Alcohol & Physical Health Effects

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

22 min read

Drink Less and Thrive With Reframe

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

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

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

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

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

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

Read Full Article  →

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

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

What Is Non-Alcoholic Wine?

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

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

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

Non-alcoholic wine is known by several names:

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

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

Does Non-Alcoholic Wine Have Alcohol?

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

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

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

Comparing Non-Alcoholic Wine and Alcoholic Wine

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

Similarities

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

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

Differences 

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

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

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

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

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

Benefits of Choosing Non-Alcoholic Wine

Is Non-Alcoholic Wine Good for You?

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

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

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

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

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

Non-Alcoholic Wine vs. Non-Alcoholic Beer

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

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

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

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

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

Disadvantages of Non-Alcoholic Wine

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

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

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

Who Shouldn’t Drink Non-Alcoholic Wine?

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

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

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

Preventing Excess Consumption

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

implement to help us avoid excess consumption:

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

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

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

Avoiding “Pour” Decisions

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

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

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

What Is Non-Alcoholic Wine?

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

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

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

Non-alcoholic wine is known by several names:

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

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

Does Non-Alcoholic Wine Have Alcohol?

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

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

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

Comparing Non-Alcoholic Wine and Alcoholic Wine

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

Similarities

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

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

Differences 

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

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

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

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

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

Benefits of Choosing Non-Alcoholic Wine

Is Non-Alcoholic Wine Good for You?

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

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

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

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

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

Non-Alcoholic Wine vs. Non-Alcoholic Beer

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

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

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

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

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

Disadvantages of Non-Alcoholic Wine

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

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

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

Who Shouldn’t Drink Non-Alcoholic Wine?

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

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

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

Preventing Excess Consumption

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

implement to help us avoid excess consumption:

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

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

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

Avoiding “Pour” Decisions

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

Alcohol & Physical Health Effects
2024-05-06 9:00
Alcohol and Health
What Is a Group of Alcohol Related Birth Defects?
This is some text inside of a div block.

Learn about a group of alcohol related birth defects, their symptoms, and how to prevent them for a healthy pregnancy and the best start for your baby.

29

Ready To Prepare for Pregnancy and Change Your Relationship With Alcohol? Reframe Can Help!

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

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

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

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

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

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The journey from a single cell to a baby is truly a miracle. In just nine months, a complex blueprint for life unfolds. But this delicate process is vulnerable. Exposure to alcohol can have permanent consequences, leading to a group of alcohol related birth defects that affect a child for life. Understanding the full alcohol effects on pregnancy is crucial, because these conditions are completely preventable. We'll cover what you need to know to protect your baby and ensure the healthiest possible start.

Another key fact those videos drilled into us from an early age is that pregnancy is a no-drinking zone. No matter what your next-door neighbor or great aunt said was true “back in the day,” there’s no wiggle room here. Alcohol-related birth defects are a sad reality of drinking during pregnancy. Let’s find out more about how they develop and how to prevent them!

Why Is Drinking During Pregnancy So Risky?

A pregnant woman holding a green bottle in one hand and an empty glass in the other

According to the CDC, drinking during pregnancy isn’t safe. This simple statement is crucially important to understand. Alcohol can affect the fetus at any stage, including the time we don’t even know we’re pregnant yet — before that missed period, the home pregnancy test, and the 3-minute wait for the telltale line to appear (or not). (For an in-depth look, check out our blog “What Are the Risks of Drinking Alcohol While Pregnant?”)

How Alcohol Reaches Your Developing Baby

So what’s the connection between pregnancy, alcohol, and birth defects? Let’s take an overall view of the stages of fetal development and see what role alcohol plays in each one. (Spoiler alert: while the exact effects and their severity may vary, the answer is the same — there is no known safe amount of alcohol during pregnancy at any developmental stage.)

  • Zygote stage: off to the races. The zygote enters the uterus about two or three days after fertilization. Now, it’s all about building up the emerging blastocyst (pre-embryo) so it can be implanted on the uterine wall, which happens after about six days. At this point, alcohol consumption might not have a direct effect on development (there’s no embryo to speak of yet). However, this doesn’t mean we’re in the clear to drink — alcohol can interfere with implantation, leading to miscarriage.
  • Embryonic stage: planning in progress. After the blastocyst implants itself on the wall of the uterus, the embryonic stage begins around the third week of pregnancy and ends around the eighth. This is the crucial time when a “blueprint” for every organ system will form, setting the stage for further development. 

    At this critical stage, alcohol can do some of the most damage to the developing organ systems. During the third and fourth weeks, the neural tube develops, eventually giving rise to the brain and spinal cord. Any interference with this delicate process can lead to serious developmental problems down the road.

    Likewise, the structures that give rise to the heart develop during the embryonic stage (around the third and fourth week). This, too, is a delicate time as far as possible damage by alcohol is concerned — any glitches in the process can spell trouble. 
  • Fetal stage: filling in the blueprint. Somewhere around the eighth week of pregnancy, the fetal stage begins. For the next few months, the blueprint created in the first few weeks will be filled in by what will eventually turn into a full-term baby ready to meet the outside world! (Alcohol continues to pose a risk at this time.) 

    Then the central nervous system emerges from so-called radial glia cell pools, directing the formation and migration of neurons. Alcohol can interfere with the signal pathways and reduce the fetus’s brain volume.

All in all, at each stage, there’s potential harm that can cause developmental delays further down the line. This harm is dose-dependent, but both moderate drinking over time and single instances of binge drinking can cause damage.

Does the Placenta Offer Protection?

How exactly does the alcohol (or any other substance for that matter) get from mom to baby during the fetal stage? It all has to do with the placenta — a unique organ that forms in the womb and sustains the fetus throughout pregnancy.

The placenta acts as a multipurpose house, food delivery system, oxygen-providing service, and waste-removal system all in one. It’s connected to the growing fetus by a tube-like umbilical cord, which later falls off leaving an ever-present reminder — the belly button.

In addition to nourishing the fetus, the placenta passes on some of the substances in the mother’s bloodstream, including alcohol. The placenta’s permeability can cause birth defects from alcohol.

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How Alcohol Harms a Fetus

When a pregnant person drinks, the alcohol in their bloodstream passes through the placenta to the fetus. Because a fetus metabolizes alcohol much more slowly than an adult, its blood alcohol concentration ends up being even higher than the mother’s. This exposure can disrupt healthy development, particularly in the brain and central nervous system. The result can be a range of lifelong physical, behavioral, and intellectual disabilities known as Fetal Alcohol Spectrum Disorders (FASDs). The most severe of these is Fetal Alcohol Syndrome (FAS), which can include distinct facial features, growth problems, and central nervous system issues.

Other Factors That Influence Risk

While there is no safe amount or time to drink during pregnancy, some factors can influence the type and severity of the damage. The amount of alcohol consumed plays a big role; both binge drinking and steady, moderate drinking can cause harm. The timing is also critical. Since major organs and the central nervous system are developing during the first trimester, drinking during this period can be especially damaging. Other elements like maternal health, genetics, and nutrition can also affect how alcohol impacts the fetus. However, the only way to completely prevent FASDs is to avoid alcohol entirely during pregnancy.

How Common Are Alcohol-Related Birth Defects?

When we talk about the risks of drinking during pregnancy, it’s not just a theoretical warning. Alcohol-related birth defects are a reality for many families, and they’re more widespread than most people realize. The issues that arise from prenatal alcohol exposure fall under the umbrella of Fetal Alcohol Spectrum Disorders, or FASDs. These conditions can impact a child's physical development, brain function, and behavior. The most important thing to know is that FASDs are completely preventable if no alcohol is consumed during pregnancy. Understanding the prevalence and the lifelong risks associated with these conditions can help reinforce why abstaining from alcohol is the safest choice for an expecting parent.

Prevalence and Key Statistics

The numbers surrounding FASDs can be surprising. It’s estimated that these disorders affect about 1 in 20 people in the United States, making it a significant public health issue that often goes undiagnosed. To put that into perspective, research from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) suggests that somewhere between 1% and 5% of first-grade students in the U.S. have an FASD. These aren't just statistics; they represent children in classrooms everywhere who face learning and behavioral challenges that stem from prenatal alcohol exposure. These conditions create lifelong hurdles, underscoring the importance of awareness and prevention from the very beginning.

Risks and Life Expectancy

The consequences of drinking during pregnancy can last a lifetime. The problems associated with FASD can appear at any point during childhood and persist into adulthood. Children with more severe forms, like Fetal Alcohol Syndrome (FAS), often face secondary challenges later in life, such as ADHD, aggression, and mental health issues like depression and anxiety. The risk is substantial; for mothers with an alcohol use disorder, about one-third of their children will have FAS. Even for those who drink any amount of alcohol during pregnancy, there's about a 15% chance their child will have an FASD. These long-term effects highlight how crucial it is to create a supportive, alcohol-free environment for a developing baby.

Physical Birth Defects Caused by Alcohol

Now, let’s look in more detail at the range of problems that can develop in the different stages of pregnancy.

How Common Are Alcohol-Related Birth Defects?

When we talk about the risks of drinking during pregnancy, it’s not just a theoretical warning. Alcohol-related birth defects are a reality for many families, and they’re more widespread than most people realize. The issues that arise from prenatal alcohol exposure fall under the umbrella of Fetal Alcohol Spectrum Disorders, or FASDs. These conditions can impact a child's physical development, brain function, and behavior. The most important thing to know is that FASDs are completely preventable if no alcohol is consumed during pregnancy. Understanding the prevalence and the lifelong risks associated with these conditions can help reinforce why abstaining from alcohol is the safest choice for an expecting parent.

Prevalence and Key Statistics

The numbers surrounding FASDs can be surprising. It’s estimated that these disorders affect about 1 in 20 people in the United States, making it a significant public health issue that often goes undiagnosed. To put that into perspective, research from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) suggests that somewhere between 1% and 5% of first-grade students in the U.S. have an FASD. These aren't just statistics; they represent children in classrooms everywhere who face learning and behavioral challenges that stem from prenatal alcohol exposure. These conditions create lifelong hurdles, underscoring the importance of awareness and prevention from the very beginning.

Risks and Life Expectancy

The consequences of drinking during pregnancy can last a lifetime. The problems associated with FASD can appear at any point during childhood and persist into adulthood. Children with more severe forms, like Fetal Alcohol Syndrome (FAS), often face secondary challenges later in life, such as ADHD, aggression, and mental health issues like depression and anxiety. The risk is substantial; for mothers with an alcohol use disorder, about one-third of their children will have FAS. Even for those who drink any amount of alcohol during pregnancy, there's about a 15% chance their child will have an FASD. These long-term effects highlight how crucial it is to create a supportive, alcohol-free environment for a developing baby.

Luckily, both ASD and VSD are sometimes minor enough that they either heal by themselves or don’t cause too many problems. In other instances, however, they need surgical correction. 

2. The Impact on Kidney Formation

Kidneys start to develop early in the embryonic stage and are fully formed by the end of the first trimester. Drinking alcohol at any point during their development can lead to potential abnormalities: 

  • Renal agenesis. One or both kidneys might be missing at the time of birth.
  • Urinary tract abnormalities. Glitches in the development of the urinary tract can affect the baby’s ability to process waste and fluids.

Like heart abnormalities, problems with the kidneys are often treatable. Still, many might require surgery or other complex procedures. 

3. Potential Effects on Bone Growth

Developing bones are not immune to alcohol’s effects, either. Problems can include limb and spine abnormalities: 

  • Limb problems. Shorter limbs or fingers and toes that don’t develop properly.
  • Deformities of the spine. Curvature (scoliosis) or spinal bifida (a condition that involves a malformation of the spine and is considered a type of neural tube defect).

While bone problems are often not life-threatening and treatments are available, they can certainly impact quality of life. 

4. Risks to Your Baby's Vision and Hearing

Finally, the sensory organs also can suffer as a result of exposure to alcohol:

  • Vision problems. The baby could end up with cataracts, retinal issues, or microphthalmia (when one or both eyes are unusually small), all of which can affect their ability to see.
  • Hearing loss. It’s also possible to lose hearing — partially or completely — in one or both ears due to structural abnormalities. 

Once again, these problems might not be life-threatening, but they can greatly impact a child’s life.

Birth Defects From Alcohol

A Group of Alcohol-Related Birth Defects (FASDs)

Aside from ARBD, other birth defects can develop as a result of alcohol exposure during pregnancy. Let’s take a look.

Understanding the Full Spectrum

The physical issues we’ve discussed are part of a wider range of conditions known as Fetal Alcohol Spectrum Disorders (FASDs). This is an umbrella term for a group of problems that can occur when a developing baby is exposed to alcohol before birth. As the name suggests, these effects exist on a spectrum, ranging from mild to severe. The impact isn’t just physical; FASDs can affect a child’s brain, body, and behavior, creating lifelong challenges. It’s a complex issue because the signs aren’t always obvious at birth and can vary greatly from one person to another.

Beyond visible physical traits, FASDs often involve neurodevelopmental problems. These can include difficulties with learning, memory, attention span, communication, and social skills. In fact, FASD is sometimes misdiagnosed as another condition, like ADHD, because the behavioral symptoms can overlap. The most critical thing to remember is that FASDs are completely preventable. When a pregnant person doesn’t drink alcohol, the risk of their child developing an FASD is zero. This knowledge is powerful and underscores the importance of abstaining from alcohol during pregnancy to ensure the healthiest possible start for a child.

What Is Alcohol-Related Neurodevelopmental Disorder (ARND)?

Unlike ARBD, ARND isn’t marked by physical disabilities. Instead, the damages happen largely behind the scenes in the brain and can show up later as cognitive and behavioral issues. Here’s the gist:

  • Intellectual disabilities. Memory and attention problems, as well as learning difficulties, are common in children affected by ARND.
  • Behavioral problems. Children with ARND often develop learning difficulties and behavioral problems, such as attention deficit disorder (ADD) or oppositional defiant disorder (ODD). They might also have separation anxiety or impulsivity problems.
  • Nerve or brain abnormalities. ARND also comes with disruptions in nerve and brain functioning that contribute to problems with cognitive development and behavioral issues.

While ARND isn’t entirely treatable, it’s manageable with the right support. Early intervention is crucial — getting a diagnosis might be emotionally difficult, but at this point, it’s all about fixing what’s fixable. It’s important to get help as soon as possible!

What Is Fetal Alcohol Syndrome (FAS)?

Finally, there’s the most serious alcohol-related set of issues, known as fetal alcohol syndrome. A group of alcohol-related birth defects that include physical and mental problems, FASD is a spectrum of disorders ranging from mild to severe.

According to Birthdefects.org, symptoms include several physical abnormalities:

  • Growth problems. FASD infants tend to have a low birth weight and length. They often fail to gain weight compared to their peers and have trouble thriving as they get older.  
  • Facial abnormalities. A typical “FASD face” is characterized by small eye openings; ear deformities; a short, upturned nose with a flattened, low, nasal bridge; and a thin, smooth, upper lip.
  • Organ abnormalities. FASD comes with heart and liver defects.
  • Skeletal deformities. Babies with FASD typically have smaller heads, deformed ribs, spine curvature, and joint problems. 
  • Central nervous system damage. Unfortunately, FASD can lead to a range of neurological and psychiatric effects, including learning and social disabilities, anxiety, tremors, seizures, coordination problems, attention deficit, and hyperactivity.

Like other alcohol-related birth defects, it’s entirely avoidable if we stay away from alcohol when we’re pregnant and, ideally, during the time when we think pregnancy is on the horizon. Unfortunately, it’s largely untreatable once it develops, although special educational services and psychological support can provide some help.

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What Is Partial Fetal Alcohol Syndrome (pFAS)?

Partial Fetal Alcohol Syndrome (pFAS) is a condition on the Fetal Alcohol Spectrum Disorder (FASD) continuum. As the name suggests, individuals with pFAS have some, but not all, of the characteristic signs of Fetal Alcohol Syndrome (FAS). A diagnosis of pFAS typically requires confirmed prenatal alcohol exposure along with the presence of some of the facial abnormalities seen in FAS. It also involves at least one of the other criteria: growth deficiencies (being smaller than average) or evidence of central nervous system issues. While the symptoms may be less extensive than in FAS, pFAS is still a serious, lifelong condition that can present significant challenges with learning, behavior, and overall health.

What Is Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE)?

Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE) is another diagnosis under the FASD umbrella. This condition focuses specifically on the cognitive and behavioral challenges that arise from drinking during pregnancy. Unlike FAS or pFAS, a diagnosis of ND-PAE does not require the presence of the characteristic facial features. Instead, it is defined by significant difficulties in three main areas: problems with thinking and memory (like trouble planning or recalling information), behavior problems (such as severe tantrums or impulsivity), and challenges with daily living skills (including bathing, dressing, and playing appropriately for their age). Confirmation of prenatal alcohol exposure is necessary for this diagnosis.

