treatment options, and check out online tools and resources to help us on our journey.

The Bottom Line

Hiding behind the facade of a fun social beverage, alcohol can rob us of even our vitality. As F. Scott Fitzgerald explains in his novel The Great Gatsby, “First you take a drink, then the drink takes a drink, then the drink takes you.” From the data, we can see the multifarious ways that alcohol can lead to death. Leading causes of alcohol-related deaths, including motor accidents, long-term health conditions, and alcohol poisoning, highlight the acute and chronic impacts of drinking. While structural changes are crucial in changing the trajectory of alcohol-related fatalities, we can implement individual changes to cut back on alcohol. Practicing mindful drinking and developing a healthier relationship with alcohol can prevent negative alcohol-related impacts.

Alcohol and Health
2024-04-29 9:00
Alcohol and Health
Can I Drink Alcohol With Atrial Fibrillation?
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Learn about the connection between alcohol and heart conditions such as atrial fibrillation (AFib), and why mixing alcohol with AFib makes for a dangerous cocktail.

18 min read

Manage Your Health With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

Atrial fibrillation (AFib) is a heart rhythm disorder that affects more than 46 million people worldwide. It’s a potentially dangerous condition that has been linked with stroke and heart attacks, but it can be managed with lifestyle adjustments and, in some cases, medication. If you’ve been diagnosed with AFib, you probably have a lot of questions about how to stay safe and healthy — but what about alcohol? Can you enjoy a glass of wine with dinner or celebrate with a champagne toast, or does alcohol need to be avoided entirely? This blog post delves into the relationship between alcohol and AFib, offering insights and guidelines to help you make informed decisions.

What Is AFib?

a sad women holding a glass of wine

Atrial fibrillation, often referred to as AFib, is the most common type of heart arrhythmia. An arrhythmia is a disturbance in the normal rhythm of the heart, which can lead to abnormal blood flow, excessive strain on heart tissue, discomfort, and decreased blood flow to the brain.

Blood moves into the heart by starting in the right atrium, then moving to the left ventricle and into the lungs. The lungs infuse our blood with oxygen, then send it back into the heart through the left atrium, where it is pumped into the left ventricle and out into our body. Whew! Quite a complicated process, huh? Each heartbeat involves precise choreography to work perfectly — and normally functioning hearts do it approximately 100,000 times per day!

During atrial fibrillation, the atria of the heart contract irregularly and chaotically, decreasing blood flow into the ventricles. Think of the heart as the drummer in a band. Normally, the drummer maintains a steady, consistent rhythm that guides the rest of the band. This is the heart's normal rhythm: it beats in a regular, organized way to pump blood efficiently. In atrial fibrillation, however, it's as if the drummer suddenly starts playing completely offbeat. The rhythm becomes unpredictable, and the music stops making sense.

When we experience AFib, we may become dizzy or feel like our heart is fluttering or racing. Some people sweat or start feeling anxious due to their chest discomfort and the interrupted blood flow to the parts of our brain that regulate our moods. Plus, heart palpitations can be scary!

AFib happens in episodes that can be frequent or rare. Typically, these episodes resolve on their own, but sometimes they require a hospital visit to stabilize the rhythm. Untreated, AFib can strain the heart and lead to more serious cardiac problems.

AFib is not to be confused with ventricular fibrillation (VFib), an arrhythmia that requires immediate emergency care. In VFib, the ventricles are not pumping blood into the lungs or body. While AFib is associated with increased risk for certain medical conditions, it is not immediately life-threatening.

Complications of AFib

The most common complications of AFib are stroke and heart attack. Both of these come from the increased risk of clots among those who experience AFib.

Normal, healthy clots move through the body to the places they’re needed to help heal injury and disease. Unneeded clots are broken down and the components are recycled for other uses. However, sometimes the clots don’t go where they should. When we’re sedentary, sitting for long periods during work or travel, our blood pools, causing clots to accumulate instead of moving around. Eventually, they can clump together and make larger clots that our body may not be able to break down as easily. This puts us at risk for problems in risky areas such as arteries narrowed by cholesterol deposits or the tiny blood vessels in the brain, heart, and lungs.

In AFib, blood isn’t being properly pumped out of the heart, so it pools in the atria. Clots clump up and form larger clots, which are then passed through the bloodstream and into the lungs, brain, limbs, or other parts of the heart. This is why people with AFib are at increased risk of problems like stroke and heart attack. The best way for those with AFib to stay safe is to adjust their lifestyle to reduce their risk of clots. This includes eating a healthy diet, managing their weight, quitting or cutting back on drinking, and sometimes using medications to manage clotting and heart rhythm.

In addition to clotting, AFib can cause brain damage due to inadequate blood flow. This can lead to cognitive dysfunction, dizziness, poor coordination, and confusion. Since alcohol can cause similar issues in the brain, it’s particularly risky to drink with an AFib diagnosis, and especially during an AFib episode. When we drink while the heart is in AFib, these effects can amplify each other and lead to more serious problems or injuries.

How Does Alcohol Affect the Heart?

Alcohol is a central nervous system depressant, but there’s more to the story. It stimulates the release of dopamine — the feel-good chemical — in the brain, activating our reward centers and reinforcing our desire to drink. That’s why we feel happy at first when we drink alcohol, and it’s why we end up craving it with regular use. It also stimulates the release of stress hormones like adrenaline, which increases our heart rate and blood pressure. That’s one of the biggest reasons why many people experience a rapid heart rate or heart palpitations after drinking.

In addition to the chemical changes it causes in our bodies, alcohol is a diuretic, meaning it stimulates urine production. This affects our hydration levels and decreases our electrolytes, which are necessary for the heart to produce normal electrical signals. Sodium plays a special role in heart rhythm and needs to be carefully managed when caring for heart conditions like AFib.

These short-term effects of alcohol use tend to resolve fairly quickly. But over time, repeated strain on the heart from alcohol can lead to permanent damage such as cardiomyopathy and chronic conditions like heart failure. Regular alcohol use, including in small amounts, has also been linked to an increased risk of AFib.

Can I Drink Alcohol With Atrial Fibrillation?

In a 2021 study, participants diagnosed with AFib wore heart rate monitors and tracked their alcohol intake. The results showed that drinking alcohol doubles the likelihood of an AFib episode for the next four hours. The evidence is pretty clear: mixing alcohol and AFib does not make for a tasty cocktail. For those who have already been diagnosed with AFib, drinking alcohol leads to worsening of symptoms and an increased risk of complications. For those who haven’t been diagnosed, alcohol increases the chance of developing AFib.

Alcohol use is associated with a broad range of health problems affecting every system of the body. Beyond the heart risks, alcohol damages the stomach, kidneys, bones, teeth, gut, liver, and more. Since all these body parts are connected through the cardiovascular system, it’s important to prioritize heart health to avoid further damage to them, especially if we already have a risky heart condition like AFib. When we mix alcohol and AFib, we put every part of our body at risk.

Does Alcohol Interact With Blood Thinners?

In addition to the physical risks, alcohol interacts with many medications used to treat AFib and its symptoms.

Blood thinners are commonly prescribed to treat AFib. They work by modifying the behavior of platelets, which are small fragments of blood cells that clump together to form clots.

There are two main categories of blood thinners.

  • Antiplatelets, like aspirin. These work by preventing activation and accumulation of platelets.
  • Anticoagulants, like heparin and warfarin. These work by making platelets less “sticky.”

So, is alcohol a blood thinner? Sort of. Alcohol has both antiplatelet and anticoagulant properties, meaning it can increase the effects of both of these types of medications. While some studies show that small amounts of alcohol may be safe, the truth is that even a single drink per day is associated with an increased risk of side effects.

People on blood thinners are at increased risk of bleeding. Excessive alcohol use is associated with bleeding in the stomach and esophagus, potentially worsening these conditions. In addition, drinking inhibits coordination and balance, putting us at greater risk for falls and other injuries, which become significantly more dangerous when our blood doesn’t clot properly.  

Mixing alcohol with other AFib medications like calcium channel blockers and beta blockers can lead to dangerously low blood pressure levels and should be avoided.

Risks of Drinking With AFib

Risks of Drinking With AFib

  • Low blood pressure. Alcohol lowers blood pressure, which can cause dizziness and issues with coordination. This amplifies similar symptoms caused by AFib.
  • Heart damage. AFib puts extra stress on heart muscles, and so does alcohol. Together, they strain on your heart, which can lead to more serious issues like heart failure, cardiomyopathy, or heart attack.
  • Excessive bleeding. Alcohol has blood-thinning properties. If you’re taking blood thinners to treat or prevent complications of AFib, you could be increasing your risk of complications or side effects from your medication.
  • Increase in AFib episodes. Since alcohol puts so much strain on the heart, you’re more likely to experience an AFib episode or exacerbate an ongoing episode. Each time this happens, you’re at a greater risk of complications like stroke or heart attack.
  • Medication interactions. Besides blood thinners, most other medications used to treat AFib have some sort of interaction with alcohol, from mild to severe. When taking medication to manage AFib, it’s best to just avoid alcohol.

Not Worth the Risk

An occasional drink may seem harmless when we have a condition like AFib, which doesn’t seem to impact us every single day. But the truth is, it increases the risk of serious complications and makes it more likely that AFib becomes a regular part of our life. AFib and alcohol use cause many of the same symptoms, and they can lead to similar chronic conditions. The heart, one of the most fundamental and essential parts of our body, is incredibly sensitive to how we treat it. Heart disease is the leading cause of death globally, causing nearly 700,000 deaths in the U.S. alone in 2021. The number two cause of death globally is stroke, a known complication of AFib. We can take control of AFib through medications, lifestyle changes, and by quitting or cutting back on drinking alcohol and by reducing complicating factors that worsen outcomes of AFib.

Atrial fibrillation (AFib) is a heart rhythm disorder that affects more than 46 million people worldwide. It’s a potentially dangerous condition that has been linked with stroke and heart attacks, but it can be managed with lifestyle adjustments and, in some cases, medication. If you’ve been diagnosed with AFib, you probably have a lot of questions about how to stay safe and healthy — but what about alcohol? Can you enjoy a glass of wine with dinner or celebrate with a champagne toast, or does alcohol need to be avoided entirely? This blog post delves into the relationship between alcohol and AFib, offering insights and guidelines to help you make informed decisions.

What Is AFib?

a sad women holding a glass of wine

Atrial fibrillation, often referred to as AFib, is the most common type of heart arrhythmia. An arrhythmia is a disturbance in the normal rhythm of the heart, which can lead to abnormal blood flow, excessive strain on heart tissue, discomfort, and decreased blood flow to the brain.

Blood moves into the heart by starting in the right atrium, then moving to the left ventricle and into the lungs. The lungs infuse our blood with oxygen, then send it back into the heart through the left atrium, where it is pumped into the left ventricle and out into our body. Whew! Quite a complicated process, huh? Each heartbeat involves precise choreography to work perfectly — and normally functioning hearts do it approximately 100,000 times per day!

During atrial fibrillation, the atria of the heart contract irregularly and chaotically, decreasing blood flow into the ventricles. Think of the heart as the drummer in a band. Normally, the drummer maintains a steady, consistent rhythm that guides the rest of the band. This is the heart's normal rhythm: it beats in a regular, organized way to pump blood efficiently. In atrial fibrillation, however, it's as if the drummer suddenly starts playing completely offbeat. The rhythm becomes unpredictable, and the music stops making sense.

When we experience AFib, we may become dizzy or feel like our heart is fluttering or racing. Some people sweat or start feeling anxious due to their chest discomfort and the interrupted blood flow to the parts of our brain that regulate our moods. Plus, heart palpitations can be scary!

AFib happens in episodes that can be frequent or rare. Typically, these episodes resolve on their own, but sometimes they require a hospital visit to stabilize the rhythm. Untreated, AFib can strain the heart and lead to more serious cardiac problems.

AFib is not to be confused with ventricular fibrillation (VFib), an arrhythmia that requires immediate emergency care. In VFib, the ventricles are not pumping blood into the lungs or body. While AFib is associated with increased risk for certain medical conditions, it is not immediately life-threatening.

