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Latest Articles
2024-06-17 9:00
Alcohol and Health
What Neurological Disease Does Alcohol Cause?
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Wondering about the long-term effects of alcohol on the nervous system? Our latest blog has all the facts you need to know about alcohol, neurological effects of drinking, and treatment that can help.

20 min read

Protect Your Brain and Drink Less 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 today!

Read Full Article  →

As Annie Grace writes in This Naked Mind, at a certain point (maybe even from the very beginning), alcohol takes more than it gives: “Alcohol erases a bit of you every time you drink it. It can even erase entire nights when you are on a binge. Alcohol does not relieve stress; it erases your senses and your ability to think. Alcohol ultimately erases your self.”

A detailed view of a human brain with a highlighted section

The negative effects can be especially noticeable when it comes to our nervous system. Alcohol makes us lose our balance, slur our words, say things we don’t mean, and forget things we want to remember. We might lose entire chunks of nights or days and could end up with permanent damage to our brain and central nervous system if we’re not careful. What are the long-term effects of alcohol on the nervous system? And what are the signs of neurological damage from alcohol? Let’s explore!

The Brain and Body on Booze: Immediate Effects

How does alcohol affect the nervous system in the short term? Let’s take a brief look:

  • Dopamine. As soon as we start drinking, alcohol floods our brain with dopamine — the feel-good neurotransmitter that evolved to keep us coming back to things that help us survive by giving us a biochemical “reward” for socializing or eating nutritious food. The problem? Alcohol and other substances can hijack this system, keeping us coming back to things that are, well, not at all conducive to survival.
  • Memory and impulse control problems. Ever notice how it’s that much harder to remember the names of people you meet while drinking (or how inappropriate things have a way of slipping out more easily)? Alcohol muddles the connections in our prefrontal cortex (responsible for executive functions) and messes with the hippocampus, which is in charge of creating new memories. The brain fog that results can persist well into the next day.
  • Headaches. In some folks, congeners in certain types of alcohol are responsible for headaches and we all get them sometimes. Known as “cocktail headaches,” they’re caused by dehydration and vasodilation (the widening of blood vessels).
  • Mood swings. By messing with our amygdala (which processes emotions), alcohol tends to cause mood instability. That “everyone is our friend” feeling can quickly turn into a crying spell or an angry outburst.
  • Anxiety and depression. Although we often drink to relieve anxiety and feel “better,” the result tends to be the opposite — especially the next morning. Remember, what goes up must come down, and our brain chemistry is no different. That rush of dopamine we experienced the night before quickly fades away, giving rise to next-day “hangxiety.”

Want more information? Check out “Alcohol Consumption and Changes in the Brain.” But for now, let’s turn our attention to another question: Does alcohol affect the nervous system in the long term? As you can probably guess, the answer is yes.

As Time Goes By: Long-Term Effects of Alcohol on the Nervous System

Given the powerful effects alcohol has on our nervous system from the first sips, it’s only natural that it can wreak havoc in the long term. But what are the long-term effects of alcohol on the nervous system? And what are the signs of neurological damage from alcohol? Let’s take a closer look.

1. Alcoholic Neuropathy

Alcoholic neuropathy is a common condition among long-term heavy drinkers. It results from nerve damage caused by alcohol’s toxic effects, as well as from malnutrition that happens with alcohol getting in the way of nutrient absorption in the gut. Here are the typical symptoms:

  • Our legs feel off. If we’re noticing frequent pain, tingling, or numbness in our legs, drinking might be the cause. (It’s kind of similar to alcohol-related leg pain and restless leg syndrome, only taken up a notch).
  • Our muscles feel weak. We might notice that climbing stairs, lifting wet laundry out of the washer, carrying groceries, and other everyday tasks get harder. The reason has to do with the disruption of nerve signals that keep our musculoskeletal system running smoothly.
  • We might experience erectile dysfunction. Unfortunately, this embarrassing problem (which alcohol is often responsible for) gets worse as booze wreaks havoc on our nervous system, disrupting those ever-so-important chemical messages.
  • We’re having digestive problems. Similar to other bodily functions, digestion is regulated by nerves. And when there’s trouble with transmission, there’s going to be trouble in the gut, leading to stomach pain, bloating, diarrhea, or constipation. Ugh. 
  • Urination gets tricky. Another bathroom-related mishap associated with alcohol-related neuropathy — urination difficulties. Expelling fluids out of our system involves a delicate system regulated by nerve impulses. With alcohol in the picture, signals get lost in transmission and communication goes awry.

While alcohol-related neuropathy might be treatable at early stages, it can get serious very quickly. Still, if we stay away from booze and replenish lost vitamins — especially vitamin B — we should start feeling better within a few weeks.

2. Central Pontine Myelinolysis (CPM)

We all know that booze dehydrates us. Yes, it’s a liquid — but it’s one that sends us to the bathroom throughout the night, leaving us parched and depleted of fluids and electrolytes (such as sodium) by morning. The reason behind this pesky (and potentially dangerous) effect is vasopressin, the hormone that tells the kidneys to hold on to water. Alcohol suppresses it, draining us of more liquids than we can afford to lose as a result.

If things get really bad, dehydration can cause hyponatremia (a fancy name for low sodium levels). Rapid correction of alcohol-induced hyponatremia, in turn, can damage the part of the brain that controls balance and motor function. The result? Central pontine myelinolysis, a condition also associated with severe burns, liver transplantation, anorexia, and severe morning sickness during pregnancy, and hyperglycemic states. 

We might have difficulty speaking, problems swallowing, and coordination issues. The condition is serious, potentially leading to paralysis. While prevention is certainly the “best cure” in this case, medications such as desmopressin have proven to be helpful, and the state can be reversed if we seek medical help in time.

3. Hepatic Encephalopathy

Another well-known fact about alcohol? It does a number on our liver, which is at the front lines of alcohol metabolism. Every drink we throw back gets processed by the liver — about one per hour — and over time it gets overtaxed. Liver inflammation from excessive drinking leads to fatty liver and, eventually, cirrhosis — the scarring of tissues that can lead to liver failure if not addressed right away. 

But as it turns out, the liver isn’t the only victim here — our brain is as well. When the liver is overworked, it can’t process other toxins — including substances such as ammonia — in time. The result? They make their way to the brain, leading to hepatic encephalopathy. Here are the typical symptoms:

  • Confusion. We might feel confused as our brain function gets disrupted.
  • Changes in personality. Others might notice that we don’t seem “like ourselves” — our easygoing nature might give way to irritability, our sense of humor might change, and we might become more impulsive.
  • Judgment problems. As our brain is exposed to the toxic effects for longer periods of time, it has even more trouble functioning. Decisions become difficult, we might make impulsive judgments, or take unnecessary risks. 

While symptoms might be subtle at first, it’s crucial to take note, as they can progress to coma and death if untreated.

4. Alcohol-Related Brain Damage (And Wernicke-Korsakoff Syndrome)

One of the most serious forms of neurological disease that alcohol can cause is alcohol-related brain damage (ARBD), a term that covers a range of conditions and includes the notorious Wernicke-Korsakoff syndrome. 

ARBD refers to a spectrum of brain disorders caused by excessive drinking and the nutritional deficiencies that leave the brain depleted of much-needed vitamins. They generally show up as problems with memory, learning, and other cognitive difficulties. As the problem gets worse, we might experience balance trouble or impaired motor skills.

Wernicke-Korsakoff syndrome — caused mainly by deficiencies in vitamin B1 (thiamine) — is one of the most serious types of damage alcohol can cause.

  • The first stage is Wernicke’s encephalopathy. The first stage of WKS causes confusion, loss of muscle coordination, and problems with vision. We might experience eye movement abnormalities or get double vision. 
  • If untreated, it can progress to Korsakoff psychosis. This is where things get really rough — potentially irreversibly so. Korsakoff’s psychosis is marked by severe learning and memory problems. We might have large gaps in our memory and be driven to “confabulation” — filling them in with made-up events. (For more information, take a look at “What Is Wet Brain Syndrome?”)

While ARBD (and especially WKS) is serious, there’s hope! If we stop drinking in time and replenish our B vitamins, recovery is often possible, at least to some degree.

5. Depression and Anxiety

Last but not least, alcohol misuse can cause depression and anxiety. While both can result from a night of heavy drinking, if we keep our intake high, neurological changes could set in, darkening our view of the world or ramping up our anxiety on a more long-term basis. 

The reason has to do with those neurotransmitter shifts we touched on earlier. Alcohol artificially floods our brain with dopamine, leading to that brief boost of feel-good energy we end up chasing (but not quite reaching, no matter how hard we try). In addition to dopamine, alcohol boosts GABA — an inhibitory neurotransmitter — while lowering glutamate, its excitatory counterpart. 

In an effort to rebalance itself, the brain puts the brakes on natural production of dopamine and alters the natural levels of GABA and glutamate to accommodate the “new normal.” Over time, these shifts can be difficult to reverse, leading depression and anxiety to set in. Booze doesn’t quite do it anymore and, when we stop, withdrawal sets in, ramping up both the unease and the waves of sadness.

But don’t despair! With time, the brain can rebalance itself. The key is giving it the care it deserves while changing our relationship with alcohol. Let’s take a closer look at how we can do that.

Main Types of Alcohol-Induced Psychosis

Protect Your Brain

Preventing these neurological diseases involves addressing alcohol consumption directly.

  • Watch your intake. First and foremost, assess your current drinking habits. Don’t judge: simply start tracking your intake and make a plan to cut back or quit. Don’t regret the past — instead, get excited about the positive changes you’ll start seeing soon. Muscles feeling stronger? Great! You’re able to focus better on tasks such as reading and are remembering things better? Time to celebrate (with a fun mocktail)!
  • Nourish your body. Make sure to nourish your brain and body with whole-grain carbohydrates, lean protein, and healthy fats (such as omega-3s found in salmon, olive oil, and avocados). The nervous system needs vitamins — especially vitamin B — to function well, so load up on fish, beans, and peas (for thiamine); chicken, turkey, beef, fish, mushrooms, peanuts, and legumes (for niacin); and leafy green vegetables, chickpeas, and fortified grains (for folate). These three types of B vitamins are essential for brain health, nerve health, and creation of neurotransmitters.
  • Talk to your doctor. If you’re seeing signs of neurological damage from alcohol, don’t hesitate to ask your doctor for advice. They know you and your medical history and will be

And remember, Reframe is here to help you every step of the way! Our vibrant community is full of people who have been in your shoes and are now thriving. Start the journey to your healthiest, happiest self today!

As Annie Grace writes in This Naked Mind, at a certain point (maybe even from the very beginning), alcohol takes more than it gives: “Alcohol erases a bit of you every time you drink it. It can even erase entire nights when you are on a binge. Alcohol does not relieve stress; it erases your senses and your ability to think. Alcohol ultimately erases your self.”

A detailed view of a human brain with a highlighted section

The negative effects can be especially noticeable when it comes to our nervous system. Alcohol makes us lose our balance, slur our words, say things we don’t mean, and forget things we want to remember. We might lose entire chunks of nights or days and could end up with permanent damage to our brain and central nervous system if we’re not careful. What are the long-term effects of alcohol on the nervous system? And what are the signs of neurological damage from alcohol? Let’s explore!

The Brain and Body on Booze: Immediate Effects

How does alcohol affect the nervous system in the short term? Let’s take a brief look:

  • Dopamine. As soon as we start drinking, alcohol floods our brain with dopamine — the feel-good neurotransmitter that evolved to keep us coming back to things that help us survive by giving us a biochemical “reward” for socializing or eating nutritious food. The problem? Alcohol and other substances can hijack this system, keeping us coming back to things that are, well, not at all conducive to survival.
  • Memory and impulse control problems. Ever notice how it’s that much harder to remember the names of people you meet while drinking (or how inappropriate things have a way of slipping out more easily)? Alcohol muddles the connections in our prefrontal cortex (responsible for executive functions) and messes with the hippocampus, which is in charge of creating new memories. The brain fog that results can persist well into the next day.
  • Headaches. In some folks, congeners in certain types of alcohol are responsible for headaches and we all get them sometimes. Known as “cocktail headaches,” they’re caused by dehydration and vasodilation (the widening of blood vessels).
  • Mood swings. By messing with our amygdala (which processes emotions), alcohol tends to cause mood instability. That “everyone is our friend” feeling can quickly turn into a crying spell or an angry outburst.
  • Anxiety and depression. Although we often drink to relieve anxiety and feel “better,” the result tends to be the opposite — especially the next morning. Remember, what goes up must come down, and our brain chemistry is no different. That rush of dopamine we experienced the night before quickly fades away, giving rise to next-day “hangxiety.”

Want more information? Check out “Alcohol Consumption and Changes in the Brain.” But for now, let’s turn our attention to another question: Does alcohol affect the nervous system in the long term? As you can probably guess, the answer is yes.

As Time Goes By: Long-Term Effects of Alcohol on the Nervous System

Given the powerful effects alcohol has on our nervous system from the first sips, it’s only natural that it can wreak havoc in the long term. But what are the long-term effects of alcohol on the nervous system? And what are the signs of neurological damage from alcohol? Let’s take a closer look.

1. Alcoholic Neuropathy

Alcoholic neuropathy is a common condition among long-term heavy drinkers. It results from nerve damage caused by alcohol’s toxic effects, as well as from malnutrition that happens with alcohol getting in the way of nutrient absorption in the gut. Here are the typical symptoms:

  • Our legs feel off. If we’re noticing frequent pain, tingling, or numbness in our legs, drinking might be the cause. (It’s kind of similar to alcohol-related leg pain and restless leg syndrome, only taken up a notch).
  • Our muscles feel weak. We might notice that climbing stairs, lifting wet laundry out of the washer, carrying groceries, and other everyday tasks get harder. The reason has to do with the disruption of nerve signals that keep our musculoskeletal system running smoothly.
  • We might experience erectile dysfunction. Unfortunately, this embarrassing problem (which alcohol is often responsible for) gets worse as booze wreaks havoc on our nervous system, disrupting those ever-so-important chemical messages.
  • We’re having digestive problems. Similar to other bodily functions, digestion is regulated by nerves. And when there’s trouble with transmission, there’s going to be trouble in the gut, leading to stomach pain, bloating, diarrhea, or constipation. Ugh. 
  • Urination gets tricky. Another bathroom-related mishap associated with alcohol-related neuropathy — urination difficulties. Expelling fluids out of our system involves a delicate system regulated by nerve impulses. With alcohol in the picture, signals get lost in transmission and communication goes awry.

While alcohol-related neuropathy might be treatable at early stages, it can get serious very quickly. Still, if we stay away from booze and replenish lost vitamins — especially vitamin B — we should start feeling better within a few weeks.

2. Central Pontine Myelinolysis (CPM)

We all know that booze dehydrates us. Yes, it’s a liquid — but it’s one that sends us to the bathroom throughout the night, leaving us parched and depleted of fluids and electrolytes (such as sodium) by morning. The reason behind this pesky (and potentially dangerous) effect is vasopressin, the hormone that tells the kidneys to hold on to water. Alcohol suppresses it, draining us of more liquids than we can afford to lose as a result.

If things get really bad, dehydration can cause hyponatremia (a fancy name for low sodium levels). Rapid correction of alcohol-induced hyponatremia, in turn, can damage the part of the brain that controls balance and motor function. The result? Central pontine myelinolysis, a condition also associated with severe burns, liver transplantation, anorexia, and severe morning sickness during pregnancy, and hyperglycemic states. 

We might have difficulty speaking, problems swallowing, and coordination issues. The condition is serious, potentially leading to paralysis. While prevention is certainly the “best cure” in this case, medications such as desmopressin have proven to be helpful, and the state can be reversed if we seek medical help in time.

3. Hepatic Encephalopathy

Another well-known fact about alcohol? It does a number on our liver, which is at the front lines of alcohol metabolism. Every drink we throw back gets processed by the liver — about one per hour — and over time it gets overtaxed. Liver inflammation from excessive drinking leads to fatty liver and, eventually, cirrhosis — the scarring of tissues that can lead to liver failure if not addressed right away. 

But as it turns out, the liver isn’t the only victim here — our brain is as well. When the liver is overworked, it can’t process other toxins — including substances such as ammonia — in time. The result? They make their way to the brain, leading to hepatic encephalopathy. Here are the typical symptoms:

  • Confusion. We might feel confused as our brain function gets disrupted.
  • Changes in personality. Others might notice that we don’t seem “like ourselves” — our easygoing nature might give way to irritability, our sense of humor might change, and we might become more impulsive.
  • Judgment problems. As our brain is exposed to the toxic effects for longer periods of time, it has even more trouble functioning. Decisions become difficult, we might make impulsive judgments, or take unnecessary risks. 

While symptoms might be subtle at first, it’s crucial to take note, as they can progress to coma and death if untreated.

4. Alcohol-Related Brain Damage (And Wernicke-Korsakoff Syndrome)

One of the most serious forms of neurological disease that alcohol can cause is alcohol-related brain damage (ARBD), a term that covers a range of conditions and includes the notorious Wernicke-Korsakoff syndrome. 

ARBD refers to a spectrum of brain disorders caused by excessive drinking and the nutritional deficiencies that leave the brain depleted of much-needed vitamins. They generally show up as problems with memory, learning, and other cognitive difficulties. As the problem gets worse, we might experience balance trouble or impaired motor skills.

Wernicke-Korsakoff syndrome — caused mainly by deficiencies in vitamin B1 (thiamine) — is one of the most serious types of damage alcohol can cause.