Recognizing the Signs: Diagnosis and Symptoms

Identifying a Fetal Alcohol Spectrum Disorder can be complex because its signs vary widely from person to person. Some individuals may have distinct physical features, while others may struggle more with behavioral or learning challenges that aren't immediately visible. The symptoms can also overlap with other conditions, like ADHD, which can make diagnosis tricky. Understanding the full range of possible signs is the first step for parents and caregivers who suspect their child may be affected. A formal diagnosis should always be made by a team of qualified professionals who can look at the complete picture, from physical growth to cognitive function. This evaluation is crucial for getting a child the right support as early as possible.

Physical and Facial Features

Some of the most well-known signs of FASD are the distinct physical and facial features, though it's important to remember that not everyone with an FASD will have them. Healthcare professionals look for a specific pattern of three facial characteristics when making a diagnosis of Fetal Alcohol Syndrome. These include a smooth philtrum (the ridge between the nose and upper lip is flat), a thin upper lip, and small eye openings. These features arise from alcohol exposure during a critical period of facial development in the first trimester. While these signs are key indicators for FAS, their absence doesn't rule out other conditions on the spectrum, like ARND or ND-PAE.

Behavioral and Cognitive Symptoms

Beyond the physical signs, FASD often brings a host of behavioral and cognitive challenges that can affect every aspect of a person's life. Children with an FASD frequently experience learning disabilities and have trouble with memory and attention. They may struggle with impulse control, making it difficult to think before they act, and may have a hard time understanding social cues, which can complicate friendships. These neurodevelopmental effects are a direct result of how alcohol impacts the brain's formation. These symptoms can be frustrating for both the child and their caregivers, which is why getting a proper diagnosis and understanding the underlying condition is so important for finding effective management strategies.

The Diagnostic Process

Getting a diagnosis for an FASD isn't as simple as a single test; it requires a comprehensive evaluation by a team of specialists. This team often includes a developmental pediatrician, a psychologist, and other therapists who work together to assess the child from multiple angles. They will evaluate physical growth and look for the characteristic facial features associated with FAS. They also conduct tests to assess brain function, looking at cognitive abilities, academic achievement, and adaptive skills. A crucial part of the process is confirming the mother's alcohol consumption during pregnancy, though a diagnosis can sometimes be made without this information if other signs are clearly present.

Why Early Diagnosis Is a Protective Factor

Receiving a diagnosis for an FASD as early as possible is one of the most important things you can do for a child. It's considered a major "protective factor" because it unlocks the door to specialized services and interventions that can make a huge difference. When a child is diagnosed early, parents and teachers can implement strategies tailored to their specific needs. This support can help mitigate some of the long-term effects of the disorder, reduce frustrating behaviors, and help the child build skills for a more successful future. An early diagnosis changes the conversation from "Why is my child acting this way?" to "How can we help my child succeed?"

Long-Term Complications and Co-occurring Conditions

Fetal Alcohol Spectrum Disorders are lifelong conditions, and the challenges don't disappear when a child grows up. In fact, without proper support, the core difficulties associated with FASD can lead to a range of secondary problems in adulthood. These are not symptoms of the disorder itself, but rather complications that arise from living with it. For example, an individual's trouble with impulse control and understanding consequences can lead to difficulties with the law. Similarly, social skill deficits can make it hard to find and keep a job or maintain healthy relationships. Understanding these potential long-term complications highlights the critical need for ongoing support systems that extend well into adulthood to help individuals manage their daily lives successfully.

Secondary Problems in Adulthood

As individuals with FASD transition into adulthood, they often face a new set of challenges. These secondary problems can significantly impact their quality of life and independence. Mental health issues are very common, with high rates of depression, anxiety, and suicide attempts. Many adults with FASD struggle to live independently and maintain steady employment due to difficulties with executive functioning skills like time management and problem-solving. They may also face challenges in their social relationships and are at a higher risk for substance use issues and involvement with the legal system. These outcomes underscore why early intervention and lifelong support are so essential.

Common Co-Occurring Disorders

It's very common for individuals with an FASD to also have other mental health or neurodevelopmental disorders. These are known as co-occurring conditions, and they can complicate both diagnosis and treatment. Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most frequent co-occurring diagnoses, as the symptoms of inattention, hyperactivity, and impulsivity overlap significantly with those of FASD. Anxiety and depression are also common, likely stemming from the social and academic frustrations that individuals with FASD often experience. Effectively managing an FASD requires addressing these co-occurring disorders as well, often through a combination of therapy and medication.

Treatment and Management for FASD

When parents receive an FASD diagnosis for their child, one of their first questions is often about treatment. It's important to set realistic expectations from the start: while FASD is a lifelong condition with no cure, it is absolutely manageable. The goal of treatment is not to eliminate the disorder, but to help individuals manage their symptoms, build on their strengths, and develop coping strategies to improve their quality of life. A successful management plan is never one-size-fits-all. It requires a personalized, multi-faceted approach that often involves a team of healthcare providers, therapists, educators, and, most importantly, supportive family members working together to create a stable and nurturing environment.

Correcting Misconceptions: Is FASD Treatable?

One of the biggest misconceptions about FASD is that because there's no cure, nothing can be done to help. This couldn't be further from the truth. While the underlying brain damage caused by prenatal alcohol exposure cannot be reversed, the symptoms and challenges that result from it are treatable. Think of it like managing other chronic health conditions. Various therapies and interventions can help individuals with FASD learn new skills and strategies to navigate their daily lives more effectively. The key is to focus on support and management rather than a cure, which empowers families to take proactive steps and helps individuals with FASD lead happy and fulfilling lives.

Therapies and Interventions That Help

A range of therapies and interventions can make a significant positive impact on a child with FASD. The most effective treatment plans are comprehensive and tailored to the individual's specific needs. Behavioral therapy, such as cognitive behavioral therapy (CBT), can help with impulse control and social skills. Educational support is also vital; children often benefit from an Individualized Education Program (IEP) at school that provides accommodations for their learning style. Family counseling is another key component, as it helps everyone in the family understand the disorder and learn effective strategies for communication and support. The earlier these interventions begin, the better the outcomes tend to be.

Medications

There are no specific medications approved to treat the core symptoms of FASD itself. However, medication can be an important part of a comprehensive treatment plan to manage co-occurring conditions. For example, stimulant medications commonly used for ADHD can help improve focus and reduce impulsivity in some individuals with FASD. Likewise, antidepressants or anti-anxiety medications may be prescribed to help manage symptoms of depression or anxiety. A doctor will carefully evaluate whether medication is appropriate and monitor its effects closely.

Behavior and Education Therapy

Behavioral and educational therapies are the cornerstones of FASD management. These interventions are designed to teach practical skills and strategies to help children cope with their specific challenges. For instance, a child who struggles with social cues might benefit from social skills training groups. A child with memory problems might learn to use visual aids and routines to help them stay on track. In school, educational therapists can work with teachers to adapt the curriculum and classroom environment to better suit the child's learning needs, ensuring they have the best possible chance to succeed academically.

Parent Training

Parenting a child with FASD comes with a unique set of challenges, and parent training programs are designed to provide caregivers with the tools and support they need. These programs teach parents about the effects of FASD on the brain and behavior, which helps them understand the "why" behind their child's actions. They also provide positive parenting strategies for managing difficult behaviors, advocating for their child's needs at school, and creating a structured, predictable home environment where their child can thrive. This training empowers parents and can significantly reduce stress for the entire family.

Where Parents Can Find Help

Finding the right help and support can feel overwhelming, but you are not alone. Your child's primary healthcare provider is the best place to start. They can provide referrals to specialists for diagnosis and treatment. Connecting with other families can also be incredibly valuable; look for local or online FASD support groups to share experiences and advice. In the school system, parents can request an evaluation for special education services to create an IEP. Building a strong support network of professionals, educators, and other parents is key to navigating the journey of raising a child with an FASD and helping them reach their full potential.

How to Have a Healthy, Alcohol-Free Pregnancy

While alcohol-related birth defects are difficult to treat after they develop, the truth — both heartbreaking and encouraging — is that they’re highly preventable. Here’s what you can do:

  1. Avoid alcohol during pregnancy. This one is the key to a healthy start. Do whatever it takes to stop if you’re currently drinking and try to stay on track throughout your pregnancy. It’s absolutely worth it! (And while we’re on the subject of what to avoid — stay away from smoking and using marijuana as well).
  2. Be honest with your doctor. They’ve seen and heard it all and won’t judge. They need to know the truth about your situation, whatever that might be, so they can offer the best guidance and advice.
  3. Ask for help. If you’re struggling, don’t hesitate to ask for help. It’s a sign of strength, and there are lots of resources out there that can help you stop drinking if you’re finding it difficult. Reframe is here for you as well!
  4. Nourish your body. There are two (or more!) of you now, so make sure you’re eating enough protein and calcium-rich milk products to support your baby’s growing needs. Leafy green vegetables, fruits, whole grains, and sources of omega-3 fatty acids, such as avocados and nuts, will help provide your body with the nutrients and antioxidants you need.
  5. Take vitamins. Folic acid is key. The CDC recommends taking 400 micrograms (mcg) daily before and during pregnancy.
  6. Stay hydrated. Water is crucial for all of us (our bodies are about 60% water in composition!), but during pregnancy it’s even more critical to stay hydrated. 
  7. Get vaccinated. Protecting your immune system from disease protects your baby as well. 
  8. Create a safe environment. Last but not least, make sure your environment is safe. Household cleaners and some potential workplace hazards could pose risks, so check with your doctor if you’re unsure or worried about anything.

With these tips, you and your baby will be off to a safe start.

Support for Changing Your Drinking Habits

Making the decision to have an alcohol-free pregnancy is a huge step, but putting that decision into practice can feel overwhelming, especially if drinking is a regular part of your life. The most important thing to remember is that you don’t have to do it alone. According to the CDC, Fetal Alcohol Spectrum Disorders (FASDs) are completely preventable if a pregnant person does not drink alcohol. Holding onto this fact can be a powerful motivator on difficult days. If you’re struggling, reaching out for support is one of the strongest things you can do. Whether it’s leaning on your partner, confiding in a trusted friend, speaking with a healthcare professional, or finding a dedicated community, getting help is a sign of your commitment to a healthy pregnancy.

How Reframe Can Help

If you’re looking for a private, accessible tool to guide you, the Reframe app is designed to help you change your relationship with alcohol from the ground up. Built on a foundation of neuroscience, it offers a daily, structured program to help you understand your triggers and build healthier coping mechanisms. Through educational courses, guided meditations, and progress tracking, you can develop the skills for lasting change. Plus, you get access to a large, anonymous community of people on a similar journey, so you can find encouragement and share experiences without judgment. It’s a comprehensive toolkit for mindful drinking that fits right in your pocket, ready whenever you need support on your path to an alcohol-free pregnancy.

Is Any Amount of Alcohol Safe During Pregnancy?

In the end, pregnancy is a special, challenging, and exciting time, but adding alcohol to the mix can bring on a unique set of dangers and long-lasting effects. Let’s avoid alcohol-related birth defects by staying informed, avoiding alcohol, and taking care of our body and mind (and our baby’s!) during pregnancy and beyond!

Expert Recommendations for Prevention

When it comes to alcohol and pregnancy, the expert advice is crystal clear and unanimous. According to the Centers for Disease Control and Prevention (CDC), there is no known safe amount of alcohol to drink at any point during pregnancy. This includes the earliest weeks, even before you might know you’re pregnant. The U.S. Surgeon General echoes this, advising anyone who is pregnant, might become pregnant, or is actively trying to conceive to avoid alcohol completely. The most encouraging part of this guidance is that Fetal Alcohol Spectrum Disorders (FASDs) are entirely preventable. By choosing not to drink during pregnancy, you can eliminate the risk of these conditions and give your baby the healthiest possible start.

What About Drinking While Breastfeeding?

This is a common question, and the answer requires careful consideration. Alcohol does pass into breast milk, and its concentration is similar to the level in your bloodstream. The Mayo Clinic advises that if you choose to have an alcoholic drink, it's best to wait at least two hours before nursing or pumping. This allows time for your body to metabolize the alcohol. While the risks are not the same as drinking during pregnancy, alcohol in breast milk can still affect your baby's development, sleep patterns, and overall well-being. The safest course of action is to avoid alcohol while breastfeeding. If you do have a drink, timing it carefully is key to minimizing your baby’s exposure.

Frequently Asked Questions

I had a few drinks before I knew I was pregnant. What should I do? First, take a deep breath. This is a very common situation, and the most important step is what you do now. Stop drinking alcohol for the remainder of your pregnancy and be open with your doctor about your concerns and your previous alcohol consumption. They can provide the best guidance and monitor your pregnancy closely. Focusing on a healthy, alcohol-free path forward is the best thing you can do for your baby.

Is there a 'safe' amount or type of alcohol to drink during pregnancy? No, there is no known safe amount, safe type, or safe time to drink alcohol during pregnancy. All major health organizations, including the CDC and the U.S. Surgeon General, agree on this. Alcohol passes directly to the developing baby, and because every pregnancy is different, it's impossible to predict how much alcohol might cause harm. The only way to ensure your baby is protected from alcohol-related birth defects is to avoid it completely.

What's the difference between Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Spectrum Disorders (FASDs)? Think of Fetal Alcohol Spectrum Disorders (FASDs) as an umbrella term that covers the wide range of effects that can happen to a person whose mother drank alcohol during pregnancy. Fetal Alcohol Syndrome (FAS) is the most severe diagnosis under that umbrella, often involving distinct facial features, growth problems, and central nervous system issues. Other conditions on the spectrum may not have the physical signs but can still involve significant behavioral and learning challenges.

Can alcohol-related birth defects be cured? There is no cure for Fetal Alcohol Spectrum Disorders because the conditions result from changes to the brain and body that occurred during development. However, they are absolutely manageable. Early diagnosis is key because it opens the door to therapies, educational support, and parent training that can help a child manage their challenges and build on their strengths, allowing them to lead a fulfilling life.

Do all children exposed to alcohol in the womb show physical signs? No, and this is a critical point to understand. While Fetal Alcohol Syndrome (FAS) has recognizable facial features, many children with other conditions on the spectrum do not. They may struggle with issues like learning disabilities, poor impulse control, or social difficulties that are not visible. This is why it's so important to consider prenatal alcohol exposure if a child is facing these challenges, even if they don't have the physical markers.

Key Takeaways

  • Zero alcohol is the only safe choice during pregnancy: From the moment you're trying to conceive through all nine months, abstaining from alcohol is the only way to completely prevent alcohol-related birth defects.
  • Alcohol exposure can cause lifelong challenges: Fetal Alcohol Spectrum Disorders (FASDs) cover a wide range of physical, behavioral, and learning difficulties that can affect a person throughout their life, not just in childhood.
  • Prevention is possible and management is key: While FASDs are 100% preventable, early diagnosis and consistent support from family, schools, and healthcare providers are crucial for managing the condition and helping a child thrive.

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The journey from a single cell to a baby is truly a miracle. In just nine months, a complex blueprint for life unfolds. But this delicate process is vulnerable. Exposure to alcohol can have permanent consequences, leading to a group of alcohol related birth defects that affect a child for life. Understanding the full alcohol effects on pregnancy is crucial, because these conditions are completely preventable. We'll cover what you need to know to protect your baby and ensure the healthiest possible start.

Another key fact those videos drilled into us from an early age is that pregnancy is a no-drinking zone. No matter what your next-door neighbor or great aunt said was true “back in the day,” there’s no wiggle room here. Alcohol-related birth defects are a sad reality of drinking during pregnancy. Let’s find out more about how they develop and how to prevent them!

Why Is Drinking During Pregnancy So Risky?

A pregnant woman holding a green bottle in one hand and an empty glass in the other

According to the CDC, drinking during pregnancy isn’t safe. This simple statement is crucially important to understand. Alcohol can affect the fetus at any stage, including the time we don’t even know we’re pregnant yet — before that missed period, the home pregnancy test, and the 3-minute wait for the telltale line to appear (or not). (For an in-depth look, check out our blog “What Are the Risks of Drinking Alcohol While Pregnant?”)

How Alcohol Reaches Your Developing Baby

So what’s the connection between pregnancy, alcohol, and birth defects? Let’s take an overall view of the stages of fetal development and see what role alcohol plays in each one. (Spoiler alert: while the exact effects and their severity may vary, the answer is the same — there is no known safe amount of alcohol during pregnancy at any developmental stage.)

