Want To Get Started on Your Cutback Journey?

You came to the right place! 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! 

If you’ve ever been to a hot yoga class on a Sunday morning and are overwhelmed by the smell of tequila emanating from the room once people start sweating, then you’re no stranger to the phenomenon of the “alcohol smell” that can linger on us after we’ve been drinking. Or perhaps a friend kindly recommended a shower because they could smell it on you. Eek! No one wants to hear that! But props to having good friends to tell us things like this.

So does drinking alcohol actually make us smell bad? And can we do anything to prevent it from happening? If you’ve ever wondered about this, read on.

The Science Behind Body Odor and Alcohol

There isn’t a specific term for the smell of alcohol on us when we’re drinking or after we’ve been drinking, but the odor we produce when we’ve been drinking is typically referred to as “alcohol breath” or “booze breath.” The smell of alcohol itself can range from sweet and fruity to sharp and pungent, depending on the type of alcohol we’ve been drinking. And it’s not always on our breath; it can be released in our sweat and through the pores of our skin.

Here’s a breakdown of how the process works. When we drink alcohol, our body undergoes a process known as alcohol metabolism. With the help of our digestive enzymes, our liver breaks down ethanol, the primary component in alcoholic drinks. One of these enzymes — alcohol dehydrogenase — converts ethanol into acetaldehyde, which is then further metabolized into acetic acid before being excreted or released from our bodies.

Think about it this way: our body needs to process everything we consume. In other words, the alcohol has to go somewhere. So, when our liver is already working overtime to process the alcohol we’ve consumed, what’s left over gets released throughout the rest of our body — most prominently through our skin, pores, and breath. 

For heavy drinkers or those of us who have been drinkers for many years, we may have developed a serious buildup of toxins in our bodies from repeated use over time. Detoxing from some substances, particularly alcohol, is associated with a significant odor that does, indeed, make us stink. Speaking of detoxification, why do we seem to sweat more after we drink? We’ll explain that, too.

Why Do I Sweat After Drinking Alcohol?

Alcohol consumption can lead to increased sweating for some of us. When alcohol enters our bloodstream, it affects our central nervous system and disrupts our body's normal regulatory mechanisms, including those that regulate our temperature control. Alcohol causes blood vessels near the skin to dilate, leading to a sensation of warmth and potentially triggering our body's cooling mechanisms, including sweating. Alcohol consumption can also stimulate our sympathetic nervous system, which is responsible for the body's fight-or-flight response. This stimulation can lead to an increase in sweat production as our body responds to the perceived “stress” that alcohol causes. Drinking alcohol can also cause us to experience night sweats.

How Do I Stop Smelling Like Alcohol? 

So, how do we stop this from happening and avoid the booze smell? Of course, the best way to avoid smelling like alcohol is to abstain from it altogether or practice moderation, which is typically defined as one drink per day for women and two drinks a day for men.

Here are several other ways to avoid smelling like alcohol: 

• Maintain good hygiene. Maintaining good personal hygiene is key to avoiding smelling like alcohol. Shower often, wash our hair, and practice good oral hygiene. Brush, floss, and carry some mints or gum!
• Drink plenty of water to stay hydrated. Staying hydrated is key to avoiding smelling like alcohol. Water helps flush out our systems and keeps us feeling good overall. The more water we drink, the less booze there is flowing through us.
• Break a sweat. The best way to kick-start our metabolism is to get moving! Exercising speeds up the metabolism process so we can detoxify alcohol, and everything else from our bodies more quickly. When in doubt, sweat it out! 
• Drink less. Reducing our drinking or drinking in moderation are two surefire ways to avoid smelling like alcohol. If it’s not there in the first place, we never have to worry about this problem and can smell fresh and clean without worrying about the booze smell.

What we put into our body must come out, so not drinking alcohol is the most obvious way to avoid smelling like it.