  • The first stage is Wernicke’s encephalopathy. The first stage of WKS causes confusion, loss of muscle coordination, and problems with vision. We might experience eye movement abnormalities or get double vision. 
  • If untreated, it can progress to Korsakoff psychosis. This is where things get really rough — potentially irreversibly so. Korsakoff’s psychosis is marked by severe learning and memory problems. We might have large gaps in our memory and be driven to “confabulation” — filling them in with made-up events. (For more information, take a look at “What Is Wet Brain Syndrome?”)

While ARBD (and especially WKS) is serious, there’s hope! If we stop drinking in time and replenish our B vitamins, recovery is often possible, at least to some degree.

5. Depression and Anxiety

Last but not least, alcohol misuse can cause depression and anxiety. While both can result from a night of heavy drinking, if we keep our intake high, neurological changes could set in, darkening our view of the world or ramping up our anxiety on a more long-term basis. 

The reason has to do with those neurotransmitter shifts we touched on earlier. Alcohol artificially floods our brain with dopamine, leading to that brief boost of feel-good energy we end up chasing (but not quite reaching, no matter how hard we try). In addition to dopamine, alcohol boosts GABA — an inhibitory neurotransmitter — while lowering glutamate, its excitatory counterpart. 

In an effort to rebalance itself, the brain puts the brakes on natural production of dopamine and alters the natural levels of GABA and glutamate to accommodate the “new normal.” Over time, these shifts can be difficult to reverse, leading depression and anxiety to set in. Booze doesn’t quite do it anymore and, when we stop, withdrawal sets in, ramping up both the unease and the waves of sadness.

But don’t despair! With time, the brain can rebalance itself. The key is giving it the care it deserves while changing our relationship with alcohol. Let’s take a closer look at how we can do that.

Main Types of Alcohol-Induced Psychosis

Protect Your Brain

Preventing these neurological diseases involves addressing alcohol consumption directly.

  • Watch your intake. First and foremost, assess your current drinking habits. Don’t judge: simply start tracking your intake and make a plan to cut back or quit. Don’t regret the past — instead, get excited about the positive changes you’ll start seeing soon. Muscles feeling stronger? Great! You’re able to focus better on tasks such as reading and are remembering things better? Time to celebrate (with a fun mocktail)!
  • Nourish your body. Make sure to nourish your brain and body with whole-grain carbohydrates, lean protein, and healthy fats (such as omega-3s found in salmon, olive oil, and avocados). The nervous system needs vitamins — especially vitamin B — to function well, so load up on fish, beans, and peas (for thiamine); chicken, turkey, beef, fish, mushrooms, peanuts, and legumes (for niacin); and leafy green vegetables, chickpeas, and fortified grains (for folate). These three types of B vitamins are essential for brain health, nerve health, and creation of neurotransmitters.
  • Talk to your doctor. If you’re seeing signs of neurological damage from alcohol, don’t hesitate to ask your doctor for advice. They know you and your medical history and will be

And remember, Reframe is here to help you every step of the way! Our vibrant community is full of people who have been in your shoes and are now thriving. Start the journey to your healthiest, happiest self today!

Alcohol and Health
2024-06-17 9:00
Alcohol and Health
Does Alcohol Make You Hungry?
This is some text inside of a div block.

Why does alcohol make you hungry? It’s complicated! By activating parts of our brain and changing our hormone production, alcohol can spark late-night cravings.

18 min read

Find the Accountability You Need

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 today!

Read Full Article  →

Another successful party in the books! You say goodbye to the last guest and gently close the door. Your roommate has started tidying — it seems like every surface is hidden under a pile of half-crushed cans, sticky cups, and empty bowls. (How did your friends eat that many chips?!)

You had a huge dinner not too long ago, but your stomach rumbles. Your roommate’s does, too.

Dude, I’m starving.”

You’re not the only one. All over the world, revelers are leaning toward drive-through speakers, tapping orders into delivery apps, and sending their most sober representative into the pizza place. What is it about a fun night that makes us crave slightly smushed burgers, Dorito-dusted tacos, and floppy New York slices?

This time, we can actually blame it on the alcohol. Yep, drinking really does make you crave some salty, greasy goodness — myth confirmed. Let’s get into it.

Why Does Drinking Alcohol Increase Your Appetite?

A tray of food with beer and chips

Everybody talks about hidden calories with alcohol — shouldn’t those be filling? If drinking ups your caloric intake, why does alcohol make you hungry? The answers to these questions have everything to do with the way our body processes alcohol. Let’s take a look at the structures and systems affected by drinking.

  • Hypothalamus. First, alcohol stimulates the hypothalamus — the part of the brain known for maintaining homeostasis. Tucked above the pituitary gland, the hypothalamus is the body’s hunger control center. When we drink, this part of the brain is stimulated, signaling us to consume more food. In some cases, that message is extreme. We might think that we’re starving!

    This phenomenon was confirmed by a group of scientists studying “the apéritif effect.” These researchers found that exposing the body to alcohol before a meal increased food consumption and hypothalamic activation (which they measured through blood oxygenation level dependent fMRIs). They also discovered that even when administered intravenously, alcohol changed the participants’ levels of ghrelin.
  • Ghrelin and leptin. If we think back to high school biology, we may remember ghrelin as “the hunger hormone.” When it’s time to eat, our stomach secretes ghrelin as a heads-up to the brain. Leptin, in contrast, tells us that we’re full.

    Researchers are still gathering information about the relationship between ghrelin, leptin, and alcohol intake. Studies indicate that drinking increases the amount of “hunger hormone” in our systems while simultaneously decreasing the concentration of craving-curbing leptin. Preliminary findings also suggest that supplemental ghrelin may help control alcohol dependence, confirming the relationship between alcohol and these hormones.
  • Blood sugar. As our liver tries to process alcohol, its other responsibilities fall by the wayside. As a result, our blood sugar levels can become unbalanced — especially if we have underlying conditions like diabetes. We may feel dizzy, shaky, and extremely hungry when this happens. To alleviate that uncomfortable sensation, we may grab whatever high-sugar, carb-laden foods are within arm’s reach.
  • Inhibition. When asking, “Why does drinking make you hungry?”, we have to acknowledge alcohol’s judgment-altering effects. Those of us committed to diets during the week may be surprised by how much our resolve fades on Saturday night. In the short term, alcohol suppresses the activity of the cerebral cortex — that famous “gray matter” contributing to complex mental tasks. If we continue to drink heavily, we may even sustain lasting damage in the frontal lobe (another key structure for decision making). All told, alcohol greatly reduces our inhibition and predisposes us to ill-advised snacking.

So, together, the blend of hypothalamic activation, hormonal havoc, and lowered inhibitions lands us in the drive-through at 3 a.m. We’ve even come up with a cute name for the cravings that accompany heavy drinking: the drunchies — a mashup of “drunk” and “munchies.” Fun, right? Well, not necessarily.

The Downside of the Drunchies 

If alcohol made us crave tangerines or tuna, the drunchies might not be such a big deal. Unfortunately, for many of us, drinking awakens our drive to find fatty, sugary foods. Instead of loading up on lean protein and fresh veggies, our intoxicated selves opt for high-calorie, deep-fried, and sugar-coated snacks.

Those goodies light up the reward center of our brain, especially when we consume both fats and carbs. A feel-good rush of dopamine can reinforce unhealthy dietary decisions, increasing the likelihood that we’ll make the same choices the next time we’re inebriated.

Even after the alcohol leaves our system, its dietary effects linger. Think about stereotypical hangover foods. Do we really benefit from fast food the day after drinking? While it’s true that greasy pregame meals can slow alcohol absorption, they don’t do us much good the next morning — even if we’re craving them. A night of heavy alcohol intake irritates our digestive system, and adding fried food can upset it further. Opt for a simple, nutritious breakfast like eggs, whole-grain toast, and a side of fruit instead.

While a few instances of the drunchies won’t do much damage, we should be mindful of what we eat while under the influence. In the long term, those late-night meals can add up, leading to unwanted weight gain. 

Ways Alcohol Can Lead to Weight Gain

Alcohol and Weight Gain

If we drink often and binge eat when we do, that pattern can cause us to gain weight. As always, the chance of this depends on our own genetic makeup, gender, age, and physical activity. There are four main ways that alcohol can lead to weight gain:

  1. Hormonal changes. We’ve already explained the relationship between alcohol, leptin, and ghrelin. When we drink, the body struggles to identify feelings of fullness. It also may believe it’s starving. That’s a strong message that we may not be able to ignore even in the best of times — much less after a night of heavy alcohol intake.
  2. Sleep problems. Drinking affects our ability to get a good night’s sleep. When we don’t rest, our body’s ghrelin and leptin levels become dysregulated, along with our energy levels for exercise the following day. In addition, sleepless nights may change our metabolism. Together, these changes may predispose us to gain weight.
  3. Metabolic dysfunction. When we drink alcohol, our body prioritizes it above any other potential energy sources. It’s a lot like the sitcom stereotype of a record scratch after someone walks into a party. This happens because alcohol is a toxin and a source of readily available calories. Before the body can even consider breaking down other energy sources, it must fully process all available alcohol. This can slow or shut down other metabolic processes for hours or days.
  4. Empty calories. Empty calories are those that offer no nutritional benefit. The body does not convert alcohol to glycogen, a storable carbohydrate; instead, it treats these calories like fat and processes them into fatty acids. This means that we cannot use the carbs and sugars in alcohol to promote physical activity. Instead, we’ll actively fight against them if we hope to lose weight.

If we’re working to lose weight, we may want to consider cutting alcohol out (or maybe just cutting back on it). We may see benefits like improved sleep and reduced bloating within a week of making that change.

How To Curb Hunger When Drinking Alcohol

Fortunately, we can control how we handle hunger spikes after drinking. Proper preparation, hydration, and mindfulness are our biggest assets when changing our eating and drinking habits. Looking to learn how to curb hunger when drinking alcohol? Before your next night out, take these eight tips into account:

  1. Eat before you drink. Have a balanced, healthy meal before you consume any alcohol. This serves two purposes: it reduces the risk of a late-night binge and slows your body’s alcohol absorption.
  2. Slow down. When we consume a large amount of alcohol at once, our body struggles to handle it. We have to give our liver time to work through all those toxins. As a rule of thumb, it takes a full hour to process one standard drink. If we don’t want to find ourselves elbow-deep in a bag of chips, we should sip slowly and avoid binge drinking.
  3. Stay hydrated. Sometimes our body thinks it’s hungry when, really, we’re just thirsty. Add in alcohol’s dehydrating effects, and we’ve got the perfect recipe for a midnight fast-food run. Combat alcohol’s hunger-spiking messages by alternating between alcoholic drinks and full glasses of water.
  4. Give yourself healthy alternatives. A little planning goes a long way. We may want to stock our kitchen with nutrient-rich snacks like cashews, hummus, fruit, and cheese before cracking open a beer. If we’re heading out on the town, we can pop a granola bar into a purse or pocket. The more accessible these smart snacks are, the more likely we’ll be to fill up on the good stuff.
  5. Toss out those tempting treats. In the same vein, we might consider nixing chips, frozen pizza, and candy from our shopping lists. If we can’t access them easily, we’re more likely to get through the night without turning to high-calorie, heavily processed foods.
  6. Make a plan. Yes, we can “plan the binge.” It may sound crazy, but mapping out a night of indulgence is a great way to stay in control. We’ve talked about setting boundaries with others, but sometimes, we need to create them for ourselves. Before ordering a cocktail, we can decide how much we’ll drink and what we’ll eat. If we need help holding ourselves accountable, we might share that information with a friend.
  7. Keep a record. This is a tactic recommended for folks with binge eating disorder, but it’s also a worthwhile exercise for those of us who struggle with alcohol-induced hunger cues. We can journal about our feelings and behaviors, and then review that information later to pick up on patterns. This can help us gather in-depth data about how drinking impacts our appetite.
  8. Drink responsibly. The best way to avoid alcohol-induced hunger is to cut back on our drinking. Binge drinking puts us at risk of myriad out-of-control behaviors; the more we drink, the less inhibited we become. To stay in control, we might want to take a hard look at our relationship with alcohol.

Ditch the Drunchies for Good

Does alcohol increase appetite? You bet. Alcohol makes us hungry by hijacking our hormones, lowering our inhibitions, and causing cravings. A pattern of heavy drinking and late-night noshing can lead to weight gain, especially if we’re struggling with sleep problems and metabolic issues. Fortunately, planning ahead, packing nutritious snacks, and drinking responsibly can provide relief from the drunchies.

If alcohol use is negatively affecting your life, it can be difficult to make a change — even if you really want to. We can help. Reframe offers scientifically sound tips for those looking to cut back on drinking. Our daily readings have been vetted by neuroscientists, life coaches, and other industry professionals. When you download the app, you’ll gain access to a vast virtual support network of fellow Reframers (via daily Zoom check-ins and our 24/7 Forum chat).

To learn more, visit the App Store or Google Play.

Another successful party in the books! You say goodbye to the last guest and gently close the door. Your roommate has started tidying — it seems like every surface is hidden under a pile of half-crushed cans, sticky cups, and empty bowls. (How did your friends eat that many chips?!)

You had a huge dinner not too long ago, but your stomach rumbles. Your roommate’s does, too.

Dude, I’m starving.”

You’re not the only one. All over the world, revelers are leaning toward drive-through speakers, tapping orders into delivery apps, and sending their most sober representative into the pizza place. What is it about a fun night that makes us crave slightly smushed burgers, Dorito-dusted tacos, and floppy New York slices?

This time, we can actually blame it on the alcohol. Yep, drinking really does make you crave some salty, greasy goodness — myth confirmed. Let’s get into it.

Why Does Drinking Alcohol Increase Your Appetite?

A tray of food with beer and chips

Everybody talks about hidden calories with alcohol — shouldn’t those be filling? If drinking ups your caloric intake, why does alcohol make you hungry? The answers to these questions have everything to do with the way our body processes alcohol. Let’s take a look at the structures and systems affected by drinking.

  • Hypothalamus. First, alcohol stimulates the hypothalamus — the part of the brain known for maintaining homeostasis. Tucked above the pituitary gland, the hypothalamus is the body’s hunger control center. When we drink, this part of the brain is stimulated, signaling us to consume more food. In some cases, that message is extreme. We might think that we’re starving!

    This phenomenon was confirmed by a group of scientists studying “the apéritif effect.” These researchers found that exposing the body to alcohol before a meal increased food consumption and hypothalamic activation (which they measured through blood oxygenation level dependent fMRIs). They also discovered that even when administered intravenously, alcohol changed the participants’ levels of ghrelin.
  • Ghrelin and leptin. If we think back to high school biology, we may remember ghrelin as “the hunger hormone.” When it’s time to eat, our stomach secretes ghrelin as a heads-up to the brain. Leptin, in contrast, tells us that we’re full.

    Researchers are still gathering information about the relationship between ghrelin, leptin, and alcohol intake. Studies indicate that drinking increases the amount of “hunger hormone” in our systems while simultaneously decreasing the concentration of craving-curbing leptin. Preliminary findings also suggest that supplemental ghrelin may help control alcohol dependence, confirming the relationship between alcohol and these hormones.
  • Blood sugar. As our liver tries to process alcohol, its other responsibilities fall by the wayside. As a result, our blood sugar levels can become unbalanced — especially if we have underlying conditions like diabetes. We may feel dizzy, shaky, and extremely hungry when this happens. To alleviate that uncomfortable sensation, we may grab whatever high-sugar, carb-laden foods are within arm’s reach.
  • Inhibition. When asking, “Why does drinking make you hungry?”, we have to acknowledge alcohol’s judgment-altering effects. Those of us committed to diets during the week may be surprised by how much our resolve fades on Saturday night. In the short term, alcohol suppresses the activity of the cerebral cortex — that famous “gray matter” contributing to complex mental tasks. If we continue to drink heavily, we may even sustain lasting damage in the frontal lobe (another key structure for decision making). All told, alcohol greatly reduces our inhibition and predisposes us to ill-advised snacking.

So, together, the blend of hypothalamic activation, hormonal havoc, and lowered inhibitions lands us in the drive-through at 3 a.m. We’ve even come up with a cute name for the cravings that accompany heavy drinking: the drunchies — a mashup of “drunk” and “munchies.” Fun, right? Well, not necessarily.

The Downside of the Drunchies 

If alcohol made us crave tangerines or tuna, the drunchies might not be such a big deal. Unfortunately, for many of us, drinking awakens our drive to find fatty, sugary foods. Instead of loading up on lean protein and fresh veggies, our intoxicated selves opt for high-calorie, deep-fried, and sugar-coated snacks.

Those goodies light up the reward center of our brain, especially when we consume both fats and carbs. A feel-good rush of dopamine can reinforce unhealthy dietary decisions, increasing the likelihood that we’ll make the same choices the next time we’re inebriated.

Even after the alcohol leaves our system, its dietary effects linger. Think about stereotypical hangover foods. Do we really benefit from fast food the day after drinking? While it’s true that greasy pregame meals can slow alcohol absorption, they don’t do us much good the next morning — even if we’re craving them. A night of heavy alcohol intake irritates our digestive system, and adding fried food can upset it further. Opt for a simple, nutritious breakfast like eggs, whole-grain toast, and a side of fruit instead.

While a few instances of the drunchies won’t do much damage, we should be mindful of what we eat while under the influence. In the long term, those late-night meals can add up, leading to unwanted weight gain. 