  • Zygote stage: off to the races. The zygote enters the uterus about two or three days after fertilization. Now, it’s all about building up the emerging blastocyst (pre-embryo) so it can be implanted on the uterine wall, which happens after about six days. At this point, alcohol consumption might not have a direct effect on development (there’s no embryo to speak of yet). However, this doesn’t mean we’re in the clear to drink — alcohol can interfere with implantation, leading to miscarriage.
  • Embryonic stage: planning in progress. After the blastocyst implants itself on the wall of the uterus, the embryonic stage begins around the third week of pregnancy and ends around the eighth. This is the crucial time when a “blueprint” for every organ system will form, setting the stage for further development. 

    At this critical stage, alcohol can do some of the most damage to the developing organ systems. During the third and fourth weeks, the neural tube develops, eventually giving rise to the brain and spinal cord. Any interference with this delicate process can lead to serious developmental problems down the road.

    Likewise, the structures that give rise to the heart develop during the embryonic stage (around the third and fourth week). This, too, is a delicate time as far as possible damage by alcohol is concerned — any glitches in the process can spell trouble. 
  • Fetal stage: filling in the blueprint. Somewhere around the eighth week of pregnancy, the fetal stage begins. For the next few months, the blueprint created in the first few weeks will be filled in by what will eventually turn into a full-term baby ready to meet the outside world! (Alcohol continues to pose a risk at this time.) 

    Then the central nervous system emerges from so-called radial glia cell pools, directing the formation and migration of neurons. Alcohol can interfere with the signal pathways and reduce the fetus’s brain volume.

All in all, at each stage, there’s potential harm that can cause developmental delays further down the line. This harm is dose-dependent, but both moderate drinking over time and single instances of binge drinking can cause damage.

Does the Placenta Offer Protection?

How exactly does the alcohol (or any other substance for that matter) get from mom to baby during the fetal stage? It all has to do with the placenta — a unique organ that forms in the womb and sustains the fetus throughout pregnancy.

The placenta acts as a multipurpose house, food delivery system, oxygen-providing service, and waste-removal system all in one. It’s connected to the growing fetus by a tube-like umbilical cord, which later falls off leaving an ever-present reminder — the belly button.

In addition to nourishing the fetus, the placenta passes on some of the substances in the mother’s bloodstream, including alcohol. The placenta’s permeability can cause birth defects from alcohol.

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How Alcohol Harms a Fetus

When a pregnant person drinks, the alcohol in their bloodstream passes through the placenta to the fetus. Because a fetus metabolizes alcohol much more slowly than an adult, its blood alcohol concentration ends up being even higher than the mother’s. This exposure can disrupt healthy development, particularly in the brain and central nervous system. The result can be a range of lifelong physical, behavioral, and intellectual disabilities known as Fetal Alcohol Spectrum Disorders (FASDs). The most severe of these is Fetal Alcohol Syndrome (FAS), which can include distinct facial features, growth problems, and central nervous system issues.

Other Factors That Influence Risk

While there is no safe amount or time to drink during pregnancy, some factors can influence the type and severity of the damage. The amount of alcohol consumed plays a big role; both binge drinking and steady, moderate drinking can cause harm. The timing is also critical. Since major organs and the central nervous system are developing during the first trimester, drinking during this period can be especially damaging. Other elements like maternal health, genetics, and nutrition can also affect how alcohol impacts the fetus. However, the only way to completely prevent FASDs is to avoid alcohol entirely during pregnancy.

How Common Are Alcohol-Related Birth Defects?

When we talk about the risks of drinking during pregnancy, it’s not just a theoretical warning. Alcohol-related birth defects are a reality for many families, and they’re more widespread than most people realize. The issues that arise from prenatal alcohol exposure fall under the umbrella of Fetal Alcohol Spectrum Disorders, or FASDs. These conditions can impact a child's physical development, brain function, and behavior. The most important thing to know is that FASDs are completely preventable if no alcohol is consumed during pregnancy. Understanding the prevalence and the lifelong risks associated with these conditions can help reinforce why abstaining from alcohol is the safest choice for an expecting parent.

Prevalence and Key Statistics

The numbers surrounding FASDs can be surprising. It’s estimated that these disorders affect about 1 in 20 people in the United States, making it a significant public health issue that often goes undiagnosed. To put that into perspective, research from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) suggests that somewhere between 1% and 5% of first-grade students in the U.S. have an FASD. These aren't just statistics; they represent children in classrooms everywhere who face learning and behavioral challenges that stem from prenatal alcohol exposure. These conditions create lifelong hurdles, underscoring the importance of awareness and prevention from the very beginning.

Risks and Life Expectancy

The consequences of drinking during pregnancy can last a lifetime. The problems associated with FASD can appear at any point during childhood and persist into adulthood. Children with more severe forms, like Fetal Alcohol Syndrome (FAS), often face secondary challenges later in life, such as ADHD, aggression, and mental health issues like depression and anxiety. The risk is substantial; for mothers with an alcohol use disorder, about one-third of their children will have FAS. Even for those who drink any amount of alcohol during pregnancy, there's about a 15% chance their child will have an FASD. These long-term effects highlight how crucial it is to create a supportive, alcohol-free environment for a developing baby.

Physical Birth Defects Caused by Alcohol

Now, let’s look in more detail at the range of problems that can develop in the different stages of pregnancy.

How Common Are Alcohol-Related Birth Defects?

When we talk about the risks of drinking during pregnancy, it’s not just a theoretical warning. Alcohol-related birth defects are a reality for many families, and they’re more widespread than most people realize. The issues that arise from prenatal alcohol exposure fall under the umbrella of Fetal Alcohol Spectrum Disorders, or FASDs. These conditions can impact a child's physical development, brain function, and behavior. The most important thing to know is that FASDs are completely preventable if no alcohol is consumed during pregnancy. Understanding the prevalence and the lifelong risks associated with these conditions can help reinforce why abstaining from alcohol is the safest choice for an expecting parent.

Prevalence and Key Statistics

The numbers surrounding FASDs can be surprising. It’s estimated that these disorders affect about 1 in 20 people in the United States, making it a significant public health issue that often goes undiagnosed. To put that into perspective, research from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) suggests that somewhere between 1% and 5% of first-grade students in the U.S. have an FASD. These aren't just statistics; they represent children in classrooms everywhere who face learning and behavioral challenges that stem from prenatal alcohol exposure. These conditions create lifelong hurdles, underscoring the importance of awareness and prevention from the very beginning.

Risks and Life Expectancy

The consequences of drinking during pregnancy can last a lifetime. The problems associated with FASD can appear at any point during childhood and persist into adulthood. Children with more severe forms, like Fetal Alcohol Syndrome (FAS), often face secondary challenges later in life, such as ADHD, aggression, and mental health issues like depression and anxiety. The risk is substantial; for mothers with an alcohol use disorder, about one-third of their children will have FAS. Even for those who drink any amount of alcohol during pregnancy, there's about a 15% chance their child will have an FASD. These long-term effects highlight how crucial it is to create a supportive, alcohol-free environment for a developing baby.

Luckily, both ASD and VSD are sometimes minor enough that they either heal by themselves or don’t cause too many problems. In other instances, however, they need surgical correction. 

2. The Impact on Kidney Formation

Kidneys start to develop early in the embryonic stage and are fully formed by the end of the first trimester. Drinking alcohol at any point during their development can lead to potential abnormalities: 

  • Renal agenesis. One or both kidneys might be missing at the time of birth.
  • Urinary tract abnormalities. Glitches in the development of the urinary tract can affect the baby’s ability to process waste and fluids.

Like heart abnormalities, problems with the kidneys are often treatable. Still, many might require surgery or other complex procedures. 

3. Potential Effects on Bone Growth

Developing bones are not immune to alcohol’s effects, either. Problems can include limb and spine abnormalities: 

  • Limb problems. Shorter limbs or fingers and toes that don’t develop properly.
  • Deformities of the spine. Curvature (scoliosis) or spinal bifida (a condition that involves a malformation of the spine and is considered a type of neural tube defect).

While bone problems are often not life-threatening and treatments are available, they can certainly impact quality of life. 

4. Risks to Your Baby's Vision and Hearing

Finally, the sensory organs also can suffer as a result of exposure to alcohol:

  • Vision problems. The baby could end up with cataracts, retinal issues, or microphthalmia (when one or both eyes are unusually small), all of which can affect their ability to see.
  • Hearing loss. It’s also possible to lose hearing — partially or completely — in one or both ears due to structural abnormalities. 

Once again, these problems might not be life-threatening, but they can greatly impact a child’s life.

Birth Defects From Alcohol

A Group of Alcohol-Related Birth Defects (FASDs)

Aside from ARBD, other birth defects can develop as a result of alcohol exposure during pregnancy. Let’s take a look.

Understanding the Full Spectrum

The physical issues we’ve discussed are part of a wider range of conditions known as Fetal Alcohol Spectrum Disorders (FASDs). This is an umbrella term for a group of problems that can occur when a developing baby is exposed to alcohol before birth. As the name suggests, these effects exist on a spectrum, ranging from mild to severe. The impact isn’t just physical; FASDs can affect a child’s brain, body, and behavior, creating lifelong challenges. It’s a complex issue because the signs aren’t always obvious at birth and can vary greatly from one person to another.

Beyond visible physical traits, FASDs often involve neurodevelopmental problems. These can include difficulties with learning, memory, attention span, communication, and social skills. In fact, FASD is sometimes misdiagnosed as another condition, like ADHD, because the behavioral symptoms can overlap. The most critical thing to remember is that FASDs are completely preventable. When a pregnant person doesn’t drink alcohol, the risk of their child developing an FASD is zero. This knowledge is powerful and underscores the importance of abstaining from alcohol during pregnancy to ensure the healthiest possible start for a child.

What Is Alcohol-Related Neurodevelopmental Disorder (ARND)?

Unlike ARBD, ARND isn’t marked by physical disabilities. Instead, the damages happen largely behind the scenes in the brain and can show up later as cognitive and behavioral issues. Here’s the gist:

  • Intellectual disabilities. Memory and attention problems, as well as learning difficulties, are common in children affected by ARND.
  • Behavioral problems. Children with ARND often develop learning difficulties and behavioral problems, such as attention deficit disorder (ADD) or oppositional defiant disorder (ODD). They might also have separation anxiety or impulsivity problems.
  • Nerve or brain abnormalities. ARND also comes with disruptions in nerve and brain functioning that contribute to problems with cognitive development and behavioral issues.

While ARND isn’t entirely treatable, it’s manageable with the right support. Early intervention is crucial — getting a diagnosis might be emotionally difficult, but at this point, it’s all about fixing what’s fixable. It’s important to get help as soon as possible!

What Is Fetal Alcohol Syndrome (FAS)?

Finally, there’s the most serious alcohol-related set of issues, known as fetal alcohol syndrome. A group of alcohol-related birth defects that include physical and mental problems, FASD is a spectrum of disorders ranging from mild to severe.

According to Birthdefects.org, symptoms include several physical abnormalities:

  • Growth problems. FASD infants tend to have a low birth weight and length. They often fail to gain weight compared to their peers and have trouble thriving as they get older.  
  • Facial abnormalities. A typical “FASD face” is characterized by small eye openings; ear deformities; a short, upturned nose with a flattened, low, nasal bridge; and a thin, smooth, upper lip.
  • Organ abnormalities. FASD comes with heart and liver defects.
  • Skeletal deformities. Babies with FASD typically have smaller heads, deformed ribs, spine curvature, and joint problems. 
  • Central nervous system damage. Unfortunately, FASD can lead to a range of neurological and psychiatric effects, including learning and social disabilities, anxiety, tremors, seizures, coordination problems, attention deficit, and hyperactivity.

Like other alcohol-related birth defects, it’s entirely avoidable if we stay away from alcohol when we’re pregnant and, ideally, during the time when we think pregnancy is on the horizon. Unfortunately, it’s largely untreatable once it develops, although special educational services and psychological support can provide some help.

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What Is Partial Fetal Alcohol Syndrome (pFAS)?

Partial Fetal Alcohol Syndrome (pFAS) is a condition on the Fetal Alcohol Spectrum Disorder (FASD) continuum. As the name suggests, individuals with pFAS have some, but not all, of the characteristic signs of Fetal Alcohol Syndrome (FAS). A diagnosis of pFAS typically requires confirmed prenatal alcohol exposure along with the presence of some of the facial abnormalities seen in FAS. It also involves at least one of the other criteria: growth deficiencies (being smaller than average) or evidence of central nervous system issues. While the symptoms may be less extensive than in FAS, pFAS is still a serious, lifelong condition that can present significant challenges with learning, behavior, and overall health.

What Is Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE)?

Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE) is another diagnosis under the FASD umbrella. This condition focuses specifically on the cognitive and behavioral challenges that arise from drinking during pregnancy. Unlike FAS or pFAS, a diagnosis of ND-PAE does not require the presence of the characteristic facial features. Instead, it is defined by significant difficulties in three main areas: problems with thinking and memory (like trouble planning or recalling information), behavior problems (such as severe tantrums or impulsivity), and challenges with daily living skills (including bathing, dressing, and playing appropriately for their age). Confirmation of prenatal alcohol exposure is necessary for this diagnosis.

Recognizing the Signs: Diagnosis and Symptoms

Identifying a Fetal Alcohol Spectrum Disorder can be complex because its signs vary widely from person to person. Some individuals may have distinct physical features, while others may struggle more with behavioral or learning challenges that aren't immediately visible. The symptoms can also overlap with other conditions, like ADHD, which can make diagnosis tricky. Understanding the full range of possible signs is the first step for parents and caregivers who suspect their child may be affected. A formal diagnosis should always be made by a team of qualified professionals who can look at the complete picture, from physical growth to cognitive function. This evaluation is crucial for getting a child the right support as early as possible.

Physical and Facial Features

Some of the most well-known signs of FASD are the distinct physical and facial features, though it's important to remember that not everyone with an FASD will have them. Healthcare professionals look for a specific pattern of three facial characteristics when making a diagnosis of Fetal Alcohol Syndrome. These include a smooth philtrum (the ridge between the nose and upper lip is flat), a thin upper lip, and small eye openings. These features arise from alcohol exposure during a critical period of facial development in the first trimester. While these signs are key indicators for FAS, their absence doesn't rule out other conditions on the spectrum, like ARND or ND-PAE.

Behavioral and Cognitive Symptoms

Beyond the physical signs, FASD often brings a host of behavioral and cognitive challenges that can affect every aspect of a person's life. Children with an FASD frequently experience learning disabilities and have trouble with memory and attention. They may struggle with impulse control, making it difficult to think before they act, and may have a hard time understanding social cues, which can complicate friendships. These neurodevelopmental effects are a direct result of how alcohol impacts the brain's formation. These symptoms can be frustrating for both the child and their caregivers, which is why getting a proper diagnosis and understanding the underlying condition is so important for finding effective management strategies.

The Diagnostic Process

Getting a diagnosis for an FASD isn't as simple as a single test; it requires a comprehensive evaluation by a team of specialists. This team often includes a developmental pediatrician, a psychologist, and other therapists who work together to assess the child from multiple angles. They will evaluate physical growth and look for the characteristic facial features associated with FAS. They also conduct tests to assess brain function, looking at cognitive abilities, academic achievement, and adaptive skills. A crucial part of the process is confirming the mother's alcohol consumption during pregnancy, though a diagnosis can sometimes be made without this information if other signs are clearly present.

Why Early Diagnosis Is a Protective Factor

Receiving a diagnosis for an FASD as early as possible is one of the most important things you can do for a child. It's considered a major "protective factor" because it unlocks the door to specialized services and interventions that can make a huge difference. When a child is diagnosed early, parents and teachers can implement strategies tailored to their specific needs. This support can help mitigate some of the long-term effects of the disorder, reduce frustrating behaviors, and help the child build skills for a more successful future. An early diagnosis changes the conversation from "Why is my child acting this way?" to "How can we help my child succeed?"

Long-Term Complications and Co-occurring Conditions

Fetal Alcohol Spectrum Disorders are lifelong conditions, and the challenges don't disappear when a child grows up. In fact, without proper support, the core difficulties associated with FASD can lead to a range of secondary problems in adulthood. These are not symptoms of the disorder itself, but rather complications that arise from living with it. For example, an individual's trouble with impulse control and understanding consequences can lead to difficulties with the law. Similarly, social skill deficits can make it hard to find and keep a job or maintain healthy relationships. Understanding these potential long-term complications highlights the critical need for ongoing support systems that extend well into adulthood to help individuals manage their daily lives successfully.