Health Benefits of Drinking Less

In addition to avoiding the alcohol smell, there are many health benefits associated with drinking less: 

• Better sleep quality
• Smelling better 🙂
• Better mental health
• Improved clarity/focus
• Better overall physical health

Read more about the many positive effects we experience when we stop drinking or cut back on drinking.

The Bottom Line of Booze and Body Odor

When it comes to drinking and smelling bad, it’s simply a reality that comes with the territory. If we want to avoid this risk altogether, the answer is easy: eliminate alcohol from the equation. Practicing good personal hygiene, moderation, and exercise are great ways to reduce the risks of smelling bad if we choose to partake in alcohol. 

If you’ve ever been to a hot yoga class on a Sunday morning and are overwhelmed by the smell of tequila emanating from the room once people start sweating, then you’re no stranger to the phenomenon of the “alcohol smell” that can linger on us after we’ve been drinking. Or perhaps a friend kindly recommended a shower because they could smell it on you. Eek! No one wants to hear that! But props to having good friends to tell us things like this.

So does drinking alcohol actually make us smell bad? And can we do anything to prevent it from happening? If you’ve ever wondered about this, read on.

The Science Behind Body Odor and Alcohol

There isn’t a specific term for the smell of alcohol on us when we’re drinking or after we’ve been drinking, but the odor we produce when we’ve been drinking is typically referred to as “alcohol breath” or “booze breath.” The smell of alcohol itself can range from sweet and fruity to sharp and pungent, depending on the type of alcohol we’ve been drinking. And it’s not always on our breath; it can be released in our sweat and through the pores of our skin.

Here’s a breakdown of how the process works. When we drink alcohol, our body undergoes a process known as alcohol metabolism. With the help of our digestive enzymes, our liver breaks down ethanol, the primary component in alcoholic drinks. One of these enzymes — alcohol dehydrogenase — converts ethanol into acetaldehyde, which is then further metabolized into acetic acid before being excreted or released from our bodies.

Think about it this way: our body needs to process everything we consume. In other words, the alcohol has to go somewhere. So, when our liver is already working overtime to process the alcohol we’ve consumed, what’s left over gets released throughout the rest of our body — most prominently through our skin, pores, and breath. 

For heavy drinkers or those of us who have been drinkers for many years, we may have developed a serious buildup of toxins in our bodies from repeated use over time. Detoxing from some substances, particularly alcohol, is associated with a significant odor that does, indeed, make us stink. Speaking of detoxification, why do we seem to sweat more after we drink? We’ll explain that, too.

Why Do I Sweat After Drinking Alcohol?

Alcohol consumption can lead to increased sweating for some of us. When alcohol enters our bloodstream, it affects our central nervous system and disrupts our body's normal regulatory mechanisms, including those that regulate our temperature control. Alcohol causes blood vessels near the skin to dilate, leading to a sensation of warmth and potentially triggering our body's cooling mechanisms, including sweating. Alcohol consumption can also stimulate our sympathetic nervous system, which is responsible for the body's fight-or-flight response. This stimulation can lead to an increase in sweat production as our body responds to the perceived “stress” that alcohol causes. Drinking alcohol can also cause us to experience night sweats.

How Do I Stop Smelling Like Alcohol? 

So, how do we stop this from happening and avoid the booze smell? Of course, the best way to avoid smelling like alcohol is to abstain from it altogether or practice moderation, which is typically defined as one drink per day for women and two drinks a day for men.

Here are several other ways to avoid smelling like alcohol: 

• Maintain good hygiene. Maintaining good personal hygiene is key to avoiding smelling like alcohol. Shower often, wash our hair, and practice good oral hygiene. Brush, floss, and carry some mints or gum!
• Drink plenty of water to stay hydrated. Staying hydrated is key to avoiding smelling like alcohol. Water helps flush out our systems and keeps us feeling good overall. The more water we drink, the less booze there is flowing through us.
• Break a sweat. The best way to kick-start our metabolism is to get moving! Exercising speeds up the metabolism process so we can detoxify alcohol, and everything else from our bodies more quickly. When in doubt, sweat it out! 
• Drink less. Reducing our drinking or drinking in moderation are two surefire ways to avoid smelling like alcohol. If it’s not there in the first place, we never have to worry about this problem and can smell fresh and clean without worrying about the booze smell.