Ways Alcohol Can Lead to Weight Gain

Alcohol and Weight Gain

If we drink often and binge eat when we do, that pattern can cause us to gain weight. As always, the chance of this depends on our own genetic makeup, gender, age, and physical activity. There are four main ways that alcohol can lead to weight gain:

  1. Hormonal changes. We’ve already explained the relationship between alcohol, leptin, and ghrelin. When we drink, the body struggles to identify feelings of fullness. It also may believe it’s starving. That’s a strong message that we may not be able to ignore even in the best of times — much less after a night of heavy alcohol intake.
  2. Sleep problems. Drinking affects our ability to get a good night’s sleep. When we don’t rest, our body’s ghrelin and leptin levels become dysregulated, along with our energy levels for exercise the following day. In addition, sleepless nights may change our metabolism. Together, these changes may predispose us to gain weight.
  3. Metabolic dysfunction. When we drink alcohol, our body prioritizes it above any other potential energy sources. It’s a lot like the sitcom stereotype of a record scratch after someone walks into a party. This happens because alcohol is a toxin and a source of readily available calories. Before the body can even consider breaking down other energy sources, it must fully process all available alcohol. This can slow or shut down other metabolic processes for hours or days.
  4. Empty calories. Empty calories are those that offer no nutritional benefit. The body does not convert alcohol to glycogen, a storable carbohydrate; instead, it treats these calories like fat and processes them into fatty acids. This means that we cannot use the carbs and sugars in alcohol to promote physical activity. Instead, we’ll actively fight against them if we hope to lose weight.

If we’re working to lose weight, we may want to consider cutting alcohol out (or maybe just cutting back on it). We may see benefits like improved sleep and reduced bloating within a week of making that change.

How To Curb Hunger When Drinking Alcohol

Fortunately, we can control how we handle hunger spikes after drinking. Proper preparation, hydration, and mindfulness are our biggest assets when changing our eating and drinking habits. Looking to learn how to curb hunger when drinking alcohol? Before your next night out, take these eight tips into account:

  1. Eat before you drink. Have a balanced, healthy meal before you consume any alcohol. This serves two purposes: it reduces the risk of a late-night binge and slows your body’s alcohol absorption.
  2. Slow down. When we consume a large amount of alcohol at once, our body struggles to handle it. We have to give our liver time to work through all those toxins. As a rule of thumb, it takes a full hour to process one standard drink. If we don’t want to find ourselves elbow-deep in a bag of chips, we should sip slowly and avoid binge drinking.
  3. Stay hydrated. Sometimes our body thinks it’s hungry when, really, we’re just thirsty. Add in alcohol’s dehydrating effects, and we’ve got the perfect recipe for a midnight fast-food run. Combat alcohol’s hunger-spiking messages by alternating between alcoholic drinks and full glasses of water.
  4. Give yourself healthy alternatives. A little planning goes a long way. We may want to stock our kitchen with nutrient-rich snacks like cashews, hummus, fruit, and cheese before cracking open a beer. If we’re heading out on the town, we can pop a granola bar into a purse or pocket. The more accessible these smart snacks are, the more likely we’ll be to fill up on the good stuff.
  5. Toss out those tempting treats. In the same vein, we might consider nixing chips, frozen pizza, and candy from our shopping lists. If we can’t access them easily, we’re more likely to get through the night without turning to high-calorie, heavily processed foods.
  6. Make a plan. Yes, we can “plan the binge.” It may sound crazy, but mapping out a night of indulgence is a great way to stay in control. We’ve talked about setting boundaries with others, but sometimes, we need to create them for ourselves. Before ordering a cocktail, we can decide how much we’ll drink and what we’ll eat. If we need help holding ourselves accountable, we might share that information with a friend.
  7. Keep a record. This is a tactic recommended for folks with binge eating disorder, but it’s also a worthwhile exercise for those of us who struggle with alcohol-induced hunger cues. We can journal about our feelings and behaviors, and then review that information later to pick up on patterns. This can help us gather in-depth data about how drinking impacts our appetite.
  8. Drink responsibly. The best way to avoid alcohol-induced hunger is to cut back on our drinking. Binge drinking puts us at risk of myriad out-of-control behaviors; the more we drink, the less inhibited we become. To stay in control, we might want to take a hard look at our relationship with alcohol.

Ditch the Drunchies for Good

Does alcohol increase appetite? You bet. Alcohol makes us hungry by hijacking our hormones, lowering our inhibitions, and causing cravings. A pattern of heavy drinking and late-night noshing can lead to weight gain, especially if we’re struggling with sleep problems and metabolic issues. Fortunately, planning ahead, packing nutritious snacks, and drinking responsibly can provide relief from the drunchies.

If alcohol use is negatively affecting your life, it can be difficult to make a change — even if you really want to. We can help. Reframe offers scientifically sound tips for those looking to cut back on drinking. Our daily readings have been vetted by neuroscientists, life coaches, and other industry professionals. When you download the app, you’ll gain access to a vast virtual support network of fellow Reframers (via daily Zoom check-ins and our 24/7 Forum chat).

To learn more, visit the App Store or Google Play.

Alcohol and Health
2024-06-17 9:00
Alcohol and Health
Understanding Alcohol Withdrawal in the Context of ICD-10 Coding
This is some text inside of a div block.

Explore the critical role of ICD-10 coding in diagnosing and managing alcohol withdrawal, detailing symptoms, stages, and the importance of accurate medical classification for effective treatment.

7 min read

Reframe Your Health Journey

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 today! 

Read Full Article  →

Alcohol withdrawal is a significant medical condition that arises when individuals who have been consuming alcohol heavily for an extended period suddenly reduce or stop their intake. Recognizing and classifying alcohol withdrawal symptoms accurately is crucial for effective treatment and management. One of the primary methods used by healthcare professionals to classify these symptoms is the ICD-10 coding system.

What is the ICD-10 Coding System?

Understanding Alcohol Withdrawal in the Context of ICD-10 Coding

The International Classification of Diseases, 10th Revision (ICD-10), is a medical classification list by the World Health Organization (WHO). The ICD-10 is used globally to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. It provides a standardized coding system that allows for consistent and reliable documentation and analysis of health conditions.

Classification of Alcohol Withdrawal in ICD-10

In the ICD-10, alcohol withdrawal is categorized under the broader classification of mental and behavioral disorders due to psychoactive substance use. The specific codes related to alcohol withdrawal include:

  • F10.23: Alcohol dependence with withdrawal state.
  • F10.24: Alcohol dependence with withdrawal state delirium.
  • F10.230: Alcohol dependence with withdrawal, uncomplicated.
  • F10.231: Alcohol dependence with withdrawal, delirium.
  • F10.232: Alcohol dependence with withdrawal, with perceptual disturbance.

These codes help healthcare professionals in diagnosing and treating individuals experiencing withdrawal symptoms, ensuring that they receive the appropriate level of care.

Symptoms and Stages of Alcohol Withdrawal

Alcohol withdrawal symptoms can range from mild to severe, and understanding these stages is crucial for effective treatment.

Stage 1: Initial Symptoms (6-12 hours after the last drink)

In the first stage, symptoms usually begin within 6-12 hours after the last drink. These symptoms include:

  • Anxiety
  • Insomnia
  • Nausea and vomiting
  • Sweating
  • Tremors

These initial symptoms are the body's response to the sudden absence of alcohol, which it has become dependent on.

Stage 2: Intensified Symptoms (24-72 hours)

Symptoms intensify during this stage, which typically occurs within 24-72 hours. This stage can include:

  • Increased blood pressure and heart rate
  • Fever
  • Mental confusion
  • Hallucinations (auditory, visual, and tactile)

One severe manifestation during this stage is Delirium Tremens (DTs), which is characterized by severe agitation, confusion, and hallucinations. DTs usually arise 48-72 hours after the last drink and can be life-threatening, requiring immediate medical attention.

Stage 3: Peak Symptoms (3-5 days)

The peak of withdrawal symptoms generally occurs around 3-5 days after the last drink. These symptoms can include:

  • Seizures
  • Severe confusion
  • Hallucinations
  • High fever
  • Agitation

During this stage, continuous monitoring and medical intervention are crucial to prevent complications.

Stage 4: Subacute Withdrawal (1-2 weeks)

While the most severe symptoms tend to subside after the first week, individuals may still experience:

  • Mood swings
  • Persistent anxiety
  • Cravings for alcohol
  • Sleep disturbances

This period is critical for ongoing support to prevent relapse and ensure long-term recovery.

Stage 5: Post-Acute Withdrawal Syndrome (PAWS)

PAWS can last for several months and includes symptoms such as:

  • Prolonged anxiety
  • Depression
  • Sleep disturbances
  • Emotional instability

Effective coping mechanisms and a robust support system are essential during this stage to manage symptoms and maintain sobriety.

Importance of Accurate Classification and Diagnosis

Accurate classification of alcohol withdrawal symptoms using the ICD-10 codes is vital for several reasons:

  • Treatment Planning: Proper classification helps healthcare providers develop a tailored treatment plan that addresses the specific needs of the individual.
  • Resource Allocation: It ensures that the necessary resources, such as medical supervision and medications, are allocated appropriately.
  • Research and Analysis: Standardized coding allows for consistent data collection and analysis, contributing to a better understanding of alcohol withdrawal and its management.
  • Insurance and Billing: Accurate coding is necessary for insurance claims and billing, ensuring that individuals receive the coverage they need for their treatment.

Conclusion

Understanding how alcohol withdrawal is classified in the ICD-10 coding system is crucial for healthcare professionals and individuals alike. Accurate diagnosis and classification lead to better treatment outcomes, effective resource allocation, and a comprehensive understanding of this condition. If you or someone you know is experiencing alcohol withdrawal, it is essential to seek medical help immediately.

For more information on the stages of alcohol withdrawal and what to expect, refer to our detailed article on the Alcohol Withdrawal Timeline: Causes, Symptoms and Treatments. Additionally, you can explore how long alcohol withdrawal symptoms typically last in our article How Long Do Alcohol Withdrawal Symptoms Last?.

Alcohol withdrawal is a significant medical condition that arises when individuals who have been consuming alcohol heavily for an extended period suddenly reduce or stop their intake. Recognizing and classifying alcohol withdrawal symptoms accurately is crucial for effective treatment and management. One of the primary methods used by healthcare professionals to classify these symptoms is the ICD-10 coding system.

What is the ICD-10 Coding System?

Understanding Alcohol Withdrawal in the Context of ICD-10 Coding

The International Classification of Diseases, 10th Revision (ICD-10), is a medical classification list by the World Health Organization (WHO). The ICD-10 is used globally to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. It provides a standardized coding system that allows for consistent and reliable documentation and analysis of health conditions.

Classification of Alcohol Withdrawal in ICD-10

In the ICD-10, alcohol withdrawal is categorized under the broader classification of mental and behavioral disorders due to psychoactive substance use. The specific codes related to alcohol withdrawal include:

  • F10.23: Alcohol dependence with withdrawal state.
  • F10.24: Alcohol dependence with withdrawal state delirium.
  • F10.230: Alcohol dependence with withdrawal, uncomplicated.
  • F10.231: Alcohol dependence with withdrawal, delirium.
  • F10.232: Alcohol dependence with withdrawal, with perceptual disturbance.

These codes help healthcare professionals in diagnosing and treating individuals experiencing withdrawal symptoms, ensuring that they receive the appropriate level of care.

Symptoms and Stages of Alcohol Withdrawal

Alcohol withdrawal symptoms can range from mild to severe, and understanding these stages is crucial for effective treatment.

Stage 1: Initial Symptoms (6-12 hours after the last drink)

In the first stage, symptoms usually begin within 6-12 hours after the last drink. These symptoms include:

  • Anxiety
  • Insomnia
  • Nausea and vomiting
  • Sweating
  • Tremors

These initial symptoms are the body's response to the sudden absence of alcohol, which it has become dependent on.

Stage 2: Intensified Symptoms (24-72 hours)

Symptoms intensify during this stage, which typically occurs within 24-72 hours. This stage can include:

  • Increased blood pressure and heart rate
  • Fever
  • Mental confusion
  • Hallucinations (auditory, visual, and tactile)

One severe manifestation during this stage is Delirium Tremens (DTs), which is characterized by severe agitation, confusion, and hallucinations. DTs usually arise 48-72 hours after the last drink and can be life-threatening, requiring immediate medical attention.

Stage 3: Peak Symptoms (3-5 days)

The peak of withdrawal symptoms generally occurs around 3-5 days after the last drink. These symptoms can include:

  • Seizures
  • Severe confusion
  • Hallucinations
  • High fever
  • Agitation

During this stage, continuous monitoring and medical intervention are crucial to prevent complications.

Stage 4: Subacute Withdrawal (1-2 weeks)

While the most severe symptoms tend to subside after the first week, individuals may still experience:

  • Mood swings
  • Persistent anxiety
  • Cravings for alcohol
  • Sleep disturbances

This period is critical for ongoing support to prevent relapse and ensure long-term recovery.

Stage 5: Post-Acute Withdrawal Syndrome (PAWS)

PAWS can last for several months and includes symptoms such as:

  • Prolonged anxiety
  • Depression
  • Sleep disturbances
  • Emotional instability

Effective coping mechanisms and a robust support system are essential during this stage to manage symptoms and maintain sobriety.

Importance of Accurate Classification and Diagnosis

Accurate classification of alcohol withdrawal symptoms using the ICD-10 codes is vital for several reasons:

  • Treatment Planning: Proper classification helps healthcare providers develop a tailored treatment plan that addresses the specific needs of the individual.
  • Resource Allocation: It ensures that the necessary resources, such as medical supervision and medications, are allocated appropriately.
  • Research and Analysis: Standardized coding allows for consistent data collection and analysis, contributing to a better understanding of alcohol withdrawal and its management.
  • Insurance and Billing: Accurate coding is necessary for insurance claims and billing, ensuring that individuals receive the coverage they need for their treatment.

Conclusion

Understanding how alcohol withdrawal is classified in the ICD-10 coding system is crucial for healthcare professionals and individuals alike. Accurate diagnosis and classification lead to better treatment outcomes, effective resource allocation, and a comprehensive understanding of this condition. If you or someone you know is experiencing alcohol withdrawal, it is essential to seek medical help immediately.

For more information on the stages of alcohol withdrawal and what to expect, refer to our detailed article on the Alcohol Withdrawal Timeline: Causes, Symptoms and Treatments. Additionally, you can explore how long alcohol withdrawal symptoms typically last in our article How Long Do Alcohol Withdrawal Symptoms Last?.

Alcohol and Health
2024-06-17 9:00
Alcohol and Health
How Alcohol Consumption Weakens the Immune System and Increases Susceptibility to Infections
This is some text inside of a div block.

Explore the detrimental effects of alcohol on the immune system, including reduced white blood cell count, impaired immune cell function, and increased risk of infections. Learn practical steps to mitigate these impacts.

9 min read

Reframe Your Health Journey - Stay Committed to Moderation

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  →

Alcohol is a widely consumed substance, often enjoyed in social settings and celebrations. However, its impact on health, particularly on the immune system, is a significant concern. Understanding how alcohol consumption can weaken the immune system and increase susceptibility to infections is crucial for those looking to build healthier drinking habits.

The Immune System: A Brief Overview

How Alcohol Consumption Weakens the Immune System and Increases Susceptibility to Infections

The immune system is the body's defense mechanism against pathogens, such as bacteria, viruses, and other harmful agents. It consists of various cells, tissues, and organs that work together to identify and neutralize these threats. Key components of the immune system include white blood cells, antibodies, and the lymphatic system.

How Alcohol Impacts the Immune System

1. Reduced White Blood Cell Count

Alcohol consumption can lead to a reduction in the number of white blood cells, which are essential for fighting infections. Chronic alcohol use suppresses the production of white blood cells in the bone marrow, leading to a compromised immune response.

2. Impaired Function of Immune Cells

Not only does alcohol reduce the number of white blood cells, but it also impairs their function. White blood cells, such as neutrophils and macrophages, become less effective at engulfing and destroying pathogens. This impairment makes the body more susceptible to infections.

3. Inflammation and Immune Dysregulation

Alcohol can cause chronic inflammation, which disrupts the normal functioning of the immune system. Chronic inflammation leads to an overactive immune response, where the body may start attacking its tissues, similar to autoimmune diseases. This dysregulation further weakens the body's ability to fend off infections.

4. Disruption of Gut Microbiome

The gut microbiome plays a crucial role in maintaining a healthy immune system. Alcohol consumption disrupts the balance of beneficial and harmful bacteria in the gut, leading to a condition known as dysbiosis. This imbalance weakens the gut barrier, allowing pathogens to enter the bloodstream and trigger an immune response.

For instance, the article "The Connection Between Alcohol and Gut Health" explores how alcohol disrupts the gut microbiome, leading to a weakened immune system and chronic inflammation.

5. Impaired Nutrient Absorption

Alcohol interferes with the absorption of essential nutrients, such as vitamins and minerals, which are vital for a robust immune system. Nutrient deficiencies, particularly of vitamins A, C, and E, as well as zinc and selenium, can compromise immune function and increase susceptibility to infections.

Increased Susceptibility to Infections

1. Respiratory Infections

Alcohol consumption increases the risk of respiratory infections, such as pneumonia and tuberculosis. The impairment of immune cells and the disruption of the gut microbiome make the lungs more vulnerable to infections.

The article "Why Do Alcoholics Cough So Much? Learn the Signs of Alcoholic Lung Disease" highlights how alcohol affects lung health, leading to increased susceptibility to respiratory infections.

2. Gastrointestinal Infections

The disruption of the gut microbiome and the weakening of the gut barrier make the gastrointestinal tract more susceptible to infections. Alcohol can lead to conditions such as gastritis and bacterial overgrowth, increasing the risk of gastrointestinal infections.

3. Skin Infections

Alcohol impairs the skin's ability to act as a barrier against pathogens. Chronic alcohol use can lead to skin conditions such as cellulitis and abscesses, which are caused by bacterial infections.