Secondary Problems in Adulthood

As individuals with FASD transition into adulthood, they often face a new set of challenges. These secondary problems can significantly impact their quality of life and independence. Mental health issues are very common, with high rates of depression, anxiety, and suicide attempts. Many adults with FASD struggle to live independently and maintain steady employment due to difficulties with executive functioning skills like time management and problem-solving. They may also face challenges in their social relationships and are at a higher risk for substance use issues and involvement with the legal system. These outcomes underscore why early intervention and lifelong support are so essential.

Common Co-Occurring Disorders

It's very common for individuals with an FASD to also have other mental health or neurodevelopmental disorders. These are known as co-occurring conditions, and they can complicate both diagnosis and treatment. Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most frequent co-occurring diagnoses, as the symptoms of inattention, hyperactivity, and impulsivity overlap significantly with those of FASD. Anxiety and depression are also common, likely stemming from the social and academic frustrations that individuals with FASD often experience. Effectively managing an FASD requires addressing these co-occurring disorders as well, often through a combination of therapy and medication.

Treatment and Management for FASD

When parents receive an FASD diagnosis for their child, one of their first questions is often about treatment. It's important to set realistic expectations from the start: while FASD is a lifelong condition with no cure, it is absolutely manageable. The goal of treatment is not to eliminate the disorder, but to help individuals manage their symptoms, build on their strengths, and develop coping strategies to improve their quality of life. A successful management plan is never one-size-fits-all. It requires a personalized, multi-faceted approach that often involves a team of healthcare providers, therapists, educators, and, most importantly, supportive family members working together to create a stable and nurturing environment.

Correcting Misconceptions: Is FASD Treatable?

One of the biggest misconceptions about FASD is that because there's no cure, nothing can be done to help. This couldn't be further from the truth. While the underlying brain damage caused by prenatal alcohol exposure cannot be reversed, the symptoms and challenges that result from it are treatable. Think of it like managing other chronic health conditions. Various therapies and interventions can help individuals with FASD learn new skills and strategies to navigate their daily lives more effectively. The key is to focus on support and management rather than a cure, which empowers families to take proactive steps and helps individuals with FASD lead happy and fulfilling lives.

Therapies and Interventions That Help

A range of therapies and interventions can make a significant positive impact on a child with FASD. The most effective treatment plans are comprehensive and tailored to the individual's specific needs. Behavioral therapy, such as cognitive behavioral therapy (CBT), can help with impulse control and social skills. Educational support is also vital; children often benefit from an Individualized Education Program (IEP) at school that provides accommodations for their learning style. Family counseling is another key component, as it helps everyone in the family understand the disorder and learn effective strategies for communication and support. The earlier these interventions begin, the better the outcomes tend to be.

Medications

There are no specific medications approved to treat the core symptoms of FASD itself. However, medication can be an important part of a comprehensive treatment plan to manage co-occurring conditions. For example, stimulant medications commonly used for ADHD can help improve focus and reduce impulsivity in some individuals with FASD. Likewise, antidepressants or anti-anxiety medications may be prescribed to help manage symptoms of depression or anxiety. A doctor will carefully evaluate whether medication is appropriate and monitor its effects closely.

Behavior and Education Therapy

Behavioral and educational therapies are the cornerstones of FASD management. These interventions are designed to teach practical skills and strategies to help children cope with their specific challenges. For instance, a child who struggles with social cues might benefit from social skills training groups. A child with memory problems might learn to use visual aids and routines to help them stay on track. In school, educational therapists can work with teachers to adapt the curriculum and classroom environment to better suit the child's learning needs, ensuring they have the best possible chance to succeed academically.

Parent Training

Parenting a child with FASD comes with a unique set of challenges, and parent training programs are designed to provide caregivers with the tools and support they need. These programs teach parents about the effects of FASD on the brain and behavior, which helps them understand the "why" behind their child's actions. They also provide positive parenting strategies for managing difficult behaviors, advocating for their child's needs at school, and creating a structured, predictable home environment where their child can thrive. This training empowers parents and can significantly reduce stress for the entire family.

Where Parents Can Find Help

Finding the right help and support can feel overwhelming, but you are not alone. Your child's primary healthcare provider is the best place to start. They can provide referrals to specialists for diagnosis and treatment. Connecting with other families can also be incredibly valuable; look for local or online FASD support groups to share experiences and advice. In the school system, parents can request an evaluation for special education services to create an IEP. Building a strong support network of professionals, educators, and other parents is key to navigating the journey of raising a child with an FASD and helping them reach their full potential.

How to Have a Healthy, Alcohol-Free Pregnancy

While alcohol-related birth defects are difficult to treat after they develop, the truth — both heartbreaking and encouraging — is that they’re highly preventable. Here’s what you can do:

  1. Avoid alcohol during pregnancy. This one is the key to a healthy start. Do whatever it takes to stop if you’re currently drinking and try to stay on track throughout your pregnancy. It’s absolutely worth it! (And while we’re on the subject of what to avoid — stay away from smoking and using marijuana as well).
  2. Be honest with your doctor. They’ve seen and heard it all and won’t judge. They need to know the truth about your situation, whatever that might be, so they can offer the best guidance and advice.
  3. Ask for help. If you’re struggling, don’t hesitate to ask for help. It’s a sign of strength, and there are lots of resources out there that can help you stop drinking if you’re finding it difficult. Reframe is here for you as well!
  4. Nourish your body. There are two (or more!) of you now, so make sure you’re eating enough protein and calcium-rich milk products to support your baby’s growing needs. Leafy green vegetables, fruits, whole grains, and sources of omega-3 fatty acids, such as avocados and nuts, will help provide your body with the nutrients and antioxidants you need.
  5. Take vitamins. Folic acid is key. The CDC recommends taking 400 micrograms (mcg) daily before and during pregnancy.
  6. Stay hydrated. Water is crucial for all of us (our bodies are about 60% water in composition!), but during pregnancy it’s even more critical to stay hydrated. 
  7. Get vaccinated. Protecting your immune system from disease protects your baby as well. 
  8. Create a safe environment. Last but not least, make sure your environment is safe. Household cleaners and some potential workplace hazards could pose risks, so check with your doctor if you’re unsure or worried about anything.

With these tips, you and your baby will be off to a safe start.

Support for Changing Your Drinking Habits

Making the decision to have an alcohol-free pregnancy is a huge step, but putting that decision into practice can feel overwhelming, especially if drinking is a regular part of your life. The most important thing to remember is that you don’t have to do it alone. According to the CDC, Fetal Alcohol Spectrum Disorders (FASDs) are completely preventable if a pregnant person does not drink alcohol. Holding onto this fact can be a powerful motivator on difficult days. If you’re struggling, reaching out for support is one of the strongest things you can do. Whether it’s leaning on your partner, confiding in a trusted friend, speaking with a healthcare professional, or finding a dedicated community, getting help is a sign of your commitment to a healthy pregnancy.

How Reframe Can Help

If you’re looking for a private, accessible tool to guide you, the Reframe app is designed to help you change your relationship with alcohol from the ground up. Built on a foundation of neuroscience, it offers a daily, structured program to help you understand your triggers and build healthier coping mechanisms. Through educational courses, guided meditations, and progress tracking, you can develop the skills for lasting change. Plus, you get access to a large, anonymous community of people on a similar journey, so you can find encouragement and share experiences without judgment. It’s a comprehensive toolkit for mindful drinking that fits right in your pocket, ready whenever you need support on your path to an alcohol-free pregnancy.

Is Any Amount of Alcohol Safe During Pregnancy?

In the end, pregnancy is a special, challenging, and exciting time, but adding alcohol to the mix can bring on a unique set of dangers and long-lasting effects. Let’s avoid alcohol-related birth defects by staying informed, avoiding alcohol, and taking care of our body and mind (and our baby’s!) during pregnancy and beyond!

Expert Recommendations for Prevention

When it comes to alcohol and pregnancy, the expert advice is crystal clear and unanimous. According to the Centers for Disease Control and Prevention (CDC), there is no known safe amount of alcohol to drink at any point during pregnancy. This includes the earliest weeks, even before you might know you’re pregnant. The U.S. Surgeon General echoes this, advising anyone who is pregnant, might become pregnant, or is actively trying to conceive to avoid alcohol completely. The most encouraging part of this guidance is that Fetal Alcohol Spectrum Disorders (FASDs) are entirely preventable. By choosing not to drink during pregnancy, you can eliminate the risk of these conditions and give your baby the healthiest possible start.

What About Drinking While Breastfeeding?

This is a common question, and the answer requires careful consideration. Alcohol does pass into breast milk, and its concentration is similar to the level in your bloodstream. The Mayo Clinic advises that if you choose to have an alcoholic drink, it's best to wait at least two hours before nursing or pumping. This allows time for your body to metabolize the alcohol. While the risks are not the same as drinking during pregnancy, alcohol in breast milk can still affect your baby's development, sleep patterns, and overall well-being. The safest course of action is to avoid alcohol while breastfeeding. If you do have a drink, timing it carefully is key to minimizing your baby’s exposure.

Frequently Asked Questions

I had a few drinks before I knew I was pregnant. What should I do? First, take a deep breath. This is a very common situation, and the most important step is what you do now. Stop drinking alcohol for the remainder of your pregnancy and be open with your doctor about your concerns and your previous alcohol consumption. They can provide the best guidance and monitor your pregnancy closely. Focusing on a healthy, alcohol-free path forward is the best thing you can do for your baby.

Is there a 'safe' amount or type of alcohol to drink during pregnancy? No, there is no known safe amount, safe type, or safe time to drink alcohol during pregnancy. All major health organizations, including the CDC and the U.S. Surgeon General, agree on this. Alcohol passes directly to the developing baby, and because every pregnancy is different, it's impossible to predict how much alcohol might cause harm. The only way to ensure your baby is protected from alcohol-related birth defects is to avoid it completely.

What's the difference between Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Spectrum Disorders (FASDs)? Think of Fetal Alcohol Spectrum Disorders (FASDs) as an umbrella term that covers the wide range of effects that can happen to a person whose mother drank alcohol during pregnancy. Fetal Alcohol Syndrome (FAS) is the most severe diagnosis under that umbrella, often involving distinct facial features, growth problems, and central nervous system issues. Other conditions on the spectrum may not have the physical signs but can still involve significant behavioral and learning challenges.

Can alcohol-related birth defects be cured? There is no cure for Fetal Alcohol Spectrum Disorders because the conditions result from changes to the brain and body that occurred during development. However, they are absolutely manageable. Early diagnosis is key because it opens the door to therapies, educational support, and parent training that can help a child manage their challenges and build on their strengths, allowing them to lead a fulfilling life.

Do all children exposed to alcohol in the womb show physical signs? No, and this is a critical point to understand. While Fetal Alcohol Syndrome (FAS) has recognizable facial features, many children with other conditions on the spectrum do not. They may struggle with issues like learning disabilities, poor impulse control, or social difficulties that are not visible. This is why it's so important to consider prenatal alcohol exposure if a child is facing these challenges, even if they don't have the physical markers.

Key Takeaways

  • Zero alcohol is the only safe choice during pregnancy: From the moment you're trying to conceive through all nine months, abstaining from alcohol is the only way to completely prevent alcohol-related birth defects.
  • Alcohol exposure can cause lifelong challenges: Fetal Alcohol Spectrum Disorders (FASDs) cover a wide range of physical, behavioral, and learning difficulties that can affect a person throughout their life, not just in childhood.
  • Prevention is possible and management is key: While FASDs are 100% preventable, early diagnosis and consistent support from family, schools, and healthcare providers are crucial for managing the condition and helping a child thrive.

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

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

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

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

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

Read Full Article  →

You’ve been taking B vitamins for weeks. Everyone tells you they’re supposed to give you more energy, but you’re still sluggish. “What’s the problem?” you wonder. “Did I get a bad batch?” 

There are several reasons why your vitamins may not be giving you the desired results — one factor is alcohol. Among the many effects of alcohol, we don’t hear much about it interrupting vitamin absorption, but it does! 

In this blog post, we will explore how our body absorbs vitamins and alcohol, and how the two interact.

Overview of Vitamins

Woman sitting alone at a bar with a distressed expression, holding a glass

Vitamins are organic compounds that our body needs to maintain basic functions. There are two main categories of vitamins:

  • Water-soluble. Water-soluble vitamins don’t stay in the body for long as they can’t be stored. They quickly make their way into our urine, where they are expelled. As a result, they need to be replenished regularly. They are essential to the formation of proteins, fats, and carbohydrates. These include vitamins C and the B complex (more on this later!). Water-soluble vitamins are essential for the brain health, immune function, and converting carbohydrates to energy.
  • Fat-soluble. These vitamins, including A, D, E, and K are stored in fatty tissue and the liver for days to months, depending on the vitamin. They are important for vision, bone health, immune function, and effective blood clotting.

Our body doesn’t produce most vitamins; we can produce vitamin D by being in the sun, and a small amount of vitamin K2 (essential for bone and heart health) is produced in our gut. All of the other vitamins must come from our diet or from supplements. Let’s dig into that next!

How Alcohol Is Absorbed 

About 20% of the alcohol we drink is absorbed into our bloodstream through our stomach, and the other 80% is absorbed by our small intestines. Once the alcohol is in our bloodstream, it travels everywhere blood goes — spoiler alert, that’s our whole body!

However, some parts of the body use more blood than others. For instance, the brain and the liver are the most blood-guzzling organs. The liver is where almost every substance and food that enters our body is metabolized — including alcohol.

The liver breaks alcohol down into a toxic byproduct called acetaldehyde. After that, it’s broken down into acetate and expelled from the body in our urine and breath. The alcohol metabolism process is taxing on the liver. Because alcohol and acetaldehyde are toxins, the liver focuses on eliminating those from our body and sets other things to the side — including food.

Vitamins and Alcohol: How Does Alcohol Use Impact Vitamins?

Drinking alcohol, especially in large amounts, disrupts the absorption of vitamins B1 (thiamine), B9 (folate), B12, A, and C. One study looked closely at vitamin C and alcohol and found that 42% of people with alcohol use disorder have severe vitamin C deficiencies.

Alcohol specifically interferes with vitamin absorption and storage in the following ways: 

  • Enzyme disruption. Alcohol consumption impairs the function of digestive enzymes that break down and absorb nutrients such as pancreatic enzymes. 
  • Gut irritation. Alcohol irritates and inflames the lining of the stomach and intestines. The inflamed and irritated tissue is not as effective at absorbing the vitamins from our food. 
  • Nutrient transport. Some vitamins use proteins or other substances to transport nutrients across the intestinal wall into the bloodstream. Alcohol can disrupt this transportation process and the vitamins won’t make it into our bloodstream or where they are needed. 
  • Liver Damage. Alcohol misuse or chronic alcohol use can damage our liver by physically taxing it and causing inflammation. As mentioned earlier, the liver processes just about every substance that enters our body, including food and the nutrients our food contains.
  • Vitamin depletion. The process of metabolizing alcohol is energy- and nutrient-intensive. It depletes the stored reserve of vitamin B1 (thiamine) and interferes with the metabolism of other B vitamins, especially folate and B12. 

Overall, chronic alcohol use can disrupt the absorption and metabolism of vitamins and lead to several vitamin deficiencies. 

Alcohol and Nutrient Malabsorption

Alcohol and Malabsorption

We learned that alcohol can prevent or disrupt vitamins from being absorbed. We may be getting plenty of vitamins in our diet, but that means very little if we can’t absorb them. Let’s take a look at common symptoms of alcohol malabsorption:

  • Fatigue. Deficiencies in vitamins such as B12 and folate can lead to fatigue and weakness.
  • Digestive issues. Vitamin malabsorption and alcohol can both cause both gastrointestinal symptoms such as diarrhea, constipation, bloating, abdominal pain, and indigestion.
  • Neurological symptoms. Deficiencies in B vitamins, particularly thiamine (B1), can lead to neurological symptoms such as numbness or tingling in the hands and feet, muscle weakness, poor coordination, and memory problems.
  • Anemia. Although most often associated with a deficiency of iron (a mineral), vitamin B12 contributes to anemia by inhibiting the function of healthy red blood cells. Anemia is characterized by symptoms such as fatigue, weakness, pale skin, shortness of breath, and dizziness.
  • Mood changes. Deficiencies in B vitamins can affect mood and lead to symptoms such as irritability, depression, and anxiety.
  • Skin problems. Malabsorption of vitamin A affects skin health and leads to symptoms such as dry skin, rashes, or cracking at the corners of the mouth. The dehydration caused by alcohol also reduces the plumpness and elasticity of skin.
  • Weight loss. In severe cases of malabsorption, individuals may experience weight loss because they are unable to obtain the nutrients needed. (Note: This is not the good kind of weight loss!)