What we put into our body must come out, so not drinking alcohol is the most obvious way to avoid smelling like it.

Health Benefits of Drinking Less

In addition to avoiding the alcohol smell, there are many health benefits associated with drinking less: 

• Better sleep quality
• Smelling better 🙂
• Better mental health
• Improved clarity/focus
• Better overall physical health

Read more about the many positive effects we experience when we stop drinking or cut back on drinking.

The Bottom Line of Booze and Body Odor

When it comes to drinking and smelling bad, it’s simply a reality that comes with the territory. If we want to avoid this risk altogether, the answer is easy: eliminate alcohol from the equation. Practicing good personal hygiene, moderation, and exercise are great ways to reduce the risks of smelling bad if we choose to partake in alcohol. 

Say Goodbye to Drunk Hiccups. 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! 

Hiccup! Hiccup! Hiccup! Ugh — it’s happening again. You just got home after a night out, and somehow you have hiccups again. All you can think is how hard it’s going to be to sleep if these hiccups don’t go away — and you’ll do anything to stop them.

Most of us have experienced hiccups at some point in our lives, and they can be hard to get rid of! Keep reading to learn about why we get hiccups, how we can stop them, why alcohol famously causes hiccups, and how to prevent another attack of drinking-related hiccups in the future. 

What Are Hiccups? 

Hiccups are an involuntary spasm of the diaphragm. The diaphragm is an organ below the lungs which separates the base of the chest from the abdomen and is essential for us to breathe. The diaphragm contracts rhythmically and continually to allow us to breathe.

When we inhale, our diaphragm contracts and flattens to create a vacuum effect that pulls air into the lungs. As we exhale, our diaphragm relaxes to help push air out of the lungs. The action of the diaphragm is controlled subconsciously by our brain. Aside from helping us breathe, the diaphragm also increases abdominal pressure so we can vomit, urinate, or pass bowel movements, and it puts pressure on the esophagus to prevent acid reflux. 

Hiccups have inspired many superstitions over the years. Some believe that getting hiccups means someone is talking about or missing us. Others have claimed that hiccups are caused by elves or spirits! However, science tells us that hiccups occur when our diaphragm involuntarily spasms. During an episode of hiccups, our brain signals our diaphragm to forcefully move downward and contract, which causes air to get sucked into the back of our throat. As this happens, our vocal cords close and create a “hic” sound. 

What Causes Hiccups?

Hiccups are the result of the physical reaction in our diaphragm. The hiccup reflex starts with major nerve pathways from the diaphragm region (the phrenic and vagus nerves). From there, the information is processed in the midbrain, which is also responsible for several other reflexes. The midbrain then sends signals to widespread nerve pathways that control the muscles in the diaphragm and chest.

That’s quite the journey through our body! Let’s take a look at some different factors that can trigger the hiccup reflex. 

• Swallowing air. Chewing gum, smoking, eating or drinking too quickly, or sucking on hard candies all increase the amount of air we swallow. Swallowing large amounts of air can irritate the vagus and phrenic nerves, which may trigger hiccups. 
• Overeating. If we eat too much food in one sitting or drink a large volume of carbonated beverages, our stomach distends (expands). As it grows larger, it can start to press on the diaphragm and cause hiccups. 
• Excitement or stress. Being overly excited or acutely stressed can indirectly trigger hiccups by irritating or overstimulating the vagus nerve and activating the parasympathetic nervous system, which is responsible for the hiccup reflex.
• Acid reflux. Acid reflux occurs when stomach acid or bile flows back from our stomach into our esophagus. Eating spicy foods, drinking alcohol, or having a heavy meal can induce acid reflux, and it can also be caused by a weak esophageal sphincter muscle. Reflux can irritate the diaphragm or the nerve that sends signals to our brain, thereby inducing hiccups.  

