Alcohol & Physical Health Effects

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Latest Articles
2024-06-11 9:00
Alcohol and Health
Does Alcohol Cause Cellulite? The Honest Answer
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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 & Physical Health Effects
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 & Physical Health Effects
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 & Physical Health Effects
2024-06-04 9:00
Alcohol and Health
Whiskey Side Effects: Benefits, Risks & Myths
This is some text inside of a div block.

Have you ever heard that drinking a shot of whiskey a day is good for you? In our latest blog, we’ll dispel the myths and show you how risky whiskey can be.

17 min read

Develop Healthier Habits 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  →

Some say “an apple a day keeps the doctor away,” and others say the same thing about a shot of whiskey, touting that it will prolong our life and promote heart health. Are the rumors true? Does the science agree?

In this article, you’ll learn how whiskey affects our body and the reality behind the health claims. We’ll also learn the risks and healthier alternatives. So put the whiskey back in the cabinet, grab an apple, and let’s dig in. 

What’s in Whiskey?

A glass of whiskey with ice cubes floating on top

Like all liquors, whiskey is made by fermenting grains (usually barley, rye, corn, or wheat), applying heat to separate the ethanol from the fermented product (distilling), and mixing the distilled alcohol with other flavors to give it a unique flavor profile. 

The distilling process gives whiskey and other liquors their 40% ABV, which means 40% of the liquid is alcohol, and the rest is water and other ingredients. For comparison, beer typically has around 5% ABV, and wine usually has around 12% ABV. This is why we tend to wince a little when we drink whiskey — it burns! This is also what makes it more dangerous than beer and wine. So if it’s painful and dangerous to drink whiskey, why do we do it? Is whiskey good for us?

What Does Whiskey Do to Our Body?

Probably the most prominent reason people drink whiskey is to “take the edge off” a long day or to prepare for a stressful event. It is often popularized in media as “liquid courage,” with characters downing a shot of it before they head into some sort of dramatic confrontation. But is it just a cultural “norm,” or is there science behind it? Let’s find out. 

When we take a shot of whiskey, it immediately enters our bloodstream. As soon as the liver senses danger, it begins processing it, but if too much alcohol arrives too fast (i.e., 40% ABV in one swallow), it creates a backlog.  

When alcohol reaches the brain, it depresses the central nervous system and dilates blood vessels, lowering blood pressure. It also slows down neurotransmitters that relay messages from our brain to the rest of our body. So, if we were feeling tense before drinking, we might notice some immediate relief and relaxation after a swig or two. Sounds like a quick and easy way to de-stress, right? Well, not exactly. As the saying goes, “If it sounds too good to be true, it probably is.” 

Myths and Misconceptions

Let’s dig in deeper and unpack some of the myths and misconceptions surrounding whiskey.

Myth #1: A Shot of Whiskey Reduces Stress 

After any initial relaxing effects wear off, we may be more likely to experience a rebound effect of anxiety, irritability, and restlessness. While alcohol has been used for centuries for stress relief, research has not been able to confirm a consistent cause-and-effect relationship. Some people, like those with a family history of alcoholism, may feel its effects more. Furthermore, our environment may play a large role in the stress-relieving effects of alcohol, indicating that alcohol alone is not a cure-all for stress. Plus, alcohol adds stress to the body, especially the liver, making it work harder to eliminate toxins.

Myth #2: A Shot of Whiskey Aids Digestion

Some whiskey companies claim that drinking a shot of whiskey after dinner will help us digest our meal, but research says otherwise. Some say that beer and wine might help stimulate gastric juices that aid digestion, but even if that were true, all those benefits would be lost in the distillation process used to make whiskey. In addition, the amount of alcohol in whiskey can harm the healthy balance of gut bacteria.  

Myth #3: A Shot of Whiskey Improves Heart Health

“A shot a day improves blood flow,” they say. “It improves cholesterol,” they say. Whatever “they” say, more current research suggests that “no amount of alcohol is good for your heart.”

So, the health claims that whiskey proponents make aren’t entirely true. But is a shot of whiskey a day bad for us? Let’s take a closer look at the risks. 

Risks of Drinking Whiskey Every Day

Risks of Drinking Whiskey Every Day

How risky is whiskey? Drinking a shot of whiskey every day can pose several health risks: 

  • Liver damage. The more we drink, the more we run the risk of liver damage, including fatty liver and cirrhosis.  

  • Increased risk of dependence. If we rely on whiskey for stress relief, we risk developing dependence. The risk is even greater if we have a family history of addiction. 

  • Poor sleep patterns. While it may help us wind down and fall asleep, it ultimately decreases sleep quality and disrupts sleeping patterns. 

  • Digestive issues. Alcohol, especially on an empty stomach, can irritate the digestive system and lead to problems such as gastritis and ulcers. 

  • Weakened immune system. Since our gut health is linked to our immune system, regular drinking can also weaken our immune system and make us more susceptible to diseases. 

  • Impaired brain function. Long-term alcohol use can affect cognitive function, leading to problems with memory, decision making, and problem solving. 
  • Heart problems. Alcohol has many effects on our heart and cardiovascular system, from blood pressure fluctuations to atrial fibrillation. 
  • Increased risk of cancer. Alcohol is a known carcinogen. Every shot we take increases our risk of developing cancer in the mouth, throat, esophagus, liver, or breast.

There are more than enough risks here to outweigh any potential health benefits. 

Risk Factors for Adverse Whiskey Reactions

Why do some people experience more of these adverse reactions than others? Several risk factors could affect how our body responds to alcohol. 

  • Congeners. Congeners are a byproduct of the fermentation process. Each drink will have different types and amounts of them. Some people are more sensitive to them than others, but either way, they can make hangovers worse. 
  • Genetics. Some of us are genetically predisposed to adverse reactions and intolerance. 
  • Age. Drinking under the age of 21 is much more likely to cause severe physical responses and long-term consequences (not to mention legal troubles in the U.S.). On the flip side, alcohol can also have more harmful effects on our body as we age because our metabolism slows down (among other processes). 
  • Gender. Alcohol affects women more intensely because women tend to weigh less and have less body water than men. 
  • Body size. Gender aside, a large-framed person will be able to handle more alcohol than a small-framed person. 
  • Preexisting conditions. Someone with preexisting conditions such as diabetes, acid reflux, blood pressure issues, or liver problems might have more adverse reactions. 

It’s always best to talk to our doctor if we’re not sure what is safe for us, but understanding these risk factors can help us recognize personal risks and guide our drinking habits. 

How Much Whiskey Is Too Much?

Now that you understand the myths, risks, and risk factors, you may be wondering if any amount of whiskey is safe. How much can you drink before the risks outweigh the benefits? 

No Drinking

No amount is safe for pregnant women, young people under the age of 21, those with heart conditions, or anyone taking medications that could interact with alcohol. It is also not safe for anyone with a history of alcohol use disorder. Breastfeeding women should also avoid alcohol. 

Moderate Drinking

When it comes to drinks with a high ABV, like whiskey, the CDC defines moderate drinking as two shots for men and one shot for women per day, and even that may produce negative long-term outcomes. 

For women, the guideline means if they drink a shot of whiskey every night, any other drink during the day would set them over the recommended amount. For men, that is half the limit. We have to factor in these limits when making other plans that involve drinking.

Heavy Drinking

Heavy drinking dramatically increases our risk of alcohol dependence. The definition of heavy drinking varies between men and women.


  • For women, it’s four or more drinks in a day or eight or more in a week. 
  • For men, it’s five or more drinks in a day or 15 or more in a week.

Drinking a shot of whiskey every night adds to a weekly tally rather quickly and puts us at much greater risk.

Alternatives to Drinking Whiskey for Health

If whiskey is your drink of choice for flavor, you might try exploring mocktails instead. You might also consider these healthier alternatives to whiskey if you’re looking for help with stress and other issues.


  • Stress relief. You don’t need to put anything into your body to relax (with the exception of prescriptions for anxiety). If you’re dealing with a lot of stress, try some alternative coping mechanisms
  • Digestion aid. If you need help with digestion, you’ll have better luck with an apple than whiskey. A high-fiber diet should help get things moving regularly. If you’re going to drink any alcohol for this reason, let it be beer or wine. 
  • Heart health. Instead of reaching for the whiskey bottle, reach for heart-healthy foods such as fruits, veggies, and nuts, and create a plan for regular cardio exercise. 

These will give you all the benefits you seek now and increase your chances of overall better health for years to come. 

A Final Word on Whiskey

While many people rave about its health benefits, research refutes the claims and lists the risks of drinking a shot of whiskey every day. Instead, we can turn to natural, more effective alternatives to improving our overall health. 

Some say “an apple a day keeps the doctor away,” and others say the same thing about a shot of whiskey, touting that it will prolong our life and promote heart health. Are the rumors true? Does the science agree?

In this article, you’ll learn how whiskey affects our body and the reality behind the health claims. We’ll also learn the risks and healthier alternatives. So put the whiskey back in the cabinet, grab an apple, and let’s dig in. 

What’s in Whiskey?

A glass of whiskey with ice cubes floating on top

Like all liquors, whiskey is made by fermenting grains (usually barley, rye, corn, or wheat), applying heat to separate the ethanol from the fermented product (distilling), and mixing the distilled alcohol with other flavors to give it a unique flavor profile. 

The distilling process gives whiskey and other liquors their 40% ABV, which means 40% of the liquid is alcohol, and the rest is water and other ingredients. For comparison, beer typically has around 5% ABV, and wine usually has around 12% ABV. This is why we tend to wince a little when we drink whiskey — it burns! This is also what makes it more dangerous than beer and wine. So if it’s painful and dangerous to drink whiskey, why do we do it? Is whiskey good for us?

What Does Whiskey Do to Our Body?

Probably the most prominent reason people drink whiskey is to “take the edge off” a long day or to prepare for a stressful event. It is often popularized in media as “liquid courage,” with characters downing a shot of it before they head into some sort of dramatic confrontation. But is it just a cultural “norm,” or is there science behind it? Let’s find out. 

When we take a shot of whiskey, it immediately enters our bloodstream. As soon as the liver senses danger, it begins processing it, but if too much alcohol arrives too fast (i.e., 40% ABV in one swallow), it creates a backlog.  

When alcohol reaches the brain, it depresses the central nervous system and dilates blood vessels, lowering blood pressure. It also slows down neurotransmitters that relay messages from our brain to the rest of our body. So, if we were feeling tense before drinking, we might notice some immediate relief and relaxation after a swig or two. Sounds like a quick and easy way to de-stress, right? Well, not exactly. As the saying goes, “If it sounds too good to be true, it probably is.” 

Myths and Misconceptions

Let’s dig in deeper and unpack some of the myths and misconceptions surrounding whiskey.

Myth #1: A Shot of Whiskey Reduces Stress 

After any initial relaxing effects wear off, we may be more likely to experience a rebound effect of anxiety, irritability, and restlessness. While alcohol has been used for centuries for stress relief, research has not been able to confirm a consistent cause-and-effect relationship. Some people, like those with a family history of alcoholism, may feel its effects more. Furthermore, our environment may play a large role in the stress-relieving effects of alcohol, indicating that alcohol alone is not a cure-all for stress. Plus, alcohol adds stress to the body, especially the liver, making it work harder to eliminate toxins.

Myth #2: A Shot of Whiskey Aids Digestion

Some whiskey companies claim that drinking a shot of whiskey after dinner will help us digest our meal, but research says otherwise. Some say that beer and wine might help stimulate gastric juices that aid digestion, but even if that were true, all those benefits would be lost in the distillation process used to make whiskey. In addition, the amount of alcohol in whiskey can harm the healthy balance of gut bacteria.  

Myth #3: A Shot of Whiskey Improves Heart Health

“A shot a day improves blood flow,” they say. “It improves cholesterol,” they say. Whatever “they” say, more current research suggests that “no amount of alcohol is good for your heart.”

So, the health claims that whiskey proponents make aren’t entirely true. But is a shot of whiskey a day bad for us? Let’s take a closer look at the risks. 

Risks of Drinking Whiskey Every Day

Risks of Drinking Whiskey Every Day

How risky is whiskey? Drinking a shot of whiskey every day can pose several health risks: 

  • Liver damage. The more we drink, the more we run the risk of liver damage, including fatty liver and cirrhosis.  

  • Increased risk of dependence. If we rely on whiskey for stress relief, we risk developing dependence. The risk is even greater if we have a family history of addiction. 

  • Poor sleep patterns. While it may help us wind down and fall asleep, it ultimately decreases sleep quality and disrupts sleeping patterns. 

  • Digestive issues. Alcohol, especially on an empty stomach, can irritate the digestive system and lead to problems such as gastritis and ulcers. 

  • Weakened immune system. Since our gut health is linked to our immune system, regular drinking can also weaken our immune system and make us more susceptible to diseases. 

  • Impaired brain function. Long-term alcohol use can affect cognitive function, leading to problems with memory, decision making, and problem solving. 
  • Heart problems. Alcohol has many effects on our heart and cardiovascular system, from blood pressure fluctuations to atrial fibrillation. 
  • Increased risk of cancer. Alcohol is a known carcinogen. Every shot we take increases our risk of developing cancer in the mouth, throat, esophagus, liver, or breast.

There are more than enough risks here to outweigh any potential health benefits. 

Risk Factors for Adverse Whiskey Reactions

Why do some people experience more of these adverse reactions than others? Several risk factors could affect how our body responds to alcohol. 

  • Congeners. Congeners are a byproduct of the fermentation process. Each drink will have different types and amounts of them. Some people are more sensitive to them than others, but either way, they can make hangovers worse. 
  • Genetics. Some of us are genetically predisposed to adverse reactions and intolerance. 
  • Age. Drinking under the age of 21 is much more likely to cause severe physical responses and long-term consequences (not to mention legal troubles in the U.S.). On the flip side, alcohol can also have more harmful effects on our body as we age because our metabolism slows down (among other processes). 
  • Gender. Alcohol affects women more intensely because women tend to weigh less and have less body water than men. 
  • Body size. Gender aside, a large-framed person will be able to handle more alcohol than a small-framed person. 
  • Preexisting conditions. Someone with preexisting conditions such as diabetes, acid reflux, blood pressure issues, or liver problems might have more adverse reactions. 

It’s always best to talk to our doctor if we’re not sure what is safe for us, but understanding these risk factors can help us recognize personal risks and guide our drinking habits. 

How Much Whiskey Is Too Much?

Now that you understand the myths, risks, and risk factors, you may be wondering if any amount of whiskey is safe. How much can you drink before the risks outweigh the benefits? 

No Drinking

No amount is safe for pregnant women, young people under the age of 21, those with heart conditions, or anyone taking medications that could interact with alcohol. It is also not safe for anyone with a history of alcohol use disorder. Breastfeeding women should also avoid alcohol. 

Moderate Drinking

When it comes to drinks with a high ABV, like whiskey, the CDC defines moderate drinking as two shots for men and one shot for women per day, and even that may produce negative long-term outcomes. 