Complications of AFib

The most common complications of AFib are stroke and heart attack. Both of these come from the increased risk of clots among those who experience AFib.

Normal, healthy clots move through the body to the places they’re needed to help heal injury and disease. Unneeded clots are broken down and the components are recycled for other uses. However, sometimes the clots don’t go where they should. When we’re sedentary, sitting for long periods during work or travel, our blood pools, causing clots to accumulate instead of moving around. Eventually, they can clump together and make larger clots that our body may not be able to break down as easily. This puts us at risk for problems in risky areas such as arteries narrowed by cholesterol deposits or the tiny blood vessels in the brain, heart, and lungs.

In AFib, blood isn’t being properly pumped out of the heart, so it pools in the atria. Clots clump up and form larger clots, which are then passed through the bloodstream and into the lungs, brain, limbs, or other parts of the heart. This is why people with AFib are at increased risk of problems like stroke and heart attack. The best way for those with AFib to stay safe is to adjust their lifestyle to reduce their risk of clots. This includes eating a healthy diet, managing their weight, quitting or cutting back on drinking, and sometimes using medications to manage clotting and heart rhythm.

In addition to clotting, AFib can cause brain damage due to inadequate blood flow. This can lead to cognitive dysfunction, dizziness, poor coordination, and confusion. Since alcohol can cause similar issues in the brain, it’s particularly risky to drink with an AFib diagnosis, and especially during an AFib episode. When we drink while the heart is in AFib, these effects can amplify each other and lead to more serious problems or injuries.

How Does Alcohol Affect the Heart?

Alcohol is a central nervous system depressant, but there’s more to the story. It stimulates the release of dopamine — the feel-good chemical — in the brain, activating our reward centers and reinforcing our desire to drink. That’s why we feel happy at first when we drink alcohol, and it’s why we end up craving it with regular use. It also stimulates the release of stress hormones like adrenaline, which increases our heart rate and blood pressure. That’s one of the biggest reasons why many people experience a rapid heart rate or heart palpitations after drinking.

In addition to the chemical changes it causes in our bodies, alcohol is a diuretic, meaning it stimulates urine production. This affects our hydration levels and decreases our electrolytes, which are necessary for the heart to produce normal electrical signals. Sodium plays a special role in heart rhythm and needs to be carefully managed when caring for heart conditions like AFib.

These short-term effects of alcohol use tend to resolve fairly quickly. But over time, repeated strain on the heart from alcohol can lead to permanent damage such as cardiomyopathy and chronic conditions like heart failure. Regular alcohol use, including in small amounts, has also been linked to an increased risk of AFib.

Can I Drink Alcohol With Atrial Fibrillation?

In a 2021 study, participants diagnosed with AFib wore heart rate monitors and tracked their alcohol intake. The results showed that drinking alcohol doubles the likelihood of an AFib episode for the next four hours. The evidence is pretty clear: mixing alcohol and AFib does not make for a tasty cocktail. For those who have already been diagnosed with AFib, drinking alcohol leads to worsening of symptoms and an increased risk of complications. For those who haven’t been diagnosed, alcohol increases the chance of developing AFib.

Alcohol use is associated with a broad range of health problems affecting every system of the body. Beyond the heart risks, alcohol damages the stomach, kidneys, bones, teeth, gut, liver, and more. Since all these body parts are connected through the cardiovascular system, it’s important to prioritize heart health to avoid further damage to them, especially if we already have a risky heart condition like AFib. When we mix alcohol and AFib, we put every part of our body at risk.

Does Alcohol Interact With Blood Thinners?

In addition to the physical risks, alcohol interacts with many medications used to treat AFib and its symptoms.

Blood thinners are commonly prescribed to treat AFib. They work by modifying the behavior of platelets, which are small fragments of blood cells that clump together to form clots.

There are two main categories of blood thinners.

  • Antiplatelets, like aspirin. These work by preventing activation and accumulation of platelets.
  • Anticoagulants, like heparin and warfarin. These work by making platelets less “sticky.”

So, is alcohol a blood thinner? Sort of. Alcohol has both antiplatelet and anticoagulant properties, meaning it can increase the effects of both of these types of medications. While some studies show that small amounts of alcohol may be safe, the truth is that even a single drink per day is associated with an increased risk of side effects.

People on blood thinners are at increased risk of bleeding. Excessive alcohol use is associated with bleeding in the stomach and esophagus, potentially worsening these conditions. In addition, drinking inhibits coordination and balance, putting us at greater risk for falls and other injuries, which become significantly more dangerous when our blood doesn’t clot properly.  

Mixing alcohol with other AFib medications like calcium channel blockers and beta blockers can lead to dangerously low blood pressure levels and should be avoided.

Risks of Drinking With AFib

Risks of Drinking With AFib

  • Low blood pressure. Alcohol lowers blood pressure, which can cause dizziness and issues with coordination. This amplifies similar symptoms caused by AFib.
  • Heart damage. AFib puts extra stress on heart muscles, and so does alcohol. Together, they strain on your heart, which can lead to more serious issues like heart failure, cardiomyopathy, or heart attack.
  • Excessive bleeding. Alcohol has blood-thinning properties. If you’re taking blood thinners to treat or prevent complications of AFib, you could be increasing your risk of complications or side effects from your medication.
  • Increase in AFib episodes. Since alcohol puts so much strain on the heart, you’re more likely to experience an AFib episode or exacerbate an ongoing episode. Each time this happens, you’re at a greater risk of complications like stroke or heart attack.
  • Medication interactions. Besides blood thinners, most other medications used to treat AFib have some sort of interaction with alcohol, from mild to severe. When taking medication to manage AFib, it’s best to just avoid alcohol.

Not Worth the Risk

An occasional drink may seem harmless when we have a condition like AFib, which doesn’t seem to impact us every single day. But the truth is, it increases the risk of serious complications and makes it more likely that AFib becomes a regular part of our life. AFib and alcohol use cause many of the same symptoms, and they can lead to similar chronic conditions. The heart, one of the most fundamental and essential parts of our body, is incredibly sensitive to how we treat it. Heart disease is the leading cause of death globally, causing nearly 700,000 deaths in the U.S. alone in 2021. The number two cause of death globally is stroke, a known complication of AFib. We can take control of AFib through medications, lifestyle changes, and by quitting or cutting back on drinking alcohol and by reducing complicating factors that worsen outcomes of AFib.

Alcohol and Health
2024-04-27 9:00
Alcohol and Health
Can Alcohol Cause Diverticulitis?
This is some text inside of a div block.

Scientists are divided about the relationship between diverticulitis and alcohol. Today, we answer all your questions, including, “Can alcohol cause diverticulitis?”

19 min read

Your Pocket-Sized Recovery Coach

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

You fidget on the paper-covered table, swinging your legs, waiting for the doctor to arrive. The nurse asks a lot of questions about your symptoms — nausea, fatigue, and lingering abdominal pain.

“How long has this been going on?”

You’re not quite sure.

“How many alcoholic drinks do you consume each week?”

You’re not sure about that, either.

Part of you thinks this appointment may be overkill, but then again, those late-night Google searches turned up some scary diagnoses — gastritis, appendicitis, and diverticulitis. The paper crinkles as you pull out your phone to look up that last one. What is diverticulitis, and could it be linked to your alcohol use?

Diverticula and Diverticular Disease Explained

A person wearing holding their stomach, indicating discomfort in that area.

First, we’ll need to familiarize ourselves with the differences between diverticulosis, diverticulitis, and diverticular disease. Stick with us — we promise it’ll make sense.

“Diverticula” is the scientific name for abnormal, marble-sized sacs that can form in the wall of the large intestine. Any medical problem involving these structures is classified as a diverticular disease.

There are two major forms of diverticular disease: diverticulosis and diverticulitis. The words look similar, but if you take a look at those suffixes, the differences are easy to spot:

  • -osis means “disease or condition of” 
  • -itis means “inflammation of”

Let’s explore the disease of and inflammation of diverticula. Hint: one is a prerequisite for the other.

What Is the Difference Between Diverticulosis and Diverticulitis?

Diverticulosis is a disease or condition of the diverticula. It’s the catch-all term for the formation of those tiny pockets in our intestinal wall. They’re created when our bowel muscles weaken and the inner layers push outwards. 

Most of us won’t realize we have diverticulosis; it tends to be symptomless. In fact, we may only get a diagnosis after those pouches get inflamed. That’s what diverticulitis is.

After intestinal antechambers have formed, they may tear, wear away, or begin to bleed. Diverticulitis is the medical term for the inflammation, perforation, or infection of those pockets. It’s a relatively rare condition that impacts just 4% of people with diverticula. Symptoms generally include persistent abdominal pain, nausea, and vomiting.

So, to recap: diverticulosis is the development of intestinal pockets. Diverticulitis is the inflammation or infection of those pockets. In this article, we’re talking about diverticulitis and alcohol.

How Alcohol Affects Our Digestive System

Symptoms of Diverticulitis

But let’s face it — no matter where we go, there will be alcohol. According to the World Gastroenterology Organisation, 75% of diverticular disease cases are simple. The other 25% come with complications like abscesses, bowel obstruction, peritonitis (inflammation of the abdominal lining), sepsis, and the formation of fistulas. The symptoms of diverticulitis vary from person to person, and they depend on the severity of our condition. 

The hallmark of diverticulitis is severe, persistent abdominal pain, especially on the lower left side. However, some people may experience more discomfort on the right side, which is why diverticulitis and appendicitis are often confused.

There are other symptoms, however, that can help differentiate the two:

  • Sensitivity to touch (abdomen)
  • Changes to bowel movements (usually constipation, more rarely diarrhea)
  • Fever
  • Cramps
  • Bloating
  • Nausea
  • Vomiting
  • Blood in stool


Many people refer to diverticulitis as a “flare-up,” since it occurs when those little pockets are inflamed. Pain, cramping, and changes to bowel movements can be signs of diverticular distress. Those previously diagnosed with diverticulosis should contact their treatment provider if these symptoms develop.

Causes of Diverticulitis

Because diverticulitis is correlated with age, it’s much more common in older people. When younger folks develop this condition, it’s usually due to factors like obesity and high-risk activities. Smoking, a sedentary lifestyle, and a high-fat, low-fiber diet can increase the risk of diverticulosis and, subsequently, diverticulitis.

Some researchers have begun to speculate about alcohol’s involvement in diverticular disease. Can alcohol cause diverticulitis?

How Alcohol Affects Our Digestive System

Few substances impact our esophagus, stomach, and intestines as strongly as alcohol. Diverticulitis and other GI conditions don’t just develop overnight; it may take years for us to begin experiencing symptoms. That’s because of the insidious ways booze affects our digestive system:

  • Motility issues. Alcohol restricts the movement of the muscles that line our esophagus, stomach, and intestines. This may cause heartburn, diarrhea, or constipation.
  • Mucosal damage. Mucosa is the scientific name for the delicate tissue lining structures like our esophagus. Long-term exposure to alcohol or recurrent vomiting can tear the mucosa or cause abnormal structures called varices to form on it.
  • Malabsorption. Alcohol use disorder (AUD) is associated with nutritional deficiencies, partially because it keeps the small intestine from absorbing the vitamins found in our food.
  • More toxins. Alcohol is also a bit of a traitor; even while restricting the absorption of nutrients, it increases the movement of toxins through the intestinal walls, which increases our risk of organ damage.

Conditions Associated With Heavy Alcohol Use

There’s more to gut health than diverticulitis and alcohol. In time, drinking can impact our overall gastrointestinal well-being. Many GI disorders are connected to heavy alcohol use:


  • Inflammation. Drinking can cause inflammation in the stomach lining (gastritis) and pancreas (pancreatitis), as well as other crucial structures. Symptoms include abdominal pain, indigestion, nausea, and vomiting.

  • Alcohol-related liver disease. Abbreviated ARLD, alcohol-related liver disease is a catch-all term for a variety of liver conditions, including cirrhosis (heavy scarring) and alcoholic hepatitis (inflammation of the liver).