4. Increased Severity of Infections

Alcohol not only increases the risk of infections but also their severity. The impaired immune response means that infections can spread more rapidly and become more difficult to treat. This can lead to complications and prolonged recovery times.

Practical Steps to Mitigate the Impact of Alcohol on the Immune System

1. Moderate Alcohol Consumption

Limiting alcohol intake is crucial for maintaining a healthy immune system. The Centers for Disease Control and Prevention (CDC) defines moderate drinking as up to one drink per day for women and up to two drinks per day for men.

2. Maintain a Healthy Diet

A diet rich in fruits, vegetables, whole grains, and lean proteins provides essential nutrients that support immune function. Including foods high in antioxidants, such as berries and leafy greens, can help combat the oxidative stress caused by alcohol.

3. Stay Hydrated

Adequate hydration is essential for maintaining overall health and supporting the immune system. Drinking plenty of water helps flush out toxins and supports the body's natural detoxification processes.

4. Get Regular Exercise

Regular physical activity boosts immune function and reduces inflammation. Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking or cycling.

5. Prioritize Sleep

Quality sleep is vital for a healthy immune system. Aim for 7-9 hours of sleep per night to allow the body to repair and regenerate.

6. Manage Stress

Chronic stress can weaken the immune system. Practice stress-reducing techniques such as meditation, deep breathing exercises, and mindfulness to support immune health.

7. Seek Professional Help

If you struggle with alcohol use, seeking professional help is essential. Programs like Reframe offer support and resources to help individuals build healthier drinking habits and reframe their relationship with alcohol.

Conclusion

Understanding the impact of alcohol on the immune system is crucial for making informed decisions about drinking habits. By recognizing how alcohol weakens the immune system and increases susceptibility to infections, individuals can take proactive steps to protect their health. Moderating alcohol intake, maintaining a healthy lifestyle, and seeking support when needed are essential strategies for building a stronger, more resilient immune system.

Alcohol is a widely consumed substance, often enjoyed in social settings and celebrations. However, its impact on health, particularly on the immune system, is a significant concern. Understanding how alcohol consumption can weaken the immune system and increase susceptibility to infections is crucial for those looking to build healthier drinking habits.

The Immune System: A Brief Overview

How Alcohol Consumption Weakens the Immune System and Increases Susceptibility to Infections

The immune system is the body's defense mechanism against pathogens, such as bacteria, viruses, and other harmful agents. It consists of various cells, tissues, and organs that work together to identify and neutralize these threats. Key components of the immune system include white blood cells, antibodies, and the lymphatic system.

How Alcohol Impacts the Immune System

1. Reduced White Blood Cell Count

Alcohol consumption can lead to a reduction in the number of white blood cells, which are essential for fighting infections. Chronic alcohol use suppresses the production of white blood cells in the bone marrow, leading to a compromised immune response.

2. Impaired Function of Immune Cells

Not only does alcohol reduce the number of white blood cells, but it also impairs their function. White blood cells, such as neutrophils and macrophages, become less effective at engulfing and destroying pathogens. This impairment makes the body more susceptible to infections.

3. Inflammation and Immune Dysregulation

Alcohol can cause chronic inflammation, which disrupts the normal functioning of the immune system. Chronic inflammation leads to an overactive immune response, where the body may start attacking its tissues, similar to autoimmune diseases. This dysregulation further weakens the body's ability to fend off infections.

4. Disruption of Gut Microbiome

The gut microbiome plays a crucial role in maintaining a healthy immune system. Alcohol consumption disrupts the balance of beneficial and harmful bacteria in the gut, leading to a condition known as dysbiosis. This imbalance weakens the gut barrier, allowing pathogens to enter the bloodstream and trigger an immune response.

For instance, the article "The Connection Between Alcohol and Gut Health" explores how alcohol disrupts the gut microbiome, leading to a weakened immune system and chronic inflammation.

5. Impaired Nutrient Absorption

Alcohol interferes with the absorption of essential nutrients, such as vitamins and minerals, which are vital for a robust immune system. Nutrient deficiencies, particularly of vitamins A, C, and E, as well as zinc and selenium, can compromise immune function and increase susceptibility to infections.

Increased Susceptibility to Infections

1. Respiratory Infections

Alcohol consumption increases the risk of respiratory infections, such as pneumonia and tuberculosis. The impairment of immune cells and the disruption of the gut microbiome make the lungs more vulnerable to infections.

The article "Why Do Alcoholics Cough So Much? Learn the Signs of Alcoholic Lung Disease" highlights how alcohol affects lung health, leading to increased susceptibility to respiratory infections.

2. Gastrointestinal Infections

The disruption of the gut microbiome and the weakening of the gut barrier make the gastrointestinal tract more susceptible to infections. Alcohol can lead to conditions such as gastritis and bacterial overgrowth, increasing the risk of gastrointestinal infections.

3. Skin Infections

Alcohol impairs the skin's ability to act as a barrier against pathogens. Chronic alcohol use can lead to skin conditions such as cellulitis and abscesses, which are caused by bacterial infections.

4. Increased Severity of Infections

Alcohol not only increases the risk of infections but also their severity. The impaired immune response means that infections can spread more rapidly and become more difficult to treat. This can lead to complications and prolonged recovery times.

Practical Steps to Mitigate the Impact of Alcohol on the Immune System

1. Moderate Alcohol Consumption

Limiting alcohol intake is crucial for maintaining a healthy immune system. The Centers for Disease Control and Prevention (CDC) defines moderate drinking as up to one drink per day for women and up to two drinks per day for men.

2. Maintain a Healthy Diet

A diet rich in fruits, vegetables, whole grains, and lean proteins provides essential nutrients that support immune function. Including foods high in antioxidants, such as berries and leafy greens, can help combat the oxidative stress caused by alcohol.

3. Stay Hydrated

Adequate hydration is essential for maintaining overall health and supporting the immune system. Drinking plenty of water helps flush out toxins and supports the body's natural detoxification processes.

4. Get Regular Exercise

Regular physical activity boosts immune function and reduces inflammation. Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking or cycling.

5. Prioritize Sleep

Quality sleep is vital for a healthy immune system. Aim for 7-9 hours of sleep per night to allow the body to repair and regenerate.

6. Manage Stress

Chronic stress can weaken the immune system. Practice stress-reducing techniques such as meditation, deep breathing exercises, and mindfulness to support immune health.

7. Seek Professional Help

If you struggle with alcohol use, seeking professional help is essential. Programs like Reframe offer support and resources to help individuals build healthier drinking habits and reframe their relationship with alcohol.

Conclusion

Understanding the impact of alcohol on the immune system is crucial for making informed decisions about drinking habits. By recognizing how alcohol weakens the immune system and increases susceptibility to infections, individuals can take proactive steps to protect their health. Moderating alcohol intake, maintaining a healthy lifestyle, and seeking support when needed are essential strategies for building a stronger, more resilient immune system.

Alcohol and Health
2024-06-14 9:00
Alcohol and Health
Alcohol and Restless Leg Syndrome: How Are They Connected?
This is some text inside of a div block.

Ever notice that pesky leg pain after drinking alcohol? It’s not your imagination! Booze can trigger restless leg syndrome while contributing to general muscle pain.

21 min read

Give Those “Jimmy Legs” a Rest and Join 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 today!

Read Full Article  →

Picture this. You wake up after a night out — well, it was actually mostly a night “in.” You were at a friend’s housewarming party and you shared a bottle of red (or three), chatting about the cute neighbor across the hall (“Are they single?”) and ending the night with a marathon of Friends (“Could this be any more typical?”) Oh well, you think, no harm done — right? Just a few drinks with friends watching Friends.

And yet the next day, you get an unpleasant surprise — your legs feel achy or restless. What gives? 

You scan your memories of the night in search of clues. After the 5-minute tour of your friend’s new digs, you were confined to the living room area, mostly in the sitting (then reclining) position. No Twister. No climbing down the fire escape (that was Ross and Joey in one of the episodes). The sushi was delivered (by someone other than you).

Is it possible that leg pain after drinking alcohol — as well as symptoms of restless leg syndrome (an urge to move your legs) — isn’t a random fluke? You might find yourself wondering, “Why do my legs hurt after drinking?” or “Why do I get leg cramps after drinking alcohol?”

If you’re frequently waking up with your legs sore after drinking or having leg cramps after drinking, the connection between alcohol and leg cramps is worth exploring.

Alcohol: A “Pain in the Legs”

A woman sitting on a couch, clutching her leg in discomfort

When we think of sore legs, alcohol might not be the first culprit that comes to mind. Instead, we’re more likely to associate leg pain with activities that, well, require the use of our legs — riding that new Peloton bike, walking to our 9th floor apartment, and so forth. But drinking? That seems like a far reach. 

Still, both leg soreness in general and restless leg syndrome might have a common cause — booze. So let’s retrace our steps and see how that trip to the bar the night before led us to wake up with leg pain (even though we took an Uber to get there and back.)

Leg Pain After Drinking: Retracing the Steps

What’s behind leg pain after drinking alcohol? There are several factors at play.

  • Dehydration. It’s an undisputed fact: alcohol dehydrates us. Yes it’s a beverage, and yes it can appear to quench our thirst for a bit, but it’s largely an illusion. Give it a few hours and we’ll likely be standing in line for the restroom at the bar or waking up to drag our (aching) feet to the bathroom in our house. 

    The reason for this unpleasant effect comes down to the fact that alcohol suppresses vasopressin, a hormone that tells the kidneys to hold on to water. Without this natural stop cap, we end up losing too much fluid and wake up feeling parched and achy. The reason? Dehydration decreases the fluid available for joint lubrication and muscle function, which can cause muscle cramps and soreness.
  • Lousy sleep. In spite of what we might believe about alcohol’s power to send us off into dreamland, it’s unlikely to be a smooth ride in the end. While we might initially doze off, we’re likely to wake up groggy after a night of disrupted sleep (all those bathroom trips don’t help) that doesn’t allow us to take full advantage of the restorative REM phases. 

    One type of restoration that normally happens during sleep has to do with our muscles. Science shows that sleep is the prime time for our body to repair muscle tissue through protein synthesis. Poor sleep, in turn, leads to protein breakdown — and unhappy muscles the morning after. 
  • Nocturnal leg cramps. More specifically, booze can cause our muscles to stiffen during the night, waking us up with a painful jolt or leaving us with a dull ache in the morning. A study by a French team of scientists found an association between nocturnal leg cramps and finishing the day with a nightcap. So it might be time to rethink how much that glass of wine before bed really helps us relax!
  • Nutrient depletion. Alcohol can interfere with the body’s ability to absorb vital nutrients like potassium and magnesium, which are crucial for muscle health and function. Deficiencies in these nutrients can lead to muscle cramps and soreness.
  • Increased inflammation. Alcohol can increase inflammation in the body. Chronic inflammation can exacerbate muscle stiffness and pain.

So, does alcohol cause leg cramps? As we can see, the connection between alcohol and muscle pain might seem like a stretch, but it’s very real! Even if we’re wearing slippers and lounging on the couch, a boozy night can end up being a real “pain in the legs,” leaving us with sore muscles after drinking.

Alcohol and Restless Leg Syndrome: Tracking the Connection

While general leg pain after drinking is all about muscle fatigue, cramps, or inflammation, restless leg syndrome (RLS) is a whole other beast. And once again, while alcohol might seem like an odd player in this game, it has a sneaky way of making it worse.

What Is Restless Leg Syndrome?

“She’s got the Jimmy legs.” — Kramer

Those who’ve never experienced restless leg syndrome have a tendency to write it off as a pesky fidgeting habit or even accuse us of doing it on purpose. Remember that teacher who’d always get mad when someone in the class started tapping their foot? There’s a chance they simply weren’t into isosceles triangles and were fidgeting out of boredom. 

But there’s also a chance they truly couldn’t help it. RLS is a chronic neurological disorder marked by an irresistible urge to move our legs. It can feel like an itch, an ache, or just an overwhelming urge to jump out of our own skin. RLS is related to malfunctions in the basal ganglia — the part of the brain that controls movement.

And then there’s the nighttime RLS, which can be even worse (especially for those sharing a bed with a partner). Remember the Seinfeld episode where Kramer looks more disheveled than usual because of his girlfriend’s “Jimmy legs”? The tossing, turning, and (yikes!) kicking in our sleep are all typical manifestations of RLS in our sleep.

What Causes RLS?

Those hoping for a clear answer might be disappointed — nobody knows exactly what’s behind RLS. It’s a biological glitch turned on by what feels like a flip of an invisible switch. Awareness about RLS is generally poor among medical professionals, and it is rarely diagnosed.

That said, it’s extremely common. In fact, as much as 10% of the U.S. population has RLS, with women bearing the brunt of the burden. RLS can affect anyone, but tends to get worse with age. 

While the exact cause might be a medical mystery, scientists have pinpointed some additional risk factors. Other than nerve damage and pregnancy, most of them are lifestyle-related and include poor sleep hygiene, smoking, and a diet high in processed foods. The human body isn’t designed to consume foods full of sugar and trans fats, and the effects of these foods shouldn’t be taken lightly.

And — yes — there’s also alcohol.

Alcohol: Juice for the “Jimmy Legs”

While a glass of wine or a beer might seem like a good way to unwind, if you suffer from RLS, alcohol could be making your symptoms worse.

1. Sleep Disruption

As we already know, alcohol disrupts our sleep. For someone with RLS, sleep disruption can exacerbate symptoms, making the urge to move the legs more pronounced and sleep even more elusive. Whether the “Jimmy legs” wake us up or not, our sleep quality suffers (in addition to that of anyone sharing our bed!)

2. Neurological Impact

Alcohol has a depressant effect on the nervous system, which can affect the neurotransmitters that regulate muscle movements and nerve signals. This disruption can aggravate RLS symptoms by increasing sensory disturbances in the legs.

3. Dopamine Disruption

Remember how we said RLS is linked to the basal ganglia? It’s no coincidence that this area is linked to dopamine regulation. Dopamine release is required for our muscles to move, and disruptions in the process can affect our motor functions, causing the jerky movements characteristic of diseases such as Parkinson’s.

Alcohol, in turn, can throw a major wrench in this delicate system. It floods the brain with dopamine, creating those pleasant rewarding feelings that keep us coming back and hook us into dependence if we’re not careful. And since what goes up must come down, there’s a rebound effect: our dopamine levels plummet as the alcohol wears off.

(For a closer look, check out “How Does Alcohol Affect Dopamine Levels?”)

Stop Soreness in Its Tracks

Stop Soreness in Its Tracks

If you’re wondering how to prevent leg cramps after drinking alcohol, we’ve got you covered! Here are some tips to prevent leg pain after drinking alcohol while kicking RLS to the curb.

  • Take a step back from drinking. Alcohol can fuel muscle pain and RLS, so that glass of wine (or three) might be doing more harm than good. Well, in fact, it’s probably doing no good at all — based on the most recent data, there’s no safe amount when it comes to booze. Drinking before bed, especially, can set us up for a night of trouble and a morning of regrets.
  • Track the patterns. Put on your detective hat and become an investigator of your symptoms. When do they tend to get worse? How does alcohol factor into the picture? You might be surprised at the results — the key is to keep a consistent log and be completely honest. (There’s no math teacher to answer to, and no “right answer.”) 
  • Don’t skimp on sleep. Quality sleep is key to keeping RLS symptoms and leg soreness in general at bay. Just remember to skip the nightcap. Better yet, have some soothing chamomile tea to drift off naturally while relieving inflammation and muscle spasms
  • Take a bath. Time for bubbles, scented candles — or, if you prefer, a simple tub full of warm water. Many who struggle with RLS find that it improves their symptoms. Just don’t fall asleep or make the water too hot by accident!
  • Get a massage. Gentle leg massages can reduce discomfort and are a great way to relax before bed without alcohol.
  • Get (and keep) moving. Being active can work wonders for building strength and flexibility while keeping RLS symptoms at bay. Pick an activity you enjoy and stick with it. Running, hiking, swimming, or dancing in your living room — whatever floats your boat!
  • Take iron supplements. Restless leg syndrome may be a sign of iron deficiency, and some research suggests that iron supplements may help.
  • Talk to a doctor. If leg pain persists, gets worse, or interferes with your daily activities, talk to your doctor. They know your medical history best and will be able to advise you.

With these steps, you can get a “leg up” on the problem and feel some much-needed relief!

Stepping Into Change

Leg pain after drinking alcohol is no fun, but there’s an optimistic way to look at it. What if we see it as a signal our body is sending us to drink less? Listening to our body instead of ignoring its pleas for attention will ultimately leave us feeling better physically. It will also improve our emotional well-being, since we’ll know we’re giving ourselves the care we truly deserve. Our legs work tirelessly for us day after day, so let’s do what we can to keep them healthy!

The first step to change might be the hardest, but after we gain momentum, we’ll be running along the track of our new life with ease. And who knows, we might even throw in a few laps around the actual track in the park outside since our leg muscles will be feeling better!

The great news is, once we start tuning in to our body’s signals, we can tweak our lifestyle in ways that leave us feeling better than we ever had before. As Gretchen Rubin writes in Better Than Before: What I Learned About Making and Breaking Habits — To Sleep More, Quit Sugar, Procrastinate Less, and Generally Build a Happier Life, “Nothing is more exhausting than the task that’s never started, and strangely, starting is often far harder than continuing.”

Picture this. You wake up after a night out — well, it was actually mostly a night “in.” You were at a friend’s housewarming party and you shared a bottle of red (or three), chatting about the cute neighbor across the hall (“Are they single?”) and ending the night with a marathon of Friends (“Could this be any more typical?”) Oh well, you think, no harm done — right? Just a few drinks with friends watching Friends.