For women, the guideline means if they drink a shot of whiskey every night, any other drink during the day would set them over the recommended amount. For men, that is half the limit. We have to factor in these limits when making other plans that involve drinking.

Heavy Drinking

Heavy drinking dramatically increases our risk of alcohol dependence. The definition of heavy drinking varies between men and women.


  • For women, it’s four or more drinks in a day or eight or more in a week. 
  • For men, it’s five or more drinks in a day or 15 or more in a week.

Drinking a shot of whiskey every night adds to a weekly tally rather quickly and puts us at much greater risk.

Alternatives to Drinking Whiskey for Health

If whiskey is your drink of choice for flavor, you might try exploring mocktails instead. You might also consider these healthier alternatives to whiskey if you’re looking for help with stress and other issues.


  • Stress relief. You don’t need to put anything into your body to relax (with the exception of prescriptions for anxiety). If you’re dealing with a lot of stress, try some alternative coping mechanisms
  • Digestion aid. If you need help with digestion, you’ll have better luck with an apple than whiskey. A high-fiber diet should help get things moving regularly. If you’re going to drink any alcohol for this reason, let it be beer or wine. 
  • Heart health. Instead of reaching for the whiskey bottle, reach for heart-healthy foods such as fruits, veggies, and nuts, and create a plan for regular cardio exercise. 

These will give you all the benefits you seek now and increase your chances of overall better health for years to come. 

A Final Word on Whiskey

While many people rave about its health benefits, research refutes the claims and lists the risks of drinking a shot of whiskey every day. Instead, we can turn to natural, more effective alternatives to improving our overall health. 

Alcohol & Physical Health Effects
2024-06-01 9:00
Alcohol and Health
Why Do Alcoholics Cough So Much? 5 Reasons Explained
This is some text inside of a div block.

Can alcohol cause breathing problems? As it turns out, it can! Find out about alcoholic cough and other lung problems related to booze in our latest blog.

24 min read

Learn About the Harms of Excessive Drinking on the Reframe App!

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  →

We’ve all heard of smoker’s lung — that characteristic hacking, wheezing cough that’s enough to scare many of us from ever trying a cigarette. But a drinker’s cough? Is that a thing? If you wake up with a nagging cough that doesn’t seem to ease up and gets more persistent over time, that glass (or bottle) of Chardonnay you’ve been downing on a regular basis probably won’t be your first suspect. And yet, “alcoholic cough,” shortness of breath after drinking alcohol, and even signs of lung failure can all be signs of alcoholic lung disease. Let’s explore this lesser-known respiratory problem in more detail.

Can Alcohol Cause Breathing Problems?

Sick Asian man with a cold, sneezing

It’s no secret that alcohol harms many systems of the body. It wreaks havoc on the liver, crosses the blood-brain barrier, suppresses neural activity, and even disrupts our sleep. But what about breathing?

As it turns out, alcohol has both direct and indirect effects on our lungs. Let’s explore the direct ones first.

The Lungs: A Brief Tour

Our lungs are about as advanced as any piece of fancy technology. Here’s how they work.

According to the National Heart, Lung, and Blood Institute, the lungs are a “pair of spongy, pinkish-gray organs in [our] chest.” Acting as the “centerpiece of [our] respiratory system,” they filter incoming air, delivering oxygen to the blood and removing carbon dioxide with each exhale. Inside the lungs, tubes known as bronchi that carry the air in branch off into smaller bronchioles, which are topped off by tiny air sacs called alveoli. It's in these microscopic alveoli that the magic of gas exchange happens.

The alveoli are tiny, balloon-like structures surrounded by a network of capillaries. These capillaries are so small that blood cells have to pass through them in a single file. When air reaches the alveoli, oxygen from the air passes through their thin walls and into the blood in the capillaries. At the same time, carbon dioxide, a waste product of metabolism, moves from the blood into the alveoli. This gas exchange process is crucial to life: as all of us who tried to hold our breath underwater know, it’s a matter of minutes before we desperately need air.

In addition to the lungs, the respiratory system includes the trachea (or windpipe), chest wall and diaphragm muscles, blood vessels, and more. Our brain is the central hub in charge of regulating breathing rates by keeping tabs on oxygen and carbon dioxide levels in our body.

Alcohol and the Lungs

Alcohol wreaks havoc on the body, and the lungs are no exception. Emory University pulmonologist David Guidot has made it his life’s work to study the effects of AUD on the lungs. As he explains in an Emory Medicine press release, “The lungs are especially vulnerable because chronic drinking depletes them of glutathione, and the alveoli and small airways are very dependent on it. Normally, they have 1,000 times more glutathione than other parts of the body. Chronic alcoholics have extremely low levels of glutathione in the lungs.” While the alcohol itself isn’t the direct cause of the changes, the oxidative stress that it causes leads to glutathione depletion.

Why is glutathione important? It’s an antioxidant that plays a vital role in keeping the lungs healthy and free from harmful substances. It also helps create and maintain T-cells, which are vital for immune function.

The Long-Term Respiratory Effects of Drinking

Chronic alcohol abuse and the glutathione depletion that happens as a result can damage the cells lining the respiratory tract, leading to a condition known as acute respiratory distress syndrome (ARDS). This severe form of lung failure can be life-threatening and happens when chronic inflammation leads fluids and inflammatory cells to accumulate in the alveolar spaces. The result? Our airways get clogged, making gas exchange less efficient. 

Over time, the lack of oxygen can take a toll on our health. If not addressed in time, it can lead to organ failure and other life-threatening complications. Other factors might make the situation worse: for example, infections, injuries, or breathing in stomach contents (something that can happen in severe intoxication) can all play a role.

The Link Between AUD and ARDS

The connection between ARDS and alcohol was first discovered in 1996 by a University of Colorado team led by Marc Moss. With the help of some lab rats who “drank for science” and demonstrated the link between alcohol and glutathione levels, Moss and his colleagues were able to see just how drastic the effect of booze on our lungs is. 

Today, scientists like Emory’s Guidot and his colleagues continue to uncover new details of what’s often referred to as “alcoholic lung disease.” One of his studies tracked alcoholic patients in hospitals around Atlanta, Denver, and Seattle who were admitted for various reasons, including septic shock and blood pressure problems. Guidot and his team found that the correlation between AUD and ARDS was even higher than previously thought. As Guidot explains, “We followed the alcoholic patients to see how many developed ARDS, and it turned out that the relative risk of ARDS for those with alcohol abuse was closer to 4 to 1 than the 2 to 1 risk that was identified in the original 1996 study … The results were dramatic.”

Another recent study is relevant to an even wider audience and is certainly food for thought when it comes to evaluating our drinking habits. Guidot and his team looked at the effect of alcohol on glutathione levels in “relatively functional alcoholics” — young folks who were treated for AUD in an inpatient facility, but were otherwise medically stable, healthy, and well-nourished. They found that glutathione levels in the lungs of the subjects were 80% to 90% lower compared with their non-drinking counterparts at the 2-3 day mark after their last drink and remained low for at least a week. 

An Indirect Attack: Alcohol and Respiratory Infections

In addition to messing with their ability to deliver oxygen to the cells of our body, alcohol interferes with another important function of the lungs — their role in the immune system. The respiratory tract is lined with cilia, tiny hair-like structures that help keep the airways clean by sweeping our pathogens and harmful particles along with mucus. 

Alcohol can impair the function of these tiny sweepers, making us more susceptible to diseases — especially those that target the lungs in particular, such as pneumonia or tuberculosis. The result? An indirect (albeit equally devastating) attack on the lungs.

For a closer look at other effects of alcohol on the immune system, check out our blog, “Alcohol's Impact on the Immune System.”

Alcoholic Pneumonia

Bacterial pneumonia, also known as “alcoholic pneumonia” (when related to AUD), is one of the most common and serious complications. According to the NIH, pneumonia is an inflammation of the lung caused by infection by bacteria. That said, it can also be caused by fungi, viruses, and parasites. The name itself comes from the Greek “pneumon” (meaning lung), underscoring pneumonia’s prominence as the classic “lung disease.” 

Pneumonia can be serious (especially for sensitive populations), and with alcohol in the picture, things get even more gnarly. The first link between alcohol abuse and pneumonia dates back over two centuries when Surgeon General Benjamin Rush described the link between the two. Today, the CDC is still on board with Rush, describing pneumonia as being four times more likely to be deadly to people who abuse alcohol.

Tuberculosis and AUD

In addition to bacterial pneumonia, lung infections with Mycobacterium tuberculosis (the pathogen that causes TB) are also a particular threat for people with AUD. According to the WHO, TB is the second leading cause of death around the world, taking over a million lives every year. Spread through the air from one infected person to another, it often remains dormant and doesn’t necessarily make everyone who contracts it sick. That said, those with a compromised immune system — including one weakened by alcohol — are more likely to develop serious symptoms. 

RSV and AUD

While bacterial infections tend to be in the spotlight when it comes to alcohol-related lung complications, viral infections are also a concern. RSV is a common viral infection that affects the lower part of the respiratory tract and is very common in children, older people, and folks with AUD. Because alcohol affects the cilia that act as the “first line” defense force against invading pathogens, RSV has an easier way into the respiratory tract.

Signs of Alcoholic Lung Disease

Now that we know a bit about what we’re dealing with, let’s take a look at the signs to look out for if we suspect alcoholic lung disease might be a problem. Most of these signs are more relevant to ARDS, but some could be symptoms of respiratory infections that result from an immune system weakened by alcohol:

  • Shortness of breath. We might have trouble breathing, especially during exercise or activities that require exertion, like climbing the stairs. While shortness of breath can be a sign of many things (after all, who hasn’t gotten a bit winded climbing up several flights when the elevator is broken), any changes from the norm could be a sign of a problem. If we’ve been drinking a lot, it’s not a symptom we want to ignore, since it could be one of the early signs of alcoholic lung disease.
  • Chronic cough and wheezing. If we keep coughing for days or weeks, it could be another sign our drinking is interfering with our lung function. The “alcoholic cough” might be dry or could produce phlegm. A wheezing sound could be a sign of obstruction or narrowing of the air passages in the lungs.
  • Weakness and fatigue. If we’re feeling more tired than usual, compromised lung function might be to blame. Our body and brain might not be getting the oxygen needed to function properly.
  • Changes in weight. If we see that scale going down without changing anything in our habits, it might initially come as a pleasant surprise. Not so fast! Unintended weight loss is cause for concern and could be a sign of chronic lung disease related to alcohol use. 
  • Pain in the chest. Severe lung conditions or infections could get painful and definitely warrant a trip to the doctor.
  • Frequent infections. As our lung condition progresses, we could find ourselves getting frequent infections, especially ones that affect the respiratory system.

As with all serious conditions, signs of alcoholic lung disease are not something to take lightly. If you suspect you’re having symptoms, it’s always best to get checked out as early as possible.

Can “Alcohol Lung” Be Reversed?

It depends. If caught early enough, sometimes the damage can be reversed. In other cases, the damage might be quite extensive — however, treatment will still make a difference, so it’s crucial to seek medical help.

If we’re talking about acute respiratory conditions that were worsened by alcohol (such as pneumonia), recovery is usually possible as long as treatment is prompt. It includes a few key steps:

  • Stop drinking to let our immune system recover.
  • Take medication (usually antibiotics) as prescribed. If necessary, we may be put on a ventilator to help with breathing issues.
  • Receive appropriate aftercare and rehabilitation.

If our condition is chronic or we’ve had repeated bouts of ARDS, the damage might be hard to reverse completely. Still, quitting or cutting back on alcohol and receiving proper medical care can help us manage our symptoms or slow their progression.

The common denominator in all of these cases is changing our relationship with alcohol. Especially if it has landed us in the hospital with a serious infection, it’s time to reassess things. (If that’s you, stay positive — many people have been where you are and have found a way out, and you can, too! Reframe is here to help you every step of the way.)

Tips To Breathe Easy and Stay Safe

Tips To Breathe Easy and Stay Safe

As for some general ways to keep respiratory issues at bay, here are some handy tips:

  1. Load up on antioxidants. Many plant foods, such as fruits and vegetables, are great sources of antioxidants that can help keep your lungs healthy. Leeks, onions, and garlic are great sources of allium sulfur compounds. Eggplant, grapes, and berries contain anthocyanins. Apples, onions, and citrus fruits are loaded with flavonoids. 
  2. Make exercise a habit. One of the best ways to increase lung capacity? Aerobic exercise. Whether you walk, jog, swim, or dance in your living room, pick an activity you enjoy and stick with it.
  3. Don’t smoke. Those scary pictures and warnings on cigarette boxes are true. According to the CDC, “More than 16 million Americans are living with a disease caused by smoking. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness.” These illnesses include cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), as well as emphysema and chronic bronchitis. 

    Secondhand smoke is a known culprit, too, and contributes to around “41,000 deaths among nonsmoking adults and 400 deaths in infants each year.”
  4. Steer clear of outdoor pollutants. Keep tabs on air quality alerts on your watch, phone, or online. If your area is in the danger zone, limit outdoor time and opt for indoor exercise options. Also, try not to jog near high-traffic areas and avoid burning wood or trash in your backyard (or anywhere else, for that matter).
  5. Avoid indoor air pollutants. We sometimes forget about indoor air quality, but it matters! After all, most of us spend a good chunk of the day indoors. Stay safe by sticking to no-smoking policies indoors, avoid using harsh chemicals, and invest in an air purifier if you are sensitive to pollutants.

With these tips, you can keep respiratory issues at bay and breathe easier as your lung function improves. And if you need extra support to change your relationship with alcohol to make sure your lungs stay as healthy as possible for years to come, Reframe is here to help!

We’ve all heard of smoker’s lung — that characteristic hacking, wheezing cough that’s enough to scare many of us from ever trying a cigarette. But a drinker’s cough? Is that a thing? If you wake up with a nagging cough that doesn’t seem to ease up and gets more persistent over time, that glass (or bottle) of Chardonnay you’ve been downing on a regular basis probably won’t be your first suspect. And yet, “alcoholic cough,” shortness of breath after drinking alcohol, and even signs of lung failure can all be signs of alcoholic lung disease. Let’s explore this lesser-known respiratory problem in more detail.

Can Alcohol Cause Breathing Problems?

Sick Asian man with a cold, sneezing

It’s no secret that alcohol harms many systems of the body. It wreaks havoc on the liver, crosses the blood-brain barrier, suppresses neural activity, and even disrupts our sleep. But what about breathing?

As it turns out, alcohol has both direct and indirect effects on our lungs. Let’s explore the direct ones first.

The Lungs: A Brief Tour

Our lungs are about as advanced as any piece of fancy technology. Here’s how they work.

According to the National Heart, Lung, and Blood Institute, the lungs are a “pair of spongy, pinkish-gray organs in [our] chest.” Acting as the “centerpiece of [our] respiratory system,” they filter incoming air, delivering oxygen to the blood and removing carbon dioxide with each exhale. Inside the lungs, tubes known as bronchi that carry the air in branch off into smaller bronchioles, which are topped off by tiny air sacs called alveoli. It's in these microscopic alveoli that the magic of gas exchange happens.