  • Cancer. A pattern of heavy drinking places us at risk of several forms of cancer, including cancers of the colon, esophagus, and liver.

  • Vitamin deficiencies. Alcohol misuse keeps us from absorbing nutrients like vitamins B9, B12, and D. This deprivation suppresses our body’s ability to fight infections and disrupts crucial processes like red blood cell production, DNA synthesis, and cellular division.

  • Weakened immune system. Finally, drinking affects the immune system by hindering the production of white blood cells, disrupting our gut’s microbiome, and making us more susceptible to infections.

Diverticulitis and Alcohol: Correlation vs. Causation

Alcohol is related to myriad gastrointestinal disorders, but is it a major player in the irritation of diverticula? Scientific opinion is mixed.

One study from The Journal of Clinical Gastroenterology determined that alcohol consumption is a risk factor for diverticulosis (which, in turn, can lead to diverticulitis). Researchers found that the more a person drank, the more likely they were to develop the condition.

Another group of researchers published similar results in the journal Medicine (Baltimore). They analyzed a database of almost 260,000 people and found that those who consumed alcohol were more vulnerable to diverticular disease. This large-scale study illustrates a clear correlation between alcohol use and conditions related to diverticular disease.

However, some studies have identified an opposite trend. A good example is a meta-analysis published in The Hawaii Journal of Medicine and Public Health, which found no significant relationship between alcohol and diverticulitis or diverticulosis.

While researchers are still gathering information about whether alcohol causes diverticulitis, we’ve confirmed that drinking is not good for our digestive system.

Does Alcohol Affect Diverticulitis?

So, if we have diverticulitis, can we still drink?  

It’s probably not the best idea.

First, drinking weakens our immune system, which is a no-go when we’re fighting off any kind of diverticular infection. Alcohol also interacts with the antibiotic medications used to treat this condition, reducing their efficacy and increasing the likelihood of adverse reactions. Finally, severe cases of diverticulitis may result in fistulas, bowel obstructions, and other complications, and drinking might increase these health risks.

What Is the Best Type of Alcohol for Diverticulitis?

There’s no “best type” of alcoholic beverage to drink during a bout of diverticulitis. There is a worst one, though — liquor, or any libation with a high alcohol concentration. Check the alcohol by volume (ABV) before cheers-ing and consider booze-free alternatives.

How Much Is Too Much?

If we’re in the middle of a diverticulitis flare-up, it’s best to avoid alcohol altogether. Once we’ve recovered, we should talk to our doctor, who might give us the okay to begin reincorporating alcohol. They may also recommend that we continue to abstain, or only drink one or two beverages on special occasions. It is important to follow our physician’s advice to protect our health and safety after a diverticulitis diagnosis.

How To Treat Diverticulitis

If you’re experiencing a diverticulitis flare-up, follow your doctor’s orders, not listicles on the Internet! In addition to your doctor’s orders, however, some lifestyle changes can help alleviate symptoms and prevent future flare-ups: 

1. Forge a new relationship with fiber. Low dietary fiber is behind many cases of diverticular disease. Eating more roughage — a.k.a., vegetables you have to chew thoroughly — can do great things for your GI tract. High-fiber foods are more than just beans and broccoli. To keep diverticulitis at bay, try incorporating more bananas, berries, avocados, brussels sprouts, and whole grains into your meals. If you’re experiencing a flare-up, your doctor may recommend a low-fiber diet instead. This is why it’s important to speak to your doctor before making any major nutritional changes.

2. Move more. Exercise promotes regular bowel movements, improves digestion, and reduces stress, which can worsen the symptoms of diverticulitis. Once your flare-up has passed, ask your provider about low-impact physical activities to boost your health.

3. Take a fiber supplement. A variety of fiber sources can help regulate your bowel movements. For some of us, these supplements work wonders. Talk to a doctor before starting any dietary supplement, even Metamucil or Benefiber. If you do add fiber supplements to your regimen, do so gradually to avoid bloating and gas. 

4. Drink a lot of water. Hydration is especially important if we struggle with constipation or diarrhea. Drinking enough water keeps waste moving smoothly through our GI tract. Try to hit the recommended daily intake of 13 cups of water per day for men and nine for women.

5. Avoid NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil and Aleve can irritate our GI tracts, especially our intestines. Cutting down on these over-the-counter pain remedies may be a good idea for those concerned about diverticulitis.

6. Try meatless Mondays. Researchers have found that diverticular disease is much less common in vegetarians. If you’re not down for a meat-free diet, try cutting it out once or twice a week.

7. Avoid alcohol. Drinking can increase our risk of diverticulitis flare-ups and the formation of new diverticula. Cut back on drinking or leave it behind for good! If you need help cutting back on your alcohol use, Reframe can help.

8. Seek medical attention. If you suspect diverticulitis, make an appointment with your doctor or go to the emergency room. Your physician may recommend surgery, prescribe antibiotics, or put you on a clear liquid diet (that doesn’t include alcohol).

When To See a Doctor

Whenever you experience persistent abdominal pain, it’s a good idea to seek medical attention. Don’t wait for the discomfort to pass — you never know what’s to blame. An experienced healthcare provider can rule out life-threatening conditions like appendicitis, which would require emergency surgery.

Pain isn’t the only sign that something is wrong. If you’ve already been diagnosed with diverticulitis or diverticulosis, consider calling the doctor when you experience the following:


  • A high fever, which could be a sign of a diverticular infection
  • Significant changes to your bowel movements
  • Bloating, vomiting, or nausea
  • Diverticulitis symptoms that haven’t improved with treatment

Divert Your Drinking

Back to that crinkly-papered exam table — if your doctor comes into the room and diagnoses you with diverticulitis, we hope this article will give you some actionable ideas about how to move forward. If they ask you to cut back on your drinking, Reframe can help you address your alcohol intake.

Reframe is a proven habit-change app that draws from leading behavioral research, a network of medical and lifestyle professionals, and neuroscientific best practices. With partners at Emory, Harvard, and other major institutions, we’ll show you how to live a fulfilling life with less (or no!) booze.

We made Reframe to help people like you discover the very best versions of themselves. To try the app free for 7 days, visit the App Store or Google Play. We can’t wait to see you thrive.

You fidget on the paper-covered table, swinging your legs, waiting for the doctor to arrive. The nurse asks a lot of questions about your symptoms — nausea, fatigue, and lingering abdominal pain.

“How long has this been going on?”

You’re not quite sure.

“How many alcoholic drinks do you consume each week?”

You’re not sure about that, either.

Part of you thinks this appointment may be overkill, but then again, those late-night Google searches turned up some scary diagnoses — gastritis, appendicitis, and diverticulitis. The paper crinkles as you pull out your phone to look up that last one. What is diverticulitis, and could it be linked to your alcohol use?

Diverticula and Diverticular Disease Explained

A person wearing holding their stomach, indicating discomfort in that area.

First, we’ll need to familiarize ourselves with the differences between diverticulosis, diverticulitis, and diverticular disease. Stick with us — we promise it’ll make sense.

“Diverticula” is the scientific name for abnormal, marble-sized sacs that can form in the wall of the large intestine. Any medical problem involving these structures is classified as a diverticular disease.

There are two major forms of diverticular disease: diverticulosis and diverticulitis. The words look similar, but if you take a look at those suffixes, the differences are easy to spot:

  • -osis means “disease or condition of” 
  • -itis means “inflammation of”

Let’s explore the disease of and inflammation of diverticula. Hint: one is a prerequisite for the other.

What Is the Difference Between Diverticulosis and Diverticulitis?

Diverticulosis is a disease or condition of the diverticula. It’s the catch-all term for the formation of those tiny pockets in our intestinal wall. They’re created when our bowel muscles weaken and the inner layers push outwards. 

Most of us won’t realize we have diverticulosis; it tends to be symptomless. In fact, we may only get a diagnosis after those pouches get inflamed. That’s what diverticulitis is.

After intestinal antechambers have formed, they may tear, wear away, or begin to bleed. Diverticulitis is the medical term for the inflammation, perforation, or infection of those pockets. It’s a relatively rare condition that impacts just 4% of people with diverticula. Symptoms generally include persistent abdominal pain, nausea, and vomiting.

So, to recap: diverticulosis is the development of intestinal pockets. Diverticulitis is the inflammation or infection of those pockets. In this article, we’re talking about diverticulitis and alcohol.

How Alcohol Affects Our Digestive System

Symptoms of Diverticulitis

But let’s face it — no matter where we go, there will be alcohol. According to the World Gastroenterology Organisation, 75% of diverticular disease cases are simple. The other 25% come with complications like abscesses, bowel obstruction, peritonitis (inflammation of the abdominal lining), sepsis, and the formation of fistulas. The symptoms of diverticulitis vary from person to person, and they depend on the severity of our condition. 

The hallmark of diverticulitis is severe, persistent abdominal pain, especially on the lower left side. However, some people may experience more discomfort on the right side, which is why diverticulitis and appendicitis are often confused.

There are other symptoms, however, that can help differentiate the two:

  • Sensitivity to touch (abdomen)
  • Changes to bowel movements (usually constipation, more rarely diarrhea)
  • Fever
  • Cramps
  • Bloating
  • Nausea
  • Vomiting
  • Blood in stool


Many people refer to diverticulitis as a “flare-up,” since it occurs when those little pockets are inflamed. Pain, cramping, and changes to bowel movements can be signs of diverticular distress. Those previously diagnosed with diverticulosis should contact their treatment provider if these symptoms develop.

Causes of Diverticulitis

Because diverticulitis is correlated with age, it’s much more common in older people. When younger folks develop this condition, it’s usually due to factors like obesity and high-risk activities. Smoking, a sedentary lifestyle, and a high-fat, low-fiber diet can increase the risk of diverticulosis and, subsequently, diverticulitis.

Some researchers have begun to speculate about alcohol’s involvement in diverticular disease. Can alcohol cause diverticulitis?

How Alcohol Affects Our Digestive System

Few substances impact our esophagus, stomach, and intestines as strongly as alcohol. Diverticulitis and other GI conditions don’t just develop overnight; it may take years for us to begin experiencing symptoms. That’s because of the insidious ways booze affects our digestive system:

  • Motility issues. Alcohol restricts the movement of the muscles that line our esophagus, stomach, and intestines. This may cause heartburn, diarrhea, or constipation.
  • Mucosal damage. Mucosa is the scientific name for the delicate tissue lining structures like our esophagus. Long-term exposure to alcohol or recurrent vomiting can tear the mucosa or cause abnormal structures called varices to form on it.
  • Malabsorption. Alcohol use disorder (AUD) is associated with nutritional deficiencies, partially because it keeps the small intestine from absorbing the vitamins found in our food.
  • More toxins. Alcohol is also a bit of a traitor; even while restricting the absorption of nutrients, it increases the movement of toxins through the intestinal walls, which increases our risk of organ damage.

Conditions Associated With Heavy Alcohol Use

There’s more to gut health than diverticulitis and alcohol. In time, drinking can impact our overall gastrointestinal well-being. Many GI disorders are connected to heavy alcohol use:


  • Inflammation. Drinking can cause inflammation in the stomach lining (gastritis) and pancreas (pancreatitis), as well as other crucial structures. Symptoms include abdominal pain, indigestion, nausea, and vomiting.

  • Alcohol-related liver disease. Abbreviated ARLD, alcohol-related liver disease is a catch-all term for a variety of liver conditions, including cirrhosis (heavy scarring) and alcoholic hepatitis (inflammation of the liver).

  • Cancer. A pattern of heavy drinking places us at risk of several forms of cancer, including cancers of the colon, esophagus, and liver.

  • Vitamin deficiencies. Alcohol misuse keeps us from absorbing nutrients like vitamins B9, B12, and D. This deprivation suppresses our body’s ability to fight infections and disrupts crucial processes like red blood cell production, DNA synthesis, and cellular division.

  • Weakened immune system. Finally, drinking affects the immune system by hindering the production of white blood cells, disrupting our gut’s microbiome, and making us more susceptible to infections.