Symptoms may vary depending on the severity of the alcohol consumption. However, even moderate alcohol use can lead to moderate malabsorption. 

After reading this list we may be wondering, does taking vitamins after drinking alcohol help counteract the negative effects of alcohol? The results are mixed. Some research found that supplements can help reduce liver damage while others show no difference. More studies are needed to determine the effectiveness of vitamin supplements, but there is one simple answer: quitting or cutting back on alcohol is the most effective way to prevent alcohol-related vitamin malabsorption.

Recovering With Vitamins

There is good news! The simple act of reducing (or completely stopping) alcohol use allows the body to heal and restore its functions — including nutrient absorption.

You can use vitamins to your advantage as you try to heal from chronic alcohol use. For instance, B vitamins such as B1, B9, and B12 help you regain proper energy metabolism and nerve function, and boost your overall well-being. Vitamin C helps support your immune system and reduces oxidative stress levels caused by alcohol use. To get these vitamins, you can use supplements, but you can also maximize vitamin bioavailability by getting them from certain foods: 

  • Fruits such as bananas, apples (with the skin!), and oranges
  • Whole grain breads
  • Liver (including pâté)
  • Sweet and hot peppers 
  • Roots and tubers, such as carrots, beets, potatoes, and sweet potatoes
  • Leafy greens such as kale, spinach, and chard
  • Cruciferous vegetables such as broccoli and Brussels sprouts
  • Small amounts of dairy, including Greek yogurt and milk

It's important to note that while supplements can help support recovery, they should not be used as a substitute for a healthy diet and lifestyle. Eating a balanced diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats is essential for overall health and recovery from alcohol use. Additionally, individuals recovering from alcohol use should consult with a healthcare professional before starting any new supplements to ensure they are safe and appropriate for their individual needs.

Key Takeaways

Alcohol takes a toll on our overall health, and its effects on our vitamin absorption are only the beginning. Quitting or cutting back on alcohol is an effective way to prioritize our well-being. Luckily, there are endless resources out there to help with this project. Consider trying the Reframe app, which puts a science-backed toolkit right in your pocket. Here’s to your health!

You’ve been taking B vitamins for weeks. Everyone tells you they’re supposed to give you more energy, but you’re still sluggish. “What’s the problem?” you wonder. “Did I get a bad batch?” 

There are several reasons why your vitamins may not be giving you the desired results — one factor is alcohol. Among the many effects of alcohol, we don’t hear much about it interrupting vitamin absorption, but it does! 

In this blog post, we will explore how our body absorbs vitamins and alcohol, and how the two interact.

Overview of Vitamins

Woman sitting alone at a bar with a distressed expression, holding a glass

Vitamins are organic compounds that our body needs to maintain basic functions. There are two main categories of vitamins:

  • Water-soluble. Water-soluble vitamins don’t stay in the body for long as they can’t be stored. They quickly make their way into our urine, where they are expelled. As a result, they need to be replenished regularly. They are essential to the formation of proteins, fats, and carbohydrates. These include vitamins C and the B complex (more on this later!). Water-soluble vitamins are essential for the brain health, immune function, and converting carbohydrates to energy.
  • Fat-soluble. These vitamins, including A, D, E, and K are stored in fatty tissue and the liver for days to months, depending on the vitamin. They are important for vision, bone health, immune function, and effective blood clotting.

Our body doesn’t produce most vitamins; we can produce vitamin D by being in the sun, and a small amount of vitamin K2 (essential for bone and heart health) is produced in our gut. All of the other vitamins must come from our diet or from supplements. Let’s dig into that next!

How Alcohol Is Absorbed 

About 20% of the alcohol we drink is absorbed into our bloodstream through our stomach, and the other 80% is absorbed by our small intestines. Once the alcohol is in our bloodstream, it travels everywhere blood goes — spoiler alert, that’s our whole body!

However, some parts of the body use more blood than others. For instance, the brain and the liver are the most blood-guzzling organs. The liver is where almost every substance and food that enters our body is metabolized — including alcohol.

The liver breaks alcohol down into a toxic byproduct called acetaldehyde. After that, it’s broken down into acetate and expelled from the body in our urine and breath. The alcohol metabolism process is taxing on the liver. Because alcohol and acetaldehyde are toxins, the liver focuses on eliminating those from our body and sets other things to the side — including food.

Vitamins and Alcohol: How Does Alcohol Use Impact Vitamins?

Drinking alcohol, especially in large amounts, disrupts the absorption of vitamins B1 (thiamine), B9 (folate), B12, A, and C. One study looked closely at vitamin C and alcohol and found that 42% of people with alcohol use disorder have severe vitamin C deficiencies.

Alcohol specifically interferes with vitamin absorption and storage in the following ways: 

  • Enzyme disruption. Alcohol consumption impairs the function of digestive enzymes that break down and absorb nutrients such as pancreatic enzymes. 
  • Gut irritation. Alcohol irritates and inflames the lining of the stomach and intestines. The inflamed and irritated tissue is not as effective at absorbing the vitamins from our food. 
  • Nutrient transport. Some vitamins use proteins or other substances to transport nutrients across the intestinal wall into the bloodstream. Alcohol can disrupt this transportation process and the vitamins won’t make it into our bloodstream or where they are needed. 
  • Liver Damage. Alcohol misuse or chronic alcohol use can damage our liver by physically taxing it and causing inflammation. As mentioned earlier, the liver processes just about every substance that enters our body, including food and the nutrients our food contains.
  • Vitamin depletion. The process of metabolizing alcohol is energy- and nutrient-intensive. It depletes the stored reserve of vitamin B1 (thiamine) and interferes with the metabolism of other B vitamins, especially folate and B12. 

Overall, chronic alcohol use can disrupt the absorption and metabolism of vitamins and lead to several vitamin deficiencies. 

Alcohol and Nutrient Malabsorption

Alcohol and Malabsorption

We learned that alcohol can prevent or disrupt vitamins from being absorbed. We may be getting plenty of vitamins in our diet, but that means very little if we can’t absorb them. Let’s take a look at common symptoms of alcohol malabsorption:

  • Fatigue. Deficiencies in vitamins such as B12 and folate can lead to fatigue and weakness.
  • Digestive issues. Vitamin malabsorption and alcohol can both cause both gastrointestinal symptoms such as diarrhea, constipation, bloating, abdominal pain, and indigestion.
  • Neurological symptoms. Deficiencies in B vitamins, particularly thiamine (B1), can lead to neurological symptoms such as numbness or tingling in the hands and feet, muscle weakness, poor coordination, and memory problems.
  • Anemia. Although most often associated with a deficiency of iron (a mineral), vitamin B12 contributes to anemia by inhibiting the function of healthy red blood cells. Anemia is characterized by symptoms such as fatigue, weakness, pale skin, shortness of breath, and dizziness.
  • Mood changes. Deficiencies in B vitamins can affect mood and lead to symptoms such as irritability, depression, and anxiety.
  • Skin problems. Malabsorption of vitamin A affects skin health and leads to symptoms such as dry skin, rashes, or cracking at the corners of the mouth. The dehydration caused by alcohol also reduces the plumpness and elasticity of skin.
  • Weight loss. In severe cases of malabsorption, individuals may experience weight loss because they are unable to obtain the nutrients needed. (Note: This is not the good kind of weight loss!)

Symptoms may vary depending on the severity of the alcohol consumption. However, even moderate alcohol use can lead to moderate malabsorption. 

After reading this list we may be wondering, does taking vitamins after drinking alcohol help counteract the negative effects of alcohol? The results are mixed. Some research found that supplements can help reduce liver damage while others show no difference. More studies are needed to determine the effectiveness of vitamin supplements, but there is one simple answer: quitting or cutting back on alcohol is the most effective way to prevent alcohol-related vitamin malabsorption.

Recovering With Vitamins

There is good news! The simple act of reducing (or completely stopping) alcohol use allows the body to heal and restore its functions — including nutrient absorption.

You can use vitamins to your advantage as you try to heal from chronic alcohol use. For instance, B vitamins such as B1, B9, and B12 help you regain proper energy metabolism and nerve function, and boost your overall well-being. Vitamin C helps support your immune system and reduces oxidative stress levels caused by alcohol use. To get these vitamins, you can use supplements, but you can also maximize vitamin bioavailability by getting them from certain foods: 

  • Fruits such as bananas, apples (with the skin!), and oranges
  • Whole grain breads
  • Liver (including pâté)
  • Sweet and hot peppers 
  • Roots and tubers, such as carrots, beets, potatoes, and sweet potatoes
  • Leafy greens such as kale, spinach, and chard
  • Cruciferous vegetables such as broccoli and Brussels sprouts
  • Small amounts of dairy, including Greek yogurt and milk

It's important to note that while supplements can help support recovery, they should not be used as a substitute for a healthy diet and lifestyle. Eating a balanced diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats is essential for overall health and recovery from alcohol use. Additionally, individuals recovering from alcohol use should consult with a healthcare professional before starting any new supplements to ensure they are safe and appropriate for their individual needs.

Key Takeaways

Alcohol takes a toll on our overall health, and its effects on our vitamin absorption are only the beginning. Quitting or cutting back on alcohol is an effective way to prioritize our well-being. Luckily, there are endless resources out there to help with this project. Consider trying the Reframe app, which puts a science-backed toolkit right in your pocket. Here’s to your health!

Alcohol & Physical Health Effects
2024-05-06 9:00
Alcohol and Health
Which is Worse: Alcohol or Weed? The 2025 Verdict
This is some text inside of a div block.

Alcohol and marijuana are both harmful substances, but is there one that's worse? Check out our latest blog for more info on how they stack up against each other.

22 min read

Make a Positive Choice for Your Health: Join the Reframe Community!

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

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

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

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

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

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

Read Full Article  →

Alcohol and marijuana are two of the most commonly used drugs. However, due to differences in societal acceptance, there seems to be a great debate over which one’s worse. 

Although we may be looking for a clear-cut answer, the truth is, it’s a bit complicated. At face value, they’re both harmful substances — suggesting that a title for “worst” may not be the important answer we’re looking for. To help us come to a conclusion for ourselves, we’ll take a side-by-side look at the different facets of alcohol and marijuana. 

Understanding the Health Effects of Alcohol

a bottle and two glasses of alcohol, surrounded by cannabis plants and marijuana leaves

As a central nervous system (CNS) depressant, alcohol impacts messaging in our brain and the rest of our body. The toxins cause immediate effects and can also have long-term impacts from prolonged exposure. 

Acute Effects

Alcohol is associated with “feeling drunk,” but it's actually a side effect of alcohol’s impact on the different systems in our body. The exact experience can vary from person to person and depending on the amount of alcohol consumed, but some symptoms of intoxication are common: 

  • Loss of coordination
  • Lack of judgment
  • Increased blood pressure
  • Increased heart rate
  • Lowered inhibitions
  • Change in behavior
  • Blurry vision
  • Nausea or vomiting

Short-term effects of alcohol can also be felt the day after  — even a few days after — in what we know of as a hangover. 

Long-Term Effects

The long-term effects of alcohol also will vary from person to person. Prolonged or excessive exposure to the toxins in alcohol can cause many different problems:

  • Liver disease. Our liver breaks down more than 90% of alcohol. Since drinking alcohol continually exposes our liver to toxins, it’s commonly associated with liver damage and disease.
  • Pancreatitis. The toxins in alcohol damage our pancreatic cells over time, leading to chronic inflammation and disease of the pancreas.
  • Heart disease. Excessive consumption of alcohol is linked with an increased risk of heart disease as it can lead to permanent effects on our blood pressure. It is associated with a type of heart failure known as alcoholic cardiomyopathy.
  • Stomach and GI issues. Alcohol disrupts our gut microbiome, which can lead to discomfort, digestive issues, and the development of ulcers.
  • Nerve damage. Prolonged exposure to alcohol can cause numbness and tingling in our limbs due to nerve damage.
  • Infertility. Excessive consumption of alcohol can decrease our reproductive hormone levels, affecting fertility in males and females. 
  • Mental health conditions. Alcohol has lasting impacts on our brain, which helps regulate our mood and stress. Mental health conditions such as anxiety, depression, and other mental health conditions are more common in those of us who misuse alcohol.
  • Increased risk of cancer. The toxic component of alcohol, acetaldehyde, is a known carcinogen, which explains alcohol’s direct tie to the increased risk of developing all types of cancer.

Long-term health effects are the leading cause of alcohol-related mortalities. While the exact effects will vary from person to person, it’s clear that drinking alcohol opens the door to myriad lasting effects on our health. 

Understanding the Health Effects of Marijuana

Marijuana, also known as “weed,” refers to the different parts of the cannabis plant. The plant contains active compounds such as tetrahydrocannabinol (THC), cannabidiol (CBD), and more. Some of these active compounds are mind-altering and have short-term and long-term effects on our body. 

Acute Effects

The “high” feeling associated with marijuana is a result of the effects that the drug has on different systems in our body. The effects of marijuana vary more widely from person to person compared to those of alcohol:

  • Dry mouth
  • Changes in perception of time
  • Lack of coordination
  • Impaired judgment
  • Relaxation
  • Increased hunger
  • Drowsiness
  • Pain relief
  • Dry/red eyes

Like the effects of alcohol, marijuana’s acute effects can linger in the days following its use. Hangover symptoms from weed frequently include brain fog, headache, and drowsiness.

Long-Term Effects

The long-term health effects of marijuana are not as heavily researched as alcohol. While still being studied, marijuana has been associated with various long-term impacts:

  • Altered brain development. The effects of marijuana on brain development still require further research. However, the Centers for Disease Control and Prevention (CDC) reports that using marijuana before the age of 18 can affect brain functions such as learning, memory, and attention. 
  • Schizophrenia. The connection between marijuana and schizophrenia continues to be studied. However, research has shown that marijuana use is tied to an increased risk of developing schizophrenia and other psychotic disorders. A more recent study came to the same conclusion; it also found the highest risk group to be young men between the ages of 16 and 25.
  • Lung damage. Smoking — a common method for using marijuana — has direct impacts on our lung health. According to the CDC, marijuana contains toxins and irritants similar to tobacco when smoked.

We’ve established a long list of health effects of alcohol and marijuana, but what’s the verdict?

Analyzing the Health Effects of Marijuana vs. Alcohol

As we’ve looked more in depth at the health effects of alcohol and marijuana, we might find ourselves comparing the long list of impacts. At a quick glance, the extensive list of alcohol’s effects may have us wondering, “Is alcohol worse than weed even though weed is illegal in many places?”

Actually, alcohol and marijuana impact our cognitive abilities and motor function in similar ways. Although our individual experiences may vary, both substances can have dangerous effects. 

Comparing long-term impacts, alcohol seems to be associated with significantly more risks. However, lack of research could be the reason for the discrepancy. Currently, alcohol is tied to greater health issues, but it’s too soon to come to the conclusion that alcohol is worse, as more information is needed. That said, let’s explore another facet of alcohol and marijuana — their misuse.

Comparing the Potential of Misuse: Alcohol vs. Marijuana

Alcohol and marijuana are both drugs that can cause dependence and lead to misuse. According to the American Psychological Association (APA), substance misuse refers to continued use of a substance despite impaired control, risky use, and substance-related problems. Diagnoses for alcohol use disorder (AUD) and cannabis use disorder (CUD) must meet certain criteria in the DSM-5, professional reference book on mental health and brain-related conditions. The criteria refer to the cognitive, behavioral, and physiological symptoms associated with the misuse of a substance.

The 2022 National Drug Survey on Drug Use and Health (NSDUH) reported:

  • 29.5 million people or 10.5% of those aged 12 and older had AUD within the past year.
  • 19 million people or 6.7% of those aged 12 and older had CUD within the past year.
  • AUD and CUD were most common in young adults between the ages of 18 and 25. 

While data show that alcohol misuse today is more prevalent than marijuana misuse, both are alarmingly common. Could social perception play a factor in these numbers?

A Side-by-Side Look at the Social Impacts

Social acceptance of a substance can contribute to substance use, which can have effects aside from our health. Let’s explore the social impacts of alcohol and marijuana.

Alcohol is one of the most commonly used drugs according to the National Institute on Drug Abuse (NIDA); that fact may be attributed in part to the high social acceptance of drinking. While high alcohol consumption may benefit individual companies, it has detrimental impacts on our economy. The CDC reports that excessive alcohol use cost the U.S. roughly $249 billion in 2010 due to healthcare expenses, decreased workplace productivity, motor vehicle crashes, and criminal justice expenses. In addition to the toll on our economy, alcohol production also causes negative environmental impacts. Individually, alcohol can cause great harm to our health, but by zooming out and looking at the population as a whole, we can get a clearer picture of the extensive social impacts of alcohol. 