Does alcohol cause us to hiccup? The short answer is yes, alcohol can lead to hiccups! Alcohol acts directly on our brain and central nervous system, making its way to every corner of our body and slowing down nerve signals. Drunk hiccups can directly result from changes to the nervous system and inhibition of signals in the brain or result indirectly by causing acid reflux and filling up our stomach with carbonation.

Whether we get alcohol hiccups or hiccups from other causes, they manifest in the same way. At best, they’re an annoyance — but they do have a dark side. 

Can Drunk Hiccups Be Dangerous? 

Depending on the duration, hiccups have different classifications.

• Acute/transient hiccups last for a few minutes or hours.
• Persistent hiccups last more than 48 hours.
• Chronic hiccups last for days, weeks, or years.

Acute hiccups should go away on their own. Persistent hiccups and chronic hiccups typically require hospitalization. In the United States, approximately 4,000 people per year are hospitalized with problematic hiccups. If you have hiccups that last longer than 48 hours or are extremely painful, seek medical attention.

Persistent and chronic hiccups are rare but dangerous — they can interfere with eating, drinking, talking, breathing, sleeping, or cause significant pain. Risk factors include encephalitis, meningitis, multiple sclerosis, stroke, brain injury, tumors, diabetes, kidney disease, electrolyte imbalance, and damage to or irritation of the phrenic or vagus nerves.

Getting hiccups after drinking isn’t any different than getting hiccups any other time. However, if our hiccups are a response to alcohol’s depressant effect on our nervous system, the hiccups can persist until our body has processed all of the alcohol, which could take about an hour for every standard drink we’ve had.

Tips for Stopping Hiccups

Most of the time, hiccups will go away on their own. However, hiccups can be very annoying, and we might be willing to try almost anything to stop them. There are a lot of home remedies for hiccups that people swear by, but many of them are not backed by science.

There are a few science-backed strategies that may help relieve hiccups:

• Breathing and posture. Holding your breath and breathing into a paper bag can increase carbon dioxide in the blood, which makes the body rethink its automatic breath signals. Curling up in a ball and hugging your knees can also help.

• Cold water. Drinking cold water or taking a cold shower can stimulate the vagus nerve, disrupting the hiccup cycle.
• Lemon juice. Sucking on a lemon wedge or sipping some lemon juice can give a shock of flavor to our pharynx, part of the hiccup pathway. This can “reset” the nerves in the pharynx and scare them out of their hiccup cycle.

• A spoonful of sugar. Mary Poppins was onto something! A spoonful of sugar can directly stimulate the pharynx (just like lemon juice), which could shock the nerves back into line.

There are endless folk remedies for curing hiccups and for how to get rid of drunk hiccups specifically, but most of them are not backed by science. In most cases, time is the most reliable remedy.

The unfortunate truth is that when it comes to quick fixes for how to get rid of hiccups when drunk, there’s no shortcut. In fact, due to alcohol’s interference with the central nervous system, drunk hiccups could last even longer than sober hiccups.

Don’t forget: if you have hiccups for longer than 48 hours, seek medical attention to check for any underlying causes and get some much-needed relief.

Let’s Avoid Those Hiccups!

Getting rid of drunk hiccups may be just a game of time, but there are proven ways to avoid hiccups in the first place. Let’s look at a few: 