Diverticulitis and Alcohol: Correlation vs. Causation

Alcohol is related to myriad gastrointestinal disorders, but is it a major player in the irritation of diverticula? Scientific opinion is mixed.

One study from The Journal of Clinical Gastroenterology determined that alcohol consumption is a risk factor for diverticulosis (which, in turn, can lead to diverticulitis). Researchers found that the more a person drank, the more likely they were to develop the condition.

Another group of researchers published similar results in the journal Medicine (Baltimore). They analyzed a database of almost 260,000 people and found that those who consumed alcohol were more vulnerable to diverticular disease. This large-scale study illustrates a clear correlation between alcohol use and conditions related to diverticular disease.

However, some studies have identified an opposite trend. A good example is a meta-analysis published in The Hawaii Journal of Medicine and Public Health, which found no significant relationship between alcohol and diverticulitis or diverticulosis.

While researchers are still gathering information about whether alcohol causes diverticulitis, we’ve confirmed that drinking is not good for our digestive system.

Does Alcohol Affect Diverticulitis?

So, if we have diverticulitis, can we still drink?  

It’s probably not the best idea.

First, drinking weakens our immune system, which is a no-go when we’re fighting off any kind of diverticular infection. Alcohol also interacts with the antibiotic medications used to treat this condition, reducing their efficacy and increasing the likelihood of adverse reactions. Finally, severe cases of diverticulitis may result in fistulas, bowel obstructions, and other complications, and drinking might increase these health risks.

What Is the Best Type of Alcohol for Diverticulitis?

There’s no “best type” of alcoholic beverage to drink during a bout of diverticulitis. There is a worst one, though — liquor, or any libation with a high alcohol concentration. Check the alcohol by volume (ABV) before cheers-ing and consider booze-free alternatives.

How Much Is Too Much?

If we’re in the middle of a diverticulitis flare-up, it’s best to avoid alcohol altogether. Once we’ve recovered, we should talk to our doctor, who might give us the okay to begin reincorporating alcohol. They may also recommend that we continue to abstain, or only drink one or two beverages on special occasions. It is important to follow our physician’s advice to protect our health and safety after a diverticulitis diagnosis.

How To Treat Diverticulitis

If you’re experiencing a diverticulitis flare-up, follow your doctor’s orders, not listicles on the Internet! In addition to your doctor’s orders, however, some lifestyle changes can help alleviate symptoms and prevent future flare-ups: 

1. Forge a new relationship with fiber. Low dietary fiber is behind many cases of diverticular disease. Eating more roughage — a.k.a., vegetables you have to chew thoroughly — can do great things for your GI tract. High-fiber foods are more than just beans and broccoli. To keep diverticulitis at bay, try incorporating more bananas, berries, avocados, brussels sprouts, and whole grains into your meals. If you’re experiencing a flare-up, your doctor may recommend a low-fiber diet instead. This is why it’s important to speak to your doctor before making any major nutritional changes.

2. Move more. Exercise promotes regular bowel movements, improves digestion, and reduces stress, which can worsen the symptoms of diverticulitis. Once your flare-up has passed, ask your provider about low-impact physical activities to boost your health.

3. Take a fiber supplement. A variety of fiber sources can help regulate your bowel movements. For some of us, these supplements work wonders. Talk to a doctor before starting any dietary supplement, even Metamucil or Benefiber. If you do add fiber supplements to your regimen, do so gradually to avoid bloating and gas. 

4. Drink a lot of water. Hydration is especially important if we struggle with constipation or diarrhea. Drinking enough water keeps waste moving smoothly through our GI tract. Try to hit the recommended daily intake of 13 cups of water per day for men and nine for women.

5. Avoid NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil and Aleve can irritate our GI tracts, especially our intestines. Cutting down on these over-the-counter pain remedies may be a good idea for those concerned about diverticulitis.

6. Try meatless Mondays. Researchers have found that diverticular disease is much less common in vegetarians. If you’re not down for a meat-free diet, try cutting it out once or twice a week.

7. Avoid alcohol. Drinking can increase our risk of diverticulitis flare-ups and the formation of new diverticula. Cut back on drinking or leave it behind for good! If you need help cutting back on your alcohol use, Reframe can help.

8. Seek medical attention. If you suspect diverticulitis, make an appointment with your doctor or go to the emergency room. Your physician may recommend surgery, prescribe antibiotics, or put you on a clear liquid diet (that doesn’t include alcohol).

When To See a Doctor

Whenever you experience persistent abdominal pain, it’s a good idea to seek medical attention. Don’t wait for the discomfort to pass — you never know what’s to blame. An experienced healthcare provider can rule out life-threatening conditions like appendicitis, which would require emergency surgery.

Pain isn’t the only sign that something is wrong. If you’ve already been diagnosed with diverticulitis or diverticulosis, consider calling the doctor when you experience the following:


  • A high fever, which could be a sign of a diverticular infection
  • Significant changes to your bowel movements
  • Bloating, vomiting, or nausea
  • Diverticulitis symptoms that haven’t improved with treatment

Divert Your Drinking

Back to that crinkly-papered exam table — if your doctor comes into the room and diagnoses you with diverticulitis, we hope this article will give you some actionable ideas about how to move forward. If they ask you to cut back on your drinking, Reframe can help you address your alcohol intake.

Reframe is a proven habit-change app that draws from leading behavioral research, a network of medical and lifestyle professionals, and neuroscientific best practices. With partners at Emory, Harvard, and other major institutions, we’ll show you how to live a fulfilling life with less (or no!) booze.

We made Reframe to help people like you discover the very best versions of themselves. To try the app free for 7 days, visit the App Store or Google Play. We can’t wait to see you thrive.

Alcohol and Health
2024-04-26 9:00
Alcohol and Health
Can You Drink Alcohol While on Chemotherapy?
This is some text inside of a div block.

Guidance on drinking alcohol during chemotherapy varies depending on the source. Check out our latest blog for more clarity on the effects of drinking while on chemo.

11 min read

Say Goodbye to Alcohol With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Chemotherapy is a challenging experience — it’s physically taxing, mentally draining, and the side effects seem to seep into just about every area of life. From physical changes to mood changes and strains on work and family life, it’s not controversial to say: chemotherapy (and cancer in general) sucks.

It’s plausible, then, that we might reach for a few drinks to relax when the stress of chemo has us feeling down. Unfortunately, that’s likely going to do more harm than good. Besides the fact that alcohol fuels depression and anxiety, cancer and excessive drinking have a somewhat reciprocal relationship. Over the years, more research has been done to show a more definitive link between alcohol as a cause of cancer. That being said, surveys also show that excessive drinking is common for cancer patients, even during chemotherapy.

Information online about the safety of drinking alcohol while on chemotherapy is a bit unclear, making it difficult to make our own informed decisions. That’s where we come in. This article will unpack the science behind the effects of alcohol on chemotherapy and come up with a clear answer. Let’s dive in!

The Relationship Between Alcohol and Cancer

Research has extensively linked alcohol to cancer. Recent changes to the American Cancer Society guidelines recommend avoiding alcohol in order to reduce the risk of developing cancer. While many factors are theorized to cause cancer, drinking alcohol directly leads to an increased risk of developing all different types of cancer.

What types of cancer, exactly? Well … all of them. To learn about specific threats, check out our blogs about alcohol-related risks of developing cancer in the throat, colon, liver, breast, and more.

Underneath Alcohol’s Cancer Risk

Alcohol’s cancer threat stems from the metabolism of ethanol, the main component of alcohol. Ethanol is broken down by our liver into a toxic compound called acetaldehyde (ACH). ACH is classified as a carcinogen, or a substance that can cause cancer. The International Agency for Research on Cancer (IARC) classifies carcinogens into four different categories based on the strength of evidence for their cancer-causing properties: known carcinogens, probable carcinogens, possible carcinogens, and non-classifiable. ACH is a known carcinogen — confirming alcohol’s role in the risk of developing cancer.

Alcohol also disrupts the hormones that promote cell division and growth, depletes essential vitamins and nutrients, and damages the immune system’s innate cancer-fighting power. Drinking during chemo is incredibly common, either in spite of this information or because we aren’t aware of it. To understand the negative effects of drinking while on chemotherapy, let’s first take a look at what chemo is.

Basics of Chemotherapy

Although often described under the umbrella term “chemotherapy” (or “chemo,” for short), this treatment frequently consists of a range of different drugs that attack our cells in different cycles to prevent cancer cells from reproducing. Chemotherapy drugs are cytotoxic, meaning they’re toxic to cells. They are also systemic, which means that they affect all the cells in the body — including healthy ones.

The same property that makes chemo effective at destroying cancer cells makes it dangerous to our healthy cells. This explains why chemo famously causes a reduction in our immune system function, making those of us undergoing chemo treatment immunocompromised. It also comes with a long list of uncomfortable side effects:

  • Fatigue 
  • Hair loss
  • Infection
  • Oral pain and sores
  • Mood changes
  • GI symptoms 
  • Anemia
  • Nerve issues 

Through the long list of potential side effects, we can see the extensive impact that chemo has on our body. Treatment typically lasts anywhere from six months to a year, but sometimes runs longer. Because cancer can be pesky to treat, chemo is often used in conjunction with other approaches and supporting therapies that help to attack cancer from multiple angles and alleviate chemo side effects. 

We know that chemotherapy and alcohol both have significant impacts on our body. Let’s see what experts suggest regarding drinking during chemo.

Can You Drink Alcohol While on Chemo Treatment?

Every chemotherapy regimen is different, using a different combination of drugs delivered on a strict schedule. Following the schedule of chemo cycles is crucial, as the effectiveness of the treatment depends on having sufficient levels of chemo in our body to fight cancer cells. If there are known interactions between alcohol and our chemo medication, treatment cycles may need to be pushed back.

Research shows that missing doses of chemo is associated with increased mortality — which drinking can certainly play a role in. Even though not all chemo or supporting medications have direct interactions with alcohol, drinking can still open the door to many complications (which we’ll get into).

Since alcohol is so heavily tied to the risk of developing cancer, drinking during and after chemo can also increase the risk of recurrence. Chemo causes extreme strain on our body as evidenced by its sometimes debilitating side effects. Drinking alcohol on top of that adds additional strain, pushing our body even harder and adding to our discomfort.

The Interaction Between Cancer Treatments, Chemo, and Alcohol

Cancer treatment requires an exhaustive approach that combines different methods and treatments. Alcohol can disrupt chemo in many different ways.

Alcohol and Chemo Drug Interactions

Chemo consists of a combination of different drugs to provide the best chance to eliminate cancer, and alcohol has many known interactions with common drugs used during chemo treatment. It also interacts with other medications used to support cancer treatment including pain relievers, anti-nausea medication, and anti-anxiety drugs.

Let’s take a look at how alcohol interacts with some of the most common chemo drugs:

  • Gleostine (lomustine). Drinking alcohol with Gleostine, commonly used for metastatic brain cancer, can cause serious GI side effects, including nausea and vomiting.
  • Matulane (procarbazine). Mixing alcohol with Matulane causes a range of serious side effects on our central nervous system. Symptoms include dizziness, headaches, drowsiness, or loss of balance.
  • Ultram (tramadol). Ultram is an opioid used as a supporting medication to relieve pain. When combined with alcohol, it can seriously slow our heart rate, suppress our blood pressure, and cause confusion. 
  • Antiemetics. When mixed with alcohol, some anti-nausea medications can cause severe dizziness, loss of coordination, and drowsiness. On top of that, alcohol is known to cause nausea — just like chemo drugs.
  • Anxiolytics. Xanax, Ativan, and other anti-anxiety medications can cause abnormal drowsiness, trouble concentrating, and extremely slowed breathing when combined with alcohol.

It’s best to consult with our oncology treatment team regarding specific interactions within our personalized medication regimen. Alcohol may not have direct interactions with all chemo treatment medications, but it can still cause negative effects. Medication and alcohol are metabolized in our liver — putting it into overdrive. This can lead to severe side effects and reduce the effectiveness of the chemo drugs. 