The alveoli are tiny, balloon-like structures surrounded by a network of capillaries. These capillaries are so small that blood cells have to pass through them in a single file. When air reaches the alveoli, oxygen from the air passes through their thin walls and into the blood in the capillaries. At the same time, carbon dioxide, a waste product of metabolism, moves from the blood into the alveoli. This gas exchange process is crucial to life: as all of us who tried to hold our breath underwater know, it’s a matter of minutes before we desperately need air.

In addition to the lungs, the respiratory system includes the trachea (or windpipe), chest wall and diaphragm muscles, blood vessels, and more. Our brain is the central hub in charge of regulating breathing rates by keeping tabs on oxygen and carbon dioxide levels in our body.

Alcohol and the Lungs

Alcohol wreaks havoc on the body, and the lungs are no exception. Emory University pulmonologist David Guidot has made it his life’s work to study the effects of AUD on the lungs. As he explains in an Emory Medicine press release, “The lungs are especially vulnerable because chronic drinking depletes them of glutathione, and the alveoli and small airways are very dependent on it. Normally, they have 1,000 times more glutathione than other parts of the body. Chronic alcoholics have extremely low levels of glutathione in the lungs.” While the alcohol itself isn’t the direct cause of the changes, the oxidative stress that it causes leads to glutathione depletion.

Why is glutathione important? It’s an antioxidant that plays a vital role in keeping the lungs healthy and free from harmful substances. It also helps create and maintain T-cells, which are vital for immune function.

The Long-Term Respiratory Effects of Drinking

Chronic alcohol abuse and the glutathione depletion that happens as a result can damage the cells lining the respiratory tract, leading to a condition known as acute respiratory distress syndrome (ARDS). This severe form of lung failure can be life-threatening and happens when chronic inflammation leads fluids and inflammatory cells to accumulate in the alveolar spaces. The result? Our airways get clogged, making gas exchange less efficient. 

Over time, the lack of oxygen can take a toll on our health. If not addressed in time, it can lead to organ failure and other life-threatening complications. Other factors might make the situation worse: for example, infections, injuries, or breathing in stomach contents (something that can happen in severe intoxication) can all play a role.

The Link Between AUD and ARDS

The connection between ARDS and alcohol was first discovered in 1996 by a University of Colorado team led by Marc Moss. With the help of some lab rats who “drank for science” and demonstrated the link between alcohol and glutathione levels, Moss and his colleagues were able to see just how drastic the effect of booze on our lungs is. 

Today, scientists like Emory’s Guidot and his colleagues continue to uncover new details of what’s often referred to as “alcoholic lung disease.” One of his studies tracked alcoholic patients in hospitals around Atlanta, Denver, and Seattle who were admitted for various reasons, including septic shock and blood pressure problems. Guidot and his team found that the correlation between AUD and ARDS was even higher than previously thought. As Guidot explains, “We followed the alcoholic patients to see how many developed ARDS, and it turned out that the relative risk of ARDS for those with alcohol abuse was closer to 4 to 1 than the 2 to 1 risk that was identified in the original 1996 study … The results were dramatic.”

Another recent study is relevant to an even wider audience and is certainly food for thought when it comes to evaluating our drinking habits. Guidot and his team looked at the effect of alcohol on glutathione levels in “relatively functional alcoholics” — young folks who were treated for AUD in an inpatient facility, but were otherwise medically stable, healthy, and well-nourished. They found that glutathione levels in the lungs of the subjects were 80% to 90% lower compared with their non-drinking counterparts at the 2-3 day mark after their last drink and remained low for at least a week. 

An Indirect Attack: Alcohol and Respiratory Infections

In addition to messing with their ability to deliver oxygen to the cells of our body, alcohol interferes with another important function of the lungs — their role in the immune system. The respiratory tract is lined with cilia, tiny hair-like structures that help keep the airways clean by sweeping our pathogens and harmful particles along with mucus. 

Alcohol can impair the function of these tiny sweepers, making us more susceptible to diseases — especially those that target the lungs in particular, such as pneumonia or tuberculosis. The result? An indirect (albeit equally devastating) attack on the lungs.

For a closer look at other effects of alcohol on the immune system, check out our blog, “Alcohol's Impact on the Immune System.”

Alcoholic Pneumonia

Bacterial pneumonia, also known as “alcoholic pneumonia” (when related to AUD), is one of the most common and serious complications. According to the NIH, pneumonia is an inflammation of the lung caused by infection by bacteria. That said, it can also be caused by fungi, viruses, and parasites. The name itself comes from the Greek “pneumon” (meaning lung), underscoring pneumonia’s prominence as the classic “lung disease.” 

Pneumonia can be serious (especially for sensitive populations), and with alcohol in the picture, things get even more gnarly. The first link between alcohol abuse and pneumonia dates back over two centuries when Surgeon General Benjamin Rush described the link between the two. Today, the CDC is still on board with Rush, describing pneumonia as being four times more likely to be deadly to people who abuse alcohol.

Tuberculosis and AUD

In addition to bacterial pneumonia, lung infections with Mycobacterium tuberculosis (the pathogen that causes TB) are also a particular threat for people with AUD. According to the WHO, TB is the second leading cause of death around the world, taking over a million lives every year. Spread through the air from one infected person to another, it often remains dormant and doesn’t necessarily make everyone who contracts it sick. That said, those with a compromised immune system — including one weakened by alcohol — are more likely to develop serious symptoms. 

RSV and AUD

While bacterial infections tend to be in the spotlight when it comes to alcohol-related lung complications, viral infections are also a concern. RSV is a common viral infection that affects the lower part of the respiratory tract and is very common in children, older people, and folks with AUD. Because alcohol affects the cilia that act as the “first line” defense force against invading pathogens, RSV has an easier way into the respiratory tract.

Signs of Alcoholic Lung Disease

Now that we know a bit about what we’re dealing with, let’s take a look at the signs to look out for if we suspect alcoholic lung disease might be a problem. Most of these signs are more relevant to ARDS, but some could be symptoms of respiratory infections that result from an immune system weakened by alcohol:

  • Shortness of breath. We might have trouble breathing, especially during exercise or activities that require exertion, like climbing the stairs. While shortness of breath can be a sign of many things (after all, who hasn’t gotten a bit winded climbing up several flights when the elevator is broken), any changes from the norm could be a sign of a problem. If we’ve been drinking a lot, it’s not a symptom we want to ignore, since it could be one of the early signs of alcoholic lung disease.
  • Chronic cough and wheezing. If we keep coughing for days or weeks, it could be another sign our drinking is interfering with our lung function. The “alcoholic cough” might be dry or could produce phlegm. A wheezing sound could be a sign of obstruction or narrowing of the air passages in the lungs.
  • Weakness and fatigue. If we’re feeling more tired than usual, compromised lung function might be to blame. Our body and brain might not be getting the oxygen needed to function properly.
  • Changes in weight. If we see that scale going down without changing anything in our habits, it might initially come as a pleasant surprise. Not so fast! Unintended weight loss is cause for concern and could be a sign of chronic lung disease related to alcohol use. 
  • Pain in the chest. Severe lung conditions or infections could get painful and definitely warrant a trip to the doctor.
  • Frequent infections. As our lung condition progresses, we could find ourselves getting frequent infections, especially ones that affect the respiratory system.

As with all serious conditions, signs of alcoholic lung disease are not something to take lightly. If you suspect you’re having symptoms, it’s always best to get checked out as early as possible.

Can “Alcohol Lung” Be Reversed?

It depends. If caught early enough, sometimes the damage can be reversed. In other cases, the damage might be quite extensive — however, treatment will still make a difference, so it’s crucial to seek medical help.

If we’re talking about acute respiratory conditions that were worsened by alcohol (such as pneumonia), recovery is usually possible as long as treatment is prompt. It includes a few key steps:

  • Stop drinking to let our immune system recover.
  • Take medication (usually antibiotics) as prescribed. If necessary, we may be put on a ventilator to help with breathing issues.
  • Receive appropriate aftercare and rehabilitation.

If our condition is chronic or we’ve had repeated bouts of ARDS, the damage might be hard to reverse completely. Still, quitting or cutting back on alcohol and receiving proper medical care can help us manage our symptoms or slow their progression.

The common denominator in all of these cases is changing our relationship with alcohol. Especially if it has landed us in the hospital with a serious infection, it’s time to reassess things. (If that’s you, stay positive — many people have been where you are and have found a way out, and you can, too! Reframe is here to help you every step of the way.)

Tips To Breathe Easy and Stay Safe

Tips To Breathe Easy and Stay Safe

As for some general ways to keep respiratory issues at bay, here are some handy tips:

  1. Load up on antioxidants. Many plant foods, such as fruits and vegetables, are great sources of antioxidants that can help keep your lungs healthy. Leeks, onions, and garlic are great sources of allium sulfur compounds. Eggplant, grapes, and berries contain anthocyanins. Apples, onions, and citrus fruits are loaded with flavonoids. 
  2. Make exercise a habit. One of the best ways to increase lung capacity? Aerobic exercise. Whether you walk, jog, swim, or dance in your living room, pick an activity you enjoy and stick with it.
  3. Don’t smoke. Those scary pictures and warnings on cigarette boxes are true. According to the CDC, “More than 16 million Americans are living with a disease caused by smoking. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness.” These illnesses include cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), as well as emphysema and chronic bronchitis. 

    Secondhand smoke is a known culprit, too, and contributes to around “41,000 deaths among nonsmoking adults and 400 deaths in infants each year.”
  4. Steer clear of outdoor pollutants. Keep tabs on air quality alerts on your watch, phone, or online. If your area is in the danger zone, limit outdoor time and opt for indoor exercise options. Also, try not to jog near high-traffic areas and avoid burning wood or trash in your backyard (or anywhere else, for that matter).
  5. Avoid indoor air pollutants. We sometimes forget about indoor air quality, but it matters! After all, most of us spend a good chunk of the day indoors. Stay safe by sticking to no-smoking policies indoors, avoid using harsh chemicals, and invest in an air purifier if you are sensitive to pollutants.

With these tips, you can keep respiratory issues at bay and breathe easier as your lung function improves. And if you need extra support to change your relationship with alcohol to make sure your lungs stay as healthy as possible for years to come, Reframe is here to help!

Alcohol & Physical Health Effects
2024-06-01 9:00
Alcohol and Health
Alcohol & Spider Angiomas: A Sign of Liver Disease?
This is some text inside of a div block.

Alcohol contributes to spider angiomas by directly affecting the hormones and liver. Learn more about this interaction and how to keep your liver and veins healthy.

18 min read

Give Your Veins Some Love by Quitting or Cutting Back on 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 Monday morning, you’re getting ready for work, putting on your clothes. As you wash your face, you notice a red dot on your cheek. Looking more closely, you notice a red web-like shape. Did you scratch yourself too hard? Did you get bit by a radioactive spider?

While the spider story might be more fun, the more likely answer is that it’s a spider angioma. Let’s explore this condition in more detail and discover what it has to do with alcohol.

Alcohol’s Effect on the Veins

Image: A red rash on a person's skin

Before we get into spider angiomas and other vein problems, let’s talk about what alcohol does to our veins and circulatory system in general.

Alcohol has a direct effect on our veins and can cause both vasodilation and vasoconstriction (widening or narrowing of blood vessels), depending on how much we drink. When the liver begins processing alcohol, it prioritizes that and doesn’t have time to filter out toxins from the blood. This can cause the toxins to build up and become thicker, which also damages the veins because there is more pressure on them. 

Vein damage can lead to all sorts of unpleasant conditions, including spider angiomas. Let’s get back into this and what we can do to treat or prevent it.

What Is a Spider Angioma?

A spider angioma is a type of vascular lesion, meaning it manifests in the veins just below the skin. It’s distinguished from other vascular lesions because it looks like a red spider web on the skin. It looks a lot like spider veins but has a red dot in the middle of the web. A spider angioma is ultimately caused by dilated blood vessels right below the skin’s surface. Spider angiomas can appear on the arms, face, fingers, neck, leg, or torso.

What Causes Spider Angiomas?

Spider angiomas happen when the blood vessels right below the skin dilate. The exact mechanism for its appearance is unknown, but we know it’s affected by the liver and hormones. It is common in both children and adults and often affects pregnant women (due to their hormonal changes). While it is common, having many spider angiomas at once could be a sign of something more sinister such as liver disease. Most cases of spider angioma clear up by themselves.

If you’re thinking, “Well, that doesn’t give me much information,” don’t worry, there’s more to it. Spider angiomas can also be caused by alcohol consumption.

Alcohol’s Association With Spider Angiomas

Alcohol has direct effects on the body that can result in spider angiomas. Let’s take a look at some of these:

  • Effect on the veins. Alcohol is a vasodilator, meaning it causes the blood vessels to widen. If this occurs right below the surface of the skin, we may see a spider angioma appear.
  • Interaction with the liver. Alcohol directly damages the liver, and this can lead to spider angiomas. Spider angiomas are also a symptom of liver disease, including cirrhosis.
  • Hormonal changes. Spider angiomas often appear when there is a lot of estrogen in the body. This makes women, especially pregnant women or women taking hormonal contraceptives, more susceptible. Alcohol also increases estrogen in the body, increasing the likelihood of anyone getting spider angiomas, not just women. Higher estrogen levels are also often a sign of liver cirrhosis, which points back to alcohol.
  • Inflammation. Alcohol causes inflammation, which can also affect the skin, making it appear red and patchy.
  • Dehydration. Alcohol is a diuretic, meaning it makes you pee and lose water, causing dehydration. This can also affect blood circulation and exacerbate spider angiomas.

We’ve investigated some of the ways alcohol can cause spider angiomas, but just how common are they? 

Prevalence of Spider Angiomas Among Alcohol Users

Spider angiomas are common in people with liver cirrhosis. In particular, they are more common in people with liver cirrhosis caused by alcohol than liver cirrhosis caused by something else (such as hepatitis C). One study found that 33% of liver cirrhosis patients also had spider angiomas.

So what can we do if we have spider angiomas? Instead of pulling out the Spiderman suit and accepting it as a new battle scar, let’s explore some things we can do.

Treatment for Spider Angiomas

Here are some ways to get rid of spider angiomas:

  • Leave it alone. Many spider angiomas go away by themselves and don’t require any treatment. They may take months or years to completely disappear though, depending on the cause.
  • Laser therapy. You can see a dermatologist about laser treatment to remove unwanted spider angiomas.
  • Burning. Not as scary as it sounds, burning treatment involves applying an electric needle to the site to remove the angioma.
  • Stay hydrated. Hydration is crucial for healthy skin, and staying hydrated will also improve our blood flow, which will help our veins in general.
  • Avoid alcohol during treatment. Since alcohol can make spider angiomas appear, we should avoid it if we want to get rid of them.

Of course, the best thing we can do is prevent spider angiomas from appearing in the first place. The best way to do that is to keep our hormones in check, limit our alcohol intake, and maintain proper hydration.

We’ve established that alcohol can lead to spider angiomas because it affects our blood vessels and hormones. But what else can it do to our veins? 