And yet the next day, you get an unpleasant surprise — your legs feel achy or restless. What gives? 

You scan your memories of the night in search of clues. After the 5-minute tour of your friend’s new digs, you were confined to the living room area, mostly in the sitting (then reclining) position. No Twister. No climbing down the fire escape (that was Ross and Joey in one of the episodes). The sushi was delivered (by someone other than you).

Is it possible that leg pain after drinking alcohol — as well as symptoms of restless leg syndrome (an urge to move your legs) — isn’t a random fluke? You might find yourself wondering, “Why do my legs hurt after drinking?” or “Why do I get leg cramps after drinking alcohol?”

If you’re frequently waking up with your legs sore after drinking or having leg cramps after drinking, the connection between alcohol and leg cramps is worth exploring.

Alcohol: A “Pain in the Legs”

A woman sitting on a couch, clutching her leg in discomfort

When we think of sore legs, alcohol might not be the first culprit that comes to mind. Instead, we’re more likely to associate leg pain with activities that, well, require the use of our legs — riding that new Peloton bike, walking to our 9th floor apartment, and so forth. But drinking? That seems like a far reach. 

Still, both leg soreness in general and restless leg syndrome might have a common cause — booze. So let’s retrace our steps and see how that trip to the bar the night before led us to wake up with leg pain (even though we took an Uber to get there and back.)

Leg Pain After Drinking: Retracing the Steps

What’s behind leg pain after drinking alcohol? There are several factors at play.

  • Dehydration. It’s an undisputed fact: alcohol dehydrates us. Yes it’s a beverage, and yes it can appear to quench our thirst for a bit, but it’s largely an illusion. Give it a few hours and we’ll likely be standing in line for the restroom at the bar or waking up to drag our (aching) feet to the bathroom in our house. 

    The reason for this unpleasant effect comes down to the fact that alcohol suppresses vasopressin, a hormone that tells the kidneys to hold on to water. Without this natural stop cap, we end up losing too much fluid and wake up feeling parched and achy. The reason? Dehydration decreases the fluid available for joint lubrication and muscle function, which can cause muscle cramps and soreness.
  • Lousy sleep. In spite of what we might believe about alcohol’s power to send us off into dreamland, it’s unlikely to be a smooth ride in the end. While we might initially doze off, we’re likely to wake up groggy after a night of disrupted sleep (all those bathroom trips don’t help) that doesn’t allow us to take full advantage of the restorative REM phases. 

    One type of restoration that normally happens during sleep has to do with our muscles. Science shows that sleep is the prime time for our body to repair muscle tissue through protein synthesis. Poor sleep, in turn, leads to protein breakdown — and unhappy muscles the morning after. 
  • Nocturnal leg cramps. More specifically, booze can cause our muscles to stiffen during the night, waking us up with a painful jolt or leaving us with a dull ache in the morning. A study by a French team of scientists found an association between nocturnal leg cramps and finishing the day with a nightcap. So it might be time to rethink how much that glass of wine before bed really helps us relax!
  • Nutrient depletion. Alcohol can interfere with the body’s ability to absorb vital nutrients like potassium and magnesium, which are crucial for muscle health and function. Deficiencies in these nutrients can lead to muscle cramps and soreness.
  • Increased inflammation. Alcohol can increase inflammation in the body. Chronic inflammation can exacerbate muscle stiffness and pain.

So, does alcohol cause leg cramps? As we can see, the connection between alcohol and muscle pain might seem like a stretch, but it’s very real! Even if we’re wearing slippers and lounging on the couch, a boozy night can end up being a real “pain in the legs,” leaving us with sore muscles after drinking.

Alcohol and Restless Leg Syndrome: Tracking the Connection

While general leg pain after drinking is all about muscle fatigue, cramps, or inflammation, restless leg syndrome (RLS) is a whole other beast. And once again, while alcohol might seem like an odd player in this game, it has a sneaky way of making it worse.

What Is Restless Leg Syndrome?

“She’s got the Jimmy legs.” — Kramer

Those who’ve never experienced restless leg syndrome have a tendency to write it off as a pesky fidgeting habit or even accuse us of doing it on purpose. Remember that teacher who’d always get mad when someone in the class started tapping their foot? There’s a chance they simply weren’t into isosceles triangles and were fidgeting out of boredom. 

But there’s also a chance they truly couldn’t help it. RLS is a chronic neurological disorder marked by an irresistible urge to move our legs. It can feel like an itch, an ache, or just an overwhelming urge to jump out of our own skin. RLS is related to malfunctions in the basal ganglia — the part of the brain that controls movement.

And then there’s the nighttime RLS, which can be even worse (especially for those sharing a bed with a partner). Remember the Seinfeld episode where Kramer looks more disheveled than usual because of his girlfriend’s “Jimmy legs”? The tossing, turning, and (yikes!) kicking in our sleep are all typical manifestations of RLS in our sleep.

What Causes RLS?

Those hoping for a clear answer might be disappointed — nobody knows exactly what’s behind RLS. It’s a biological glitch turned on by what feels like a flip of an invisible switch. Awareness about RLS is generally poor among medical professionals, and it is rarely diagnosed.

That said, it’s extremely common. In fact, as much as 10% of the U.S. population has RLS, with women bearing the brunt of the burden. RLS can affect anyone, but tends to get worse with age. 

While the exact cause might be a medical mystery, scientists have pinpointed some additional risk factors. Other than nerve damage and pregnancy, most of them are lifestyle-related and include poor sleep hygiene, smoking, and a diet high in processed foods. The human body isn’t designed to consume foods full of sugar and trans fats, and the effects of these foods shouldn’t be taken lightly.

And — yes — there’s also alcohol.

Alcohol: Juice for the “Jimmy Legs”

While a glass of wine or a beer might seem like a good way to unwind, if you suffer from RLS, alcohol could be making your symptoms worse.

1. Sleep Disruption

As we already know, alcohol disrupts our sleep. For someone with RLS, sleep disruption can exacerbate symptoms, making the urge to move the legs more pronounced and sleep even more elusive. Whether the “Jimmy legs” wake us up or not, our sleep quality suffers (in addition to that of anyone sharing our bed!)

2. Neurological Impact

Alcohol has a depressant effect on the nervous system, which can affect the neurotransmitters that regulate muscle movements and nerve signals. This disruption can aggravate RLS symptoms by increasing sensory disturbances in the legs.

3. Dopamine Disruption

Remember how we said RLS is linked to the basal ganglia? It’s no coincidence that this area is linked to dopamine regulation. Dopamine release is required for our muscles to move, and disruptions in the process can affect our motor functions, causing the jerky movements characteristic of diseases such as Parkinson’s.

Alcohol, in turn, can throw a major wrench in this delicate system. It floods the brain with dopamine, creating those pleasant rewarding feelings that keep us coming back and hook us into dependence if we’re not careful. And since what goes up must come down, there’s a rebound effect: our dopamine levels plummet as the alcohol wears off.

(For a closer look, check out “How Does Alcohol Affect Dopamine Levels?”)

Stop Soreness in Its Tracks

Stop Soreness in Its Tracks

If you’re wondering how to prevent leg cramps after drinking alcohol, we’ve got you covered! Here are some tips to prevent leg pain after drinking alcohol while kicking RLS to the curb.

  • Take a step back from drinking. Alcohol can fuel muscle pain and RLS, so that glass of wine (or three) might be doing more harm than good. Well, in fact, it’s probably doing no good at all — based on the most recent data, there’s no safe amount when it comes to booze. Drinking before bed, especially, can set us up for a night of trouble and a morning of regrets.
  • Track the patterns. Put on your detective hat and become an investigator of your symptoms. When do they tend to get worse? How does alcohol factor into the picture? You might be surprised at the results — the key is to keep a consistent log and be completely honest. (There’s no math teacher to answer to, and no “right answer.”) 
  • Don’t skimp on sleep. Quality sleep is key to keeping RLS symptoms and leg soreness in general at bay. Just remember to skip the nightcap. Better yet, have some soothing chamomile tea to drift off naturally while relieving inflammation and muscle spasms
  • Take a bath. Time for bubbles, scented candles — or, if you prefer, a simple tub full of warm water. Many who struggle with RLS find that it improves their symptoms. Just don’t fall asleep or make the water too hot by accident!
  • Get a massage. Gentle leg massages can reduce discomfort and are a great way to relax before bed without alcohol.
  • Get (and keep) moving. Being active can work wonders for building strength and flexibility while keeping RLS symptoms at bay. Pick an activity you enjoy and stick with it. Running, hiking, swimming, or dancing in your living room — whatever floats your boat!
  • Take iron supplements. Restless leg syndrome may be a sign of iron deficiency, and some research suggests that iron supplements may help.
  • Talk to a doctor. If leg pain persists, gets worse, or interferes with your daily activities, talk to your doctor. They know your medical history best and will be able to advise you.

With these steps, you can get a “leg up” on the problem and feel some much-needed relief!

Stepping Into Change

Leg pain after drinking alcohol is no fun, but there’s an optimistic way to look at it. What if we see it as a signal our body is sending us to drink less? Listening to our body instead of ignoring its pleas for attention will ultimately leave us feeling better physically. It will also improve our emotional well-being, since we’ll know we’re giving ourselves the care we truly deserve. Our legs work tirelessly for us day after day, so let’s do what we can to keep them healthy!

The first step to change might be the hardest, but after we gain momentum, we’ll be running along the track of our new life with ease. And who knows, we might even throw in a few laps around the actual track in the park outside since our leg muscles will be feeling better!

The great news is, once we start tuning in to our body’s signals, we can tweak our lifestyle in ways that leave us feeling better than we ever had before. As Gretchen Rubin writes in Better Than Before: What I Learned About Making and Breaking Habits — To Sleep More, Quit Sugar, Procrastinate Less, and Generally Build a Happier Life, “Nothing is more exhausting than the task that’s never started, and strangely, starting is often far harder than continuing.”

Alcohol and Health
2024-06-13 9:00
Alcohol and Health
Exploring How Alcohol Affects the Digestive System
This is some text inside of a div block.

Explore the significant impact of alcohol on the digestive system, including its effects on the esophagus, stomach, and pancreas, and learn how to manage and prevent related health issues.

8 min read

Discover the Impact of Alcohol on Your Digestive Health

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  →

Understanding the effects of alcohol on the digestive system is crucial, especially if you're working to build healthier drinking habits. Alcohol can have a significant impact on various parts of the digestive tract, leading to conditions like gastritis and pancreatitis. This article delves into how alcohol affects the digestive system and the risks associated with its consumption.

Alcohol and the Digestive System

Exploring How Alcohol Affects the Digestive System

Alcohol is a well-known irritant to the digestive system. Its effects begin as soon as it enters the mouth and continue as it travels through the esophagus, stomach, and intestines.

Esophagus

Alcohol can relax the lower esophageal sphincter (LES), a ring of muscle that acts as a barrier between the stomach and the esophagus. When the LES relaxes, stomach acid can flow back into the esophagus, causing acid reflux and heartburn. Chronic alcohol consumption can lead to gastroesophageal reflux disease (GERD), a more severe form of acid reflux.

For more on how alcohol can exacerbate conditions like acid reflux, check out our article on What Is The Best Alcoholic Drink For Acid Reflux.

Stomach

Alcohol has several detrimental effects on the stomach. It increases the production of stomach acid, which can irritate the stomach lining and lead to gastritis. Gastritis is the inflammation of the stomach lining and can cause symptoms like nausea, vomiting, and stomach pain. Chronic gastritis can result in ulcers and an increased risk of stomach cancer.

For a deeper understanding of the relationship between alcohol and gastritis, read our post on Alcoholic Gastritis May Increase The Risk of Infection.

Small Intestine and Nutrient Absorption

The small intestine is responsible for nutrient absorption. Alcohol can interfere with this process by damaging the cells lining the intestine and altering the balance of gut bacteria. This can lead to malnutrition and deficiencies in essential vitamins and minerals. Heavy drinking can also slow down the movement of the small intestine, leading to constipation or diarrhea.

For more insights on how alcohol affects gut health, visit our article The Connection Between Alcohol and Gut Health.

Pancreas

The pancreas plays a crucial role in digestion by producing enzymes that help break down food. Chronic alcohol consumption can cause pancreatitis, an inflammation of the pancreas. Pancreatitis can be acute or chronic and can lead to severe abdominal pain, malnutrition, and diabetes due to the pancreas's inability to produce insulin properly.

For a detailed look at the risks of alcohol-induced pancreatitis, see our article Alcohol and Pancreatitis: Learn the Risks.

Risks of Gastritis

Gastritis is a condition characterized by the inflammation of the stomach lining. It can be acute or chronic and is often caused by excessive alcohol consumption.

Symptoms of Gastritis

Common symptoms include:

  • Nausea and vomiting
  • Stomach pain
  • Indigestion
  • Loss of appetite
  • Bloating

Complications

If left untreated, gastritis can lead to ulcers, bleeding, and an increased risk of stomach cancer. Chronic gastritis can also cause scarring and narrowing of the stomach, leading to digestive issues.

Risks of Pancreatitis

Pancreatitis is the inflammation of the pancreas and can be triggered by chronic alcohol abuse.

Symptoms of Pancreatitis

Symptoms include:

  • Severe abdominal pain
  • Nausea and vomiting
  • Fever
  • Rapid pulse

Complications

Chronic pancreatitis can lead to permanent damage to the pancreas, resulting in diabetes and digestive issues. It can also cause malnutrition, as the pancreas is unable to produce the necessary enzymes for digestion.

Preventing and Managing Alcohol-Related Digestive Issues

Moderation and Abstinence

The most effective way to prevent alcohol-related digestive issues is to limit alcohol consumption or abstain altogether. Reducing alcohol intake can help heal the digestive tract and prevent further damage.

Healthy Diet

A diet rich in fruits, vegetables, whole grains, and lean proteins can support digestive health. Avoiding spicy, fatty, and acidic foods can also help reduce irritation to the digestive tract.

For more on foods to avoid when drinking alcohol, check out our article What Is the Effect of Food When You Drink Alcohol?.

Hydration

Staying hydrated is crucial for digestive health. Alcohol is a diuretic, which means it can lead to dehydration. Drinking plenty of water can help mitigate some of the negative effects of alcohol on the digestive system.

Medical Treatment

If you experience severe symptoms of gastritis or pancreatitis, seek medical attention. Treatments may include medications to reduce stomach acid, antibiotics to treat infections, and pain management strategies.

Conclusion

Understanding how alcohol affects the digestive system is essential for anyone looking to build healthier drinking habits. By recognizing the risks and taking steps to mitigate them, you can protect your digestive health and enjoy a better quality of life. Remember, moderation is key, and seeking professional help if you experience severe symptoms is crucial.

Understanding the effects of alcohol on the digestive system is crucial, especially if you're working to build healthier drinking habits. Alcohol can have a significant impact on various parts of the digestive tract, leading to conditions like gastritis and pancreatitis. This article delves into how alcohol affects the digestive system and the risks associated with its consumption.

Alcohol and the Digestive System

Exploring How Alcohol Affects the Digestive System

Alcohol is a well-known irritant to the digestive system. Its effects begin as soon as it enters the mouth and continue as it travels through the esophagus, stomach, and intestines.

Esophagus

Alcohol can relax the lower esophageal sphincter (LES), a ring of muscle that acts as a barrier between the stomach and the esophagus. When the LES relaxes, stomach acid can flow back into the esophagus, causing acid reflux and heartburn. Chronic alcohol consumption can lead to gastroesophageal reflux disease (GERD), a more severe form of acid reflux.

For more on how alcohol can exacerbate conditions like acid reflux, check out our article on What Is The Best Alcoholic Drink For Acid Reflux.

Stomach

Alcohol has several detrimental effects on the stomach. It increases the production of stomach acid, which can irritate the stomach lining and lead to gastritis. Gastritis is the inflammation of the stomach lining and can cause symptoms like nausea, vomiting, and stomach pain. Chronic gastritis can result in ulcers and an increased risk of stomach cancer.

For a deeper understanding of the relationship between alcohol and gastritis, read our post on Alcoholic Gastritis May Increase The Risk of Infection.

Small Intestine and Nutrient Absorption

The small intestine is responsible for nutrient absorption. Alcohol can interfere with this process by damaging the cells lining the intestine and altering the balance of gut bacteria. This can lead to malnutrition and deficiencies in essential vitamins and minerals. Heavy drinking can also slow down the movement of the small intestine, leading to constipation or diarrhea.

For more insights on how alcohol affects gut health, visit our article The Connection Between Alcohol and Gut Health.

Pancreas

The pancreas plays a crucial role in digestion by producing enzymes that help break down food. Chronic alcohol consumption can cause pancreatitis, an inflammation of the pancreas. Pancreatitis can be acute or chronic and can lead to severe abdominal pain, malnutrition, and diabetes due to the pancreas's inability to produce insulin properly.

For a detailed look at the risks of alcohol-induced pancreatitis, see our article Alcohol and Pancreatitis: Learn the Risks.

Risks of Gastritis

Gastritis is a condition characterized by the inflammation of the stomach lining. It can be acute or chronic and is often caused by excessive alcohol consumption.

Symptoms of Gastritis

Common symptoms include:

  • Nausea and vomiting
  • Stomach pain
  • Indigestion
  • Loss of appetite
  • Bloating

Complications

If left untreated, gastritis can lead to ulcers, bleeding, and an increased risk of stomach cancer. Chronic gastritis can also cause scarring and narrowing of the stomach, leading to digestive issues.

Risks of Pancreatitis

Pancreatitis is the inflammation of the pancreas and can be triggered by chronic alcohol abuse.