Other Cancer Treatments 

Much like the link between alcohol and chemotherapy, drinking also causes harmful impacts on non-chemo cancer treatments. The following therapies are impacted by the negative effects of alcohol:

  • Radiation therapy. This cancer treatment uses high doses of radiation to kill cancer cells. Drinking further dehydrates our body, making it more difficult to recover after treatment. It also increases the risk of oral pain and sores, which are common with radiation therapy.
  • Immunotherapy. This type of cancer treatment boosts our immune system to help eliminate cancer, which alcohol directly works against by dampening our immune system.
  • Hormonal therapy. Alcohol disrupts our hormones, which can make hormone therapy ineffective. This type of treatment blocks or alters specific hormones that cancer cells use to grow.
  • Targeted therapy. This precision treatment primarily uses drugs that attach to specific cancer cells or genes that help cancer survive. Common examples include crizotinib for lung cancer or lapatinib for breast cancer. These drugs can cause liver issues; drinking adds to an increased risk of damage and disease.

We can see that interactions between cancer treatments, chemotherapy, and alcohol can cause negative symptoms. As it turns out, the timing of our drinking has a lot to do with how alcohol affects our treatment.

Why You Shouldn’t Drink During Chemo

Timeline of Alcohol and Chemo Interactions

Chemo is primarily administered in medical settings such as a doctor’s office or outpatient clinic. It’s usually given intravenously, but it can also be in the form of an injection or pill. While drinking is not recommended for cancer patients at any stage (even those in remission), let’s dive deeper into the guidelines for drinking immediately after receiving chemo and after all cycles of treatment are completed.

Alcohol During Chemo

If there are no direct interactions between alcohol and our panel of chemo drugs, drinking immediately after a treatment session may not pose immediate risks or symptoms. However, it’s still not recommended as drinking can further aggravate the side effects of chemo. 

Chemo drugs typically stay in our system for 3-7 days, depending on the drug. If we choose to drink, it’s best to wait until the chemo medication exits our system to minimize any adverse effects. Treatment schedules also vary between patients, so it’s important to keep in mind when our next round will be.

Fitting in a drink while on chemo is a balancing act that only adds to the burden of treatment. If you do decide to drink during your treatment plan, be sure to communicate clearly with the treatment team so they can account for all elements.

Alcohol After Chemo

After all cycles of chemo are completed, drinking is still not recommended. Chemo may help some types of cancer, but, for more advanced cancers, it may only stop the cancer from spreading. This means that the cancer will require ongoing maintenance and therapy to delay progression. 

For patients who are cancer-free after chemo is completed, drinking is still not a good idea. Although the correlation between drinking and increased risk of cancer recurrence is still being studied, alcohol is clearly correlated with an increased risk of cancer.

If we do choose to drink, it’s best to wait until chemo symptoms subside, and thereafter follow recommended guidelines for drinking in moderation. Choosing to drink during and after chemo opens up “Pandora’s box,” leading to a host of potential complications and consequences.

How Much Is Too Much

Cancer and chemo are extremely taxing on our body. Cancer cells attack from inside, and chemo can destroy healthy cells that decrease our immune defenses. During this vulnerable state, even having one standard drink is not recommended. 

If our chemo medication and supporting treatments have direct interactions with alcohol, any amount will cause negative harm to the way the drug works in our system. If our chemo medication doesn’t have direct interactions, we may not see or feel immediate symptoms, but alcohol still stresses out our body when it’s fighting to heal. As such, it’s generally best to avoid alcohol entirely while on chemo.

What Happens If You Drink Alcohol While on Chemo?

Drinking during chemo can lead to direct and indirect effects on our health and our fight against cancer. It can make cancer treatment more demanding on our body given these consequences:

  • Decreased effectiveness of treatment. Chemo drugs act on all the cells in our body. Since alcohol also affects all the systems in our body, the two can interact and decrease the effectiveness of cancer treatment.
  • Exacerbated side effects. Drinking is commonly accompanied by unpleasant hangover symptoms. This can add to the discomfort of common side effects of chemo.
  • Low blood counts. Chemo can often cause low blood cell counts, which lead to risk of infection, anemia, and excessive bleeding. Alcohol also interferes with the production of blood cells, further complicating and postponing chemo treatment.
  • Depression and anxiety. Alcohol is a depressant that can further exacerbate poor mental health associated with cancer diagnoses. 
  • Increased chance of complications. The toxins in alcohol affect all systems in our body, impacting their efforts to fight cancer cells. Alcohol may affect us in ways that we aren’t able to see directly, or that aren’t immediately apparent. 
  • Sleep disturbances. Our body needs rest to have the best chance to beat cancer. Chemo is also taxing on the body, requiring proper rest for recovery. Alcohol causes sleep disturbances that rob us of the restorative rest we need.
  • Dangerous medication interactions. As previously mentioned, direct interactions with certain chemo medications and supporting treatments can cause serious side effects that warrant immediate medical attention and can impact our chances of recovery. 

Drinking isn’t recommended in any amounts while on chemo, but hiding our drinking can cause even greater harm. Our treatment team will be better equipped to support us if we communicate honestly about our drinking habits. We can also make more intentional choices to help diminish the chances complicating our treatment. 

Navigating a Healthy Relationship With Alcohol After Chemo

Chemo can be an arduous journey that deserves celebration once completed. We can celebrate the end of chemo and a future of good health by implementing these intentional drinking habits:

  • Consult with a doctor. When choosing to drink, it's best to consult with a professional. Your treatment team will be most familiar with your needs and specific treatment regimen. Be honest about your drinking habits and follow recommended guidelines from health professionals.
  • Quit or cut back on alcohol. Alcohol is a known carcinogen. Quitting or cutting back on alcohol can only help. Luckily, there are many options for treatment that fit into every lifestyle. Reframe, for instance, offers science-backed support right in your pocket.
  • Focus energy elsewhere. Positive distractions such as physical movement, mindfulness practices, and social activities can help our physical and emotional well-being. Connecting with others, trying a new hobby, meditating, and walking are all great ways to channel our energy into more positive habits.
  • Reach out for support. Chemo is mentally and physically taxing. Navigating alcohol dependence can also be a challenge. Reaching out to family and friends, exploring online resources such as Reframe, and seeking professional treatment can help the journey feel less daunting. 

The Bottom Line

While guidelines for the safety of drinking during chemo aren’t cut and dry, medical professionals are unlikely to recommend drinking during cancer treatment. Whether or not drinking increases the chance of cancer recurrence is still inconclusive. However, alcohol has a direct correlation with an increased risk of developing cancer.

Not all chemo medications have interactions with alcohol at face value, but many do, and alcohol can interfere with treatment success in the long run. Cancer treatment can be a long and arduous road — alcohol only makes it more difficult. Quitting or cutting back on alcohol helps keep chemo on track!

Chemotherapy is a challenging experience — it’s physically taxing, mentally draining, and the side effects seem to seep into just about every area of life. From physical changes to mood changes and strains on work and family life, it’s not controversial to say: chemotherapy (and cancer in general) sucks.

It’s plausible, then, that we might reach for a few drinks to relax when the stress of chemo has us feeling down. Unfortunately, that’s likely going to do more harm than good. Besides the fact that alcohol fuels depression and anxiety, cancer and excessive drinking have a somewhat reciprocal relationship. Over the years, more research has been done to show a more definitive link between alcohol as a cause of cancer. That being said, surveys also show that excessive drinking is common for cancer patients, even during chemotherapy.

Information online about the safety of drinking alcohol while on chemotherapy is a bit unclear, making it difficult to make our own informed decisions. That’s where we come in. This article will unpack the science behind the effects of alcohol on chemotherapy and come up with a clear answer. Let’s dive in!

The Relationship Between Alcohol and Cancer

Research has extensively linked alcohol to cancer. Recent changes to the American Cancer Society guidelines recommend avoiding alcohol in order to reduce the risk of developing cancer. While many factors are theorized to cause cancer, drinking alcohol directly leads to an increased risk of developing all different types of cancer.

What types of cancer, exactly? Well … all of them. To learn about specific threats, check out our blogs about alcohol-related risks of developing cancer in the throat, colon, liver, breast, and more.

Underneath Alcohol’s Cancer Risk

Alcohol’s cancer threat stems from the metabolism of ethanol, the main component of alcohol. Ethanol is broken down by our liver into a toxic compound called acetaldehyde (ACH). ACH is classified as a carcinogen, or a substance that can cause cancer. The International Agency for Research on Cancer (IARC) classifies carcinogens into four different categories based on the strength of evidence for their cancer-causing properties: known carcinogens, probable carcinogens, possible carcinogens, and non-classifiable. ACH is a known carcinogen — confirming alcohol’s role in the risk of developing cancer.

Alcohol also disrupts the hormones that promote cell division and growth, depletes essential vitamins and nutrients, and damages the immune system’s innate cancer-fighting power. Drinking during chemo is incredibly common, either in spite of this information or because we aren’t aware of it. To understand the negative effects of drinking while on chemotherapy, let’s first take a look at what chemo is.

Basics of Chemotherapy

Although often described under the umbrella term “chemotherapy” (or “chemo,” for short), this treatment frequently consists of a range of different drugs that attack our cells in different cycles to prevent cancer cells from reproducing. Chemotherapy drugs are cytotoxic, meaning they’re toxic to cells. They are also systemic, which means that they affect all the cells in the body — including healthy ones.

The same property that makes chemo effective at destroying cancer cells makes it dangerous to our healthy cells. This explains why chemo famously causes a reduction in our immune system function, making those of us undergoing chemo treatment immunocompromised. It also comes with a long list of uncomfortable side effects:

  • Fatigue 
  • Hair loss
  • Infection
  • Oral pain and sores
  • Mood changes
  • GI symptoms 
  • Anemia
  • Nerve issues 

Through the long list of potential side effects, we can see the extensive impact that chemo has on our body. Treatment typically lasts anywhere from six months to a year, but sometimes runs longer. Because cancer can be pesky to treat, chemo is often used in conjunction with other approaches and supporting therapies that help to attack cancer from multiple angles and alleviate chemo side effects. 

We know that chemotherapy and alcohol both have significant impacts on our body. Let’s see what experts suggest regarding drinking during chemo.

Can You Drink Alcohol While on Chemo Treatment?

Every chemotherapy regimen is different, using a different combination of drugs delivered on a strict schedule. Following the schedule of chemo cycles is crucial, as the effectiveness of the treatment depends on having sufficient levels of chemo in our body to fight cancer cells. If there are known interactions between alcohol and our chemo medication, treatment cycles may need to be pushed back.

Research shows that missing doses of chemo is associated with increased mortality — which drinking can certainly play a role in. Even though not all chemo or supporting medications have direct interactions with alcohol, drinking can still open the door to many complications (which we’ll get into).

Since alcohol is so heavily tied to the risk of developing cancer, drinking during and after chemo can also increase the risk of recurrence. Chemo causes extreme strain on our body as evidenced by its sometimes debilitating side effects. Drinking alcohol on top of that adds additional strain, pushing our body even harder and adding to our discomfort.

The Interaction Between Cancer Treatments, Chemo, and Alcohol

Cancer treatment requires an exhaustive approach that combines different methods and treatments. Alcohol can disrupt chemo in many different ways.

Alcohol and Chemo Drug Interactions

Chemo consists of a combination of different drugs to provide the best chance to eliminate cancer, and alcohol has many known interactions with common drugs used during chemo treatment. It also interacts with other medications used to support cancer treatment including pain relievers, anti-nausea medication, and anti-anxiety drugs.