What About Spider Veins and Alcohol?

Spider angiomas and spider veins are two different things. We already know what spider angiomas are, but spider veins differ in that they are flat and appear blue. They can appear on the nose, face, and legs, but are most common on the legs, particularly in people with varicose veins. What’s the difference? Spider veins appear because of damaged capillaries (not actual veins), whereas varicose veins are damaged veins that bulge out of the skin.

Spider veins are caused by many of the same factors as spider angiomas, such as hormones, but have other distinct causes such as:

  • Sun exposure (this is a common cause of the ones that appear on the face)
  • Smoking
  • Sedentary lifestyle
  • Obesity
  • Genetics

But what about alcohol? Well, for the same reason alcohol can lead to spider angiomas, it can also lead to spider veins. Alcohol can damage the veins and negatively affect circulation, which can damage capillaries, causing spider veins.

Treatment for Spider Veins

Fortunately, there are some things we can do to treat spider veins, although it’s not quite as easy as dealing with spider angioma. Let’s take a look:

  • Laser therapy. Like spider angioma, we can use laser therapy for treatment. This involves using a laser to heat and destroy the spider vein. Since it’s already damaged, this cleans up the leftover part that looks blue.
  • Surgery. Known as “sclerotherapy,” this relatively non-invasive procedure involves the doctor injecting the spider vein with a solution to make it close up and disappear. Most patients see results within a few weeks.

Again, avoiding or limiting alcohol will help prevent spider veins, and so will staying active, protecting your skin from the sun, and quitting smoking. 

So we’ve talked about alcohol and spider angioma and alcohol and spider veins, but there’s one more vein problem to address: varicose veins.

Does Alcohol Cause Varicose Veins?

To recap, varicose veins are damaged and swollen veins that bulge out of the skin, and most commonly appear in the legs. Varicose veins happen when the blood pressure in the veins increases so much that it damages them. But is there a link between alcohol and varicose veins?

To start, let’s look at some common causes of varicose veins, which differ from those of spider angiomas and spider veins:

  • Genetics
  • Being older
  • Being overweight
  • Being female
  • Having a lifestyle that involves long periods of standing or sitting
  • Wearing restrictive clothing on a regular basis for a long time

How does alcohol fit into the picture? Well, alcohol can increase the likelihood of developing varicose veins over time. The reason for this is that alcohol damages the veins and disrupts proper circulation, causing the circulatory system to have to work harder to maintain blood flow. The further away we get from the heart, the harder it has to work to get oxygen there, so you can imagine that circulatory problems will only make it that much harder for healthy blood to move through the legs. Blood can get backed up down there, which puts stress on the veins and damages them, resulting in the blue appearance of varicose veins.

Alcohol also releases estrogen, which can relax or weaken the walls of the veins and lead to varicose veins. This is one reason why varicose veins are more common in women. One study even found that in a group of women, those who consumed alcohol weekly had more prevalence of varicose veins than those who didn’t drink.

So what can we do to treat varicose veins once we have them?

Treatment for Varicose Veins

The treatment for varicose veins is more intense than for spider veins or spider angiomas:

  • Surgery. Remember sclerotherapy from earlier when we were talking about spider veins? Well, the same treatment can be used for varicose veins.
  • Laser therapy. A bit different than laser therapies for other unwanted veins, this one uses both a tube and a laser to close off the vein.
  • Removal of veins. Another surgical procedure, the doctor may remove affected veins to prevent them from reappearing. This is more serious and can come with side effects such as scarring and infection; however, it doesn’t affect the bloodflow in your legs — deep veins take over this job.
  • Elevation of the legs. Some people elevate their legs several times a day to decrease pressure on the legs and help with blood flow.
  • Compression stockings. These special garments compress the legs and help you feel more comfortable. They also help with blood flow because they suck in the veins and reduce the pressure on them.

As always, prevention is key, and even if you’re genetically prone to varicose veins, you can reduce your chances of getting them by maintaining an active lifestyle, eating foods that support the heart and circulatory system, and of course, quitting or cutting back on booze to help the veins stay healthy.

A Connected Web

Our veins connect everything in our body together, so we can imagine that whatever we put in our body will affect the veins. Alcohol has complex interactions with the veins in general and over time, those interactions can manifest in different ways and varying degrees of seriousness. As we get older, our bodies and veins become weaker naturally, so it’s important to maintain a healthy lifestyle to keep our blood pumping, our veins working, and our faces web-free for years to come. As always, quitting or cutting back on booze will help with this and numerous other aspects of our life to create the healthiest version of ourselves. 

It’s Monday morning, you’re getting ready for work, putting on your clothes. As you wash your face, you notice a red dot on your cheek. Looking more closely, you notice a red web-like shape. Did you scratch yourself too hard? Did you get bit by a radioactive spider?

While the spider story might be more fun, the more likely answer is that it’s a spider angioma. Let’s explore this condition in more detail and discover what it has to do with alcohol.

Alcohol’s Effect on the Veins

Image: A red rash on a person's skin

Before we get into spider angiomas and other vein problems, let’s talk about what alcohol does to our veins and circulatory system in general.

Alcohol has a direct effect on our veins and can cause both vasodilation and vasoconstriction (widening or narrowing of blood vessels), depending on how much we drink. When the liver begins processing alcohol, it prioritizes that and doesn’t have time to filter out toxins from the blood. This can cause the toxins to build up and become thicker, which also damages the veins because there is more pressure on them. 

Vein damage can lead to all sorts of unpleasant conditions, including spider angiomas. Let’s get back into this and what we can do to treat or prevent it.

What Is a Spider Angioma?

A spider angioma is a type of vascular lesion, meaning it manifests in the veins just below the skin. It’s distinguished from other vascular lesions because it looks like a red spider web on the skin. It looks a lot like spider veins but has a red dot in the middle of the web. A spider angioma is ultimately caused by dilated blood vessels right below the skin’s surface. Spider angiomas can appear on the arms, face, fingers, neck, leg, or torso.

What Causes Spider Angiomas?

Spider angiomas happen when the blood vessels right below the skin dilate. The exact mechanism for its appearance is unknown, but we know it’s affected by the liver and hormones. It is common in both children and adults and often affects pregnant women (due to their hormonal changes). While it is common, having many spider angiomas at once could be a sign of something more sinister such as liver disease. Most cases of spider angioma clear up by themselves.

If you’re thinking, “Well, that doesn’t give me much information,” don’t worry, there’s more to it. Spider angiomas can also be caused by alcohol consumption.

Alcohol’s Association With Spider Angiomas

Alcohol has direct effects on the body that can result in spider angiomas. Let’s take a look at some of these:

  • Effect on the veins. Alcohol is a vasodilator, meaning it causes the blood vessels to widen. If this occurs right below the surface of the skin, we may see a spider angioma appear.
  • Interaction with the liver. Alcohol directly damages the liver, and this can lead to spider angiomas. Spider angiomas are also a symptom of liver disease, including cirrhosis.
  • Hormonal changes. Spider angiomas often appear when there is a lot of estrogen in the body. This makes women, especially pregnant women or women taking hormonal contraceptives, more susceptible. Alcohol also increases estrogen in the body, increasing the likelihood of anyone getting spider angiomas, not just women. Higher estrogen levels are also often a sign of liver cirrhosis, which points back to alcohol.
  • Inflammation. Alcohol causes inflammation, which can also affect the skin, making it appear red and patchy.
  • Dehydration. Alcohol is a diuretic, meaning it makes you pee and lose water, causing dehydration. This can also affect blood circulation and exacerbate spider angiomas.

We’ve investigated some of the ways alcohol can cause spider angiomas, but just how common are they? 

Prevalence of Spider Angiomas Among Alcohol Users

Spider angiomas are common in people with liver cirrhosis. In particular, they are more common in people with liver cirrhosis caused by alcohol than liver cirrhosis caused by something else (such as hepatitis C). One study found that 33% of liver cirrhosis patients also had spider angiomas.

So what can we do if we have spider angiomas? Instead of pulling out the Spiderman suit and accepting it as a new battle scar, let’s explore some things we can do.

Treatment for Spider Angiomas

Here are some ways to get rid of spider angiomas:

  • Leave it alone. Many spider angiomas go away by themselves and don’t require any treatment. They may take months or years to completely disappear though, depending on the cause.
  • Laser therapy. You can see a dermatologist about laser treatment to remove unwanted spider angiomas.
  • Burning. Not as scary as it sounds, burning treatment involves applying an electric needle to the site to remove the angioma.
  • Stay hydrated. Hydration is crucial for healthy skin, and staying hydrated will also improve our blood flow, which will help our veins in general.
  • Avoid alcohol during treatment. Since alcohol can make spider angiomas appear, we should avoid it if we want to get rid of them.

Of course, the best thing we can do is prevent spider angiomas from appearing in the first place. The best way to do that is to keep our hormones in check, limit our alcohol intake, and maintain proper hydration.

We’ve established that alcohol can lead to spider angiomas because it affects our blood vessels and hormones. But what else can it do to our veins? 

What About Spider Veins and Alcohol?

Spider angiomas and spider veins are two different things. We already know what spider angiomas are, but spider veins differ in that they are flat and appear blue. They can appear on the nose, face, and legs, but are most common on the legs, particularly in people with varicose veins. What’s the difference? Spider veins appear because of damaged capillaries (not actual veins), whereas varicose veins are damaged veins that bulge out of the skin.

Spider veins are caused by many of the same factors as spider angiomas, such as hormones, but have other distinct causes such as:

  • Sun exposure (this is a common cause of the ones that appear on the face)
  • Smoking
  • Sedentary lifestyle
  • Obesity
  • Genetics

But what about alcohol? Well, for the same reason alcohol can lead to spider angiomas, it can also lead to spider veins. Alcohol can damage the veins and negatively affect circulation, which can damage capillaries, causing spider veins.

Treatment for Spider Veins

Fortunately, there are some things we can do to treat spider veins, although it’s not quite as easy as dealing with spider angioma. Let’s take a look:

  • Laser therapy. Like spider angioma, we can use laser therapy for treatment. This involves using a laser to heat and destroy the spider vein. Since it’s already damaged, this cleans up the leftover part that looks blue.
  • Surgery. Known as “sclerotherapy,” this relatively non-invasive procedure involves the doctor injecting the spider vein with a solution to make it close up and disappear. Most patients see results within a few weeks.

Again, avoiding or limiting alcohol will help prevent spider veins, and so will staying active, protecting your skin from the sun, and quitting smoking. 

So we’ve talked about alcohol and spider angioma and alcohol and spider veins, but there’s one more vein problem to address: varicose veins.

Does Alcohol Cause Varicose Veins?

To recap, varicose veins are damaged and swollen veins that bulge out of the skin, and most commonly appear in the legs. Varicose veins happen when the blood pressure in the veins increases so much that it damages them. But is there a link between alcohol and varicose veins?

To start, let’s look at some common causes of varicose veins, which differ from those of spider angiomas and spider veins:

  • Genetics
  • Being older
  • Being overweight
  • Being female
  • Having a lifestyle that involves long periods of standing or sitting
  • Wearing restrictive clothing on a regular basis for a long time

How does alcohol fit into the picture? Well, alcohol can increase the likelihood of developing varicose veins over time. The reason for this is that alcohol damages the veins and disrupts proper circulation, causing the circulatory system to have to work harder to maintain blood flow. The further away we get from the heart, the harder it has to work to get oxygen there, so you can imagine that circulatory problems will only make it that much harder for healthy blood to move through the legs. Blood can get backed up down there, which puts stress on the veins and damages them, resulting in the blue appearance of varicose veins.

Alcohol also releases estrogen, which can relax or weaken the walls of the veins and lead to varicose veins. This is one reason why varicose veins are more common in women. One study even found that in a group of women, those who consumed alcohol weekly had more prevalence of varicose veins than those who didn’t drink.

So what can we do to treat varicose veins once we have them?

Treatment for Varicose Veins

The treatment for varicose veins is more intense than for spider veins or spider angiomas:

  • Surgery. Remember sclerotherapy from earlier when we were talking about spider veins? Well, the same treatment can be used for varicose veins.
  • Laser therapy. A bit different than laser therapies for other unwanted veins, this one uses both a tube and a laser to close off the vein.
  • Removal of veins. Another surgical procedure, the doctor may remove affected veins to prevent them from reappearing. This is more serious and can come with side effects such as scarring and infection; however, it doesn’t affect the bloodflow in your legs — deep veins take over this job.
  • Elevation of the legs. Some people elevate their legs several times a day to decrease pressure on the legs and help with blood flow.
  • Compression stockings. These special garments compress the legs and help you feel more comfortable. They also help with blood flow because they suck in the veins and reduce the pressure on them.

As always, prevention is key, and even if you’re genetically prone to varicose veins, you can reduce your chances of getting them by maintaining an active lifestyle, eating foods that support the heart and circulatory system, and of course, quitting or cutting back on booze to help the veins stay healthy.

A Connected Web

Our veins connect everything in our body together, so we can imagine that whatever we put in our body will affect the veins. Alcohol has complex interactions with the veins in general and over time, those interactions can manifest in different ways and varying degrees of seriousness. As we get older, our bodies and veins become weaker naturally, so it’s important to maintain a healthy lifestyle to keep our blood pumping, our veins working, and our faces web-free for years to come. As always, quitting or cutting back on booze will help with this and numerous other aspects of our life to create the healthiest version of ourselves. 

Alcohol & Physical Health Effects
2024-06-01 9:00
Alcohol and Health
Alcohol Memory Loss: Why It Happens & How to Fix It
This is some text inside of a div block.

Blackouts from drinking are commonly accompanied by memory loss, but alcohol can have more lasting impacts on our memory. Check out our latest blog for more info.

21 min read

Learn About the Harms of Excessive Drinking on the Reframe App!

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  →

Have you woken up one morning after a night out and can’t seem to piece together the events of the night before? Alcohol is to blame. But did you know that alcohol can also have long-term effects on our memory? 

Memory loss is often brushed off as a symptom of old age, but turns out, alcohol plays a major role. To prevent or reduce memory loss before it’s too late, let’s get a better understanding of how our memory works and how alcohol can put a damper on it. 

Recalling How Our Memory Works

Woman sitting on a couch with her head in her hands

Ever wonder why we may not remember exactly what we ate a year ago? This is because it’s not exactly important information. Our brain has different stages of memory that help to store information based on how important or how much exposure we get. The four main stages of memory include:

  • Sensory memory. Sensory memory is typically the first step in our memory process in which we register sensory information. It only lasts about 1 second or less and helps to piece together sensory experiences that may move on into other stages of our memory.
  • Short-term memory. This stage lasts about 30 seconds and is only able to hold on to limited pieces of information. An example of our short-term memory in action is remembering the characters on a license plate before getting a chance to jot them down. 
  • Working memory. Working memory is similar to short-term memory but is used for cognitive tasks. For example, we may hold an equation in our working memory to be able to solve a math problem. 
  • Long-term memory. Long-term memory is broken down into two categories, explicit and implicit. Explicit memories are conscious memories such as a family member’s birthday or general knowledge about the world. Implicit memories are ones we don’t consciously think about and can influence behavior and actions. These can include daily functions such as walking or habits that we’ve developed over time. 