• Pass on carbonated beverages. Avoiding or limiting carbonated drinks can help us avoid hiccups because the fizzy drinks can distend our stomachs and irritate our diaphragm. Even mixing liquor with soda or other carbonated beverages can increase our chance of developing hiccups. Take it easy!
• Drink and eat slowly. Taking our time prevents us from swallowing excess air that can irritate our diaphragm and trigger hiccups. Be careful when those drunchies strike and consider eating a big meal before planning to drink (this has the added benefit of slowing alcohol absorption!).
• Drink alcohol in moderation. Drinking in moderation can help us avoid hiccups. Excess alcohol can cause hiccups by triggering acid reflux or distending our stomachs in large volumes. 
• Avoid carbonation. If you’re prone to hiccups, avoid carbonated beverages like beer, sparkling wine, or mixed drinks with soda. Stick with still options — or, better yet, try a mocktail!
• Stress management. Managing stress is great for our overall health and well-being, and can also help us avoid hiccups. Deep breathing, meditation, mindfulness, or exercise can help us handle stressful situations and day-to-day stressors. 
• Avoid spicy foods. Eating spicy foods can trigger acid reflux and stimulate the nerves that control the diaphragm, thereby causing hiccups. Avoid spicy foods or eat them in moderation, especially if you’ve been diagnosed with acid reflux, are sensitive to spicy foods, or are prone to hiccups. 

Final Thoughts 

Sometimes, hiccups are an unavoidable part of life. However, alcohol is one avoidable factor! There are many health benefits to living alcohol-free or cutting back on alcohol, and eliminating hiccups from drinking is only the beginning!

Hiccup! Hiccup! Hiccup! Ugh — it’s happening again. You just got home after a night out, and somehow you have hiccups again. All you can think is how hard it’s going to be to sleep if these hiccups don’t go away — and you’ll do anything to stop them.

Most of us have experienced hiccups at some point in our lives, and they can be hard to get rid of! Keep reading to learn about why we get hiccups, how we can stop them, why alcohol famously causes hiccups, and how to prevent another attack of drinking-related hiccups in the future. 

What Are Hiccups? 

Hiccups are an involuntary spasm of the diaphragm. The diaphragm is an organ below the lungs which separates the base of the chest from the abdomen and is essential for us to breathe. The diaphragm contracts rhythmically and continually to allow us to breathe.

When we inhale, our diaphragm contracts and flattens to create a vacuum effect that pulls air into the lungs. As we exhale, our diaphragm relaxes to help push air out of the lungs. The action of the diaphragm is controlled subconsciously by our brain. Aside from helping us breathe, the diaphragm also increases abdominal pressure so we can vomit, urinate, or pass bowel movements, and it puts pressure on the esophagus to prevent acid reflux. 

Hiccups have inspired many superstitions over the years. Some believe that getting hiccups means someone is talking about or missing us. Others have claimed that hiccups are caused by elves or spirits! However, science tells us that hiccups occur when our diaphragm involuntarily spasms. During an episode of hiccups, our brain signals our diaphragm to forcefully move downward and contract, which causes air to get sucked into the back of our throat. As this happens, our vocal cords close and create a “hic” sound. 

What Causes Hiccups?

Hiccups are the result of the physical reaction in our diaphragm. The hiccup reflex starts with major nerve pathways from the diaphragm region (the phrenic and vagus nerves). From there, the information is processed in the midbrain, which is also responsible for several other reflexes. The midbrain then sends signals to widespread nerve pathways that control the muscles in the diaphragm and chest.

That’s quite the journey through our body! Let’s take a look at some different factors that can trigger the hiccup reflex. 

• Swallowing air. Chewing gum, smoking, eating or drinking too quickly, or sucking on hard candies all increase the amount of air we swallow. Swallowing large amounts of air can irritate the vagus and phrenic nerves, which may trigger hiccups. 
• Overeating. If we eat too much food in one sitting or drink a large volume of carbonated beverages, our stomach distends (expands). As it grows larger, it can start to press on the diaphragm and cause hiccups. 
• Excitement or stress. Being overly excited or acutely stressed can indirectly trigger hiccups by irritating or overstimulating the vagus nerve and activating the parasympathetic nervous system, which is responsible for the hiccup reflex.
• Acid reflux. Acid reflux occurs when stomach acid or bile flows back from our stomach into our esophagus. Eating spicy foods, drinking alcohol, or having a heavy meal can induce acid reflux, and it can also be caused by a weak esophageal sphincter muscle. Reflux can irritate the diaphragm or the nerve that sends signals to our brain, thereby inducing hiccups.  