Like alcohol, marijuana is also highly accepted socially, which also makes it one of the most highly used illicit drugs. Marijuana is becoming legal in more areas, which may explain the growth in use and positive impacts on our economy. Although we may see some benefits economically due to tax revenue, investment opportunities, and job growth, research has shown that marijuana is associated with an increased risk of violence. Although more research is needed, current findings suggest marijuana use has negative impacts on public safety. Shifts in legality and public perception continue to occur, but presently, marijuana is still highly controlled through regulation and taxation.

While alcohol and marijuana are similar in many ways, we can also see their different impacts on our society as a whole. Let’s take a closer look at these differences by laying out the facts. 

Sobering Statistics on Related Harms: Alcohol vs. Weed

Different facets of weed and alcohol make it difficult to compare the two. Statistics comparing weed and alcohol are revealing.

  • Alcohol use within the past month was reported by 137.4 million people (48.7%) among those aged 12 or older, as outlined by the 2022 NSDUH report.
  • Marijuana use within the past month was reported by 42.3 million people (15%) among those aged 12 or older, as outlined by the 2022 NSDUH report. 
  • Alcohol-impaired driving fatalities account for about 31% of traffic crash fatalities in the United States per year, as reported by the National Highway Traffic Administration (NHTSA).
  • Marijuana-impaired driving accidents aren’t well reported, but a 2022 study on traffic crash rates found that legalization of recreational marijuana use was associated with a 6.5% increase in injury crash rates and a 2.3% increase in traffic crash fatalities.
  • Alcohol-related mortalities account for over 178,00 deaths per year in the United States, according to a report from the CDC
  • Marijuana-related mortalities aren’t well documented; however, the Drug Abuse Warning Network (DAWN) reports that 597 per 100,000 people between the ages of 18 and 25 visited the emergency room for a marijuana-related emergency in 2022. These emergencies range from severe nausea and vomiting to injury from impaired motor function.

Data help us compare alcohol and marijuana more tangibly, but it’s important to note that external factors such as how likely people are to report using each substance can influence the information and how we interpret it.

Comparing the Public Health Impacts of Alcohol vs. Marijuana

Is Weed or Alcohol Worse?

While it’s easy to compare the visible effects of alcohol and weed, there’s a lot more to consider when trying to determine which substance is more harmful. It’s helpful to keep in mind those factors that can influence the comparison of alcohol and weed:

  • Amount of research. We’ve studied alcohol for much longer than we’ve studied marijuana — meaning, we know a lot more about it. While it may seem like the evidence shows that alcohol has significantly more risks than marijuana, the lack of long-term studies on the impact of weed can contribute to this gap. 
  • Variation in products. Alcohol is primarily consumed orally whereas marijuana can be used in a variety of ways. The variation between the effects of weed through different methods such as smoking, infusions, and topicals adds to its complexities and the lack of conclusions on its impacts.
  • Biological differences. The way alcohol and marijuana affects us varies due to our biological differences. For example, some of us may find it difficult to function without alcohol but don’t have any issues with misusing weed. On the other hand, some of us may not be as affected by alcohol but have a low tolerance for weed. These individual differences make it difficult to compare alcohol and weed at face value.

Despite all the different factors that can influence whether alcohol or marijuana is considered more harmful, the bottom line is that they’re both harmful.

Preventing Alcohol and Substance Misuse

Working to improve our relationship with alcohol and other substances isn’t just for those of us who are diagnosed with substance use disorder. Early intervention is one of the most effective tools in preventing misuse. There are several practices we can implement to develop a better relationship with alcohol and other harmful substances:

  • Reach out for support. Having a strong support system is crucial in helping us reach our goals. Different types of social support help us in different areas of our journey and can be the difference between staying trapped in misuse and achieving a healthier lifestyle.
  • Quit or cut back. Quitting or cutting back on harmful substances helps to minimize the effects they have on our body. While it’s easier said than done, mindful practices such as tracking consumption, finding alternatives, and setting limits can help us make effective changes. 
  • Find a treatment that fits. Finding an effective treatment option can be a bit like finding the right therapist. It’s okay to try different treatment models as some options may work better for us than others. 
  • Don’t wait until it’s an issue. It’s a common misconception that taking steps to develop a better relationship with alcohol or other substances is just for those of us with a diagnosis. However, mindful consumption practices are for anyone and will only be beneficial to our health!

While we may not have settled the debate as to whether alcohol or marijuana is worse, we’ve established that both are harmful — refocusing our attention on limiting the consumption of each.

The Final Verdict

We’ve explored just about every significant facet of the effects of alcohol and marijuana. Although it may not be the answer we’d hoped for, there is no definitive conclusion as to whether alcohol or marijuana is worse for our health. Current research and data suggest that greater harm is associated with alcohol consumption. However, external factors that influence these findings make it difficult to declare a verdict at this time. While we may not have a clear answer as to which substance is worse, we do know that both alcohol and marijuana have detrimental impacts on our health and well-being — suggesting that a winner for the worst may not be what’s important. The evidence tells us to limit harmful substances, both alcohol and marijuana.

Alcohol and marijuana are two of the most commonly used drugs. However, due to differences in societal acceptance, there seems to be a great debate over which one’s worse. 

Although we may be looking for a clear-cut answer, the truth is, it’s a bit complicated. At face value, they’re both harmful substances — suggesting that a title for “worst” may not be the important answer we’re looking for. To help us come to a conclusion for ourselves, we’ll take a side-by-side look at the different facets of alcohol and marijuana. 

Understanding the Health Effects of Alcohol

a bottle and two glasses of alcohol, surrounded by cannabis plants and marijuana leaves

As a central nervous system (CNS) depressant, alcohol impacts messaging in our brain and the rest of our body. The toxins cause immediate effects and can also have long-term impacts from prolonged exposure. 

Acute Effects

Alcohol is associated with “feeling drunk,” but it's actually a side effect of alcohol’s impact on the different systems in our body. The exact experience can vary from person to person and depending on the amount of alcohol consumed, but some symptoms of intoxication are common: 

  • Loss of coordination
  • Lack of judgment
  • Increased blood pressure
  • Increased heart rate
  • Lowered inhibitions
  • Change in behavior
  • Blurry vision
  • Nausea or vomiting

Short-term effects of alcohol can also be felt the day after  — even a few days after — in what we know of as a hangover. 

Long-Term Effects

The long-term effects of alcohol also will vary from person to person. Prolonged or excessive exposure to the toxins in alcohol can cause many different problems:

  • Liver disease. Our liver breaks down more than 90% of alcohol. Since drinking alcohol continually exposes our liver to toxins, it’s commonly associated with liver damage and disease.
  • Pancreatitis. The toxins in alcohol damage our pancreatic cells over time, leading to chronic inflammation and disease of the pancreas.
  • Heart disease. Excessive consumption of alcohol is linked with an increased risk of heart disease as it can lead to permanent effects on our blood pressure. It is associated with a type of heart failure known as alcoholic cardiomyopathy.
  • Stomach and GI issues. Alcohol disrupts our gut microbiome, which can lead to discomfort, digestive issues, and the development of ulcers.
  • Nerve damage. Prolonged exposure to alcohol can cause numbness and tingling in our limbs due to nerve damage.
  • Infertility. Excessive consumption of alcohol can decrease our reproductive hormone levels, affecting fertility in males and females. 
  • Mental health conditions. Alcohol has lasting impacts on our brain, which helps regulate our mood and stress. Mental health conditions such as anxiety, depression, and other mental health conditions are more common in those of us who misuse alcohol.
  • Increased risk of cancer. The toxic component of alcohol, acetaldehyde, is a known carcinogen, which explains alcohol’s direct tie to the increased risk of developing all types of cancer.

Long-term health effects are the leading cause of alcohol-related mortalities. While the exact effects will vary from person to person, it’s clear that drinking alcohol opens the door to myriad lasting effects on our health. 

Understanding the Health Effects of Marijuana

Marijuana, also known as “weed,” refers to the different parts of the cannabis plant. The plant contains active compounds such as tetrahydrocannabinol (THC), cannabidiol (CBD), and more. Some of these active compounds are mind-altering and have short-term and long-term effects on our body. 

Acute Effects

The “high” feeling associated with marijuana is a result of the effects that the drug has on different systems in our body. The effects of marijuana vary more widely from person to person compared to those of alcohol:

  • Dry mouth
  • Changes in perception of time
  • Lack of coordination
  • Impaired judgment
  • Relaxation
  • Increased hunger
  • Drowsiness
  • Pain relief
  • Dry/red eyes

Like the effects of alcohol, marijuana’s acute effects can linger in the days following its use. Hangover symptoms from weed frequently include brain fog, headache, and drowsiness.

Long-Term Effects

The long-term health effects of marijuana are not as heavily researched as alcohol. While still being studied, marijuana has been associated with various long-term impacts:

  • Altered brain development. The effects of marijuana on brain development still require further research. However, the Centers for Disease Control and Prevention (CDC) reports that using marijuana before the age of 18 can affect brain functions such as learning, memory, and attention. 
  • Schizophrenia. The connection between marijuana and schizophrenia continues to be studied. However, research has shown that marijuana use is tied to an increased risk of developing schizophrenia and other psychotic disorders. A more recent study came to the same conclusion; it also found the highest risk group to be young men between the ages of 16 and 25.
  • Lung damage. Smoking — a common method for using marijuana — has direct impacts on our lung health. According to the CDC, marijuana contains toxins and irritants similar to tobacco when smoked.

We’ve established a long list of health effects of alcohol and marijuana, but what’s the verdict?

Analyzing the Health Effects of Marijuana vs. Alcohol

As we’ve looked more in depth at the health effects of alcohol and marijuana, we might find ourselves comparing the long list of impacts. At a quick glance, the extensive list of alcohol’s effects may have us wondering, “Is alcohol worse than weed even though weed is illegal in many places?”

Actually, alcohol and marijuana impact our cognitive abilities and motor function in similar ways. Although our individual experiences may vary, both substances can have dangerous effects. 

Comparing long-term impacts, alcohol seems to be associated with significantly more risks. However, lack of research could be the reason for the discrepancy. Currently, alcohol is tied to greater health issues, but it’s too soon to come to the conclusion that alcohol is worse, as more information is needed. That said, let’s explore another facet of alcohol and marijuana — their misuse.

Comparing the Potential of Misuse: Alcohol vs. Marijuana

Alcohol and marijuana are both drugs that can cause dependence and lead to misuse. According to the American Psychological Association (APA), substance misuse refers to continued use of a substance despite impaired control, risky use, and substance-related problems. Diagnoses for alcohol use disorder (AUD) and cannabis use disorder (CUD) must meet certain criteria in the DSM-5, professional reference book on mental health and brain-related conditions. The criteria refer to the cognitive, behavioral, and physiological symptoms associated with the misuse of a substance.

The 2022 National Drug Survey on Drug Use and Health (NSDUH) reported:

  • 29.5 million people or 10.5% of those aged 12 and older had AUD within the past year.
  • 19 million people or 6.7% of those aged 12 and older had CUD within the past year.
  • AUD and CUD were most common in young adults between the ages of 18 and 25. 

While data show that alcohol misuse today is more prevalent than marijuana misuse, both are alarmingly common. Could social perception play a factor in these numbers?

A Side-by-Side Look at the Social Impacts

Social acceptance of a substance can contribute to substance use, which can have effects aside from our health. Let’s explore the social impacts of alcohol and marijuana.

Alcohol is one of the most commonly used drugs according to the National Institute on Drug Abuse (NIDA); that fact may be attributed in part to the high social acceptance of drinking. While high alcohol consumption may benefit individual companies, it has detrimental impacts on our economy. The CDC reports that excessive alcohol use cost the U.S. roughly $249 billion in 2010 due to healthcare expenses, decreased workplace productivity, motor vehicle crashes, and criminal justice expenses. In addition to the toll on our economy, alcohol production also causes negative environmental impacts. Individually, alcohol can cause great harm to our health, but by zooming out and looking at the population as a whole, we can get a clearer picture of the extensive social impacts of alcohol. 

Like alcohol, marijuana is also highly accepted socially, which also makes it one of the most highly used illicit drugs. Marijuana is becoming legal in more areas, which may explain the growth in use and positive impacts on our economy. Although we may see some benefits economically due to tax revenue, investment opportunities, and job growth, research has shown that marijuana is associated with an increased risk of violence. Although more research is needed, current findings suggest marijuana use has negative impacts on public safety. Shifts in legality and public perception continue to occur, but presently, marijuana is still highly controlled through regulation and taxation.

While alcohol and marijuana are similar in many ways, we can also see their different impacts on our society as a whole. Let’s take a closer look at these differences by laying out the facts. 

Sobering Statistics on Related Harms: Alcohol vs. Weed

Different facets of weed and alcohol make it difficult to compare the two. Statistics comparing weed and alcohol are revealing.

  • Alcohol use within the past month was reported by 137.4 million people (48.7%) among those aged 12 or older, as outlined by the 2022 NSDUH report.
  • Marijuana use within the past month was reported by 42.3 million people (15%) among those aged 12 or older, as outlined by the 2022 NSDUH report. 
  • Alcohol-impaired driving fatalities account for about 31% of traffic crash fatalities in the United States per year, as reported by the National Highway Traffic Administration (NHTSA).
  • Marijuana-impaired driving accidents aren’t well reported, but a 2022 study on traffic crash rates found that legalization of recreational marijuana use was associated with a 6.5% increase in injury crash rates and a 2.3% increase in traffic crash fatalities.
  • Alcohol-related mortalities account for over 178,00 deaths per year in the United States, according to a report from the CDC
  • Marijuana-related mortalities aren’t well documented; however, the Drug Abuse Warning Network (DAWN) reports that 597 per 100,000 people between the ages of 18 and 25 visited the emergency room for a marijuana-related emergency in 2022. These emergencies range from severe nausea and vomiting to injury from impaired motor function.

Data help us compare alcohol and marijuana more tangibly, but it’s important to note that external factors such as how likely people are to report using each substance can influence the information and how we interpret it.

Comparing the Public Health Impacts of Alcohol vs. Marijuana

Is Weed or Alcohol Worse?

While it’s easy to compare the visible effects of alcohol and weed, there’s a lot more to consider when trying to determine which substance is more harmful. It’s helpful to keep in mind those factors that can influence the comparison of alcohol and weed:

  • Amount of research. We’ve studied alcohol for much longer than we’ve studied marijuana — meaning, we know a lot more about it. While it may seem like the evidence shows that alcohol has significantly more risks than marijuana, the lack of long-term studies on the impact of weed can contribute to this gap. 
  • Variation in products. Alcohol is primarily consumed orally whereas marijuana can be used in a variety of ways. The variation between the effects of weed through different methods such as smoking, infusions, and topicals adds to its complexities and the lack of conclusions on its impacts.
  • Biological differences. The way alcohol and marijuana affects us varies due to our biological differences. For example, some of us may find it difficult to function without alcohol but don’t have any issues with misusing weed. On the other hand, some of us may not be as affected by alcohol but have a low tolerance for weed. These individual differences make it difficult to compare alcohol and weed at face value.

Despite all the different factors that can influence whether alcohol or marijuana is considered more harmful, the bottom line is that they’re both harmful.

Preventing Alcohol and Substance Misuse

Working to improve our relationship with alcohol and other substances isn’t just for those of us who are diagnosed with substance use disorder. Early intervention is one of the most effective tools in preventing misuse. There are several practices we can implement to develop a better relationship with alcohol and other harmful substances:

  • Reach out for support. Having a strong support system is crucial in helping us reach our goals. Different types of social support help us in different areas of our journey and can be the difference between staying trapped in misuse and achieving a healthier lifestyle.
  • Quit or cut back. Quitting or cutting back on harmful substances helps to minimize the effects they have on our body. While it’s easier said than done, mindful practices such as tracking consumption, finding alternatives, and setting limits can help us make effective changes. 
  • Find a treatment that fits. Finding an effective treatment option can be a bit like finding the right therapist. It’s okay to try different treatment models as some options may work better for us than others. 
  • Don’t wait until it’s an issue. It’s a common misconception that taking steps to develop a better relationship with alcohol or other substances is just for those of us with a diagnosis. However, mindful consumption practices are for anyone and will only be beneficial to our health!

While we may not have settled the debate as to whether alcohol or marijuana is worse, we’ve established that both are harmful — refocusing our attention on limiting the consumption of each.