Information that is stored in our long-term memory goes through three main processes:

  • Encoding. The first step in creating a memory is encoding. This consists of our brain processing the information and storing it in our short-term memory.
  • Consolidation. In this step, information that our brain deems important is processed and stored in our long-term memory.
  • Retrieval. Retrieval is the action of recalling or accessing stored information. 

Now that we have a better understanding of how our memory works and the different types of memory, let’s see where alcohol fits in.

How Does Alcohol Affect Memory?

Alcohol slows down messaging in our brain and can inhibit different stages of our memory — causing memory loss. This can cause short-term effects on our memory, and excessive drinking can even cause permanent effects. Let’s get a clearer picture of this impact on our memory. 

Alcohol’s Immediate Effects on Our Memory

Short-term memory loss from alcohol is commonly referred to as a “blackout”. It can range from smaller memories such as forgetting where we parked the car to bigger chunks of memory such as not being able to recall what happened on our night out. 

Alcohol is a central nervous system (CNS) depressant, which means that it slows down messaging in our brain. More specifically, it impacts nerve communication within our hippocampus, which is the part of our brain that helps us form and maintain our memories. Due to this damper in our brain signaling, alcohol can cause two main types of short-term memory loss:

  • En bloc. En bloc or total amnesia is short-term memory loss that typically spans several hours. It occurs when short-term memories aren’t transferred to long-term memories and are not able to be recalled.
  • Fragmentary. This memory loss is characterized by having spotty memories. We may remember some events but not others. Fragmentary memory loss can occur when storage of our long-term memory gets disrupted. We may be able to recall events that occurred when reminded by others.

Losing a night of memories may not seem like a big deal, but prolonged and excessive drinking can have long-term or even permanent effects on our memory, which we’ll get into.

Alcoholism and Memory Loss

Alcohol use disorder (AUD) or “alcoholism” is directly associated with memory loss due to prolonged excessive alcohol use. Prolonged and excessive drinking has long-term effects on our memory through two main methods — changes in our brain structures and thiamine deficiency. 

Research shows that changes in our brain structure can decrease the period that information stays in our short-term memory — causing acute memory loss such as “slipping our mind” or “losing our train of thought”. Changes in the areas of our brain that facilitate our memory can impact our ability to create long-term memories. As we age, it can cause long-term disruptions in the transcription process that can lead to permanent memory loss known as dementia

Excessive drinking can also lead to a thiamine deficiency. This vitamin provides energy to our brain and nerve cells. It can also affect the way our body utilizes thiamine — affecting our memory processes. Thiamine deficiency, like permanent changes to our brain structure, is also linked to an increased risk of dementia. Dementia can range from forgetfulness to interference with daily life functions. More specifically, heavy alcohol use is linked to a specific type of dementia known as Wernicke-Korsakoff Syndrome — a severe neurological disorder that may not be able to be reversed once it reaches a certain stage

While we know that alcohol affects the part of the brain that primarily affects our memory, it also impacts other parts of the brain that support our memory and apply our memories. Long-term impacts to our memory not only cause memory loss, but can also affect our judgment and behavior. 

Now that we know the significant impact that alcohol can have on our memory, what’s a safe amount?

How Much Alcohol Will Impair Our Memory?

While a black-and-white answer would surely help with knowing how much we can drink safely, many different factors can influence this number. There’s no specific amount that is deemed “safe” that won’t have an impact on our memory. 

To give us a general idea, we can use alcohol-induced blackouts which are characterized by short-term memory loss. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), alcohol-induced blackouts typically occur when our blood alcohol concentration (BAC) reaches around 0.16%. This is equivalent to about 7-8 drinks in an hour (but may depend on other factors that we’ll get into). 

Long-term effects from alcohol can be even more difficult to estimate, as they occur over a period of time. Excessive drinking which includes binge drinking and heavy drinking is associated with these long-term effects. According to the Centers for Disease Control and Prevention (CDC), binge drinking is having 4-5 drinks on one occasion and heavy drinking refers to having roughly 8 or more drinks in a week for women and 15 for men. A study found that high alcohol consumption — which they measure as over 14 standard drinks per week — is undoubtedly linked to an increased risk of dementia and alcohol-related memory deficits. But is that all there is to it? Aside from the amount of alcohol, what else can influence alcohol-related memory loss?

Other Factors That Influence Alcohol and Memory Loss

Aside from the amount of alcohol we consume, other factors can influence memory loss. Our memory is impacted by BAC levels which can vary depending on a number of different factors. These additional factors may include the following:

  • Sex. Gender differences can affect BAC, which consequently affects how alcohol impairs our memory. Due to biological differences between genders, females tend to have a higher BAC when consuming the same amount of alcohol as males — increasing the risk of memory loss.
  • Weight. Higher weight typically means greater fluid volume. A higher concentration of water in our body means that the concentration of alcohol in our blood is more diluted.
  • Age. Age is a significant factor when it comes to memory. Old age is associated with memory loss unrelated to alcohol. Excessive drinking at an older age can compound the risk of memory loss. On the opposite side of the spectrum, underage drinking can impact our brain development — also heightening the risk of short-term and long-term impairments to our memory.
  • Timeframe. The timeframe in which we drink can also affect memory loss. This is more visible with short-term memory loss. When we drink excessively in a short timeframe, our BAC rises quickly, as our body is not able to metabolize the alcohol as quickly as we’re consuming it. Binge drinking can easily lead to “blacking out”.
  • Tolerance. Individual tolerances to alcohol can affect how much alcohol it may take to cause short-term memory loss. A higher tolerance may mean a certain amount of alcohol can cause a “blackout” in others but won’t affect us the same way — however this doesn’t mean that the amount of alcohol we’re drinking doesn’t still have long-term effects on our memory.
  • Overall health. Different facets of our health are interconnected. Poor overall health can mean that our cells and organs aren’t functioning optimally, which could affect the way alcohol affects our body and impairs our memory. 

As we can see, many factors affect alcohol-related memory loss. The level of impairment and specific experiences of memory loss can also vary. Let’s say we do experience memory loss from drinking. Can it be treated?

Treating Memory Loss From Drinking

Memory loss can be treated up to a certain point, which is why early intervention is so important. Some ways that memory loss from drinking can be treated include the following options:

  • Thiamine supplementation. Memory conditions such as dementia are linked to thiamine deficiency. Supplementation in conjunction with other treatments can help to reverse memory loss by boosting thiamine.
  • Treatment for alcohol use disorder (AUD). By treating the cause of alcohol-related memory loss, treatment for AUD can prevent further damage to our memory and begin to reverse damage to the brain structures that control our memory.
  • Medically-assisted treatment. In certain cases, medication may be prescribed to supplement other treatments. For example, memantine is a common prescription medication used for memory disorders such as Alzheimer’s.

We may be able to reverse long-term memory loss through these treatment options, but is there a way we can regain our memories?

How To Regain Memory After Drinking Too Much 

There’s no surefire way to regain our memories after drinking too much. However, we can implement the following tips to give ourselves the best chance:

  • Stop drinking. Stopping immediately can help prevent further impairments to our memory. It also allows our body time to process alcohol more efficiently, which helps us return to normal memory processing.
  • Stay hydrated. We won’t be able to hydrate our way out of memory loss but it helps our body metabolize and eliminate the alcohol in our body.
  • Take supplements. Supplements such as B vitamins and thiamine are essential for optimal brain function. It can’t guarantee that we’ll regain our memories, but it can aid in returning to normal brain function after the depletion of essential vitamins and nutrients from drinking. Another trending supplement is lion’s mane mushroom. Studies support the benefits of lion’s mane on the brain and memory, although further research is needed.
  • Seek treatment. If we’re concerned about our memory or our drinking habits, we can explore professional treatment options that can meet us where we are. This helps prevent further damage to our memory. 

Short-term memory loss may be regained partially if we have fragmented memory loss. However, long-term memory loss can sometimes be permanent — highlighting the importance of prevention.

Preventing Alcohol-Related Memory Loss

How To Prevent Memory Loss When Drinking

The only foolproof method to prevent memory loss from drinking is to completely eliminate the risk by quitting alcohol. However, the following mindful drinking practices can help minimize the risk of alcohol-related memory loss:

  • Set limits. Memory loss is most clearly associated with excessive drinking. Sticking to moderate consumption guidelines or setting personal limits helps minimize the damage that alcohol has on our memory.
  • Track consumption. It can be easy to forget how many drinks we have or how often we’re drinking. Tracking our consumption can help us stick to moderate drinking guidelines and help us determine if our habits are becoming unhealthy.
  • Have accountability. Sometimes setting limits for ourselves isn’t always foolproof, especially when peer pressure may be at play. Having an accountability partner can help us stay on track. 
  • Seek support. Support is an integral aspect of re-developing a healthy relationship with alcohol. Developing a support network can help us stay on the right track and prevent alcohol-related memory loss.

Prevention is key when it comes to memory loss. Certain stages of Wernicke-Korsakoff syndrome are not able to be reversed, so let’s implement these mindful drinking practices to keep our memory sharp!

Remembering the Main Point

Alcohol and memory loss are heavily interconnected — acutely and in the long term. While one night of blacking out may not seem like a big deal at the moment (although it can be extremely dangerous), excessive drinking over time can lead to permanent memory loss. The more severe stages of alcohol-related memory loss can be permanent, but practicing moderate alcohol consumption will help prevent this from happening, and quitting altogether will work wonders in maintaining our memory. Don’t forget (no pun intended) that Reframe is here to help you quit or cut back so you can keep those memories strong!

Have you woken up one morning after a night out and can’t seem to piece together the events of the night before? Alcohol is to blame. But did you know that alcohol can also have long-term effects on our memory? 

Memory loss is often brushed off as a symptom of old age, but turns out, alcohol plays a major role. To prevent or reduce memory loss before it’s too late, let’s get a better understanding of how our memory works and how alcohol can put a damper on it. 

Recalling How Our Memory Works

Woman sitting on a couch with her head in her hands

Ever wonder why we may not remember exactly what we ate a year ago? This is because it’s not exactly important information. Our brain has different stages of memory that help to store information based on how important or how much exposure we get. The four main stages of memory include:

  • Sensory memory. Sensory memory is typically the first step in our memory process in which we register sensory information. It only lasts about 1 second or less and helps to piece together sensory experiences that may move on into other stages of our memory.
  • Short-term memory. This stage lasts about 30 seconds and is only able to hold on to limited pieces of information. An example of our short-term memory in action is remembering the characters on a license plate before getting a chance to jot them down. 
  • Working memory. Working memory is similar to short-term memory but is used for cognitive tasks. For example, we may hold an equation in our working memory to be able to solve a math problem. 
  • Long-term memory. Long-term memory is broken down into two categories, explicit and implicit. Explicit memories are conscious memories such as a family member’s birthday or general knowledge about the world. Implicit memories are ones we don’t consciously think about and can influence behavior and actions. These can include daily functions such as walking or habits that we’ve developed over time. 

Information that is stored in our long-term memory goes through three main processes:

  • Encoding. The first step in creating a memory is encoding. This consists of our brain processing the information and storing it in our short-term memory.
  • Consolidation. In this step, information that our brain deems important is processed and stored in our long-term memory.
  • Retrieval. Retrieval is the action of recalling or accessing stored information. 

Now that we have a better understanding of how our memory works and the different types of memory, let’s see where alcohol fits in.

How Does Alcohol Affect Memory?

Alcohol slows down messaging in our brain and can inhibit different stages of our memory — causing memory loss. This can cause short-term effects on our memory, and excessive drinking can even cause permanent effects. Let’s get a clearer picture of this impact on our memory. 

Alcohol’s Immediate Effects on Our Memory

Short-term memory loss from alcohol is commonly referred to as a “blackout”. It can range from smaller memories such as forgetting where we parked the car to bigger chunks of memory such as not being able to recall what happened on our night out. 

Alcohol is a central nervous system (CNS) depressant, which means that it slows down messaging in our brain. More specifically, it impacts nerve communication within our hippocampus, which is the part of our brain that helps us form and maintain our memories. Due to this damper in our brain signaling, alcohol can cause two main types of short-term memory loss:

  • En bloc. En bloc or total amnesia is short-term memory loss that typically spans several hours. It occurs when short-term memories aren’t transferred to long-term memories and are not able to be recalled.
  • Fragmentary. This memory loss is characterized by having spotty memories. We may remember some events but not others. Fragmentary memory loss can occur when storage of our long-term memory gets disrupted. We may be able to recall events that occurred when reminded by others.

Losing a night of memories may not seem like a big deal, but prolonged and excessive drinking can have long-term or even permanent effects on our memory, which we’ll get into.

Alcoholism and Memory Loss

Alcohol use disorder (AUD) or “alcoholism” is directly associated with memory loss due to prolonged excessive alcohol use. Prolonged and excessive drinking has long-term effects on our memory through two main methods — changes in our brain structures and thiamine deficiency. 

Research shows that changes in our brain structure can decrease the period that information stays in our short-term memory — causing acute memory loss such as “slipping our mind” or “losing our train of thought”. Changes in the areas of our brain that facilitate our memory can impact our ability to create long-term memories. As we age, it can cause long-term disruptions in the transcription process that can lead to permanent memory loss known as dementia

Excessive drinking can also lead to a thiamine deficiency. This vitamin provides energy to our brain and nerve cells. It can also affect the way our body utilizes thiamine — affecting our memory processes. Thiamine deficiency, like permanent changes to our brain structure, is also linked to an increased risk of dementia. Dementia can range from forgetfulness to interference with daily life functions. More specifically, heavy alcohol use is linked to a specific type of dementia known as Wernicke-Korsakoff Syndrome — a severe neurological disorder that may not be able to be reversed once it reaches a certain stage

While we know that alcohol affects the part of the brain that primarily affects our memory, it also impacts other parts of the brain that support our memory and apply our memories. Long-term impacts to our memory not only cause memory loss, but can also affect our judgment and behavior. 

Now that we know the significant impact that alcohol can have on our memory, what’s a safe amount?

How Much Alcohol Will Impair Our Memory?

While a black-and-white answer would surely help with knowing how much we can drink safely, many different factors can influence this number. There’s no specific amount that is deemed “safe” that won’t have an impact on our memory. 

To give us a general idea, we can use alcohol-induced blackouts which are characterized by short-term memory loss. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), alcohol-induced blackouts typically occur when our blood alcohol concentration (BAC) reaches around 0.16%. This is equivalent to about 7-8 drinks in an hour (but may depend on other factors that we’ll get into). 

Long-term effects from alcohol can be even more difficult to estimate, as they occur over a period of time. Excessive drinking which includes binge drinking and heavy drinking is associated with these long-term effects. According to the Centers for Disease Control and Prevention (CDC), binge drinking is having 4-5 drinks on one occasion and heavy drinking refers to having roughly 8 or more drinks in a week for women and 15 for men. A study found that high alcohol consumption — which they measure as over 14 standard drinks per week — is undoubtedly linked to an increased risk of dementia and alcohol-related memory deficits. But is that all there is to it? Aside from the amount of alcohol, what else can influence alcohol-related memory loss?