Does alcohol cause us to hiccup? The short answer is yes, alcohol can lead to hiccups! Alcohol acts directly on our brain and central nervous system, making its way to every corner of our body and slowing down nerve signals. Drunk hiccups can directly result from changes to the nervous system and inhibition of signals in the brain or result indirectly by causing acid reflux and filling up our stomach with carbonation.

Whether we get alcohol hiccups or hiccups from other causes, they manifest in the same way. At best, they’re an annoyance — but they do have a dark side. 

Can Drunk Hiccups Be Dangerous? 

Depending on the duration, hiccups have different classifications.

• Acute/transient hiccups last for a few minutes or hours.
• Persistent hiccups last more than 48 hours.
• Chronic hiccups last for days, weeks, or years.

Acute hiccups should go away on their own. Persistent hiccups and chronic hiccups typically require hospitalization. In the United States, approximately 4,000 people per year are hospitalized with problematic hiccups. If you have hiccups that last longer than 48 hours or are extremely painful, seek medical attention.

Persistent and chronic hiccups are rare but dangerous — they can interfere with eating, drinking, talking, breathing, sleeping, or cause significant pain. Risk factors include encephalitis, meningitis, multiple sclerosis, stroke, brain injury, tumors, diabetes, kidney disease, electrolyte imbalance, and damage to or irritation of the phrenic or vagus nerves.

Getting hiccups after drinking isn’t any different than getting hiccups any other time. However, if our hiccups are a response to alcohol’s depressant effect on our nervous system, the hiccups can persist until our body has processed all of the alcohol, which could take about an hour for every standard drink we’ve had.

Tips for Stopping Hiccups

Most of the time, hiccups will go away on their own. However, hiccups can be very annoying, and we might be willing to try almost anything to stop them. There are a lot of home remedies for hiccups that people swear by, but many of them are not backed by science.

There are a few science-backed strategies that may help relieve hiccups:

• Breathing and posture. Holding your breath and breathing into a paper bag can increase carbon dioxide in the blood, which makes the body rethink its automatic breath signals. Curling up in a ball and hugging your knees can also help.

• Cold water. Drinking cold water or taking a cold shower can stimulate the vagus nerve, disrupting the hiccup cycle.
• Lemon juice. Sucking on a lemon wedge or sipping some lemon juice can give a shock of flavor to our pharynx, part of the hiccup pathway. This can “reset” the nerves in the pharynx and scare them out of their hiccup cycle.

• A spoonful of sugar. Mary Poppins was onto something! A spoonful of sugar can directly stimulate the pharynx (just like lemon juice), which could shock the nerves back into line.

There are endless folk remedies for curing hiccups and for how to get rid of drunk hiccups specifically, but most of them are not backed by science. In most cases, time is the most reliable remedy.

The unfortunate truth is that when it comes to quick fixes for how to get rid of hiccups when drunk, there’s no shortcut. In fact, due to alcohol’s interference with the central nervous system, drunk hiccups could last even longer than sober hiccups.

Don’t forget: if you have hiccups for longer than 48 hours, seek medical attention to check for any underlying causes and get some much-needed relief.

Let’s Avoid Those Hiccups!

Getting rid of drunk hiccups may be just a game of time, but there are proven ways to avoid hiccups in the first place. Let’s look at a few: 

• Pass on carbonated beverages. Avoiding or limiting carbonated drinks can help us avoid hiccups because the fizzy drinks can distend our stomachs and irritate our diaphragm. Even mixing liquor with soda or other carbonated beverages can increase our chance of developing hiccups. Take it easy!
• Drink and eat slowly. Taking our time prevents us from swallowing excess air that can irritate our diaphragm and trigger hiccups. Be careful when those drunchies strike and consider eating a big meal before planning to drink (this has the added benefit of slowing alcohol absorption!).
• Drink alcohol in moderation. Drinking in moderation can help us avoid hiccups. Excess alcohol can cause hiccups by triggering acid reflux or distending our stomachs in large volumes. 
• Avoid carbonation. If you’re prone to hiccups, avoid carbonated beverages like beer, sparkling wine, or mixed drinks with soda. Stick with still options — or, better yet, try a mocktail!
• Stress management. Managing stress is great for our overall health and well-being, and can also help us avoid hiccups. Deep breathing, meditation, mindfulness, or exercise can help us handle stressful situations and day-to-day stressors. 
• Avoid spicy foods. Eating spicy foods can trigger acid reflux and stimulate the nerves that control the diaphragm, thereby causing hiccups. Avoid spicy foods or eat them in moderation, especially if you’ve been diagnosed with acid reflux, are sensitive to spicy foods, or are prone to hiccups. 