Symptoms of Pancreatitis

Symptoms include:

  • Severe abdominal pain
  • Nausea and vomiting
  • Fever
  • Rapid pulse

Complications

Chronic pancreatitis can lead to permanent damage to the pancreas, resulting in diabetes and digestive issues. It can also cause malnutrition, as the pancreas is unable to produce the necessary enzymes for digestion.

Preventing and Managing Alcohol-Related Digestive Issues

Moderation and Abstinence

The most effective way to prevent alcohol-related digestive issues is to limit alcohol consumption or abstain altogether. Reducing alcohol intake can help heal the digestive tract and prevent further damage.

Healthy Diet

A diet rich in fruits, vegetables, whole grains, and lean proteins can support digestive health. Avoiding spicy, fatty, and acidic foods can also help reduce irritation to the digestive tract.

For more on foods to avoid when drinking alcohol, check out our article What Is the Effect of Food When You Drink Alcohol?.

Hydration

Staying hydrated is crucial for digestive health. Alcohol is a diuretic, which means it can lead to dehydration. Drinking plenty of water can help mitigate some of the negative effects of alcohol on the digestive system.

Medical Treatment

If you experience severe symptoms of gastritis or pancreatitis, seek medical attention. Treatments may include medications to reduce stomach acid, antibiotics to treat infections, and pain management strategies.

Conclusion

Understanding how alcohol affects the digestive system is essential for anyone looking to build healthier drinking habits. By recognizing the risks and taking steps to mitigate them, you can protect your digestive health and enjoy a better quality of life. Remember, moderation is key, and seeking professional help if you experience severe symptoms is crucial.

Alcohol and Health
2024-06-11 9:00
Alcohol and Health
Does Alcohol Cause Cellulite?
This is some text inside of a div block.

If you’ve ever wondered what causes cellulite, read our latest blog to find out where alcohol fits into the picture and what you can do about it!

17 min read

Eliminate Empty Calories From 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 today!

Read Full Article  →

It’s bikini season, and you’re trying on your new bathing suit and checking yourself out in the mirror. But wait a minute. What is that lumpy stuff on your thighs and buttocks? You’ve never had cellulite before and didn’t notice any until just now. You haven’t gained or lost any weight. But you did drink a lot over the past few months. Could that have something to do with it? 

For those of us who have ever been self-conscious in shorts or a bikini, we most likely know about cellulite. But many of us may not know about its connection to alcohol. Read on to learn more and find out how to manage it.

What Is Cellulite?

Does Alcohol Cause Cellulite

Cellulite is a collection of fat that forms beneath the surface of the skin and pushes against our connective tissue, causing lumps and dimples. It normally appears on the thighs, hips, buttocks, and abdomen, and it primarily affects women. There are four different “grades” of cellulite. 

  • Grade 0: no cellulite whatsoever 
  • Grade 1: mild dimples when the skin pinched or when you sit down 
  • Grade 2: moderate dimples both sitting and standing
  • Grade 3: severe dimples both sitting and standing

Cellulite itself doesn’t pose any health risks, but it can be a sign of other health problems, such as poor diet. 

Cellulite is not to be confused with cellulitis, which is a completely different condition. Let’s clarify the difference before we move on.

Cellulite vs. Cellulitis: Not the Same Thing

If you’re wondering about alcohol and cellulitis, it has nothing to do with cellulite. While we’re focusing more on cellulite for today, we’ll touch on cellulitis and alcohol as well.

Cellulitis is a bacterial infection on the skin that causes pain, swelling, and redness. Cellulitis needs to be treated right away; otherwise, it can spread and cause further infection. Cellulitis needs to be treated with antibiotics.

People get cellulitis from an open wound or injury or from chronic skin conditions, such as eczema and athlete's foot, which cause breaks in the skin.

Drinking makes us more likely to get cellulitis, particularly if we drink heavily. The cause is liver damage, decreased immunity to infection, dehydrated skin that is more likely to break, and risk of injury.

Cellulitis recovery is typically only a week or so, and avoiding alcohol is typically necessary since the treatment requires antibiotics.

Cellulitis and cellulite do have one thing in common, though: they both involve the skin. With that in mind, let’s go back to cellulite and dig a little deeper.

What Causes Cellulite?

Cellulite is caused by many factors.

  • Genetics. This is not the sole cause of cellulite, but it does increase our chances of getting it.
  • Hormones. Cellulite is caused by higher levels of estrogen. Higher estrogen levels lead to decreased collagen levels, which make the cellulite appear worse. Women are more prone to cellulite than men because they have more estrogen. In fact, it’s so common among women that 80–90% of all postpubescent women have it, whereas less than 10% of all men have it. Interestingly, cellulite typically begins to appear between ages 20 and 30 when estrogen levels are at their peak, but it gets worse after that because of the aging process, despite estrogen levels going down with age.
  • Aging. As we age, we lose collagen, and our skin loses elasticity, causing cellulite to appear worse.
  • Diet. Salt, sugar, and carb-loaded foods contribute to cellulite. Foods high in salt cause us to retain water, making cellulite worse.
  • Lifestyle. Being sedentary contributes to cellulite, as it stimulates something called lipogenesis, which is our body storing what we consume as fat.

You can imagine that sitting for long periods of time, eating salty, carby foods, and being female all spell out cellulite, but there is another piece to the puzzle. Let’s focus on the connection between alcohol and cellulite. 

Alcohol and Cellulite

The good news is that alcohol doesn’t directly cause cellulite to form. The bad news is, it can make existing cellulite appear worse. There are many reasons why alcohol makes cellulite worse, and we’ll explore each in detail.

Alcohol’s Connection to Cellulite

Alcohol affects various parts of our body that worsen the appearance of cellulite.

  • Circulation and blood vessels. Alcohol increases blood pressure over time and can damage our veins. Problems with veins affect the blood flow and may make it harder for the skin and connective tissue to bounce back. 
  • Hormones. We know excess estrogen, as well as poor estrogen metabolism, leads to cellulite formation. Alcohol increases estrogen levels, which directly exacerbates this imbalance.
  • Fluid retention and dehydration. Alcohol dehydrates us and causes water retention, which directly leads to cellulite because it’s harder for the body to eliminate excess toxins or fat cells.
  • Elastin and skin texture. Alcohol speeds up the aging process by damaging skin elasticity and depleting collagen, making the skin thinner. This makes skin look saggy and the cellulite look worse.
  • Calorie intake and weight gain. Cellulite is also caused by excess calories, particularly in the form of carbs. Any excess calories lead to increased fat storage, which contributes to cellulite. Alcohol is full of empty calories, which makes this worse.
  • Metabolism and fat storage. Alcohol causes lipogenesis, which may result in an overall increase in fat content. The more fat we have, the more potential for cellulite formation.

So if we give up alcohol, will our cellulite go away? Well, it’s not just the ethanol we have to worry about. There are other problems hiding in various alcoholic beverages that are affect our bikini body, and one of the main culprits is sugar.

Sugar and Cellulite

We touched on salt earlier, but we need to talk more about sugar. Sugar is present in just about everything we eat these days, but also in many alcoholic drinks. Sugar causes inflammation and accumulation of fat, both of which contribute to cellulite. This happens because sugar gets deposited in fat cells and expands them; so even if you lose fat cells, the ones you still have are bigger and cause cellulite.

Cocktails and Cellulite

Cocktails are particularly bad for cellulite because of their sugar content. Sugar is one of the direct causes of cellulite formation, and many cocktails are loaded with it. A typical margarita has 24 grams of sugar; plus, the salt around the rim is also bad for cellulite. Furthermore, ingesting sugar in liquid form is worse than eating it because it increases insulin resistance and weight gain more than sugary foods.

Champagne and Cellulite

A typical brand of champagne contains between 6 to 12 grams of sugar per liter. While there are myths that carbonation contributes to cellulite, it’s actually the sugar. The same goes for wine, which makes wine and sparkling wine equally bad for cellulite.

Beer and Cellulite

While beer doesn’t have as much sugar as other alcoholic drinks, it does have a lot of carbs and empty calories, with some beers having more than others. A generic lager has around 10 grams of carbohydrates per 12-oz serving and may contain anywhere from 140-200 calories per serving. That’s a lot of extra calories with no nutritional benefits, which means it automatically gets stored as fat. Combine that with a side of salty fries, and it’s a recipe for cellulite.

Binge Drinking and Cellulite

Repeated binge drinking and binge eating can also cause cellulite. Binge eating or drinking causes an influx of empty calories that get dumped directly into fat cells rather than being processed normally as they would if we consumed them over a longer period.

In general, our body’s appearance reflects what we put in it. If we don’t give it the nutrition or exercise it needs, it will show.

Effective Strategies to Reduce Cellulite

Tips To Minimize Cellulite

Cellulite is common as we age. Fortunately, there are plenty of things we can do to minimize it.

  • Drink in moderation. If we do drink, we should avoid binge drinking — we should avoid it anyway! — and keep our drinks down to one per day for women or two per day for men.
  • Hydrate. As we age, our skin becomes more easily dehydrated, which makes cellulite look worse. Staying on top of our hydration will keep it tighter.
  • Get regular exercise. Being sedentary is among the worst things for cellulite as we get older. Getting up and moving regularly will keep our fat burning and reduce the amount that gets stored. 
  • Laser treatment. Laser treatment helps thicken the skin and can reduce the appearance of cellulite. 
  • Massage. Massaging can improve the appearance of cellulite in the short term by making the skin look smoother.
  • Diet. Avoid too much salt and sugar, and indulge in foods that build collagen and help the skin, such as citrus and healthy fats.
  • Stay out of the sun. Sun doesn’t cause cellulite, but it can damage connective tissue and make cellulite look worse, just as it does for the rest of our skin.
  • Vibrotherapy. A study on vibrotherapy — using a vibrational stimulus on the cellulite-affected areas — found that it improves cellulite appearance temporarily but not permanently.
  • Balance your hormones. Naturally reducing estrogen levels in our body can reduce the risk of cellulite. Plus, exercising and getting proper sleep can balance out the estrogen and testosterone levels in women.

Ultimately, none of these steps will make cellulite disappear completely and forever. The best thing we can do is maintain healthy habits, especially as we get older.

Fighting Cellulite

Don’t trade in that bikini for a pair of pants just yet. Your cellulite may not be too far gone, and with the incorporation of healthy lifestyle habits, you can minimize the risk of developing it. If you already have grade 3 cellulite, you can get regular treatments to help its appearance. And remember, it’s all about how you feel in your own skin. If you feel confident in who you are, love your body unconditionally, and nourish it throughout your life, you’ve no need to fret unnecessarily about cellulite.

It’s bikini season, and you’re trying on your new bathing suit and checking yourself out in the mirror. But wait a minute. What is that lumpy stuff on your thighs and buttocks? You’ve never had cellulite before and didn’t notice any until just now. You haven’t gained or lost any weight. But you did drink a lot over the past few months. Could that have something to do with it? 

For those of us who have ever been self-conscious in shorts or a bikini, we most likely know about cellulite. But many of us may not know about its connection to alcohol. Read on to learn more and find out how to manage it.

What Is Cellulite?

Does Alcohol Cause Cellulite

Cellulite is a collection of fat that forms beneath the surface of the skin and pushes against our connective tissue, causing lumps and dimples. It normally appears on the thighs, hips, buttocks, and abdomen, and it primarily affects women. There are four different “grades” of cellulite. 

  • Grade 0: no cellulite whatsoever 
  • Grade 1: mild dimples when the skin pinched or when you sit down 
  • Grade 2: moderate dimples both sitting and standing
  • Grade 3: severe dimples both sitting and standing

Cellulite itself doesn’t pose any health risks, but it can be a sign of other health problems, such as poor diet. 

Cellulite is not to be confused with cellulitis, which is a completely different condition. Let’s clarify the difference before we move on.

Cellulite vs. Cellulitis: Not the Same Thing

If you’re wondering about alcohol and cellulitis, it has nothing to do with cellulite. While we’re focusing more on cellulite for today, we’ll touch on cellulitis and alcohol as well.

Cellulitis is a bacterial infection on the skin that causes pain, swelling, and redness. Cellulitis needs to be treated right away; otherwise, it can spread and cause further infection. Cellulitis needs to be treated with antibiotics.

People get cellulitis from an open wound or injury or from chronic skin conditions, such as eczema and athlete's foot, which cause breaks in the skin.

Drinking makes us more likely to get cellulitis, particularly if we drink heavily. The cause is liver damage, decreased immunity to infection, dehydrated skin that is more likely to break, and risk of injury.

Cellulitis recovery is typically only a week or so, and avoiding alcohol is typically necessary since the treatment requires antibiotics.

Cellulitis and cellulite do have one thing in common, though: they both involve the skin. With that in mind, let’s go back to cellulite and dig a little deeper.

What Causes Cellulite?

Cellulite is caused by many factors.

  • Genetics. This is not the sole cause of cellulite, but it does increase our chances of getting it.
  • Hormones. Cellulite is caused by higher levels of estrogen. Higher estrogen levels lead to decreased collagen levels, which make the cellulite appear worse. Women are more prone to cellulite than men because they have more estrogen. In fact, it’s so common among women that 80–90% of all postpubescent women have it, whereas less than 10% of all men have it. Interestingly, cellulite typically begins to appear between ages 20 and 30 when estrogen levels are at their peak, but it gets worse after that because of the aging process, despite estrogen levels going down with age.
  • Aging. As we age, we lose collagen, and our skin loses elasticity, causing cellulite to appear worse.
  • Diet. Salt, sugar, and carb-loaded foods contribute to cellulite. Foods high in salt cause us to retain water, making cellulite worse.
  • Lifestyle. Being sedentary contributes to cellulite, as it stimulates something called lipogenesis, which is our body storing what we consume as fat.

You can imagine that sitting for long periods of time, eating salty, carby foods, and being female all spell out cellulite, but there is another piece to the puzzle. Let’s focus on the connection between alcohol and cellulite. 

Alcohol and Cellulite

The good news is that alcohol doesn’t directly cause cellulite to form. The bad news is, it can make existing cellulite appear worse. There are many reasons why alcohol makes cellulite worse, and we’ll explore each in detail.

Alcohol’s Connection to Cellulite

Alcohol affects various parts of our body that worsen the appearance of cellulite.

  • Circulation and blood vessels. Alcohol increases blood pressure over time and can damage our veins. Problems with veins affect the blood flow and may make it harder for the skin and connective tissue to bounce back. 
  • Hormones. We know excess estrogen, as well as poor estrogen metabolism, leads to cellulite formation. Alcohol increases estrogen levels, which directly exacerbates this imbalance.
  • Fluid retention and dehydration. Alcohol dehydrates us and causes water retention, which directly leads to cellulite because it’s harder for the body to eliminate excess toxins or fat cells.
  • Elastin and skin texture. Alcohol speeds up the aging process by damaging skin elasticity and depleting collagen, making the skin thinner. This makes skin look saggy and the cellulite look worse.
  • Calorie intake and weight gain. Cellulite is also caused by excess calories, particularly in the form of carbs. Any excess calories lead to increased fat storage, which contributes to cellulite. Alcohol is full of empty calories, which makes this worse.
  • Metabolism and fat storage. Alcohol causes lipogenesis, which may result in an overall increase in fat content. The more fat we have, the more potential for cellulite formation.

So if we give up alcohol, will our cellulite go away? Well, it’s not just the ethanol we have to worry about. There are other problems hiding in various alcoholic beverages that are affect our bikini body, and one of the main culprits is sugar.

Sugar and Cellulite

We touched on salt earlier, but we need to talk more about sugar. Sugar is present in just about everything we eat these days, but also in many alcoholic drinks. Sugar causes inflammation and accumulation of fat, both of which contribute to cellulite. This happens because sugar gets deposited in fat cells and expands them; so even if you lose fat cells, the ones you still have are bigger and cause cellulite.

Cocktails and Cellulite

Cocktails are particularly bad for cellulite because of their sugar content. Sugar is one of the direct causes of cellulite formation, and many cocktails are loaded with it. A typical margarita has 24 grams of sugar; plus, the salt around the rim is also bad for cellulite. Furthermore, ingesting sugar in liquid form is worse than eating it because it increases insulin resistance and weight gain more than sugary foods.

Champagne and Cellulite

A typical brand of champagne contains between 6 to 12 grams of sugar per liter. While there are myths that carbonation contributes to cellulite, it’s actually the sugar. The same goes for wine, which makes wine and sparkling wine equally bad for cellulite.

Beer and Cellulite

While beer doesn’t have as much sugar as other alcoholic drinks, it does have a lot of carbs and empty calories, with some beers having more than others. A generic lager has around 10 grams of carbohydrates per 12-oz serving and may contain anywhere from 140-200 calories per serving. That’s a lot of extra calories with no nutritional benefits, which means it automatically gets stored as fat. Combine that with a side of salty fries, and it’s a recipe for cellulite.

Binge Drinking and Cellulite

Repeated binge drinking and binge eating can also cause cellulite. Binge eating or drinking causes an influx of empty calories that get dumped directly into fat cells rather than being processed normally as they would if we consumed them over a longer period.

In general, our body’s appearance reflects what we put in it. If we don’t give it the nutrition or exercise it needs, it will show.

Effective Strategies to Reduce Cellulite

Tips To Minimize Cellulite

Cellulite is common as we age. Fortunately, there are plenty of things we can do to minimize it.