Other Factors That Influence Alcohol and Memory Loss

Aside from the amount of alcohol we consume, other factors can influence memory loss. Our memory is impacted by BAC levels which can vary depending on a number of different factors. These additional factors may include the following:

  • Sex. Gender differences can affect BAC, which consequently affects how alcohol impairs our memory. Due to biological differences between genders, females tend to have a higher BAC when consuming the same amount of alcohol as males — increasing the risk of memory loss.
  • Weight. Higher weight typically means greater fluid volume. A higher concentration of water in our body means that the concentration of alcohol in our blood is more diluted.
  • Age. Age is a significant factor when it comes to memory. Old age is associated with memory loss unrelated to alcohol. Excessive drinking at an older age can compound the risk of memory loss. On the opposite side of the spectrum, underage drinking can impact our brain development — also heightening the risk of short-term and long-term impairments to our memory.
  • Timeframe. The timeframe in which we drink can also affect memory loss. This is more visible with short-term memory loss. When we drink excessively in a short timeframe, our BAC rises quickly, as our body is not able to metabolize the alcohol as quickly as we’re consuming it. Binge drinking can easily lead to “blacking out”.
  • Tolerance. Individual tolerances to alcohol can affect how much alcohol it may take to cause short-term memory loss. A higher tolerance may mean a certain amount of alcohol can cause a “blackout” in others but won’t affect us the same way — however this doesn’t mean that the amount of alcohol we’re drinking doesn’t still have long-term effects on our memory.
  • Overall health. Different facets of our health are interconnected. Poor overall health can mean that our cells and organs aren’t functioning optimally, which could affect the way alcohol affects our body and impairs our memory. 

As we can see, many factors affect alcohol-related memory loss. The level of impairment and specific experiences of memory loss can also vary. Let’s say we do experience memory loss from drinking. Can it be treated?

Treating Memory Loss From Drinking

Memory loss can be treated up to a certain point, which is why early intervention is so important. Some ways that memory loss from drinking can be treated include the following options:

  • Thiamine supplementation. Memory conditions such as dementia are linked to thiamine deficiency. Supplementation in conjunction with other treatments can help to reverse memory loss by boosting thiamine.
  • Treatment for alcohol use disorder (AUD). By treating the cause of alcohol-related memory loss, treatment for AUD can prevent further damage to our memory and begin to reverse damage to the brain structures that control our memory.
  • Medically-assisted treatment. In certain cases, medication may be prescribed to supplement other treatments. For example, memantine is a common prescription medication used for memory disorders such as Alzheimer’s.

We may be able to reverse long-term memory loss through these treatment options, but is there a way we can regain our memories?

How To Regain Memory After Drinking Too Much 

There’s no surefire way to regain our memories after drinking too much. However, we can implement the following tips to give ourselves the best chance:

  • Stop drinking. Stopping immediately can help prevent further impairments to our memory. It also allows our body time to process alcohol more efficiently, which helps us return to normal memory processing.
  • Stay hydrated. We won’t be able to hydrate our way out of memory loss but it helps our body metabolize and eliminate the alcohol in our body.
  • Take supplements. Supplements such as B vitamins and thiamine are essential for optimal brain function. It can’t guarantee that we’ll regain our memories, but it can aid in returning to normal brain function after the depletion of essential vitamins and nutrients from drinking. Another trending supplement is lion’s mane mushroom. Studies support the benefits of lion’s mane on the brain and memory, although further research is needed.
  • Seek treatment. If we’re concerned about our memory or our drinking habits, we can explore professional treatment options that can meet us where we are. This helps prevent further damage to our memory. 

Short-term memory loss may be regained partially if we have fragmented memory loss. However, long-term memory loss can sometimes be permanent — highlighting the importance of prevention.

Preventing Alcohol-Related Memory Loss

How To Prevent Memory Loss When Drinking

The only foolproof method to prevent memory loss from drinking is to completely eliminate the risk by quitting alcohol. However, the following mindful drinking practices can help minimize the risk of alcohol-related memory loss:

  • Set limits. Memory loss is most clearly associated with excessive drinking. Sticking to moderate consumption guidelines or setting personal limits helps minimize the damage that alcohol has on our memory.
  • Track consumption. It can be easy to forget how many drinks we have or how often we’re drinking. Tracking our consumption can help us stick to moderate drinking guidelines and help us determine if our habits are becoming unhealthy.
  • Have accountability. Sometimes setting limits for ourselves isn’t always foolproof, especially when peer pressure may be at play. Having an accountability partner can help us stay on track. 
  • Seek support. Support is an integral aspect of re-developing a healthy relationship with alcohol. Developing a support network can help us stay on the right track and prevent alcohol-related memory loss.

Prevention is key when it comes to memory loss. Certain stages of Wernicke-Korsakoff syndrome are not able to be reversed, so let’s implement these mindful drinking practices to keep our memory sharp!

Remembering the Main Point

Alcohol and memory loss are heavily interconnected — acutely and in the long term. While one night of blacking out may not seem like a big deal at the moment (although it can be extremely dangerous), excessive drinking over time can lead to permanent memory loss. The more severe stages of alcohol-related memory loss can be permanent, but practicing moderate alcohol consumption will help prevent this from happening, and quitting altogether will work wonders in maintaining our memory. Don’t forget (no pun intended) that Reframe is here to help you quit or cut back so you can keep those memories strong!

Alcohol & Physical Health Effects
2024-05-30 9:00
Alcohol and Health
Big Soda's Alcoholic Soft Drink: A Health Risk?
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Big Soda entering the alcohol industry may not seem like a big deal. Health experts say otherwise. Check out our latest blog to learn more about the risks of hard sodas.

17 min read

Think Before You Drink With Support from 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.

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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. 

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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!

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Health experts constantly warn against excess consumption of soda, due to its negative effects on our health. Big Soda has consistently worked to get around changing trends. First through its development of zero-sugar and diet sodas and now with its debut into alcoholic sodas. 

While hard sodas may be the latest buzz within the alcohol industry, health experts have started to raise a red flag due to preliminary assessments of its risks. Let’s delve into how Big Soda has so much power and the specific risks associated with its new alcoholic lines.

The Power of Big Soda

A row of cola glasses filled with refreshing cola beverages

Big Soda refers to major soft drink companies as a whole. It includes the giants such as Coca-Cola, Pepsi, Dr. Pepper, and more. The name Big Soda comes from these brands not only dominating the soft drink market but also their significant lobbying and political power. 

Since large corporations like the ones that make up Big Soda are involved with a majority of the revenue in the beverage industry, they have the financial power to control politicians — influencing public policy. Although sugary drinks continue to be a detriment to our public health, Big Soda has manipulated politicians and prevented tax on sugary drinks — which can significantly affect consumption. 

Keeping prices low is a primary way that Big Soda keeps consumption going, despite the health warnings. According to a report from the World Population Review, almost 1 out of 5 people report having a soda at least once a day in the US. Despite the strikingly high consumption of soda, overall consumption has waned over the years. To keep up, Big Soda has entered a new market — the alcohol industry. 

Recent Shifts in Big Soda to Hard Soda

Although soda consumption remains high, health warnings have played a part in decreasing overall consumption. With consumers being more mindful of their health, we’ve seen a rise in alternative and wellness drinks. 

Big Soda has attempted to keep up with health trends with new zero-sugar and sugar-free options. While that has kept Big Soda still dominating the market, warnings against artificial sweeteners may be causing these companies to take a hit. Recently, it was exposed that Big Soda paid dietitian influencers to produce content that helps convince the audience that harm from artificial sweeteners is minimal. 

In an attempt to continue to drive consumption, major companies have developed a new strategy — entering the market of alcoholic beverages. A relatively recent shift, it seems as if major companies are testing the waters by debuting alcoholic beverages in the US market. Let’s see what they’ve come out with. 

Examples of Big Soda’s Alcohol Drinks

Big Soda has partnered with major alcohol companies in the past. In previous years, we’ve seen soda companies dabble in the alcohol market. Coca-Cola and Coors had developed alcohol versions of Topo Chico and Fresco. 

While these beverages are nothing new, these initial partnerships between Big Soda and alcohol companies put a greater emphasis on the alcohol portion of the drinks — clearly promoting them as new alcoholic drinks.

However, Big Soda’s more recent shift into alcoholic beverages seems to lean more on the non-alcoholic drink aspect of the beverage (we'll explain). The three most recent releases include:

  • Jack and Coke. Coca-Cola has partnered with the whiskey company Jack Daniel’s to produce a ready-to-drink (RTD) version of the popular cocktail that mixes whiskey and Coke.
  • Hard Mountain Dew. Pepsi and alcohol giant, Boston Beer, has recently developed an alcoholic version of the popular soda, Mountain Dew. Containing 5% alcohol, Mountain Dew alcoholic drinks come in several different flavors. 
  • The Beast Unleashed. Monster, the energy drink company, has developed The Beast Unleashed, introducing alcohol to their highly-popular energy drinks. 

We can see through these newer hard sodas that they stay synonymous with the non-alcoholic version in their names and appearance. This differs from previous partnerships such as Topo Chico, which is clearly marketed as a distinct product as a seltzer rather than sparkling water. Big Soda’s newer strategy aims to blur the lines between non-alcoholic and alcoholic beverages and targets the consumer’s familiarity with household names such as Coca-Cola and Mountain Dew. Let’s see why this may be alarming. 

Specific Concerns With Big Soda’s Alcohol Drinks

Experts have raised concerns specifically regarding Big Soda’s alcoholic drinks for good reason. With The COVID-19 pandemic boosting the popularity of ready-to-drink (RTD) beverages, a new rise in hard sodas may increase alcohol consumption even more. 

Traditionally, the three main categories of alcohol include beers, wines, and spirits. The RTD category complicates the distinction between alcoholic beverages and non-alcoholic drinks, as it has characteristics that appeal to consumers in both groups. 

Hard sodas produced by major soft drink companies fall into the RTD category and are arguably even more dangerous than ones produced solely by alcohol brands. This is due to the added familiarity of the brand names of major soft drink companies. Research shows that humans are more likely to choose something they are more familiar with. This added familiarity not only helps drive sales for these major corporations but can also negatively influence younger drinkers.

Young adults of drinking age may be drawn towards these drinks with familiar names and packaging. While hard sodas have a lower alcohol by volume (ABV) than some other beers, wines, and spirits, regular consumption can certainly serve as a gateway for young drinkers to begin consuming other alcoholic beverages. What does this mean for our public health?

Public Health Impacts of Hard Soda

Alcohol has detrimental impacts on our public health. Even more so, as alcohol consumption has increased dramatically within recent years. The pandemic created a need for convenience and RTD beverages are speculated to play a factor in our declining public health. As hard soda falls under the RTD category, some negative public health impacts of excess consumption include the following:

  • Increased alcohol consumption. While lower-ABV beverages are commonly marketed as a better alternative to higher-alcohol drinks, hard sodas or other RTD beverages can increase the normalization of drinking. Lower-alcohol beverages can also serve as a gateway to other alcoholic drinks — increasing overall alcohol consumption.
  • Rise in alcohol-related harms. Increased consumption also means an increase in alcohol-related harms. This can include acute effects such as intoxication and alcohol-related accidents. It can also include long-term effects such as alcohol-related health conditions and impacted mental health. 
  • The toll on the economy. Alcohol-related harms also take a significant toll on our economy. According to the CDC, excessive drinking cost the US $249 billion in 2010 due to decreased workplace productivity, healthcare expenses, and motor vehicle crashes.
  • Youth exposure. Hard sodas or other flavored alcoholic beverages known as alcopops can attract young drinkers whether it’s intended to or not. The added flavor and low alcohol content can appeal to younger drinks who may not be accustomed to the taste of alcohol. Increased alcohol consumption in young adults can have an impact on their risk of developing long-term health conditions and dependence.

Excessive consumption of alcohol, not just with hard sodas, is harmful to our public health. To get a better idea of why hard sodas are getting a bad rap, let’s see how they compare to other alcoholic beverages.

Hard Sodas Vs. Other Alcohol Drinks

Hard sodas are most comparable to other flavored malt beverages such as hard lemonades and seltzers. They are similar in taste to their non-alcoholic counterparts with a slight taste of alcohol that typically makes them more palatable. Studies have found that sweeter tastes are more popular among younger drinkers and females.

In addition to the taste, the ABV of hard sodas is also in line with other flavored malt beverages typically ranging from 5-8%. This is similar to lower-alcohol beers. However, some craft beers can go up to 15% ABV. Hard sodas are also lower in ABV than most wines and spirits which range from 5-20% and 35% and above respectively.

On the lower end of alcohol content, hard sodas are often marketed as a better alternative. However, excess consumption of alcohol (no matter the type) can be a serious problem.

Risks of Excessive Consumption of Hard Sodas

Excess consumption of alcohol is associated with many risks on its own. On top of that, hard sodas have specific hazards that add to their potential consequences. Some risks that excessive consumption of hard sodas causes include the following:

1. Alcohol-Related Health Impacts. Excessive consumption of alcohol has lasting impacts on our health. Alcohol is a toxin that damages our cell and organ function — increasing the risk of developing different diseases and cancers. Some health conditions associated with excessive drinking include the following:

  • Liver damage
  • Diabetes
  • Hypertension
  • Cardiovascular disease
  • Risk of developing cancer
  • Mental health impacts 

2. Soda-Related Health Issues. Sugary drinks like soda are also associated with a number of health concerns. Excess consumption of sugar can affect our blood sugar and insulin response — leading to conditions such as diabetes, obesity, and cardiovascular diseases. 

3. Target Population. While ads for hard sodas don’t explicitly promote underage drinking, RTD beverages such as hard sodas are notably appealing to younger drinkers. Research shows that drinking at a young age can not only affect development but also increase the risk of developing alcohol use disorder.

4. Alcohol-Related Mortalities. Excessive drinking causes about 178,000 deaths in the US per year, as reported by the Centers for Disease Control and Prevention (CDC).

The lower alcohol content of hard sodas may cause the misconception that it is associated with fewer consequences. However, the nature of alcoholic sodas creates specific risks that make them just as dangerous (if not more) than other alcoholic beverages.

Taking a Stand Against Big Soda’s Alcoholic Beverages

Standing Up To Big Soda’s Alcoholic Beverages

Big Soda has a lot of power and we can take some of that away by choosing not to consume. Some ways we can stand up to Big Soda’s shift to alcohol include the following methods:

  • Quit/cut back on alcohol. Avoiding Big Soda’s alcohol drinks and alcohol in general lowers sales and shows companies that there is less demand for these drinks. This can indirectly lead companies to produce less of these harmful products and shift their focus elsewhere.
  • Find alternatives. In addition to exploring zero-alcohol drinks, alcohol-free activities can serve as healthy distractions. Who knows? Maybe we’ll find a new hobby or a secret talent.
  • Support local businesses. Big Soda only has power if we give it to them by paying for their products. It’s true that sometimes local products can be more expensive, but by supporting small businesses, we give major corporations less power and dominance over the market.
  • Spread the wealth of knowledge. While we don’t need to give a TED Talk on the harms of hard sodas at every social gathering, helping spread awareness about the potential risks can help others consume more intentionally as well. 
  • Reach out for support. If we’re concerned about our consumption habits, we can explore different support options to help us make more mindful decisions. Different types of support such as social support through family and friends or treatment options such as alcohol-reduction apps and traditional treatment programs can be explored to suit our individual needs.