Let’s take a look at how alcohol interacts with some of the most common chemo drugs:

  • Gleostine (lomustine). Drinking alcohol with Gleostine, commonly used for metastatic brain cancer, can cause serious GI side effects, including nausea and vomiting.
  • Matulane (procarbazine). Mixing alcohol with Matulane causes a range of serious side effects on our central nervous system. Symptoms include dizziness, headaches, drowsiness, or loss of balance.
  • Ultram (tramadol). Ultram is an opioid used as a supporting medication to relieve pain. When combined with alcohol, it can seriously slow our heart rate, suppress our blood pressure, and cause confusion. 
  • Antiemetics. When mixed with alcohol, some anti-nausea medications can cause severe dizziness, loss of coordination, and drowsiness. On top of that, alcohol is known to cause nausea — just like chemo drugs.
  • Anxiolytics. Xanax, Ativan, and other anti-anxiety medications can cause abnormal drowsiness, trouble concentrating, and extremely slowed breathing when combined with alcohol.

It’s best to consult with our oncology treatment team regarding specific interactions within our personalized medication regimen. Alcohol may not have direct interactions with all chemo treatment medications, but it can still cause negative effects. Medication and alcohol are metabolized in our liver — putting it into overdrive. This can lead to severe side effects and reduce the effectiveness of the chemo drugs. 

Other Cancer Treatments 

Much like the link between alcohol and chemotherapy, drinking also causes harmful impacts on non-chemo cancer treatments. The following therapies are impacted by the negative effects of alcohol:

  • Radiation therapy. This cancer treatment uses high doses of radiation to kill cancer cells. Drinking further dehydrates our body, making it more difficult to recover after treatment. It also increases the risk of oral pain and sores, which are common with radiation therapy.
  • Immunotherapy. This type of cancer treatment boosts our immune system to help eliminate cancer, which alcohol directly works against by dampening our immune system.
  • Hormonal therapy. Alcohol disrupts our hormones, which can make hormone therapy ineffective. This type of treatment blocks or alters specific hormones that cancer cells use to grow.
  • Targeted therapy. This precision treatment primarily uses drugs that attach to specific cancer cells or genes that help cancer survive. Common examples include crizotinib for lung cancer or lapatinib for breast cancer. These drugs can cause liver issues; drinking adds to an increased risk of damage and disease.

We can see that interactions between cancer treatments, chemotherapy, and alcohol can cause negative symptoms. As it turns out, the timing of our drinking has a lot to do with how alcohol affects our treatment.

Why You Shouldn’t Drink During Chemo

Timeline of Alcohol and Chemo Interactions

Chemo is primarily administered in medical settings such as a doctor’s office or outpatient clinic. It’s usually given intravenously, but it can also be in the form of an injection or pill. While drinking is not recommended for cancer patients at any stage (even those in remission), let’s dive deeper into the guidelines for drinking immediately after receiving chemo and after all cycles of treatment are completed.

Alcohol During Chemo

If there are no direct interactions between alcohol and our panel of chemo drugs, drinking immediately after a treatment session may not pose immediate risks or symptoms. However, it’s still not recommended as drinking can further aggravate the side effects of chemo. 

Chemo drugs typically stay in our system for 3-7 days, depending on the drug. If we choose to drink, it’s best to wait until the chemo medication exits our system to minimize any adverse effects. Treatment schedules also vary between patients, so it’s important to keep in mind when our next round will be.

Fitting in a drink while on chemo is a balancing act that only adds to the burden of treatment. If you do decide to drink during your treatment plan, be sure to communicate clearly with the treatment team so they can account for all elements.

Alcohol After Chemo

After all cycles of chemo are completed, drinking is still not recommended. Chemo may help some types of cancer, but, for more advanced cancers, it may only stop the cancer from spreading. This means that the cancer will require ongoing maintenance and therapy to delay progression. 

For patients who are cancer-free after chemo is completed, drinking is still not a good idea. Although the correlation between drinking and increased risk of cancer recurrence is still being studied, alcohol is clearly correlated with an increased risk of cancer.

If we do choose to drink, it’s best to wait until chemo symptoms subside, and thereafter follow recommended guidelines for drinking in moderation. Choosing to drink during and after chemo opens up “Pandora’s box,” leading to a host of potential complications and consequences.

How Much Is Too Much

Cancer and chemo are extremely taxing on our body. Cancer cells attack from inside, and chemo can destroy healthy cells that decrease our immune defenses. During this vulnerable state, even having one standard drink is not recommended. 

If our chemo medication and supporting treatments have direct interactions with alcohol, any amount will cause negative harm to the way the drug works in our system. If our chemo medication doesn’t have direct interactions, we may not see or feel immediate symptoms, but alcohol still stresses out our body when it’s fighting to heal. As such, it’s generally best to avoid alcohol entirely while on chemo.

What Happens If You Drink Alcohol While on Chemo?

Drinking during chemo can lead to direct and indirect effects on our health and our fight against cancer. It can make cancer treatment more demanding on our body given these consequences:

  • Decreased effectiveness of treatment. Chemo drugs act on all the cells in our body. Since alcohol also affects all the systems in our body, the two can interact and decrease the effectiveness of cancer treatment.
  • Exacerbated side effects. Drinking is commonly accompanied by unpleasant hangover symptoms. This can add to the discomfort of common side effects of chemo.
  • Low blood counts. Chemo can often cause low blood cell counts, which lead to risk of infection, anemia, and excessive bleeding. Alcohol also interferes with the production of blood cells, further complicating and postponing chemo treatment.
  • Depression and anxiety. Alcohol is a depressant that can further exacerbate poor mental health associated with cancer diagnoses. 
  • Increased chance of complications. The toxins in alcohol affect all systems in our body, impacting their efforts to fight cancer cells. Alcohol may affect us in ways that we aren’t able to see directly, or that aren’t immediately apparent. 
  • Sleep disturbances. Our body needs rest to have the best chance to beat cancer. Chemo is also taxing on the body, requiring proper rest for recovery. Alcohol causes sleep disturbances that rob us of the restorative rest we need.
  • Dangerous medication interactions. As previously mentioned, direct interactions with certain chemo medications and supporting treatments can cause serious side effects that warrant immediate medical attention and can impact our chances of recovery. 

Drinking isn’t recommended in any amounts while on chemo, but hiding our drinking can cause even greater harm. Our treatment team will be better equipped to support us if we communicate honestly about our drinking habits. We can also make more intentional choices to help diminish the chances complicating our treatment. 

Navigating a Healthy Relationship With Alcohol After Chemo

Chemo can be an arduous journey that deserves celebration once completed. We can celebrate the end of chemo and a future of good health by implementing these intentional drinking habits:

  • Consult with a doctor. When choosing to drink, it's best to consult with a professional. Your treatment team will be most familiar with your needs and specific treatment regimen. Be honest about your drinking habits and follow recommended guidelines from health professionals.
  • Quit or cut back on alcohol. Alcohol is a known carcinogen. Quitting or cutting back on alcohol can only help. Luckily, there are many options for treatment that fit into every lifestyle. Reframe, for instance, offers science-backed support right in your pocket.
  • Focus energy elsewhere. Positive distractions such as physical movement, mindfulness practices, and social activities can help our physical and emotional well-being. Connecting with others, trying a new hobby, meditating, and walking are all great ways to channel our energy into more positive habits.
  • Reach out for support. Chemo is mentally and physically taxing. Navigating alcohol dependence can also be a challenge. Reaching out to family and friends, exploring online resources such as Reframe, and seeking professional treatment can help the journey feel less daunting. 

The Bottom Line

While guidelines for the safety of drinking during chemo aren’t cut and dry, medical professionals are unlikely to recommend drinking during cancer treatment. Whether or not drinking increases the chance of cancer recurrence is still inconclusive. However, alcohol has a direct correlation with an increased risk of developing cancer.

Not all chemo medications have interactions with alcohol at face value, but many do, and alcohol can interfere with treatment success in the long run. Cancer treatment can be a long and arduous road — alcohol only makes it more difficult. Quitting or cutting back on alcohol helps keep chemo on track!

Alcohol and Health
2024-04-26 9:00
Alcohol and Health
Can You Drink Alcohol Before a Colonoscopy?
This is some text inside of a div block.

Drinking alcohol before a colonoscopy influences the safety and success of the screening. Learn more about the effects of drinking before a colonoscopy in our latest blog.

23 min read

Navigating Drinking With Other Health Issues? Check Out Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Colonoscopies are no glamorous procedure. To add to its unpleasantness, the procedure involves a comprehensive preparation regimen that boosts its accuracy. One of the many instructions in the prep booklet for a colonoscopy is to avoid alcohol. While testing our luck is fun and games when buying a lottery ticket, this “no drinking” guideline is one we’ll want to follow.

Understanding the risks of drinking before a colonoscopy will help us follow protocols and have a safe procedure. Let’s take a good look (no pun intended) at if and when it’s okay to drink before a colonoscopy. 

Understanding Colonoscopy Screenings

A medical professional showing an illustration of the human intestines

A colonoscopy is a screening procedure that is used to check the large intestine for abnormalities like swelling, polyps, irritated tissue, and diseases. To do this, they insert a colonoscope — a flexible tube with a tiny camera on the end — through the rectum to view the inside of our colon and surrounding areas. 

Although it’s relatively quick (typically under an hour), a colonoscopy is considered an invasive procedure that requires anesthesia and a lengthy pre-procedure regimen that ensures the physician gets a clear view of our colon. Standard colonoscopy preparation includes limiting certain substances. Let’s take a closer look at what these are.

What To Avoid Before a Colonoscopy 

Preparation for a colonoscopy typically starts three to four days before the scheduled procedure. However, it’s always important to check with our treatment team for specific instructions. 

To ensure that the gastroenterologist has an unobstructed view of our colon, we have to flush out our intestine. To do this, we are instructed to avoid certain foods and substances in the days leading up to the procedure: 

  • Fibrous foods. Foods such as raw fruits and vegetables, whole grains, nuts, and seeds take longer to digest. If particles of undigested food remain in our bowel, it may block crucial areas that our doctor needs to see.
  • Non-clear liquids. Beverages such as milk and fruit juices with pulp are considered non-clear liquids. These liquids may leave residue in our bowel, affecting color-sensitive screening such as tissue inflammation and polyps.
  • Blood thinners. Physicians recommend avoiding blood thinners before a colonoscopy to prevent the risk of excessive bleeding during or after the operation. It may also interact with sedation that is needed for the procedure. If we are prescribed routine blood thinners, it’s best to discuss individual recommendations with our treatment team.
  • Alcohol. Patients are advised to stop drinking alcohol once starting other colonoscopy protocols. Alcohol has blood-thinning properties and other effects that can impact the procedure. 

Avoiding these four things will gives us the best chance of a successful procedure. But let’s dive in to how alcohol, specifically, could complicate our colonoscopy.

Drinking Alcohol Before a Colonoscopy

Most clear liquids are permitted up to two to four hours before the procedure. While most alcoholic beverages are clear liquids, they are still not allowed. 

Why? There are several reasons. Alcohol dehydrates us, impacts anesthesia (the stuff that keeps us safe and asleep), and thins our blood. All of these can complicate what would normally be a standard procedure. 

But what about just one beer? Can one sip of wine hurt?

Effects of Different Types of Alcohol on Colonoscopy Screenings

When it comes to preparing for a colonoscopy (or any procedure for that matter), all alcohol is created equal. 

Spirits, indeed, contain higher alcohol by volume, but any amount of alcohol can impact a colonoscopy. Lower-alcohol beverages such as wine or beer may produce less of an impact, but any amount of alcohol can have serious adverse effects.

Negative Effects of Drinking Alcohol Before Colonoscopy Procedures 

People get colonoscopies for one reason: to detect abnormalities. If the doctor cannot get a clear picture, the whole procedure is pointless. When we drink before the procedure, we complicate the screening in multiple ways:

  • Impacted imaging. Depending on the alcoholic beverage, alcohol can leave a residue that may mask important areas that may have abnormalities. This can affect treatment and lead to further health complications. 

  • Cognitive impairment. Alcohol is known to lower inhibitions, cloud judgment, and increase food cravings, all of which could derail pre-op protocols and interfere with successful imaging.
 