  • Drink in moderation. If we do drink, we should avoid binge drinking — we should avoid it anyway! — and keep our drinks down to one per day for women or two per day for men.
  • Hydrate. As we age, our skin becomes more easily dehydrated, which makes cellulite look worse. Staying on top of our hydration will keep it tighter.
  • Get regular exercise. Being sedentary is among the worst things for cellulite as we get older. Getting up and moving regularly will keep our fat burning and reduce the amount that gets stored. 
  • Laser treatment. Laser treatment helps thicken the skin and can reduce the appearance of cellulite. 
  • Massage. Massaging can improve the appearance of cellulite in the short term by making the skin look smoother.
  • Diet. Avoid too much salt and sugar, and indulge in foods that build collagen and help the skin, such as citrus and healthy fats.
  • Stay out of the sun. Sun doesn’t cause cellulite, but it can damage connective tissue and make cellulite look worse, just as it does for the rest of our skin.
  • Vibrotherapy. A study on vibrotherapy — using a vibrational stimulus on the cellulite-affected areas — found that it improves cellulite appearance temporarily but not permanently.
  • Balance your hormones. Naturally reducing estrogen levels in our body can reduce the risk of cellulite. Plus, exercising and getting proper sleep can balance out the estrogen and testosterone levels in women.

Ultimately, none of these steps will make cellulite disappear completely and forever. The best thing we can do is maintain healthy habits, especially as we get older.

Fighting Cellulite

Don’t trade in that bikini for a pair of pants just yet. Your cellulite may not be too far gone, and with the incorporation of healthy lifestyle habits, you can minimize the risk of developing it. If you already have grade 3 cellulite, you can get regular treatments to help its appearance. And remember, it’s all about how you feel in your own skin. If you feel confident in who you are, love your body unconditionally, and nourish it throughout your life, you’ve no need to fret unnecessarily about cellulite.

Alcohol and Health
2024-06-07 9:00
Alcohol and Health
Alcohol and Hormone Replacement Therapy
This is some text inside of a div block.

Did your doctor tell you to avoid combining alcohol and HRT? Today on the Reframe blog, we explore the interactions between alcohol and progesterone or estradiol.

17 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 today!

Read Full Article  →

Every year, doctors improve countless lives through hormone replacement therapy — HRT for short. Over 20% of women will take estrogen and progesterone to combat the symptoms of menopause. Other folks receive hormones as a form of gender-affirming care, a treatment program that alleviates gender dysphoria, depression, and anxiety.

While these medications make an incredible difference for people around the world, they’re still prescription-only drugs that can interact with other substances. What are the foods to avoid while taking estradiol? And can you drink alcohol while taking estradiol?

If you find yourself wondering, “Can I take progesterone after drinking alcohol?” or “Can I drink alcohol while taking estradiol?” you’ve come to the right place. Today, we’ll discuss whether it’s safe to combine alcohol and HRT, dive into the interactions of estradiol and alcohol, and explore the combo of alcohol and progesterone.

Types of Hormone Replacement Therapy

A person holding a pill and a glass of water

First, let’s consider the most common hormone-replacement drugs. As we mentioned, HRT has two popular applications: gender-affirming care and the resolution of menopause symptoms. The most prescribed hormones are estrogen (estradiol) and progesterone (progestin).

Estradiol (Estrogen)

Supplemental estradiol is available under the brand names Cenestin, Estrace, and Ogen. This estrogen derivative serves multiple functions in the reproductive system. In women, it causes egg cells to mature and release, while also creating the conditions that allow an egg to implant in the uterine lining.

Progestin (Progesterone)

Progesterone is a steroid hormone mimicked by synthetic progestin drugs like Provera. While they may have contraceptive benefits, many women take these medications in the event of menopause. Progesterone thickens the uterine lining and inhibits ovulation; additionally, it treats hot flashes, vaginal dryness, and other postmenopausal issues. In men, progesterone serves as a sort of proto-testosterone, offsetting the effects of estrogen. Signs of poor progesterone production include low sex drive, weight gain, fatigue, and bone loss.

What To Avoid During HRT

When beginning any medication regimen, we want to prioritize nutrition and physical activity. We’ll also steer clear of substances that may cause unfavorable interactions. Here’s what to avoid during HRT.

  • An unbalanced diet. Our dietary choices matter, especially when striving for optimal estrogen and progesterone levels. While no one meal plan reigns supreme, our medical team can recommend daily priorities that work for our needs. Most advise HRT program participants to focus on consuming fruits, vegetables, and whole grains while limiting processed foods and sugars.
  • Grapefruit juice. Grapefruit is one of the most common causes of drug interactions. This humble citrus fruit inhibits the function of a liver enzyme responsible for breaking down many common medications. This inhibition increases the amount of medication in our blood — that applies to progesterone and estrogen. Those elevated serum levels may place us at risk of heart attack, blood clots, or stroke.
  • Caffeine. Caffeinated beverages wear away at our bones by increasing the rates of calcium expulsion in our urine. This is of special concern to those of us attempting to overcome osteoporosis, who should take a calcium supplement instead of drinking coffee, tea, or soda.
  • A sedentary lifestyle. Regular, vigorous activity keeps us independent, mentally sharp, and physically fit. Sitting still hastens the onset of age-related symptoms like cognitive decline, recurring urinary tract infections, and neurological issues. (Postmenopausal ladies: we need to follow our physician’s advice about hazardous exercises!)
  • Carcinogens, including alcohol. HRT slightly elevates our chance of developing certain health problems, including breast and ovarian cancer. Alcohol, on the other hand, can make us many times more susceptible to these conditions.

Potential Interactions: Alcohol and HRT

HRT and alcohol rely on many of the same bodily functions. Both enter the body through the mouth if we’re prescribed an oral form, and both end up in the bloodstream whether we take the oral form or the injection form.

No matter which type of HRT we take, it must be metabolized by the liver. When this organ is busy filtering out alcohol, all its resources are occupied, reducing its ability to effectively process estrogen and progesterone. As a result, we face a heightened vulnerability to various cancers.

Progesterone and Alcohol

Moderate to heavy alcohol consumption may diminish natural progesterone production, even if we’re taking hormonal medication. Researchers attribute this phenomenon to decreased steroid catabolism — basically, the liver’s alcohol-induced inability to metabolize. Suffice it to say that progesterone and alcohol aren’t a good combo.

Estradiol and Alcohol

Drinking amplifies the body’s estrogen levels. This occurs because the liver is too busy breaking down alcohol to process supplements, which triples the amount of estrogen in the blood within 50 minutes. The body also begins converting testosterone into estrogen.

This all sounds like a good thing if we’re trying to boost our estrogen levels, doesn’t it? Estradiol and alcohol must be a useful mixture, right? Unfortunately, heightened levels of this hormone can quickly multiply our chance of disorders like breast cancer, especially after menopause.

Estrogen is responsible for the inception and advancement of breast cancer. A study of over 40,000 postmenopausal women found that concurrent exposure to hormone therapy and alcohol doubled the risk of this particular form of cancer. Fortunately, the researchers found that susceptibility dwindled after HRT concluded.

Is Drinking While Taking Hormones Dangerous?

We can see why estradiol and alcohol are a problematic mix. But what about other forms of HRT and alcohol? Thanks to the liver-hampering effects outlined above, drinking while taking any medication can come with serious consequences. The same is true of HRT.

We recommend against consuming alcohol while taking hormones for the following reasons:

  1. Drinking can reduce the potency of HRT, changing the body’s hormone levels and lessening hormone therapy’s therapeutic effects.
  2. Combining any medication with alcohol may increase the severity of side effects like dizziness, increasing the likelihood of complications.

  3. Drinking while on hormones places us at risk of liver problems, breast cancer, and other serious conditions.

The evidence backing this advice is pretty clear. But does alcohol interact with different hormones in different ways?

Can You Drink Alcohol While Taking Progesterone?

While it’s technically possible to drink on this hormone med, we’re better off abstaining. Alcohol decreases the body’s natural progesterone production, working against the medication we’re taking. On top of that, drinking blocks the liver from metabolizing the supplements we take.

Finally, alcohol and progesterone share side effects like drowsiness, meaning that mixing the two may lead to distressing symptoms. Before deciding to drink while taking progesterone, we should have a conversation with our primary care provider.


Can You Drink Alcohol While Taking Estradiol?

Whenever possible, we should try not to consume both alcohol and estradiol. As mentioned above, alcohol can amplify the side effects associated with estrogen. Even if these substances don’t produce strong interactions in the moment, continually combining them may increase our risk of cancer.

Can you drink alcohol while taking estradiol? The answer depends on our specific situation. The medical team overseeing our care can provide guidance about the dangers of drinking while taking this medication.

Other Foods To Avoid While Taking Estradiol

When it comes to estradiol and alcohol, the picture is clear — the two are not a good mix. But what about other foods that might interact with this medication? Science says yes. When taking estradiol, it's best to avoid grapefruit and grapefruit juice, as they can interfere with how the body processes the hormone. Also, limit high-sugar foods, as they may increase side effects like bloating or mood swings.


The Bottom Line: Can You Drink During Hormone Replacement Therapy?

Whenever possible, it’s best to entirely avoid drinking on HRT. Consuming even one to two units of alcohol per day can triple our risk of breast cancer. Drinking more than that quintuples the risk of this particular cancer in women.

If you really want to drink — maybe to celebrate a milestone or other special event — try to limit yourself to (at most) one unit of alcohol. Do your best not to exceed a single alcoholic beverage per day.

Disclaimer: Each person will have a different reaction to alcohol and HRT. Your medication regimen, drinking habits, and genetic makeup can all affect your risk of complications. When in doubt, consult your doctor before making a choice about whether or not to have a drink while taking this medication.

How Long After HRT Can You Drink?

In most cases, there isn’t a concrete recommendation for how long HRT lasts. That’s a decision we’ll make with our doctor based on our specific situation. For example, those of us going through menopause will usually wait until our symptoms conclude to stop taking estrogen and progesterone — this could take multiple years.

Those of us who have been prescribed hormones for gender-affirming care may also need to take them for years at a time, if not the rest of our lives. We’ll need to make a cessation plan with our providers. Once HRT has concluded, we can reintroduce alcohol into our daily life.

Change Your Drinking, Change Your Life

Whether we’re going through ~The Change~ or changing our gender expression, hormone replacement therapy can be a life-saving intervention. Unfortunately, alcohol can undermine what we’re working toward. When taking HRT, we may want to avoid drinking but struggle with cutting back on our own. That’s where Reframe comes in.

If you feel like it’s time to change your relationship with alcohol (and yourself!), Reframe is a support system in your pocket. By downloading this lightweight app, you gain access to science-based insights and 24/7 community conversations (as in forums filled with people just like you). No matter which stage of life you’re in, you can find understanding and accountability with fellow Reframers. To learn more, visit the App Store or Google Play.

Every year, doctors improve countless lives through hormone replacement therapy — HRT for short. Over 20% of women will take estrogen and progesterone to combat the symptoms of menopause. Other folks receive hormones as a form of gender-affirming care, a treatment program that alleviates gender dysphoria, depression, and anxiety.

While these medications make an incredible difference for people around the world, they’re still prescription-only drugs that can interact with other substances. What are the foods to avoid while taking estradiol? And can you drink alcohol while taking estradiol?

If you find yourself wondering, “Can I take progesterone after drinking alcohol?” or “Can I drink alcohol while taking estradiol?” you’ve come to the right place. Today, we’ll discuss whether it’s safe to combine alcohol and HRT, dive into the interactions of estradiol and alcohol, and explore the combo of alcohol and progesterone.

Types of Hormone Replacement Therapy

A person holding a pill and a glass of water

First, let’s consider the most common hormone-replacement drugs. As we mentioned, HRT has two popular applications: gender-affirming care and the resolution of menopause symptoms. The most prescribed hormones are estrogen (estradiol) and progesterone (progestin).

Estradiol (Estrogen)

Supplemental estradiol is available under the brand names Cenestin, Estrace, and Ogen. This estrogen derivative serves multiple functions in the reproductive system. In women, it causes egg cells to mature and release, while also creating the conditions that allow an egg to implant in the uterine lining.

Progestin (Progesterone)

Progesterone is a steroid hormone mimicked by synthetic progestin drugs like Provera. While they may have contraceptive benefits, many women take these medications in the event of menopause. Progesterone thickens the uterine lining and inhibits ovulation; additionally, it treats hot flashes, vaginal dryness, and other postmenopausal issues. In men, progesterone serves as a sort of proto-testosterone, offsetting the effects of estrogen. Signs of poor progesterone production include low sex drive, weight gain, fatigue, and bone loss.

What To Avoid During HRT

When beginning any medication regimen, we want to prioritize nutrition and physical activity. We’ll also steer clear of substances that may cause unfavorable interactions. Here’s what to avoid during HRT.

  • An unbalanced diet. Our dietary choices matter, especially when striving for optimal estrogen and progesterone levels. While no one meal plan reigns supreme, our medical team can recommend daily priorities that work for our needs. Most advise HRT program participants to focus on consuming fruits, vegetables, and whole grains while limiting processed foods and sugars.
  • Grapefruit juice. Grapefruit is one of the most common causes of drug interactions. This humble citrus fruit inhibits the function of a liver enzyme responsible for breaking down many common medications. This inhibition increases the amount of medication in our blood — that applies to progesterone and estrogen. Those elevated serum levels may place us at risk of heart attack, blood clots, or stroke.
  • Caffeine. Caffeinated beverages wear away at our bones by increasing the rates of calcium expulsion in our urine. This is of special concern to those of us attempting to overcome osteoporosis, who should take a calcium supplement instead of drinking coffee, tea, or soda.
  • A sedentary lifestyle. Regular, vigorous activity keeps us independent, mentally sharp, and physically fit. Sitting still hastens the onset of age-related symptoms like cognitive decline, recurring urinary tract infections, and neurological issues. (Postmenopausal ladies: we need to follow our physician’s advice about hazardous exercises!)
  • Carcinogens, including alcohol. HRT slightly elevates our chance of developing certain health problems, including breast and ovarian cancer. Alcohol, on the other hand, can make us many times more susceptible to these conditions.

Potential Interactions: Alcohol and HRT

HRT and alcohol rely on many of the same bodily functions. Both enter the body through the mouth if we’re prescribed an oral form, and both end up in the bloodstream whether we take the oral form or the injection form.

No matter which type of HRT we take, it must be metabolized by the liver. When this organ is busy filtering out alcohol, all its resources are occupied, reducing its ability to effectively process estrogen and progesterone. As a result, we face a heightened vulnerability to various cancers.

Progesterone and Alcohol

Moderate to heavy alcohol consumption may diminish natural progesterone production, even if we’re taking hormonal medication. Researchers attribute this phenomenon to decreased steroid catabolism — basically, the liver’s alcohol-induced inability to metabolize. Suffice it to say that progesterone and alcohol aren’t a good combo.

Estradiol and Alcohol

Drinking amplifies the body’s estrogen levels. This occurs because the liver is too busy breaking down alcohol to process supplements, which triples the amount of estrogen in the blood within 50 minutes. The body also begins converting testosterone into estrogen.

This all sounds like a good thing if we’re trying to boost our estrogen levels, doesn’t it? Estradiol and alcohol must be a useful mixture, right? Unfortunately, heightened levels of this hormone can quickly multiply our chance of disorders like breast cancer, especially after menopause.

Estrogen is responsible for the inception and advancement of breast cancer. A study of over 40,000 postmenopausal women found that concurrent exposure to hormone therapy and alcohol doubled the risk of this particular form of cancer. Fortunately, the researchers found that susceptibility dwindled after HRT concluded.

Is Drinking While Taking Hormones Dangerous?

We can see why estradiol and alcohol are a problematic mix. But what about other forms of HRT and alcohol? Thanks to the liver-hampering effects outlined above, drinking while taking any medication can come with serious consequences. The same is true of HRT.

We recommend against consuming alcohol while taking hormones for the following reasons:

  1. Drinking can reduce the potency of HRT, changing the body’s hormone levels and lessening hormone therapy’s therapeutic effects.
  2. Combining any medication with alcohol may increase the severity of side effects like dizziness, increasing the likelihood of complications.

  3. Drinking while on hormones places us at risk of liver problems, breast cancer, and other serious conditions.

The evidence backing this advice is pretty clear. But does alcohol interact with different hormones in different ways?

Can You Drink Alcohol While Taking Progesterone?

While it’s technically possible to drink on this hormone med, we’re better off abstaining. Alcohol decreases the body’s natural progesterone production, working against the medication we’re taking. On top of that, drinking blocks the liver from metabolizing the supplements we take.

Finally, alcohol and progesterone share side effects like drowsiness, meaning that mixing the two may lead to distressing symptoms. Before deciding to drink while taking progesterone, we should have a conversation with our primary care provider.


Can You Drink Alcohol While Taking Estradiol?

Whenever possible, we should try not to consume both alcohol and estradiol. As mentioned above, alcohol can amplify the side effects associated with estrogen. Even if these substances don’t produce strong interactions in the moment, continually combining them may increase our risk of cancer.

Can you drink alcohol while taking estradiol? The answer depends on our specific situation. The medical team overseeing our care can provide guidance about the dangers of drinking while taking this medication.

Other Foods To Avoid While Taking Estradiol

When it comes to estradiol and alcohol, the picture is clear — the two are not a good mix. But what about other foods that might interact with this medication? Science says yes. When taking estradiol, it's best to avoid grapefruit and grapefruit juice, as they can interfere with how the body processes the hormone. Also, limit high-sugar foods, as they may increase side effects like bloating or mood swings.


The Bottom Line: Can You Drink During Hormone Replacement Therapy?

Whenever possible, it’s best to entirely avoid drinking on HRT. Consuming even one to two units of alcohol per day can triple our risk of breast cancer. Drinking more than that quintuples the risk of this particular cancer in women.

If you really want to drink — maybe to celebrate a milestone or other special event — try to limit yourself to (at most) one unit of alcohol. Do your best not to exceed a single alcoholic beverage per day.