Large soft drinks companies stepping into the alcohol industry have severe consequences that we may not see at first glance. However, uncovering the slippery slope that Big Soda’s alcohol drinks helps us not fall trap. 

Breaking It Down

There’s a reason that brands continue to come out with new products and flavors. Take the cookie company Crumbl Cookies for example. The rotating menu of weekly flavors keeps everyone talking about it — helping keep their sales high. We see the same with Big Soda which has debuted new alcoholic versions of popular soft drinks. While this may seem like another trend, the detrimental effects of the growing popularity of RTD drinks have health experts worried. The familiarity of major soft drink brands may further drive alcohol consumption, especially among younger drinkers.

Big Soda can seem impossible to take down, but choosing to avoid their drinks can go a long way in reducing some of their hold. Stand up to Big Soda by preventing them from meeting their sales quota!

Health experts constantly warn against excess consumption of soda, due to its negative effects on our health. Big Soda has consistently worked to get around changing trends. First through its development of zero-sugar and diet sodas and now with its debut into alcoholic sodas. 

While hard sodas may be the latest buzz within the alcohol industry, health experts have started to raise a red flag due to preliminary assessments of its risks. Let’s delve into how Big Soda has so much power and the specific risks associated with its new alcoholic lines.

The Power of Big Soda

A row of cola glasses filled with refreshing cola beverages

Big Soda refers to major soft drink companies as a whole. It includes the giants such as Coca-Cola, Pepsi, Dr. Pepper, and more. The name Big Soda comes from these brands not only dominating the soft drink market but also their significant lobbying and political power. 

Since large corporations like the ones that make up Big Soda are involved with a majority of the revenue in the beverage industry, they have the financial power to control politicians — influencing public policy. Although sugary drinks continue to be a detriment to our public health, Big Soda has manipulated politicians and prevented tax on sugary drinks — which can significantly affect consumption. 

Keeping prices low is a primary way that Big Soda keeps consumption going, despite the health warnings. According to a report from the World Population Review, almost 1 out of 5 people report having a soda at least once a day in the US. Despite the strikingly high consumption of soda, overall consumption has waned over the years. To keep up, Big Soda has entered a new market — the alcohol industry. 

Recent Shifts in Big Soda to Hard Soda

Although soda consumption remains high, health warnings have played a part in decreasing overall consumption. With consumers being more mindful of their health, we’ve seen a rise in alternative and wellness drinks. 

Big Soda has attempted to keep up with health trends with new zero-sugar and sugar-free options. While that has kept Big Soda still dominating the market, warnings against artificial sweeteners may be causing these companies to take a hit. Recently, it was exposed that Big Soda paid dietitian influencers to produce content that helps convince the audience that harm from artificial sweeteners is minimal. 

In an attempt to continue to drive consumption, major companies have developed a new strategy — entering the market of alcoholic beverages. A relatively recent shift, it seems as if major companies are testing the waters by debuting alcoholic beverages in the US market. Let’s see what they’ve come out with. 

Examples of Big Soda’s Alcohol Drinks

Big Soda has partnered with major alcohol companies in the past. In previous years, we’ve seen soda companies dabble in the alcohol market. Coca-Cola and Coors had developed alcohol versions of Topo Chico and Fresco. 

While these beverages are nothing new, these initial partnerships between Big Soda and alcohol companies put a greater emphasis on the alcohol portion of the drinks — clearly promoting them as new alcoholic drinks.

However, Big Soda’s more recent shift into alcoholic beverages seems to lean more on the non-alcoholic drink aspect of the beverage (we'll explain). The three most recent releases include:

  • Jack and Coke. Coca-Cola has partnered with the whiskey company Jack Daniel’s to produce a ready-to-drink (RTD) version of the popular cocktail that mixes whiskey and Coke.
  • Hard Mountain Dew. Pepsi and alcohol giant, Boston Beer, has recently developed an alcoholic version of the popular soda, Mountain Dew. Containing 5% alcohol, Mountain Dew alcoholic drinks come in several different flavors. 
  • The Beast Unleashed. Monster, the energy drink company, has developed The Beast Unleashed, introducing alcohol to their highly-popular energy drinks. 

We can see through these newer hard sodas that they stay synonymous with the non-alcoholic version in their names and appearance. This differs from previous partnerships such as Topo Chico, which is clearly marketed as a distinct product as a seltzer rather than sparkling water. Big Soda’s newer strategy aims to blur the lines between non-alcoholic and alcoholic beverages and targets the consumer’s familiarity with household names such as Coca-Cola and Mountain Dew. Let’s see why this may be alarming. 

Specific Concerns With Big Soda’s Alcohol Drinks

Experts have raised concerns specifically regarding Big Soda’s alcoholic drinks for good reason. With The COVID-19 pandemic boosting the popularity of ready-to-drink (RTD) beverages, a new rise in hard sodas may increase alcohol consumption even more. 

Traditionally, the three main categories of alcohol include beers, wines, and spirits. The RTD category complicates the distinction between alcoholic beverages and non-alcoholic drinks, as it has characteristics that appeal to consumers in both groups. 

Hard sodas produced by major soft drink companies fall into the RTD category and are arguably even more dangerous than ones produced solely by alcohol brands. This is due to the added familiarity of the brand names of major soft drink companies. Research shows that humans are more likely to choose something they are more familiar with. This added familiarity not only helps drive sales for these major corporations but can also negatively influence younger drinkers.

Young adults of drinking age may be drawn towards these drinks with familiar names and packaging. While hard sodas have a lower alcohol by volume (ABV) than some other beers, wines, and spirits, regular consumption can certainly serve as a gateway for young drinkers to begin consuming other alcoholic beverages. What does this mean for our public health?

Public Health Impacts of Hard Soda

Alcohol has detrimental impacts on our public health. Even more so, as alcohol consumption has increased dramatically within recent years. The pandemic created a need for convenience and RTD beverages are speculated to play a factor in our declining public health. As hard soda falls under the RTD category, some negative public health impacts of excess consumption include the following:

  • Increased alcohol consumption. While lower-ABV beverages are commonly marketed as a better alternative to higher-alcohol drinks, hard sodas or other RTD beverages can increase the normalization of drinking. Lower-alcohol beverages can also serve as a gateway to other alcoholic drinks — increasing overall alcohol consumption.
  • Rise in alcohol-related harms. Increased consumption also means an increase in alcohol-related harms. This can include acute effects such as intoxication and alcohol-related accidents. It can also include long-term effects such as alcohol-related health conditions and impacted mental health. 
  • The toll on the economy. Alcohol-related harms also take a significant toll on our economy. According to the CDC, excessive drinking cost the US $249 billion in 2010 due to decreased workplace productivity, healthcare expenses, and motor vehicle crashes.
  • Youth exposure. Hard sodas or other flavored alcoholic beverages known as alcopops can attract young drinkers whether it’s intended to or not. The added flavor and low alcohol content can appeal to younger drinks who may not be accustomed to the taste of alcohol. Increased alcohol consumption in young adults can have an impact on their risk of developing long-term health conditions and dependence.

Excessive consumption of alcohol, not just with hard sodas, is harmful to our public health. To get a better idea of why hard sodas are getting a bad rap, let’s see how they compare to other alcoholic beverages.

Hard Sodas Vs. Other Alcohol Drinks

Hard sodas are most comparable to other flavored malt beverages such as hard lemonades and seltzers. They are similar in taste to their non-alcoholic counterparts with a slight taste of alcohol that typically makes them more palatable. Studies have found that sweeter tastes are more popular among younger drinkers and females.

In addition to the taste, the ABV of hard sodas is also in line with other flavored malt beverages typically ranging from 5-8%. This is similar to lower-alcohol beers. However, some craft beers can go up to 15% ABV. Hard sodas are also lower in ABV than most wines and spirits which range from 5-20% and 35% and above respectively.

On the lower end of alcohol content, hard sodas are often marketed as a better alternative. However, excess consumption of alcohol (no matter the type) can be a serious problem.

Risks of Excessive Consumption of Hard Sodas

Excess consumption of alcohol is associated with many risks on its own. On top of that, hard sodas have specific hazards that add to their potential consequences. Some risks that excessive consumption of hard sodas causes include the following:

1. Alcohol-Related Health Impacts. Excessive consumption of alcohol has lasting impacts on our health. Alcohol is a toxin that damages our cell and organ function — increasing the risk of developing different diseases and cancers. Some health conditions associated with excessive drinking include the following:

  • Liver damage
  • Diabetes
  • Hypertension
  • Cardiovascular disease
  • Risk of developing cancer
  • Mental health impacts 

2. Soda-Related Health Issues. Sugary drinks like soda are also associated with a number of health concerns. Excess consumption of sugar can affect our blood sugar and insulin response — leading to conditions such as diabetes, obesity, and cardiovascular diseases. 

3. Target Population. While ads for hard sodas don’t explicitly promote underage drinking, RTD beverages such as hard sodas are notably appealing to younger drinkers. Research shows that drinking at a young age can not only affect development but also increase the risk of developing alcohol use disorder.

4. Alcohol-Related Mortalities. Excessive drinking causes about 178,000 deaths in the US per year, as reported by the Centers for Disease Control and Prevention (CDC).

The lower alcohol content of hard sodas may cause the misconception that it is associated with fewer consequences. However, the nature of alcoholic sodas creates specific risks that make them just as dangerous (if not more) than other alcoholic beverages.

Taking a Stand Against Big Soda’s Alcoholic Beverages

Standing Up To Big Soda’s Alcoholic Beverages

Big Soda has a lot of power and we can take some of that away by choosing not to consume. Some ways we can stand up to Big Soda’s shift to alcohol include the following methods:

  • Quit/cut back on alcohol. Avoiding Big Soda’s alcohol drinks and alcohol in general lowers sales and shows companies that there is less demand for these drinks. This can indirectly lead companies to produce less of these harmful products and shift their focus elsewhere.
  • Find alternatives. In addition to exploring zero-alcohol drinks, alcohol-free activities can serve as healthy distractions. Who knows? Maybe we’ll find a new hobby or a secret talent.
  • Support local businesses. Big Soda only has power if we give it to them by paying for their products. It’s true that sometimes local products can be more expensive, but by supporting small businesses, we give major corporations less power and dominance over the market.
  • Spread the wealth of knowledge. While we don’t need to give a TED Talk on the harms of hard sodas at every social gathering, helping spread awareness about the potential risks can help others consume more intentionally as well. 
  • Reach out for support. If we’re concerned about our consumption habits, we can explore different support options to help us make more mindful decisions. Different types of support such as social support through family and friends or treatment options such as alcohol-reduction apps and traditional treatment programs can be explored to suit our individual needs.

Large soft drinks companies stepping into the alcohol industry have severe consequences that we may not see at first glance. However, uncovering the slippery slope that Big Soda’s alcohol drinks helps us not fall trap. 

Breaking It Down

There’s a reason that brands continue to come out with new products and flavors. Take the cookie company Crumbl Cookies for example. The rotating menu of weekly flavors keeps everyone talking about it — helping keep their sales high. We see the same with Big Soda which has debuted new alcoholic versions of popular soft drinks. While this may seem like another trend, the detrimental effects of the growing popularity of RTD drinks have health experts worried. The familiarity of major soft drink brands may further drive alcohol consumption, especially among younger drinkers.

Big Soda can seem impossible to take down, but choosing to avoid their drinks can go a long way in reducing some of their hold. Stand up to Big Soda by preventing them from meeting their sales quota!

Alcohol & Physical Health Effects
2024-05-29 9:00
Alcohol and Health
Is Beer a Vasodilator or Vasoconstrictor? The Truth
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Alcohol is a vasodilator, meaning it causes blood vessels to widen, leading to a decrease in blood pressure. Excessive alcohol use in the long term increases the risk of cardiomyopathy and chronic hypertension.

17 min read

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Read Full Article  →

If you’ve ever experienced your heart racing and your face getting hot after drinking alcohol, you’re not alone. The vascular system is incredibly complex, and alcohol has complex interactions with it. So take a deep breath and keep that blood pressure down, and we’ll learn how alcohol affects our vascular system — and what we can do to stay safe and keep our heart and veins healthy for years to come.

Overview of the Vascular System

Hands in blue gloves holding a bottle of beer and a human heart

If you’ve forgotten what you learned in middle school biology about the vascular system, don’t worry, we’ll go through the basics. The vascular system, also known as the cardiovascular system, is part of the circulatory system and is made up primarily of the heart and blood vessels. It is responsible for bringing oxygenated blood to all parts of our body.

The job of transporting blood sounds pretty important, right? Well, it is! That’s why it’s important to keep it healthy.

We may have heard of those “heart-healthy” diets and tips to stay away from high cholesterol or processed foods, but what about alcohol? Does alcohol affect the vascular system? And more specifically, does alcohol cause vasodilation?

How Does Alcohol Affect the Cardiovascular System?

Alcohol has complex interactions with the cardiovascular system, which at times may seem to contradict each other. Let’s dive deeper into both the short- and long-term effects of alcohol on the vascular system and learn just how complex it is.

Immediate Effects of Alcohol on the Vascular System

Let’s start off with what happens to our body while drinking or a few hours after drinking. Alcohol is a known vasodilator, which means it causes vasodilation, or the widening of the blood vessels. This is what gives us that warm feeling when we begin sipping alcohol — it’s our blood vessels widening. This also leads to lower blood pressure since the heart doesn’t have to pump so hard. 

This effect is only temporary, though, and our blood pressure rises over time with chronic alcohol use. So you may be wondering, “Is alcohol a vasodilator or a vasoconstrictor?” Well, the answer is, it’s both. To understand that, we need to look at another player: nitric oxide.

The Role of Nitric Oxide

Nitric oxide is found in the lining of the blood vessels and is the actual chemical responsible for vasodilation when it gets released. Low amounts of alcohol release nitric oxide, resulting in vasodilation. High amounts, however, damage the lining of the blood vessels and decrease the amount of nitric oxide available to be absorbed. This causes “vasoconstriction,” or a narrowing of the blood vessels, which results in increased blood pressure. When we binge drink, our blood pressure increases because we’ve consumed a very large amount of alcohol in a short time, so the vasoconstriction process is fast-forwarded a little (For more information about how alcohol affects the blood, check out our blog “What Does Alcohol Do to Your Blood?”).