Final Thoughts 

Sometimes, hiccups are an unavoidable part of life. However, alcohol is one avoidable factor! There are many health benefits to living alcohol-free or cutting back on alcohol, and eliminating hiccups from drinking is only the beginning!

Sugar Alcohols Are Safe, But Are You Ready To Quit Intoxicating 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!).

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! 

Do you ever catch yourself reading food labels and wondering what all those ingredients actually are? If you’re trying to cut out sugars from your diet, you’ll probably see a lot of “-itols” in the ingredients. But what the heck is xylitol? Is it something we should be eating? 

In this blog, we will learn what sugar alcohols are, if they are safe to consume, some places we can commonly find them, and if they have anything to do with the alcohol that makes us drunk. 


What Are Sugar Alcohols?


Sugar alcohols, or polyols, are sugar substitutes used to sweeten our food. Some sugar alcohols occur naturally in fruits and vegetables such as apples, pears, blackberries, peaches, prunes, pineapples, olives, asparagus, sweet potatoes, and carrots. Others are produced industrially. Sugar alcohols are a type of carbohydrate, but they do not contain ethanol — the intoxicating ingredient that is in the alcohol we drink. We will touch more on this later. 


Sugar alcohols have a distinctive, sweet taste but lack the dense calories that regular sugars contain. The food industry uses sugar alcohols as thickeners, sweeteners, and substitutes for table sugar or sucrose. Our small intestine only partially absorbs sugar alcohols, which means they have a lower impact on our blood sugar levels. 


Spotting Sugar Alcohols in Our Foods


We can spot sugar alcohols in our foods by reading food labels. Let’s review some of the most common sugar alcohols and what foods we can typically find them in: 


• Xylitol. Xylitol is naturally found in fruits and vegetables such as strawberries, raspberries, mushrooms, and cauliflower, and it’s about as sweet as sugar. We can find xylitol in foods such as chewing gum, cough syrup, mouthwash, toothpaste, some peanut or nut butters, and sugar-free or “skinny” desserts. 

• Sorbitol. Sorbitol is found naturally in fruits such as berries, apples, and pears and it’s about 60% as sweet as sugar. Sorbitol is often found in baked goods, chocolates, frozen desserts, hard candies, snack bars, and sugar-free chewing gum. 

• Erythritol. Erythritol is very low in calories but provides 70% of the sweetness of regular sugars. It is naturally found in mushrooms and fermented foods like beer, cheese, sake, soy sauce, and wine. Erythritol can be found in zero/low-calorie sweeteners such as Truvia and Splenda, in diet or zero-sugar beverages, and in chewing gums, chocolates, hard candies, ice creams, and yogurts. 

• Isomalt. Isomalt is a mixture of mannitol and sorbitol, two common sugar alcohols, and it’s roughly 50% as sweet as sugar. Isomalt is an artificial sweetener used in the food industry and is most often found in sugar-free hard candies. 

• Lactitol. Lactitol is produced from lactose and has 30% to 24% sweetness compared to sugar. Lactitol is commonly found in low-fat foods, sugar-free candies, cookies, chocolates, and ice creams. A form of lactitol is used as a laxative in a prescription medication for constipation. 


Other sugar alcohols we might find in our foods, medications, or dental products include hydrogenated starch hydrolysates, mannitol, and maltitol. Note that the list above is not exhaustive. Anyone concerned about sugar alcohols should consult a doctor or dietitian. 