Disclaimer: Each person will have a different reaction to alcohol and HRT. Your medication regimen, drinking habits, and genetic makeup can all affect your risk of complications. When in doubt, consult your doctor before making a choice about whether or not to have a drink while taking this medication.

How Long After HRT Can You Drink?

In most cases, there isn’t a concrete recommendation for how long HRT lasts. That’s a decision we’ll make with our doctor based on our specific situation. For example, those of us going through menopause will usually wait until our symptoms conclude to stop taking estrogen and progesterone — this could take multiple years.

Those of us who have been prescribed hormones for gender-affirming care may also need to take them for years at a time, if not the rest of our lives. We’ll need to make a cessation plan with our providers. Once HRT has concluded, we can reintroduce alcohol into our daily life.

Change Your Drinking, Change Your Life

Whether we’re going through ~The Change~ or changing our gender expression, hormone replacement therapy can be a life-saving intervention. Unfortunately, alcohol can undermine what we’re working toward. When taking HRT, we may want to avoid drinking but struggle with cutting back on our own. That’s where Reframe comes in.

If you feel like it’s time to change your relationship with alcohol (and yourself!), Reframe is a support system in your pocket. By downloading this lightweight app, you gain access to science-based insights and 24/7 community conversations (as in forums filled with people just like you). No matter which stage of life you’re in, you can find understanding and accountability with fellow Reframers. To learn more, visit the App Store or Google Play.

Alcohol and Health
2024-06-07 9:00
Alcohol and Health
Bloody Nose After Drinking: Causes and Prevention
This is some text inside of a div block.

Can drinking cause nosebleeds? Yes! Learn how your alcohol intake can increase your risk of a bloody nose in today’s blog post.

16 min read

Take Control of 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 today!

Read Full Article  →

You wake up after a rowdy roommates’ night out and rub your eyes. Thinking of the shots you did (whose idea was well tequila?), you groan, steeling yourself against the inevitable hangover.

As you shake the sleep off (and maybe do a quick morning scroll on your phone), you start to think that so far you seem relatively unscathed …

Until you sit up and feel a warm sensation spreading over your mouth and chin.

“Seriously?! Again? Why does my nose bleed when I drink alcohol?”

Can Drinking Cause Nosebleeds?

A woman, with a tissue pressed against her nose due to nosebleeds

If you’ve seen your nose bleed after drinking, you’re not alone. Many of us experience next-day nosebleeds after a night on the town.

Our nasal passages are lined with mucosa: a delicate, vessel-covered tissue. Everything from a slight scratch to a dry room can damage the mucosa, spurring sudden bleeding. The scientific name for that hemorrhage is epistaxis.

We can separate nosebleeds into two distinct categories.

  • Anterior nosebleeds occur near the opening of our nasal cavity, where five different blood vessels crisscross the skin’s thin surface. This area is regularly exposed to harsh temperatures and arid conditions, both of which can cause bleeding. Anterior nosebleeds are more common.
  • Posterior nosebleeds are both rarer and more serious. They originate in larger vessels deep within the nasal cavity and may be associated with underlying issues like high blood pressure, medication side effects, and blood disorders. When experiencing this type of epistaxis, we might feel blood running down the back of our throat instead of out our nose.

We think of alcohol as an everyday substance and nosebleeds as a normal occurrence, but both can raise red flags. Let’s examine how drinking can impact our risk of bloody noses and what this symptom may mean for our health.

Alcohol and Nosebleeds Explained

Back in the ‘90s, researchers from the Glasgow Royal Infirmary decided to investigate potential root causes of epistaxis. They interviewed a total of 253 people — 140 patients with bloody noses and 113 age- and gender-matched controls — and titled their study “Relation Between Alcohol and Nose Bleeds.”

So, what’s the verdict? Can drinking cause nosebleeds? Yes!

The Scottish medical team made three key discoveries:

  1. On average, nosebleed patients drank more alcohol than those in the control group (33 units per week vs. 7).
  2. There were many more regular drinkers in the epistaxis group than in the control group (45% of the nosebleed patients drank regularly vs. 30% of the control patients).
  3. Nosebleed patients were significantly more likely to have consumed alcohol within 24 hours of admission.

When summarizing their findings, the authors wrote that the study “confirm[ed] an association in adults between regular, high alcohol consumption and nose bleeds.” They also explained the potential method of action behind drinking-induced epistaxis.

Causes of Nosebleeds From Drinking

Causes of Nosebleeds From Drinking

According to the researchers at the Glasgow Royal Infirmary, frequent drinking reduces the aggregation of platelets, prolonging the time our body spends bleeding. When combined with other alcohol effects, our risk of nosebleeds increases. 

  • Dehydration. Dryness is the leading cause of bloody noses. When the delicate mucosa tissue within our nasal passages dries out, it becomes especially vulnerable to irritation, infection, and bleeding. Living in a high-altitude, low-humidity environment can predispose us to bloody noses — especially when we consume alcohol, which dehydrates our bodies further.
  • Vasodilation. Alcohol adversely affects blood platelets: the cells responsible for clotting. In addition, drinking dilates our blood vessels. This is the phenomenon behind “drinker’s nose.” The combination of blood thinning and vasodilation can create an increased risk of nosebleeds.
  • Irritation. Drinking might cause irritation, especially if we’re allergic to alcohol. Consuming intoxicating beverages may lead to inflammation, which can kick-start a bloody nose.

In other cases, a bloody nose may be symptomatic of a serious condition such as alcoholic liver disease.

Alcoholic Liver Disease

Recurring nosebleeds may be a sign of alcoholic liver disease (ALD), a difficult-to-detect condition with subtle early symptoms. In the beginning stages of ALD (also called fatty liver disease), we may notice vague problems like fatigue, loss of appetite, and stomach pain. While this condition is reversible, it can progress into more severe disorders if left untreated.

Only when the liver sustains serious damage will we experience more overt symptoms such as jaundice, hair loss, and a tendency to bleed easily. Much of that bleeding takes place within the nose. For many people with ALD, frequent nosebleeds are the first sign that something is seriously wrong.

An estimated 90% of heavy drinkers will eventually develop this condition, which is just one possible consequence of heavy alcohol consumption.

Heavy Drinking: Potential Health Risks

Eventually, alcoholic liver disease may progress into cirrhosis and liver failure.

  • Cirrhosis is the medical term for liver scarring. Over time, heavy drinking damages our internal organs, replacing functional, healthy material with fibroids (scar tissue). Many cirrhosis patients present with recurring nosebleeds, which may trigger life-threatening complications like encephalopathy (a broad term for changes to our brain’s functioning) or gastrointestinal bleeding.  
  • Liver failure occurs when cirrhosis has progressed, seriously impacting the organ’s functionality. As our liver shuts down, it stops producing bile and filtering waste. We may begin to experience more bloody noses during this time. Occasionally, epistaxis is mistaken for severe gastrointestinal bleeding in liver failure patients, confusing medical teams and complicating care plans. Recurring nosebleeds are associated with a high mortality rate in patients who do not receive liver transplants.

We know cirrhosis and liver failure can be disturbing to consider, but awareness is crucial, especially if we drink a lot. Remember, the earlier we address warning signs like frequent nosebleeds, the better our outcomes will be.

Stop an Alcohol-Related Nosebleed

If you found this page after a panicked Google search, we’ve got you covered! Whenever you experience a nosebleed after drinking, just follow these three steps.

  1. Tilt your face forward and carefully clear your airways. Stay upright and lean forward to prevent the blood from running down your throat, which can cause stomach upset. Gently blow your nose to remove any blood clots stuck in your nasal passages.
  2. Apply pressure. Pinch both sides of your nose for 10 to 15 minutes to stop the bleeding. Switch to breathing through your mouth. If blood keeps coming, seek medical attention.
  3. Moisturize your nostrils. Daub Vaseline or Neosporin on the inside of your nose. Focus your application on the septum: the thin, rigid line dividing your nostrils. If necessary, consider using ice packs or steam to calm any remaining nasal irritation.

Common environmental triggers of nosebleeds include nose picking, dry air, sinus infections, allergies, blunt trauma, drug use, blood thinners, and alcohol use. If we know our triggers, it’s possible to avoid nosebleeds by limiting contributing factors.

How To Prevent Nosebleeds After Drinking

Do you regularly get a bloody nose after drinking? You’re not the only one! If you’re sick of ruined sheets and stained T-shirts, it may be time to look into these preventative measures.

  • Don’t mess with your nose. Blowing, tissue-stuffing, and picking can all irritate the sensitive tissue lining our nasal cavity. When in doubt, stay out.
  • Humidify your home. Nosebleeds often occur in dry or high-altitude settings. If you find yourself beset with blood, consider using a humidifier to add some much-needed moisture to the air.
  • Moisturize that mucosa. Nasal gels and saline sprays can protect soft tissue from superficial damage. Talk to your doctor before applying any topicals to your nose.
  • Avoid alcohol. If heavy alcohol use is behind your bloody nose, consider quitting or cutting back. In addition to professional help, apps like Reframe can offer the support you need to rethink drinking.

Don’t Ignore a Bloody Nose After Drinking

Let’s roll it back: you’re sitting in bed with that bloody nose, hand clapped to your face, panicking in disbelief. If these nosebleeds become more common, talk to your healthcare provider about potential causes. Be honest with them about your alcohol intake, which could be the reason behind your symptoms.

If you’re ready to rethink your drinking habits, download Reframe, the #1 iOS app for alcohol reduction and cessation. Our science-backed readings and courses offer realistic, effective tactics for reevaluating your relationship with alcohol — and with yourself. Through our strategic partnerships with hundreds of industry experts, we’ve crafted an evidence-based program that really works. Visit the App Store or Google Play to start your journey to sobriety.

You wake up after a rowdy roommates’ night out and rub your eyes. Thinking of the shots you did (whose idea was well tequila?), you groan, steeling yourself against the inevitable hangover.

As you shake the sleep off (and maybe do a quick morning scroll on your phone), you start to think that so far you seem relatively unscathed …

Until you sit up and feel a warm sensation spreading over your mouth and chin.

“Seriously?! Again? Why does my nose bleed when I drink alcohol?”

Can Drinking Cause Nosebleeds?

A woman, with a tissue pressed against her nose due to nosebleeds

If you’ve seen your nose bleed after drinking, you’re not alone. Many of us experience next-day nosebleeds after a night on the town.

Our nasal passages are lined with mucosa: a delicate, vessel-covered tissue. Everything from a slight scratch to a dry room can damage the mucosa, spurring sudden bleeding. The scientific name for that hemorrhage is epistaxis.

We can separate nosebleeds into two distinct categories.

  • Anterior nosebleeds occur near the opening of our nasal cavity, where five different blood vessels crisscross the skin’s thin surface. This area is regularly exposed to harsh temperatures and arid conditions, both of which can cause bleeding. Anterior nosebleeds are more common.
  • Posterior nosebleeds are both rarer and more serious. They originate in larger vessels deep within the nasal cavity and may be associated with underlying issues like high blood pressure, medication side effects, and blood disorders. When experiencing this type of epistaxis, we might feel blood running down the back of our throat instead of out our nose.

We think of alcohol as an everyday substance and nosebleeds as a normal occurrence, but both can raise red flags. Let’s examine how drinking can impact our risk of bloody noses and what this symptom may mean for our health.

Alcohol and Nosebleeds Explained

Back in the ‘90s, researchers from the Glasgow Royal Infirmary decided to investigate potential root causes of epistaxis. They interviewed a total of 253 people — 140 patients with bloody noses and 113 age- and gender-matched controls — and titled their study “Relation Between Alcohol and Nose Bleeds.”

So, what’s the verdict? Can drinking cause nosebleeds? Yes!

The Scottish medical team made three key discoveries:

  1. On average, nosebleed patients drank more alcohol than those in the control group (33 units per week vs. 7).
  2. There were many more regular drinkers in the epistaxis group than in the control group (45% of the nosebleed patients drank regularly vs. 30% of the control patients).
  3. Nosebleed patients were significantly more likely to have consumed alcohol within 24 hours of admission.

When summarizing their findings, the authors wrote that the study “confirm[ed] an association in adults between regular, high alcohol consumption and nose bleeds.” They also explained the potential method of action behind drinking-induced epistaxis.

Causes of Nosebleeds From Drinking

Causes of Nosebleeds From Drinking

According to the researchers at the Glasgow Royal Infirmary, frequent drinking reduces the aggregation of platelets, prolonging the time our body spends bleeding. When combined with other alcohol effects, our risk of nosebleeds increases. 

  • Dehydration. Dryness is the leading cause of bloody noses. When the delicate mucosa tissue within our nasal passages dries out, it becomes especially vulnerable to irritation, infection, and bleeding. Living in a high-altitude, low-humidity environment can predispose us to bloody noses — especially when we consume alcohol, which dehydrates our bodies further.
  • Vasodilation. Alcohol adversely affects blood platelets: the cells responsible for clotting. In addition, drinking dilates our blood vessels. This is the phenomenon behind “drinker’s nose.” The combination of blood thinning and vasodilation can create an increased risk of nosebleeds.
  • Irritation. Drinking might cause irritation, especially if we’re allergic to alcohol. Consuming intoxicating beverages may lead to inflammation, which can kick-start a bloody nose.

In other cases, a bloody nose may be symptomatic of a serious condition such as alcoholic liver disease.

Alcoholic Liver Disease

Recurring nosebleeds may be a sign of alcoholic liver disease (ALD), a difficult-to-detect condition with subtle early symptoms. In the beginning stages of ALD (also called fatty liver disease), we may notice vague problems like fatigue, loss of appetite, and stomach pain. While this condition is reversible, it can progress into more severe disorders if left untreated.

Only when the liver sustains serious damage will we experience more overt symptoms such as jaundice, hair loss, and a tendency to bleed easily. Much of that bleeding takes place within the nose. For many people with ALD, frequent nosebleeds are the first sign that something is seriously wrong.

An estimated 90% of heavy drinkers will eventually develop this condition, which is just one possible consequence of heavy alcohol consumption.

Heavy Drinking: Potential Health Risks

Eventually, alcoholic liver disease may progress into cirrhosis and liver failure.

  • Cirrhosis is the medical term for liver scarring. Over time, heavy drinking damages our internal organs, replacing functional, healthy material with fibroids (scar tissue). Many cirrhosis patients present with recurring nosebleeds, which may trigger life-threatening complications like encephalopathy (a broad term for changes to our brain’s functioning) or gastrointestinal bleeding.  
  • Liver failure occurs when cirrhosis has progressed, seriously impacting the organ’s functionality. As our liver shuts down, it stops producing bile and filtering waste. We may begin to experience more bloody noses during this time. Occasionally, epistaxis is mistaken for severe gastrointestinal bleeding in liver failure patients, confusing medical teams and complicating care plans. Recurring nosebleeds are associated with a high mortality rate in patients who do not receive liver transplants.

We know cirrhosis and liver failure can be disturbing to consider, but awareness is crucial, especially if we drink a lot. Remember, the earlier we address warning signs like frequent nosebleeds, the better our outcomes will be.

Stop an Alcohol-Related Nosebleed

If you found this page after a panicked Google search, we’ve got you covered! Whenever you experience a nosebleed after drinking, just follow these three steps.

  1. Tilt your face forward and carefully clear your airways. Stay upright and lean forward to prevent the blood from running down your throat, which can cause stomach upset. Gently blow your nose to remove any blood clots stuck in your nasal passages.
  2. Apply pressure. Pinch both sides of your nose for 10 to 15 minutes to stop the bleeding. Switch to breathing through your mouth. If blood keeps coming, seek medical attention.
  3. Moisturize your nostrils. Daub Vaseline or Neosporin on the inside of your nose. Focus your application on the septum: the thin, rigid line dividing your nostrils. If necessary, consider using ice packs or steam to calm any remaining nasal irritation.

Common environmental triggers of nosebleeds include nose picking, dry air, sinus infections, allergies, blunt trauma, drug use, blood thinners, and alcohol use. If we know our triggers, it’s possible to avoid nosebleeds by limiting contributing factors.

How To Prevent Nosebleeds After Drinking

Do you regularly get a bloody nose after drinking? You’re not the only one! If you’re sick of ruined sheets and stained T-shirts, it may be time to look into these preventative measures.

  • Don’t mess with your nose. Blowing, tissue-stuffing, and picking can all irritate the sensitive tissue lining our nasal cavity. When in doubt, stay out.
  • Humidify your home. Nosebleeds often occur in dry or high-altitude settings. If you find yourself beset with blood, consider using a humidifier to add some much-needed moisture to the air.
  • Moisturize that mucosa. Nasal gels and saline sprays can protect soft tissue from superficial damage. Talk to your doctor before applying any topicals to your nose.
  • Avoid alcohol. If heavy alcohol use is behind your bloody nose, consider quitting or cutting back. In addition to professional help, apps like Reframe can offer the support you need to rethink drinking.

Don’t Ignore a Bloody Nose After Drinking

Let’s roll it back: you’re sitting in bed with that bloody nose, hand clapped to your face, panicking in disbelief. If these nosebleeds become more common, talk to your healthcare provider about potential causes. Be honest with them about your alcohol intake, which could be the reason behind your symptoms.

If you’re ready to rethink your drinking habits, download Reframe, the #1 iOS app for alcohol reduction and cessation. Our science-backed readings and courses offer realistic, effective tactics for reevaluating your relationship with alcohol — and with yourself. Through our strategic partnerships with hundreds of industry experts, we’ve crafted an evidence-based program that really works. Visit the App Store or Google Play to start your journey to sobriety.

Alcohol and Health