Long-Term Effects of Alcohol on the Vascular System

Nitric oxide is affected by long-term alcohol use, too. Similar to high doses of alcohol, chronic exposure to alcohol damages the lining of the blood vessels (a condition known as “endothelial dysfunction,” or damage to the endothelial cells that line the blood vessels), reduces the availability of nitric oxide, and impairs its production, making it harder for the blood vessels to widen, creating adverse effects. 

  • Increased blood pressure over time. Long-term vasoconstriction can lead to high blood pressure in chronic drinkers (or hypertension). High blood pressure can lead to a whole lot of problems, including stroke, heart attack, kidney problems, and aneurysms.
  • Chronic chest pain. This occurs as a symptom of endothelial dysfunction; it happens when the arteries are closing more than they should be.

These may sound uncomfortable, but there are more serious effects that could occur from alcohol use.

  • Risk of blood clots. The constriction of the blood vessels from the decrease of nitric oxide in the blood is bad enough when talking about blood clots. But alcohol also impairs certain proteins that prevent blood clotting, giving us a recipe for a blood clot.
  • Impairment of blood cell development. Chronic excessive drinkers can develop deficiencies in certain vitamins that produce red blood cells. This condition can result in fewer healthy red blood cells in the body and cause anemia. The good news is, this is reversible if we quit drinking alcohol.
  • Increased risk of heart disease and heart attack. While alcohol wouldn’t be the direct cause of a heart attack, it raises our risk of one. Among deaths from excessive alcohol use in the United States from 2016 to 2021, death rates from heart disease were ranked the most prevalent, particularly in females. The reasons are the hormonal and physical differences between males and females that make women more susceptible to heart disease and heart attacks.
  • Risk of developing atherosclerosis. When we don’t have enough nitric oxide in our blood, our arteries can become inflamed and plaque build up. As a result, our arteries become thicker, and less blood can move through them.

With all these nasty side effects of long-term alcohol use, you can understand why chronic binge drinking in particular is bad news for our blood vessels.

Following Your Heart

We’ve talked about the vascular system, but what about the heart? Since the heart is the head honcho of the vascular system, let’s take a closer look at how alcohol affects it.

Immediate Effects of Alcohol on the Heart

We can feel some effects within a few hours of drinking.

  • Hormonal imbalance. Alcohol affects all of our hormones, but immediate alcohol use also increases the production of cortisol, which is our stress hormone. This not only throws our hormones off balance but also increases our heart rate. 
  • Rapid and irregular heartbeat. The release of cortisol is responsible for the rapid heartbeats we may feel after drinking. Alcohol use eventually causes the heart to beat irregularly as well, which puts uuneven stress on the heart.
  • Heartburn. If you’ve ever had heartburn, you know it’s no joke. Alcohol relaxes the lower esophageal sphincter (which connects the throat to the stomach), and it can cause acid to leak into the esophagus, resulting in that dreaded ring of fire in the chest.

Long-Term Effects of Alcohol on the Heart

While the immediate effects of alcohol on the heart may seem fixable, and they are, long-term alcohol use affects the heart and results in more complications:

  • Change in cardiac structure. Not only does alcohol affect the functioning of the heart, it can affect the structure. One study looked at the relationship between alcohol and the structure of the heart and found that, in older people, a history of drinking resulted in differences in cardiac structure and function compared to non-drinkers, again with women being more susceptible to these negative effects.
  • Cardiomyopathy. Cardiomyopathy is when the heart muscle becomes weaker or functions irregularly. Among the causes of cardiomyopathy, alcoholic cardiomyopathy is one of the main ones.
  • Peripheral artery disease (PAD) and peripheral vascular disease (PVD). Peripheral artery disease is the narrowing of the arteries in the extremities, particularly the legs. Excessive alcohol consumption increases the risk of developing it, which in turn can increase the risk of stroke or other complications. This is not to be confused with peripheral vascular disease, which is the narrowing of any old blood vessel outside the heart or the brain. Since chronic alcohol use causes a drop in nitric oxide leading to vasoconstriction, we are more susceptible to both these conditions.

The Indirect Association

It’s worth mentioning that it’s not just alcohol alone that leads to vascular problems. Heavy drinking or even occasional binge drinking indirectly affects our life in all ways. (When was the last time you skipped your workout the day after a night of drinking?) Add to the alcohol our decreased energy, lack of sleep, and overindulgence in salty hangover foods post-drinking, and we’ve managed to combine a bunch of bad things that together have a compounding negative effect on our heart and vascular system.

Heart-Healthy Tips

Don’t get your heart broken over these effects. The good news is, there are many things you can do to keep your heart healthy and rebuild cardiovascular strength if you’re affected by alcohol-induced vascular damage.

  • Quit or cut back on alcohol. Reducing our alcohol intake can work wonders for the health and longevity of our heart by helping its rhythm stay consistent and keeping those good old endothelial cells in shape.
  • Maintain a healthy diet. Garbage in, garbage out. Nourishing our heart with vitamin-rich foods such as vegetables helps reduce the risk of plaque buildup in the arteries, making our heart’s job easier. Healthy fats such as legumes and foods rich in omega-3 fatty acids are also beneficial for our heart.
  • Get active. Not only does being sedentary mean we’re not working our heart, but a chronic sedentary lifestyle increases our risk of blood clots.
  • Quit smoking. Smoking is terrible for our heart health. Not only that, many people tend to drink and smoke at the same time. A study found that 67% of smokers have reported smoking while drinking, so avoiding alcohol may eliminate smoking automatically.
  • Decrease stress. Stress also raises blood pressure and contributes to negative health problems besides just heart problems. Instead of having a drink at the end of a long, tough day at work, try meditating for stress relief. (To learn some meditation techniques, check out our post “The Best Meditations for Stress Relief.”)
  • Have a heart-to-heart with your doctor. It’s important to get your heart checked out by a doctor if you have heart problems (or any other health problems for that matter), and listen to their advice and adhere to restrictions they set for you.

Getting to the Heart of It

The vascular system has a pretty big job with all that blood to pump and all those organs to oxygenate, and keeping it healthy is hard enough. With all the demands and responsibilities of life and work, we may not realize how much stress we put on our body on a daily basis or how hard the vascular system is working to keep things going. Keeping our vascular system healthy will help make sure we’re around for a long time, and quitting or cutting back on alcohol is a great start to a healthier lifestyle. So listen to your heart, literally, and give it the love it deserves so it can keep pumping you through life!

If you’ve ever experienced your heart racing and your face getting hot after drinking alcohol, you’re not alone. The vascular system is incredibly complex, and alcohol has complex interactions with it. So take a deep breath and keep that blood pressure down, and we’ll learn how alcohol affects our vascular system — and what we can do to stay safe and keep our heart and veins healthy for years to come.

Overview of the Vascular System

Hands in blue gloves holding a bottle of beer and a human heart

If you’ve forgotten what you learned in middle school biology about the vascular system, don’t worry, we’ll go through the basics. The vascular system, also known as the cardiovascular system, is part of the circulatory system and is made up primarily of the heart and blood vessels. It is responsible for bringing oxygenated blood to all parts of our body.

The job of transporting blood sounds pretty important, right? Well, it is! That’s why it’s important to keep it healthy.

We may have heard of those “heart-healthy” diets and tips to stay away from high cholesterol or processed foods, but what about alcohol? Does alcohol affect the vascular system? And more specifically, does alcohol cause vasodilation?

How Does Alcohol Affect the Cardiovascular System?

Alcohol has complex interactions with the cardiovascular system, which at times may seem to contradict each other. Let’s dive deeper into both the short- and long-term effects of alcohol on the vascular system and learn just how complex it is.

Immediate Effects of Alcohol on the Vascular System

Let’s start off with what happens to our body while drinking or a few hours after drinking. Alcohol is a known vasodilator, which means it causes vasodilation, or the widening of the blood vessels. This is what gives us that warm feeling when we begin sipping alcohol — it’s our blood vessels widening. This also leads to lower blood pressure since the heart doesn’t have to pump so hard. 

This effect is only temporary, though, and our blood pressure rises over time with chronic alcohol use. So you may be wondering, “Is alcohol a vasodilator or a vasoconstrictor?” Well, the answer is, it’s both. To understand that, we need to look at another player: nitric oxide.

The Role of Nitric Oxide

Nitric oxide is found in the lining of the blood vessels and is the actual chemical responsible for vasodilation when it gets released. Low amounts of alcohol release nitric oxide, resulting in vasodilation. High amounts, however, damage the lining of the blood vessels and decrease the amount of nitric oxide available to be absorbed. This causes “vasoconstriction,” or a narrowing of the blood vessels, which results in increased blood pressure. When we binge drink, our blood pressure increases because we’ve consumed a very large amount of alcohol in a short time, so the vasoconstriction process is fast-forwarded a little (For more information about how alcohol affects the blood, check out our blog “What Does Alcohol Do to Your Blood?”).

Long-Term Effects of Alcohol on the Vascular System

Nitric oxide is affected by long-term alcohol use, too. Similar to high doses of alcohol, chronic exposure to alcohol damages the lining of the blood vessels (a condition known as “endothelial dysfunction,” or damage to the endothelial cells that line the blood vessels), reduces the availability of nitric oxide, and impairs its production, making it harder for the blood vessels to widen, creating adverse effects. 

  • Increased blood pressure over time. Long-term vasoconstriction can lead to high blood pressure in chronic drinkers (or hypertension). High blood pressure can lead to a whole lot of problems, including stroke, heart attack, kidney problems, and aneurysms.
  • Chronic chest pain. This occurs as a symptom of endothelial dysfunction; it happens when the arteries are closing more than they should be.

These may sound uncomfortable, but there are more serious effects that could occur from alcohol use.

  • Risk of blood clots. The constriction of the blood vessels from the decrease of nitric oxide in the blood is bad enough when talking about blood clots. But alcohol also impairs certain proteins that prevent blood clotting, giving us a recipe for a blood clot.
  • Impairment of blood cell development. Chronic excessive drinkers can develop deficiencies in certain vitamins that produce red blood cells. This condition can result in fewer healthy red blood cells in the body and cause anemia. The good news is, this is reversible if we quit drinking alcohol.
  • Increased risk of heart disease and heart attack. While alcohol wouldn’t be the direct cause of a heart attack, it raises our risk of one. Among deaths from excessive alcohol use in the United States from 2016 to 2021, death rates from heart disease were ranked the most prevalent, particularly in females. The reasons are the hormonal and physical differences between males and females that make women more susceptible to heart disease and heart attacks.
  • Risk of developing atherosclerosis. When we don’t have enough nitric oxide in our blood, our arteries can become inflamed and plaque build up. As a result, our arteries become thicker, and less blood can move through them.

With all these nasty side effects of long-term alcohol use, you can understand why chronic binge drinking in particular is bad news for our blood vessels.

Following Your Heart

We’ve talked about the vascular system, but what about the heart? Since the heart is the head honcho of the vascular system, let’s take a closer look at how alcohol affects it.

Immediate Effects of Alcohol on the Heart

We can feel some effects within a few hours of drinking.

  • Hormonal imbalance. Alcohol affects all of our hormones, but immediate alcohol use also increases the production of cortisol, which is our stress hormone. This not only throws our hormones off balance but also increases our heart rate. 
  • Rapid and irregular heartbeat. The release of cortisol is responsible for the rapid heartbeats we may feel after drinking. Alcohol use eventually causes the heart to beat irregularly as well, which puts uuneven stress on the heart.
  • Heartburn. If you’ve ever had heartburn, you know it’s no joke. Alcohol relaxes the lower esophageal sphincter (which connects the throat to the stomach), and it can cause acid to leak into the esophagus, resulting in that dreaded ring of fire in the chest.

Long-Term Effects of Alcohol on the Heart

While the immediate effects of alcohol on the heart may seem fixable, and they are, long-term alcohol use affects the heart and results in more complications:

  • Change in cardiac structure. Not only does alcohol affect the functioning of the heart, it can affect the structure. One study looked at the relationship between alcohol and the structure of the heart and found that, in older people, a history of drinking resulted in differences in cardiac structure and function compared to non-drinkers, again with women being more susceptible to these negative effects.
  • Cardiomyopathy. Cardiomyopathy is when the heart muscle becomes weaker or functions irregularly. Among the causes of cardiomyopathy, alcoholic cardiomyopathy is one of the main ones.
  • Peripheral artery disease (PAD) and peripheral vascular disease (PVD). Peripheral artery disease is the narrowing of the arteries in the extremities, particularly the legs. Excessive alcohol consumption increases the risk of developing it, which in turn can increase the risk of stroke or other complications. This is not to be confused with peripheral vascular disease, which is the narrowing of any old blood vessel outside the heart or the brain. Since chronic alcohol use causes a drop in nitric oxide leading to vasoconstriction, we are more susceptible to both these conditions.

The Indirect Association

It’s worth mentioning that it’s not just alcohol alone that leads to vascular problems. Heavy drinking or even occasional binge drinking indirectly affects our life in all ways. (When was the last time you skipped your workout the day after a night of drinking?) Add to the alcohol our decreased energy, lack of sleep, and overindulgence in salty hangover foods post-drinking, and we’ve managed to combine a bunch of bad things that together have a compounding negative effect on our heart and vascular system.

Heart-Healthy Tips

Don’t get your heart broken over these effects. The good news is, there are many things you can do to keep your heart healthy and rebuild cardiovascular strength if you’re affected by alcohol-induced vascular damage.

  • Quit or cut back on alcohol. Reducing our alcohol intake can work wonders for the health and longevity of our heart by helping its rhythm stay consistent and keeping those good old endothelial cells in shape.
  • Maintain a healthy diet. Garbage in, garbage out. Nourishing our heart with vitamin-rich foods such as vegetables helps reduce the risk of plaque buildup in the arteries, making our heart’s job easier. Healthy fats such as legumes and foods rich in omega-3 fatty acids are also beneficial for our heart.
  • Get active. Not only does being sedentary mean we’re not working our heart, but a chronic sedentary lifestyle increases our risk of blood clots.
  • Quit smoking. Smoking is terrible for our heart health. Not only that, many people tend to drink and smoke at the same time. A study found that 67% of smokers have reported smoking while drinking, so avoiding alcohol may eliminate smoking automatically.
  • Decrease stress. Stress also raises blood pressure and contributes to negative health problems besides just heart problems. Instead of having a drink at the end of a long, tough day at work, try meditating for stress relief. (To learn some meditation techniques, check out our post “The Best Meditations for Stress Relief.”)
  • Have a heart-to-heart with your doctor. It’s important to get your heart checked out by a doctor if you have heart problems (or any other health problems for that matter), and listen to their advice and adhere to restrictions they set for you.

Getting to the Heart of It

The vascular system has a pretty big job with all that blood to pump and all those organs to oxygenate, and keeping it healthy is hard enough. With all the demands and responsibilities of life and work, we may not realize how much stress we put on our body on a daily basis or how hard the vascular system is working to keep things going. Keeping our vascular system healthy will help make sure we’re around for a long time, and quitting or cutting back on alcohol is a great start to a healthier lifestyle. So listen to your heart, literally, and give it the love it deserves so it can keep pumping you through life!

Alcohol & Physical Health Effects