The Final Verdict

We’ve explored just about every significant facet of the effects of alcohol and marijuana. Although it may not be the answer we’d hoped for, there is no definitive conclusion as to whether alcohol or marijuana is worse for our health. Current research and data suggest that greater harm is associated with alcohol consumption. However, external factors that influence these findings make it difficult to declare a verdict at this time. While we may not have a clear answer as to which substance is worse, we do know that both alcohol and marijuana have detrimental impacts on our health and well-being — suggesting that a winner for the worst may not be what’s important. The evidence tells us to limit harmful substances, both alcohol and marijuana.

Alcohol & Physical Health Effects
2024-05-06 9:00
Alcohol and Health
The Asian Flush Patch: Does It Really Work?
This is some text inside of a div block.

Alcohol flush patches claim to aid with unpleasant symptoms that come with flushing. Check out our latest blog for more info.

19 min read

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Read Full Article  →

Pain relief patches help reduce aches, and nicotine patches can help us quit smoking. But what about alcohol flush patches? While they claim to be the latest and greatest solution for alcohol intolerance, we’ve learned to take a second look at viral products on TikTok Shop.  

Let’s examine the science behind the patch and determine if we want to add it to our carts or not. 

Understanding Alcohol Flush Reactions

Alcohol flush reactions are a result of intolerance to alcohol. Different from an alcohol allergy, alcohol intolerance is a genetic mutation. This deficiency in the enzyme alcohol dehydrogenase (ALDH) makes it difficult for our body to metabolize alcohol efficiently. This allows the toxin in alcohol, acetaldehyde (ACH), to linger in our body, causing the symptoms we know as alcohol flush.

Marked by common symptoms and known for its prevalence in those of us of Asian descent, alcohol flush is also known as “Asian glow” or “Asian flush.” The hallmark symptom of alcohol flush is a red face, but it is often accompanied by others: 

a person applying a contraceptive patch on their abdomen
  • Headache
  • Low blood pressure
  • Rapid heart rate
  • Runny nose
  • Nausea 

Due to the severe unpleasantness of alcohol flush reactions, we continue to look for solutions to help get rid of it. We may have heard of Pepcid or curated alcohol flush pills, but one of the newer proposed remedies is an alcohol flush patch.

What Are Alcohol Flush Patches?

Alcohol flush patches are small transdermal patches that claim to alleviate the symptoms of alcohol flush reactions. They go by many other labels and nicknames:

  • Asian glow patch
  • Asian flush patch
  • Anti-flush patch
  • Drinking patch
  • Alcohol patch 

The patches vary in size, color, and ingredients, but they all aim to reduce the unpleasant symptoms of drinking. 

How Do Alcohol Flush Patches Work?

Each alcohol flush patch contains a specific combination of supplements. When placed on our skin, the supplements get absorbed into our bloodstream through our skin. Unlike pills, patches allow the medications to bypass the digestive system, get absorbed more slowly through our skin, and last longer. Due to their slow release, alcohol flush patches are meant to be placed on the body before drinking. 

Alcohol flush patches typically contain a combination of ingredients that aim to reduce experiences of alcohol flush reactions:

  • Glutathione. This antioxidant is one of the main components of alcohol flush patches and differentiates this solution from others such as Pepcid, which may only mask some symptoms of flushing. Glutathione’s antioxidant properties are meant to neutralize the toxic substances in alcohol that produce flushing symptoms. 
  • N-Acetyl Cysteine (NAC). NAC is an antioxidant that plays a role in glutathione production. It’s also shown to have anti-inflammatory properties that are theorized to help reduce the risk of hangovers.
  • Green tea extract. This supplement is also used for its antioxidant properties. While not FDA-approved, green tea extract is commonly used to help decrease inflammation and reduce blood pressure.
  • Vitamins. Vitamins such as vitamins B and C are common additives in alcohol patches. Much the way supplements are used regularly to support optimal body function, vitamins are added to the support function of our cells and organs, aiding in the efficient metabolization of alcohol.
  • Alpha-lipoic acid (ALA). ALA is an antioxidant used in the absorption and production of energy in our body. ALA is meant to help break down acetaldehyde. 
  • Milk thistle. Milk thistle is an herbal supplement that has been used for centuries for a wide variety of liver ailments. More recently, the supplement has been used for a multitude of other conditions and is being tested for its mechanisms in preventing alcohol hangovers.

When we wear the patch while drinking, its curated combination of vitamins and antioxidants is drawn in through the pores in our skin — aiding our body’s absorption and metabolization of alcohol. 

Types of Alcohol Patches

Alcohol patch ingredients vary based on different drinking experiences and alcohol flush reactions. 

Alcohol Patches for Hangovers

Alcohol patches for hangovers aim to prevent an unpleasant aftermath or reduce the severity of hangover symptoms. Several brands offer alcohol patches for hangovers:

  • Bytox Hangover Patch 
  • Party Patch
  • The Good Patch 
  • The Patch Remedy

While hangover patches are aimed at reducing more general symptoms of drinking, alcohol flush patches target more specific experiences of alcohol intolerance.

Alcohol Patches for ‘”Asian Flush”

Alcohol flush patches are meant to reduce common symptoms of alcohol intolerance by helping our body process alcohol. They target specific flush symptoms such as redness, inflammation, and GI distress. 

While commonly dubbed Asian glow patches or Asian flush patches, alcohol flush patches can be for anyone who experiences symptoms of alcohol intolerance. The patches usually contain a combination of ingredients that focus on alcohol flush as well as more generic supplements that may help combat hangovers. While varying slightly in composition, several products claim to be a solution for alcohol flush:

  • iBlush Patch 
  • Redee Patch
  • Glowless Patch

No matter what they’re called or what’s in them, the question remains: Do they work? 

Are Alcohol Flush Patches Effective?

There’s little research on whether or not alcohol flush patches are effective. By looking at their different components and mechanisms, however, we can better evaluate how they’ll work against symptoms of alcohol flush.

Effectiveness Against Alcohol Flush

When we drink alcohol, our GI system and enzymes in our blood begin to break down ethanol into acetaldehyde immediately. This process triggers the release of histamine, prompting flushing symptoms to develop rapidly. 

In the meantime, the glutathione in the patch slowly passes through our thick dermal layer to raise levels enough to help metabolize ACH, but it’s effects are negligible.

NAC could help, but it needs to be absorbed into our body, transported to our liver, and converted into cysteine, which is then used by our liver to produce glutathione. 

So, while glutathione and NAC can help with the breakdown of ACH, the effects are minimal. It can be compared to being handed a raincoat in a typhoon — not completely unhelpful but not nearly enough to prevent serious consequences.

Effectiveness Against Hangovers

While not necessarily effective in preventing alcohol flush, glutathione and NAC have been studied for their mechanisms in preventing and reducing hangover symptoms. An in vivo study concluded that a mix of glutathione and cysteine alleviated hangover symptoms and reduced oxidative stress. Similarly, research focusing on alcohol metabolism found that accelerating the metabolism of ACH may help reduce the severity of hangovers. However, it’s important to note that not enough human studies have been conducted to conclude that glutathione and NAC specifically aid in hangovers.

Other components of alcohol flush patches include vitamins, antioxidants, and supplements. Scientific literature shows that dietary nutrients such as vitamins and minerals can aid in metabolization of alcohol. Similarly, a pilot study on milk thistle found promising results in reducing hangover symptoms. However, further research is needed to determine the effectiveness of other vitamins and supplements. 

After evaluating the mechanisms of alcohol flush patches, we can see that they have minimal effects on preventing alcohol flush and hangovers. Yet, they’re still popular products, which begs the question: Are they safe?

Are Alcohol Flush Patches Safe?

Like most supplements, alcohol flush patches are not regulated by the FDA. Currently, no serious adverse effects have been reported. However, there’s little research done testing their safety. The components that make up the product are generally safe to use — suggesting that the patches are also safe. As with any supplement, some side effects may occur: 

  • Skin irritation
  • Allergy 
  • GI distress
  • Dry mouth 
  • Headache

So, while they aren’t overly helpful, in most cases the patches aren’t harmful. 

Pros and Cons of Alcohol Flush Patches 

We’ve established that alcohol flush patches are neither particularly helpful nor harmful, so why do people still use them? Let’s go over some of the pros and cons before we make our final decision.

Pros

While they may not be the ultimate cure for hangovers, they do have some benefits: 

  • Increased mindfulness. Alcohol flush patches have to be placed on our skin before drinking, oftentimes on our wrist. While the patches may not reduce symptoms of alcohol flush internally, they can serve as an external reminder to exercise moderation when drinking. 
  • Liver protection. Glutathione is shown to reduce oxidative stress, which contributes to liver damage and disease. Patches that include glutathione supplements may help reduce liver damage from alcohol.
  • Replenished glutathione levels. Drinking depletes our natural glutathione levels. The supplements in alcohol flush patches can help replenish glutathione, which aids in tissue repair and proper immune system function.

The benefits of alcohol flush patches may explain why some people continue to use them despite their minimal effects on alcohol flush and hangovers. 

Cons

  • Delivery method. The transdermal delivery is less invasive but also less speedy. While the effects can last longer, alcohol flush reactions can happen before the patch kicks in.
  • Skin irritation. The adhesive on the patches, as well as the potency of the active ingredients, can irritate our skin, especially if we have sensitive skin. 
  • Placement. Alcohol flush patches have to be applied before drinking. If we forget to apply one, they’re useless. If we remember to apply one, it can be uncomfortable to keep on for long periods.

Like most products, alcohol flush patches have pros and cons — leaving us to evaluate them for ourselves. 

Tips To Avoid an Alcohol Flush Reaction

Alternatives for Alcohol Flush Reactions

An alcohol flush reaction is an uncomfortable response to alcohol intolerance, but it serves as a warning sign of the dangers of alcohol. Alcohol flush products may help reduce some unwanted symptoms, but it remains true that the toxins in alcohol are just as damaging to our body. Some alternatives to help reduce or avoid alcohol flush include the following mindful drinking practices: 

  • Quit/cut back on alcohol. Quitting or cutting back on alcohol is the most effective solution to preventing alcohol flush reactions. Since it’s a symptom of alcohol intolerance, by removing or minimizing the substance, we can avoid the unpleasant experience.
  • Pace drinking. Slowing down our drinking allows our body more time to process alcohol. While it won’t stop symptoms of alcohol flush, it can reduce our overall alcohol consumption — limiting the damage that alcohol can cause. 
  • Prioritize hydration. Staying hydrated can help our cells and organs work optimally to process the toxins in alcohol. Drinking water won’t magically prevent alcohol flush, but it can reduce dehydration that may contribute to exacerbated hangover symptoms.
  • Focus on nutrition. Looking at most of the components in alcohol flush patches, most of them are antioxidants that are meant to reduce the toxicity of alcohol. Antioxidants can also be found in foods such as fruits, vegetables, and nuts.
  • Use medication. Like alcohol flush patches, medications aren’t a sustainable solution for alcohol flush. However, some medications can help reduce exacerbated hangover symptoms if we’re looking for short-term aid. 

Mindful drinking practices not only help with the prevention of alcohol flush reactions but also with the development of a healthier relationship with alcohol.

Patching It All Together

In theory, alcohol flush patches sound like the answer to our alcohol flush woes. However, a more thorough review of alcohol flush patches uncovers their minimal effectiveness against alcohol flush reactions and hangovers. While not harmful, the patches aren’t significantly beneficial either. It may not hurt to try them, but other alternatives such as quitting or cutting back on alcohol are a better solution for alcohol flush. A patch is no match for alcohol flush!

Pain relief patches help reduce aches, and nicotine patches can help us quit smoking. But what about alcohol flush patches? While they claim to be the latest and greatest solution for alcohol intolerance, we’ve learned to take a second look at viral products on TikTok Shop.  

Let’s examine the science behind the patch and determine if we want to add it to our carts or not. 

Understanding Alcohol Flush Reactions

Alcohol flush reactions are a result of intolerance to alcohol. Different from an alcohol allergy, alcohol intolerance is a genetic mutation. This deficiency in the enzyme alcohol dehydrogenase (ALDH) makes it difficult for our body to metabolize alcohol efficiently. This allows the toxin in alcohol, acetaldehyde (ACH), to linger in our body, causing the symptoms we know as alcohol flush.

Marked by common symptoms and known for its prevalence in those of us of Asian descent, alcohol flush is also known as “Asian glow” or “Asian flush.” The hallmark symptom of alcohol flush is a red face, but it is often accompanied by others: 

a person applying a contraceptive patch on their abdomen
  • Headache
  • Low blood pressure
  • Rapid heart rate
  • Runny nose
  • Nausea 

Due to the severe unpleasantness of alcohol flush reactions, we continue to look for solutions to help get rid of it. We may have heard of Pepcid or curated alcohol flush pills, but one of the newer proposed remedies is an alcohol flush patch.

What Are Alcohol Flush Patches?

Alcohol flush patches are small transdermal patches that claim to alleviate the symptoms of alcohol flush reactions. They go by many other labels and nicknames:

  • Asian glow patch
  • Asian flush patch
  • Anti-flush patch
  • Drinking patch
  • Alcohol patch 

The patches vary in size, color, and ingredients, but they all aim to reduce the unpleasant symptoms of drinking. 

How Do Alcohol Flush Patches Work?

Each alcohol flush patch contains a specific combination of supplements. When placed on our skin, the supplements get absorbed into our bloodstream through our skin. Unlike pills, patches allow the medications to bypass the digestive system, get absorbed more slowly through our skin, and last longer. Due to their slow release, alcohol flush patches are meant to be placed on the body before drinking. 

Alcohol flush patches typically contain a combination of ingredients that aim to reduce experiences of alcohol flush reactions:

  • Glutathione. This antioxidant is one of the main components of alcohol flush patches and differentiates this solution from others such as Pepcid, which may only mask some symptoms of flushing. Glutathione’s antioxidant properties are meant to neutralize the toxic substances in alcohol that produce flushing symptoms. 
  • N-Acetyl Cysteine (NAC). NAC is an antioxidant that plays a role in glutathione production. It’s also shown to have anti-inflammatory properties that are theorized to help reduce the risk of hangovers.
  • Green tea extract. This supplement is also used for its antioxidant properties. While not FDA-approved, green tea extract is commonly used to help decrease inflammation and reduce blood pressure.
  • Vitamins. Vitamins such as vitamins B and C are common additives in alcohol patches. Much the way supplements are used regularly to support optimal body function, vitamins are added to the support function of our cells and organs, aiding in the efficient metabolization of alcohol.
  • Alpha-lipoic acid (ALA). ALA is an antioxidant used in the absorption and production of energy in our body. ALA is meant to help break down acetaldehyde. 
  • Milk thistle. Milk thistle is an herbal supplement that has been used for centuries for a wide variety of liver ailments. More recently, the supplement has been used for a multitude of other conditions and is being tested for its mechanisms in preventing alcohol hangovers.

When we wear the patch while drinking, its curated combination of vitamins and antioxidants is drawn in through the pores in our skin — aiding our body’s absorption and metabolization of alcohol. 

Types of Alcohol Patches

Alcohol patch ingredients vary based on different drinking experiences and alcohol flush reactions. 

Alcohol Patches for Hangovers

Alcohol patches for hangovers aim to prevent an unpleasant aftermath or reduce the severity of hangover symptoms. Several brands offer alcohol patches for hangovers:

  • Bytox Hangover Patch 
  • Party Patch
  • The Good Patch 
  • The Patch Remedy

While hangover patches are aimed at reducing more general symptoms of drinking, alcohol flush patches target more specific experiences of alcohol intolerance.

Alcohol Patches for ‘”Asian Flush”

Alcohol flush patches are meant to reduce common symptoms of alcohol intolerance by helping our body process alcohol. They target specific flush symptoms such as redness, inflammation, and GI distress. 

While commonly dubbed Asian glow patches or Asian flush patches, alcohol flush patches can be for anyone who experiences symptoms of alcohol intolerance. The patches usually contain a combination of ingredients that focus on alcohol flush as well as more generic supplements that may help combat hangovers. While varying slightly in composition, several products claim to be a solution for alcohol flush:

  • iBlush Patch 
  • Redee Patch
  • Glowless Patch

No matter what they’re called or what’s in them, the question remains: Do they work? 

Are Alcohol Flush Patches Effective?

There’s little research on whether or not alcohol flush patches are effective. By looking at their different components and mechanisms, however, we can better evaluate how they’ll work against symptoms of alcohol flush.

Effectiveness Against Alcohol Flush

When we drink alcohol, our GI system and enzymes in our blood begin to break down ethanol into acetaldehyde immediately. This process triggers the release of histamine, prompting flushing symptoms to develop rapidly. 