  • Dehydration. Combined with the bowel prep instructions, which are designed to eliminate fluids, alcohol can cause further dehydration, elevating the risk of kidney issues and dehydration symptoms.
  • Dangerous sedation. Alcohol affects the same system as anesthesia — making the anesthesia less effective and causing dangerous symptoms. If our treatment team is not aware, they may increase the level of sedation due to ineffectiveness. Interactions with anesthesia can lead to nausea, vomiting, aspiration, accidental awareness, and other complications.

  • Risk of infection. A colonoscopy is an invasive procedure that is prone to infections. Alcohol suppresses proper immune function, which increases the risk of developing an infection. 

Drinking before a colonoscopy opens the door to complications that can be fatal. It is imperative that we tell our medical team if we have had anything to drink in the days leading up to our procedure. We might be hesitant to say anything for fear they will reschedule the procedure, but rescheduling is a small price to pay to avoid complications. 

Risks of Drinking Before a Colonoscopy

When Should You Stop Drinking Before a Colonoscopy

We should clear our calendars of all happy hours, weddings, or other festivities two to three days before a colonoscopy. A liquid diet and bowel emptying preparation typically start two days before colonoscopy procedures are scheduled. While avoiding alcohol for a longer period before a colonoscopy is beneficial, ensuring our last drink is at least 48 hours before is crucial for our safety.

Chronic drinking is also shown to impact anesthesia, regardless of following proper protocols. Be sure to communicate clearly with the operating physician and request individual direction if needed. Colonoscopy prep seems like it involves a lot of “no’s.” Let’s get into some “yes’s” and alternatives to alcohol.

What To Drink Instead of Alcohol Before a Colonoscopy

Colonoscopy prep can be unpleasant, but it doesn’t have to be miserable. As long as the beverage is non-alcoholic and meets the clear liquid criteria, we can still enjoy it. There are plenty of alternatives that won’t impact our colonoscopy:

  • Tea
  • Coffee 
  • Soda
  • Sports drinks
  • Juices without pulp 
  • Clear mocktails

Including variety in our clear liquid diet helps make the days leading up to our procedure less miserable. Water can get a bit old after two days of just that (even if it is the liquid of life). These alternatives can help us avoid alcohol the days before a colonoscopy, but what do we do if we slip up?

What To Do If You Drink Before a Colonoscopy

If we do accidentally have a drink within 48 hours of our colonoscopy, the first thing to do is note the time of our last drink. We can then inform our treatment team to receive further guidance on how to proceed. If necessary, the colonoscopy can be postponed to a later date.

We’ve warned against drinking before the procedure, but what about after?

Can You Drink After Colonoscopy Procedures?

Drinking right after a colonoscopy may not pose an immediate risk to our health, but it may lead to adverse symptoms and produce complications during recovery: 

It may take hours or days to fully metabolize anesthesia. If we drink while anesthesia is still in our system, our liver may not be able to keep up. This can lead to increased side effects from anesthesia drugs and hangover symptoms from alcohol. 

Furthermore, if any abnormalities are discovered and removed during the procedure, we might be prescribed medications. Drinking after the operation can interact with prescribed medications and also impact recovery.

When dealing with invasive procedures, the fewer complications the better. We’ve determined that alcohol is one of these complications that negatively influence the safety and outcome of colonoscopy procedures. To set us up for success, we can make intentional choices during colonoscopy preparation. 

Practicing Safe Preparation for Medical Procedures

Implementing safe practices leading up to any medical procedure helps things go more smoothly. Here are four tips we can keep in our toolbox for colonoscopies and other medical procedures:

  • Follow procedures. The long list of protocols leading up to a colonoscopy is there for a reason. It may seem extensive, but each direction helps to increase the success of the operation and keep us safe. Even though it may not seem like it at the moment, the preparation guidebook doesn’t exist just to make us suffer. 
  • Limit complicating substances. Strict guidelines for drinking and smoking may be outlined in the 24-48 hours leading up to a procedure. However, limiting substances such as alcohol and tobacco before this period and after the procedure can further prevent unwanted complications. 
  • Stay hydrated. Proper hydration seems to be recommended for everything. That’s because it’s beneficial in all aspects. Drinking plenty of water helps our cells and organs function optimally and can aid in recovery.
  • Ask questions. When in doubt, it’s always better to ask for clarification. The preparation guidelines are helpful for general safety, but since we all have individual differences and circumstances, specific directions can be most beneficial. 

Key Takeaways

A colonoscopy and the prep leading up to it can be a pain in the butt (pun intended), but a successful procedure can help catch issues before they get more serious. The procedure is short but open to a host of complications when pre-procedure guidelines aren’t followed. One of these procedures is avoiding alcohol. We may think that a sip of wine can’t hurt, but any amount of alcohol before a colonoscopy can have detrimental effects on our safety and the conclusiveness of the test. Thankfully, there are plenty of alternatives to alcohol that we can still enjoy during colonoscopy prep. Avoid alcohol and follow protocol!

Colonoscopies are no glamorous procedure. To add to its unpleasantness, the procedure involves a comprehensive preparation regimen that boosts its accuracy. One of the many instructions in the prep booklet for a colonoscopy is to avoid alcohol. While testing our luck is fun and games when buying a lottery ticket, this “no drinking” guideline is one we’ll want to follow.

Understanding the risks of drinking before a colonoscopy will help us follow protocols and have a safe procedure. Let’s take a good look (no pun intended) at if and when it’s okay to drink before a colonoscopy. 

Understanding Colonoscopy Screenings

A medical professional showing an illustration of the human intestines

A colonoscopy is a screening procedure that is used to check the large intestine for abnormalities like swelling, polyps, irritated tissue, and diseases. To do this, they insert a colonoscope — a flexible tube with a tiny camera on the end — through the rectum to view the inside of our colon and surrounding areas. 

Although it’s relatively quick (typically under an hour), a colonoscopy is considered an invasive procedure that requires anesthesia and a lengthy pre-procedure regimen that ensures the physician gets a clear view of our colon. Standard colonoscopy preparation includes limiting certain substances. Let’s take a closer look at what these are.

What To Avoid Before a Colonoscopy 

Preparation for a colonoscopy typically starts three to four days before the scheduled procedure. However, it’s always important to check with our treatment team for specific instructions. 

To ensure that the gastroenterologist has an unobstructed view of our colon, we have to flush out our intestine. To do this, we are instructed to avoid certain foods and substances in the days leading up to the procedure: 

  • Fibrous foods. Foods such as raw fruits and vegetables, whole grains, nuts, and seeds take longer to digest. If particles of undigested food remain in our bowel, it may block crucial areas that our doctor needs to see.
  • Non-clear liquids. Beverages such as milk and fruit juices with pulp are considered non-clear liquids. These liquids may leave residue in our bowel, affecting color-sensitive screening such as tissue inflammation and polyps.
  • Blood thinners. Physicians recommend avoiding blood thinners before a colonoscopy to prevent the risk of excessive bleeding during or after the operation. It may also interact with sedation that is needed for the procedure. If we are prescribed routine blood thinners, it’s best to discuss individual recommendations with our treatment team.
  • Alcohol. Patients are advised to stop drinking alcohol once starting other colonoscopy protocols. Alcohol has blood-thinning properties and other effects that can impact the procedure. 

Avoiding these four things will gives us the best chance of a successful procedure. But let’s dive in to how alcohol, specifically, could complicate our colonoscopy.

Drinking Alcohol Before a Colonoscopy

Most clear liquids are permitted up to two to four hours before the procedure. While most alcoholic beverages are clear liquids, they are still not allowed. 

Why? There are several reasons. Alcohol dehydrates us, impacts anesthesia (the stuff that keeps us safe and asleep), and thins our blood. All of these can complicate what would normally be a standard procedure. 

But what about just one beer? Can one sip of wine hurt?

Effects of Different Types of Alcohol on Colonoscopy Screenings

When it comes to preparing for a colonoscopy (or any procedure for that matter), all alcohol is created equal. 

Spirits, indeed, contain higher alcohol by volume, but any amount of alcohol can impact a colonoscopy. Lower-alcohol beverages such as wine or beer may produce less of an impact, but any amount of alcohol can have serious adverse effects.

Negative Effects of Drinking Alcohol Before Colonoscopy Procedures 

People get colonoscopies for one reason: to detect abnormalities. If the doctor cannot get a clear picture, the whole procedure is pointless. When we drink before the procedure, we complicate the screening in multiple ways:

  • Impacted imaging. Depending on the alcoholic beverage, alcohol can leave a residue that may mask important areas that may have abnormalities. This can affect treatment and lead to further health complications. 

  • Cognitive impairment. Alcohol is known to lower inhibitions, cloud judgment, and increase food cravings, all of which could derail pre-op protocols and interfere with successful imaging.
 
  • Dehydration. Combined with the bowel prep instructions, which are designed to eliminate fluids, alcohol can cause further dehydration, elevating the risk of kidney issues and dehydration symptoms.
  • Dangerous sedation. Alcohol affects the same system as anesthesia — making the anesthesia less effective and causing dangerous symptoms. If our treatment team is not aware, they may increase the level of sedation due to ineffectiveness. Interactions with anesthesia can lead to nausea, vomiting, aspiration, accidental awareness, and other complications.

  • Risk of infection. A colonoscopy is an invasive procedure that is prone to infections. Alcohol suppresses proper immune function, which increases the risk of developing an infection. 

Drinking before a colonoscopy opens the door to complications that can be fatal. It is imperative that we tell our medical team if we have had anything to drink in the days leading up to our procedure. We might be hesitant to say anything for fear they will reschedule the procedure, but rescheduling is a small price to pay to avoid complications. 

Risks of Drinking Before a Colonoscopy

When Should You Stop Drinking Before a Colonoscopy

We should clear our calendars of all happy hours, weddings, or other festivities two to three days before a colonoscopy. A liquid diet and bowel emptying preparation typically start two days before colonoscopy procedures are scheduled. While avoiding alcohol for a longer period before a colonoscopy is beneficial, ensuring our last drink is at least 48 hours before is crucial for our safety.

Chronic drinking is also shown to impact anesthesia, regardless of following proper protocols. Be sure to communicate clearly with the operating physician and request individual direction if needed. Colonoscopy prep seems like it involves a lot of “no’s.” Let’s get into some “yes’s” and alternatives to alcohol.

What To Drink Instead of Alcohol Before a Colonoscopy

Colonoscopy prep can be unpleasant, but it doesn’t have to be miserable. As long as the beverage is non-alcoholic and meets the clear liquid criteria, we can still enjoy it. There are plenty of alternatives that won’t impact our colonoscopy:

  • Tea
  • Coffee 
  • Soda
  • Sports drinks
  • Juices without pulp 
  • Clear mocktails

Including variety in our clear liquid diet helps make the days leading up to our procedure less miserable. Water can get a bit old after two days of just that (even if it is the liquid of life). These alternatives can help us avoid alcohol the days before a colonoscopy, but what do we do if we slip up?

What To Do If You Drink Before a Colonoscopy

If we do accidentally have a drink within 48 hours of our colonoscopy, the first thing to do is note the time of our last drink. We can then inform our treatment team to receive further guidance on how to proceed. If necessary, the colonoscopy can be postponed to a later date.

We’ve warned against drinking before the procedure, but what about after?

Can You Drink After Colonoscopy Procedures?

Drinking right after a colonoscopy may not pose an immediate risk to our health, but it may lead to adverse symptoms and produce complications during recovery: 

It may take hours or days to fully metabolize anesthesia. If we drink while anesthesia is still in our system, our liver may not be able to keep up. This can lead to increased side effects from anesthesia drugs and hangover symptoms from alcohol. 

Furthermore, if any abnormalities are discovered and removed during the procedure, we might be prescribed medications. Drinking after the operation can interact with prescribed medications and also impact recovery.

When dealing with invasive procedures, the fewer complications the better. We’ve determined that alcohol is one of these complications that negatively influence the safety and outcome of colonoscopy procedures. To set us up for success, we can make intentional choices during colonoscopy preparation. 

Practicing Safe Preparation for Medical Procedures

Implementing safe practices leading up to any medical procedure helps things go more smoothly. Here are four tips we can keep in our toolbox for colonoscopies and other medical procedures:

  • Follow procedures. The long list of protocols leading up to a colonoscopy is there for a reason. It may seem extensive, but each direction helps to increase the success of the operation and keep us safe. Even though it may not seem like it at the moment, the preparation guidebook doesn’t exist just to make us suffer. 
  • Limit complicating substances. Strict guidelines for drinking and smoking may be outlined in the 24-48 hours leading up to a procedure. However, limiting substances such as alcohol and tobacco before this period and after the procedure can further prevent unwanted complications. 
  • Stay hydrated. Proper hydration seems to be recommended for everything. That’s because it’s beneficial in all aspects. Drinking plenty of water helps our cells and organs function optimally and can aid in recovery.
  • Ask questions. When in doubt, it’s always better to ask for clarification. The preparation guidelines are helpful for general safety, but since we all have individual differences and circumstances, specific directions can be most beneficial. 

Key Takeaways

A colonoscopy and the prep leading up to it can be a pain in the butt (pun intended), but a successful procedure can help catch issues before they get more serious. The procedure is short but open to a host of complications when pre-procedure guidelines aren’t followed. One of these procedures is avoiding alcohol. We may think that a sip of wine can’t hurt, but any amount of alcohol before a colonoscopy can have detrimental effects on our safety and the conclusiveness of the test. Thankfully, there are plenty of alternatives to alcohol that we can still enjoy during colonoscopy prep. Avoid alcohol and follow protocol!

Alcohol and Health
2024-04-26 9:00
Alcohol and Health
Does Smelling Alcohol Help With Nausea?
This is some text inside of a div block.

Can sniffing alcohol relieve nausea? Read our latest blog to find out!

16 min read

Say Goodbye to Alcohol-Induced Nausea!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

No one likes the feeling of an upset stomach, and most of us will do just about anything to alleviate the pain and avoid throwing up. If you scan the web, you may find that people swear by sniffing alcohol to alleviate nausea. Is it true? Does it work? This article will walk you through everything you need to know about nausea, alcohol, and whether or not smelling alcohol for nausea works.

Nausea: Our Body’s Urge to Purge

A woman sitting on a couch, covering her mouth and looking nauseated

Nausea is that queasy or uneasy feeling we get in our stomach. The urge to vomit or an uncomfortable feeling in our throats often accompanies nausea. Vomiting or “throwing up” is when we forcibly empty the contents of our stomach through our mouth. Muscles in our stomach contract to propel the stomach’s contents through our esophagus and out. Nausea and vomiting are not a disease of their own but symptoms of different conditions. There are many reasons people experience nausea:

  • Illness such as stomach flu, certain viruses, or infections.
  • Food poisoning
  • Motion sickness, vertigo, migraines 
  • Pregnancy
  • Gastrointestinal conditions such as ulcers, gastritis, or gastroparesis
  • Intense pain 
  • Certain medications such as chemotherapy 
  • Overconsumption of alcohol

Vomiting and nausea are typically harmless, but in some cases, they can be a sign of something more serious such as encephalitis, meningitis, some cancers, heart attack, concussion or brain injury, brain tumors, bowel obstruction, or appendicitis. If you think you are experiencing something more serious than general nausea and vomiting, seek medical attention. 

Can Alcohol Cause Nausea? 

Yes! It is not uncommon for us to feel nausea after drinking alcohol. Vomiting is a common result of alcohol consumption. Why? Alcohol irritates the lining of our stomach and slows the rate of digestion, which leads to fat building up in our liver, stomach, and pancreas secretions. The toxins released as we consume alcohol alert the “vomiting center” in our brain — the area postrema. The brain senses these toxins and tries to rid the body of them by signaling us to throw up. 

So, if alcohol can cause nausea or make us throw up, how would smelling alcohol help us with it? 

Isopropyl Alcohol vs. Ethanol 

To answer that question, we have to understand the different types of alcohol: 


  • Isopropyl alcohol (IPA). IPA is synthesized from propylene, a derivative of petroleum. It is pure alcohol and has no other ingredients. It is often used as a disinfectant, antiseptic, and solvent. It can be found in rubbing alcohol, cleaning products, and personal care items. Drinking isopropyl alcohol can cause nausea, vomiting, dizziness, or even death (if consumed in large amounts). 
  • Rubbing alcohol. The rubbing alcohol we keep in our medicine cabinets is simply IPA diluted with water. It is great for cleaning, but dangerous (and disgusting) to drink.

  • Ethanol. The alcohol we drink is made with ethanol. Ethanol is made out of sugar cane, wheat, or other plant-based sources through the fermentation process. It can also be used as a solvent in pharmaceuticals or personal care products.

When people recommend smelling alcohol to relieve nausea, they are not talking about sniffing an open bottle of vodka; they are talking about isopropyl alcohol (IPA). 

Smelling Alcohol for Nausea

But does it work? In some cases, a few big whiffs of rubbing alcohol can help alleviate nausea; however, there is limited scientific evidence to prove it.

One study found that isopropyl alcohol vapor aromatherapy provided faster relief of nausea and reduced the need for anti-nausea medications. Another study saw that inhaled isopropyl alcohol helped patients experiencing nausea in the emergency department. 

Although the limited evidence seems promising, there is still no guarantee that sniffing IPA will relieve our nausea. Furthermore, inhaling too much isopropyl alcohol can irritate or paralyze our respiratory system. We need to be careful when trying to use isopropyl alcohol to help with nausea and remember that it might not work for everyone. 

Why Does Smelling Alcohol Help With Nausea?

Smelling alcohol for nausea may work in some cases, but why? Since there has been limited research on this topic, we don’t know exactly how it can help with nausea. Some believe the strong smell of rubbing alcohol may be a distraction from our nausea. Another theory is that overloading our olfactory system (our sense of smell) overrides our senses and leads our brains to prioritize processing the strong scent over the feeling of nausea. 

Much of the evidence that smelling alcohol helps with nausea is found in anecdotal reports of people feeling better. With the limited research conducted, it is hard to conclude the true mechanism, but we know it works for some people.  

Alternatives To Help With Nausea

Smelling alcohol may not work for everyone, but other home remedies might help: 

  • Drink ginger or peppermint tea
  • Eat foods containing ginger
  • Use acupressure 
  • Sip cold water
  • Sit upright
  • Stay hydrated
  • Get fresh air 
  • Try acupuncture
  • Avoid alcohol

If nausea is persistent and home remedies do not help, seek medical attention. Physicians may suggest anti-nausea medications such as Ondansetron (Zofran), Metoclopramide, Olanzapine, or Promethazine. 

Key Takeaways

Sniffing alcohol might help with nausea, but it’s important to know the difference between isopropyl alcohol and the alcohol we drink (ethanol). We should not consume isopropyl alcohol, and sniffing ethanol won’t do anything. Still, the science behind nausea relief from sniffing IPA is unclear and unproven. Either way, quitting or cutting back on drinking alcohol (ethanol) can help us avoid nausea.

No one likes the feeling of an upset stomach, and most of us will do just about anything to alleviate the pain and avoid throwing up. If you scan the web, you may find that people swear by sniffing alcohol to alleviate nausea. Is it true? Does it work? This article will walk you through everything you need to know about nausea, alcohol, and whether or not smelling alcohol for nausea works.

Nausea: Our Body’s Urge to Purge

A woman sitting on a couch, covering her mouth and looking nauseated

Nausea is that queasy or uneasy feeling we get in our stomach. The urge to vomit or an uncomfortable feeling in our throats often accompanies nausea. Vomiting or “throwing up” is when we forcibly empty the contents of our stomach through our mouth. Muscles in our stomach contract to propel the stomach’s contents through our esophagus and out. Nausea and vomiting are not a disease of their own but symptoms of different conditions. There are many reasons people experience nausea:

  • Illness such as stomach flu, certain viruses, or infections.
  • Food poisoning
  • Motion sickness, vertigo, migraines 
  • Pregnancy
  • Gastrointestinal conditions such as ulcers, gastritis, or gastroparesis
  • Intense pain 
  • Certain medications such as chemotherapy 
  • Overconsumption of alcohol

Vomiting and nausea are typically harmless, but in some cases, they can be a sign of something more serious such as encephalitis, meningitis, some cancers, heart attack, concussion or brain injury, brain tumors, bowel obstruction, or appendicitis. If you think you are experiencing something more serious than general nausea and vomiting, seek medical attention. 

Can Alcohol Cause Nausea? 

Yes! It is not uncommon for us to feel nausea after drinking alcohol. Vomiting is a common result of alcohol consumption. Why? Alcohol irritates the lining of our stomach and slows the rate of digestion, which leads to fat building up in our liver, stomach, and pancreas secretions. The toxins released as we consume alcohol alert the “vomiting center” in our brain — the area postrema. The brain senses these toxins and tries to rid the body of them by signaling us to throw up. 

So, if alcohol can cause nausea or make us throw up, how would smelling alcohol help us with it? 

Isopropyl Alcohol vs. Ethanol 

To answer that question, we have to understand the different types of alcohol: 


  • Isopropyl alcohol (IPA). IPA is synthesized from propylene, a derivative of petroleum. It is pure alcohol and has no other ingredients. It is often used as a disinfectant, antiseptic, and solvent. It can be found in rubbing alcohol, cleaning products, and personal care items. Drinking isopropyl alcohol can cause nausea, vomiting, dizziness, or even death (if consumed in large amounts). 
  • Rubbing alcohol. The rubbing alcohol we keep in our medicine cabinets is simply IPA diluted with water. It is great for cleaning, but dangerous (and disgusting) to drink.

  • Ethanol. The alcohol we drink is made with ethanol. Ethanol is made out of sugar cane, wheat, or other plant-based sources through the fermentation process. It can also be used as a solvent in pharmaceuticals or personal care products.

When people recommend smelling alcohol to relieve nausea, they are not talking about sniffing an open bottle of vodka; they are talking about isopropyl alcohol (IPA). 

Smelling Alcohol for Nausea

But does it work? In some cases, a few big whiffs of rubbing alcohol can help alleviate nausea; however, there is limited scientific evidence to prove it.

One study found that isopropyl alcohol vapor aromatherapy provided faster relief of nausea and reduced the need for anti-nausea medications. Another study saw that inhaled isopropyl alcohol helped patients experiencing nausea in the emergency department. 

Although the limited evidence seems promising, there is still no guarantee that sniffing IPA will relieve our nausea. Furthermore, inhaling too much isopropyl alcohol can irritate or paralyze our respiratory system. We need to be careful when trying to use isopropyl alcohol to help with nausea and remember that it might not work for everyone. 

Why Does Smelling Alcohol Help With Nausea?

Smelling alcohol for nausea may work in some cases, but why? Since there has been limited research on this topic, we don’t know exactly how it can help with nausea. Some believe the strong smell of rubbing alcohol may be a distraction from our nausea. Another theory is that overloading our olfactory system (our sense of smell) overrides our senses and leads our brains to prioritize processing the strong scent over the feeling of nausea. 

Much of the evidence that smelling alcohol helps with nausea is found in anecdotal reports of people feeling better. With the limited research conducted, it is hard to conclude the true mechanism, but we know it works for some people.  

Alternatives To Help With Nausea

Smelling alcohol may not work for everyone, but other home remedies might help: 

  • Drink ginger or peppermint tea
  • Eat foods containing ginger
  • Use acupressure 
  • Sip cold water
  • Sit upright
  • Stay hydrated
  • Get fresh air 
  • Try acupuncture
  • Avoid alcohol

If nausea is persistent and home remedies do not help, seek medical attention. Physicians may suggest anti-nausea medications such as Ondansetron (Zofran), Metoclopramide, Olanzapine, or Promethazine. 

Key Takeaways

Sniffing alcohol might help with nausea, but it’s important to know the difference between isopropyl alcohol and the alcohol we drink (ethanol). We should not consume isopropyl alcohol, and sniffing ethanol won’t do anything. Still, the science behind nausea relief from sniffing IPA is unclear and unproven. Either way, quitting or cutting back on drinking alcohol (ethanol) can help us avoid nausea.

Alcohol and Health