In the meantime, the glutathione in the patch slowly passes through our thick dermal layer to raise levels enough to help metabolize ACH, but it’s effects are negligible.

NAC could help, but it needs to be absorbed into our body, transported to our liver, and converted into cysteine, which is then used by our liver to produce glutathione. 

So, while glutathione and NAC can help with the breakdown of ACH, the effects are minimal. It can be compared to being handed a raincoat in a typhoon — not completely unhelpful but not nearly enough to prevent serious consequences.

Effectiveness Against Hangovers

While not necessarily effective in preventing alcohol flush, glutathione and NAC have been studied for their mechanisms in preventing and reducing hangover symptoms. An in vivo study concluded that a mix of glutathione and cysteine alleviated hangover symptoms and reduced oxidative stress. Similarly, research focusing on alcohol metabolism found that accelerating the metabolism of ACH may help reduce the severity of hangovers. However, it’s important to note that not enough human studies have been conducted to conclude that glutathione and NAC specifically aid in hangovers.

Other components of alcohol flush patches include vitamins, antioxidants, and supplements. Scientific literature shows that dietary nutrients such as vitamins and minerals can aid in metabolization of alcohol. Similarly, a pilot study on milk thistle found promising results in reducing hangover symptoms. However, further research is needed to determine the effectiveness of other vitamins and supplements. 

After evaluating the mechanisms of alcohol flush patches, we can see that they have minimal effects on preventing alcohol flush and hangovers. Yet, they’re still popular products, which begs the question: Are they safe?

Are Alcohol Flush Patches Safe?

Like most supplements, alcohol flush patches are not regulated by the FDA. Currently, no serious adverse effects have been reported. However, there’s little research done testing their safety. The components that make up the product are generally safe to use — suggesting that the patches are also safe. As with any supplement, some side effects may occur: 

  • Skin irritation
  • Allergy 
  • GI distress
  • Dry mouth 
  • Headache

So, while they aren’t overly helpful, in most cases the patches aren’t harmful. 

Pros and Cons of Alcohol Flush Patches 

We’ve established that alcohol flush patches are neither particularly helpful nor harmful, so why do people still use them? Let’s go over some of the pros and cons before we make our final decision.

Pros

While they may not be the ultimate cure for hangovers, they do have some benefits: 

  • Increased mindfulness. Alcohol flush patches have to be placed on our skin before drinking, oftentimes on our wrist. While the patches may not reduce symptoms of alcohol flush internally, they can serve as an external reminder to exercise moderation when drinking. 
  • Liver protection. Glutathione is shown to reduce oxidative stress, which contributes to liver damage and disease. Patches that include glutathione supplements may help reduce liver damage from alcohol.
  • Replenished glutathione levels. Drinking depletes our natural glutathione levels. The supplements in alcohol flush patches can help replenish glutathione, which aids in tissue repair and proper immune system function.

The benefits of alcohol flush patches may explain why some people continue to use them despite their minimal effects on alcohol flush and hangovers. 

Cons

  • Delivery method. The transdermal delivery is less invasive but also less speedy. While the effects can last longer, alcohol flush reactions can happen before the patch kicks in.
  • Skin irritation. The adhesive on the patches, as well as the potency of the active ingredients, can irritate our skin, especially if we have sensitive skin. 
  • Placement. Alcohol flush patches have to be applied before drinking. If we forget to apply one, they’re useless. If we remember to apply one, it can be uncomfortable to keep on for long periods.

Like most products, alcohol flush patches have pros and cons — leaving us to evaluate them for ourselves. 

Tips To Avoid an Alcohol Flush Reaction

Alternatives for Alcohol Flush Reactions

An alcohol flush reaction is an uncomfortable response to alcohol intolerance, but it serves as a warning sign of the dangers of alcohol. Alcohol flush products may help reduce some unwanted symptoms, but it remains true that the toxins in alcohol are just as damaging to our body. Some alternatives to help reduce or avoid alcohol flush include the following mindful drinking practices: 

  • Quit/cut back on alcohol. Quitting or cutting back on alcohol is the most effective solution to preventing alcohol flush reactions. Since it’s a symptom of alcohol intolerance, by removing or minimizing the substance, we can avoid the unpleasant experience.
  • Pace drinking. Slowing down our drinking allows our body more time to process alcohol. While it won’t stop symptoms of alcohol flush, it can reduce our overall alcohol consumption — limiting the damage that alcohol can cause. 
  • Prioritize hydration. Staying hydrated can help our cells and organs work optimally to process the toxins in alcohol. Drinking water won’t magically prevent alcohol flush, but it can reduce dehydration that may contribute to exacerbated hangover symptoms.
  • Focus on nutrition. Looking at most of the components in alcohol flush patches, most of them are antioxidants that are meant to reduce the toxicity of alcohol. Antioxidants can also be found in foods such as fruits, vegetables, and nuts.
  • Use medication. Like alcohol flush patches, medications aren’t a sustainable solution for alcohol flush. However, some medications can help reduce exacerbated hangover symptoms if we’re looking for short-term aid. 

Mindful drinking practices not only help with the prevention of alcohol flush reactions but also with the development of a healthier relationship with alcohol.

Patching It All Together

In theory, alcohol flush patches sound like the answer to our alcohol flush woes. However, a more thorough review of alcohol flush patches uncovers their minimal effectiveness against alcohol flush reactions and hangovers. While not harmful, the patches aren’t significantly beneficial either. It may not hurt to try them, but other alternatives such as quitting or cutting back on alcohol are a better solution for alcohol flush. A patch is no match for alcohol flush!

Alcohol & Physical Health Effects
2024-05-03 9:00
Alcohol and Health
Alcohol Deaths Per Year: The Latest 2026 Statistics
This is some text inside of a div block.

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

20 min read

Worried About Your Relationship With Alcohol? Try Reframe!

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

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

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

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

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

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

Read Full Article  →

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

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

How Much Alcohol Can Kill You?

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

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

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

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

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

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

Types of Alcohol-Related Deaths

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

Alcohol Poisoning

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

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

Alcohol-Related Health Conditions

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

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

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

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

Mental Health 

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

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

Alcohol-Related Accidents

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

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

How Many People Die From Alcohol Each Year?

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

How Many People Die From Alcohol Each Year

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

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

A 2022 analysis by the CDC, reported similar findings: 

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

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

Analyzing the Trends in Alcohol-Related Deaths Per Year

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

Impacts of COVID-19

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

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

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

The War on Drugs

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

Female Death Rates

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

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

Why the Rising Rate of Alcohol-Related Deaths Is Important

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

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

How To Help a Loved One With Alcohol Dependence

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

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

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

Developing a Healthy Relationship With Alcohol

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

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

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

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

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

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

The Bottom Line

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

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

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

How Much Alcohol Can Kill You?

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

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

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

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

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

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

Types of Alcohol-Related Deaths

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

Alcohol Poisoning

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

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

Alcohol-Related Health Conditions

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

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

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

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

Mental Health 

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

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

Alcohol-Related Accidents

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

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

How Many People Die From Alcohol Each Year?

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

How Many People Die From Alcohol Each Year

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

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

A 2022 analysis by the CDC, reported similar findings: 

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

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

Analyzing the Trends in Alcohol-Related Deaths Per Year

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

Impacts of COVID-19

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

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

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

The War on Drugs

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

Female Death Rates

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

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

Why the Rising Rate of Alcohol-Related Deaths Is Important

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

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

How To Help a Loved One With Alcohol Dependence

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

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

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

Developing a Healthy Relationship With Alcohol

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

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

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

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

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

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

The Bottom Line

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

Alcohol & Physical Health Effects
2024-05-03 9:00
Alcohol and Health
What's the Best Alcohol to Drink With a UTI?
This is some text inside of a div block.

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

18 min read

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

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

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

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

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

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

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

Read Full Article  →

Can Drinking Alcohol Cause a UTI?

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

UTIs can happen any time and have many different causes. But could alcohol and UTI infections be connected? Can alcohol cause UTI infections? Can alcohol cause kidney infections or bladder infections? And can you drink on UTI antibiotics? Let’s find out if that painful urination after drinking alcohol could be an alcohol-related UTI and what to do about it.

Understanding UTIs

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

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

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

UTI Causes and Risk Factors

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

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

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

Can Alcohol Cause UTIs?

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

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

1. Alcohol Causes Dehydration, Which Irritates the Bladder

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

The result? We wake up feeling parched and, probably, with a nagging hangover headache. The dehydration, in turn, irritates the bladder by causing urine to be highly concentrated and more acidic. As it sits in the bladder, it puts pressure on it, and the acidity adds to the irritation. Any bacteria hanging out in the area around the urethra jump on the opportunity to invade while defenses are weak.

2. Alcohol Throws a Wrench in the Immune System

Another link between alcohol and UTI infections is a bit more indirect. Alcohol does more than dehydrate us — it also weakens our immune system. Studies show that even one bout of heavy drinking increases our susceptibility to diseases, such as a cold or a flu.

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

What Are the Most Common UTI Symptoms?

Besides that dreaded burning feeling that’s a tell-tale sign an infection might be brewing down there, are there any more symptoms? As it turns out, there are a few. We might expect different symptoms depending on where our infection originates.

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

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

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

Both types of infection are usually easily treatable with antibiotics, but a call to the doctor is a must! If left untreated (or if our infection requires additional care), we’re looking at possible complications if we don’t act quickly.

Should I Drink With a UTI?

We see that alcohol and UTI infections share a causal link, but there’s another question that might be on our mind: does alcohol make UTIs worse if we already have one? To be on the safe side, it’s better to wait a week or two until your UTI is at bay. Trust us, you’ll be glad you did!

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

Tips To Prevent and Recover From UTIs

Can You Drink on UTI Antibiotics?

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

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

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

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

Those UTIs Might Be a Kidney Infection

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

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

Tips To Prevent and Recover From UTIs

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

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

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

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

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

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

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

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

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

Summing Up

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

Can Drinking Alcohol Cause a UTI?

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

UTIs can happen any time and have many different causes. But could alcohol and UTI infections be connected? Can alcohol cause UTI infections? Can alcohol cause kidney infections or bladder infections? And can you drink on UTI antibiotics? Let’s find out if that painful urination after drinking alcohol could be an alcohol-related UTI and what to do about it.

Understanding UTIs

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

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

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

UTI Causes and Risk Factors

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

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

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

Can Alcohol Cause UTIs?

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

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

1. Alcohol Causes Dehydration, Which Irritates the Bladder

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

The result? We wake up feeling parched and, probably, with a nagging hangover headache. The dehydration, in turn, irritates the bladder by causing urine to be highly concentrated and more acidic. As it sits in the bladder, it puts pressure on it, and the acidity adds to the irritation. Any bacteria hanging out in the area around the urethra jump on the opportunity to invade while defenses are weak.

2. Alcohol Throws a Wrench in the Immune System

Another link between alcohol and UTI infections is a bit more indirect. Alcohol does more than dehydrate us — it also weakens our immune system. Studies show that even one bout of heavy drinking increases our susceptibility to diseases, such as a cold or a flu.

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

What Are the Most Common UTI Symptoms?

Besides that dreaded burning feeling that’s a tell-tale sign an infection might be brewing down there, are there any more symptoms? As it turns out, there are a few. We might expect different symptoms depending on where our infection originates.

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

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

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

Both types of infection are usually easily treatable with antibiotics, but a call to the doctor is a must! If left untreated (or if our infection requires additional care), we’re looking at possible complications if we don’t act quickly.

Should I Drink With a UTI?

We see that alcohol and UTI infections share a causal link, but there’s another question that might be on our mind: does alcohol make UTIs worse if we already have one? To be on the safe side, it’s better to wait a week or two until your UTI is at bay. Trust us, you’ll be glad you did!

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

Tips To Prevent and Recover From UTIs

Can You Drink on UTI Antibiotics?

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

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

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

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

Those UTIs Might Be a Kidney Infection

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

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

Tips To Prevent and Recover From UTIs

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

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

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

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

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

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

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

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

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

Summing Up

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

Alcohol & Physical Health Effects
2024-05-03 9:00
Alcohol and Health
Sore Tongue After Drinking Alcohol: Causes & Fixes
This is some text inside of a div block.

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

16 min read

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Read Full Article  →

Feeling a bit wobbly, nauseous, and warm are well-known symptoms of intoxication. You may have even heard of some external effects of alcohol, such as tooth stains, tooth decay, and a lingering smell on our breath. But one side effect you may not have heard as much is a sore or swollen tongue.

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

How Alcohol Affects Our Immune System

woman sticking out her tongue with a challenging expression

Our immune system protects us from harmful substances to keep us healthy, but alcohol can undermine it through two main methods:

  • Gastrointestinal system. Before alcohol gets to our liver to be broken down and eliminated, it goes through our gastrointestinal tract. Our stomach and intestines are chock full of healthy bacteria that help them function and act as our first line of defense. Alcohol harms the helpful gut bacteria while damaging the outside layer of our GI tract, allowing bacteria to leak into our bloodstream and causing “leaky gut syndrome.”
  • Antibodies. These protective proteins detect harmful substances such as bacteria and viruses and attach to the foreign substances, allowing our immune cells to attack the bacteria. Alcohol decreases the number of T cells and B cells, lowering the antibodies that fight off harmful substances.

Moreover, alcohol stimulates our immune response and causes inflammation, sapping its resources. The result? We’re more vulnerable to diseases and infections.

Main Causes of Alcohol-Related Tongue Swelling

3 Causes of Alcohol Tongue Swelling

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

Dehydration 

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

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

Allergy

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

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

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

Glossitis

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

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

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

How to Treat Tongue Swelling From Alcohol

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

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

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

Combating Alcohol Tongue Swelling

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

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

Drinking Alcohol With a Swollen Tongue

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

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

Without “Biting Our Tongue”

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

Feeling a bit wobbly, nauseous, and warm are well-known symptoms of intoxication. You may have even heard of some external effects of alcohol, such as tooth stains, tooth decay, and a lingering smell on our breath. But one side effect you may not have heard as much is a sore or swollen tongue.

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

How Alcohol Affects Our Immune System

woman sticking out her tongue with a challenging expression

Our immune system protects us from harmful substances to keep us healthy, but alcohol can undermine it through two main methods:

  • Gastrointestinal system. Before alcohol gets to our liver to be broken down and eliminated, it goes through our gastrointestinal tract. Our stomach and intestines are chock full of healthy bacteria that help them function and act as our first line of defense. Alcohol harms the helpful gut bacteria while damaging the outside layer of our GI tract, allowing bacteria to leak into our bloodstream and causing “leaky gut syndrome.”
  • Antibodies. These protective proteins detect harmful substances such as bacteria and viruses and attach to the foreign substances, allowing our immune cells to attack the bacteria. Alcohol decreases the number of T cells and B cells, lowering the antibodies that fight off harmful substances.

Moreover, alcohol stimulates our immune response and causes inflammation, sapping its resources. The result? We’re more vulnerable to diseases and infections.

Main Causes of Alcohol-Related Tongue Swelling

3 Causes of Alcohol Tongue Swelling

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

Dehydration 

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

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

Allergy

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

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

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

Glossitis

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

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

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

How to Treat Tongue Swelling From Alcohol

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

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

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

Combating Alcohol Tongue Swelling

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

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

Drinking Alcohol With a Swollen Tongue

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

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

Without “Biting Our Tongue”

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

Alcohol & Physical Health Effects
2024-04-29 9:00
Alcohol and Health
AFib and Alcohol: Understanding the Real Risks
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Learn about the connection between alcohol and heart conditions such as atrial fibrillation (AFib), and why mixing alcohol with AFib makes for a dangerous cocktail.

18 min read

Manage Your Health With Reframe

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

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

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

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

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

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

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

What Is AFib?

a sad women holding a glass of wine

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

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

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

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

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

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

Complications of AFib

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

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

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

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

How Does Alcohol Affect the Heart?

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

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

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

Can I Drink Alcohol With Atrial Fibrillation?

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

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

Does Alcohol Interact With Blood Thinners?

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

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

There are two main categories of blood thinners.

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

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

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

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

Risks of Drinking With AFib

Risks of Drinking With AFib

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

Not Worth the Risk

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

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

What Is AFib?

a sad women holding a glass of wine

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

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

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

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

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

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

Complications of AFib

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

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

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

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

How Does Alcohol Affect the Heart?

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

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

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

Can I Drink Alcohol With Atrial Fibrillation?

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

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

Does Alcohol Interact With Blood Thinners?

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

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

There are two main categories of blood thinners.

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

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

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

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

Risks of Drinking With AFib

Risks of Drinking With AFib

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

Not Worth the Risk

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

Alcohol & Physical Health Effects