Now that we have the basic information on sugar alcohols, let’s get into the nitty-gritty. Keep reading to learn if sugar alcohols are bad for us and what science suggests about them. 

Are Sugar Alcohols Bad for Us? 

For the most part, sugar alcohols are safe to consume. As with any product we eat, the full impact of sugar alcohols varies based on factors of individual tolerance, the quantity we consume, and our overall diets. Sugar alcohols are safe to consume in moderation, but there are some potential reasons they are harmful to us:


• Digestive issues. Sugar alcohols can lead to digestive problems. Sugar alcohols are partially absorbed by the small intestine, but the rest will go to the large intestine or colons before being broken down. If the sugar alcohols are broken down in the colon, it can lead to discomforts such as bloating, gas, and diarrhea. We are more likely to develop digestive problems if we eat large amounts of sugar alcohols. 

• Caloric content. Despite sugar alcohols containing fewer calories than regular sugar, they are not calorie-free. Sugar alcohols will contribute about 1.5 to 3 calories per gram of food. Although there will be fewer calories than in traditional sugars, they can still add up. Those managing calorie intake need to be aware of this.  

• Individual tolerance. Some of us may be more sensitive to the digestive issues associated with consuming sugar alcohols. Those with irritable bowel syndrome or Crohn's disease may be more susceptible to the negative impacts of sugar alcohols. 

• Possible blood clots. A recent study found that people who had more erythritol circulating in their blood were more likely to have blood clots or strokes. It is important to note that this study does not prove erythritol causes blood clots or strokes as it was just a noted relationship or observation. 


Being mindful of the types and amounts of sugar alcohols we consume helps us avoid the negative effects. Consuming sugar alcohols in moderation is key to avoiding problems. Anyone concerned about a reaction to sugar alcohols should consult a healthcare professional such as a registered dietitian. 


The Good Sides of Sugar Alcohol


On the bright side, sugar alcohols have allowed for the creation of low-calorie and sugar-free options for those who need it. There are many positive aspects to sugar alcohols:


• Sugar alcohols have fewer calories than traditional sugars and can be beneficial for weight management. 

• They don’t affect our blood sugar levels as substantially as regular sugars. 

• Some sugar alcohols have dental health benefits because they are not broken down in the mouth. Science shows that xylitol can reduce tooth decay and reduce the growth of cavity-causing bacteria. 

• Sugar alcohols are a low-carbohydrate alternative to regular sugars and can be used to sweeten food. 


There are benefits to sugar alcohols, especially for cutting out traditional sugars, but are they a good option for those with diabetes?

Can We Have Sugar Alcohol If We Have Diabetes? 


Many sugar-free or low-carb products that use sugar alcohols as sweeteners are designed for people with diabetes. These products allow us to enjoy sweet flavors without the same impact on blood sugar levels, so yes — sugar alcohols are a safe option for those of us with diabetes! 


Sugar alcohols are not fully absorbed in the small intestines and have a less significant effect on our blood glucose levels compared to regular sugar. This makes it easier to manage blood sugar levels if we have diabetes. Sugar alcohols do not require insulin to absorb them, unlike glucose, making them a more suitable option for those who needs to regulate insulin levels. 


Alternatives to Sugar Alcohols


Sugar alcohols have their downsides. If we’re worried about the bad sides of sugar alcohols and want to avoid them, don’t worry. There are plenty of alternatives to sugar alcohol: 

• Saccharin (Sweet’N Low, Sugar Twin)
• Aspartame (NutraSweet, Equal)
• Sucralose (Splenda)
• Stevia
• Tagatose 

Nondiabetics worried about consuming artificial sweeteners or sugar substitutes such as sugar alcohols can always stick with regular sugar. 


Is Sugar Alcohol the Same as Intoxicating Alcohol?
 

While sugar alcohols are used to sweeten foods and may have some health benefits, they are unrelated to the consumption of alcoholic beverages and do not result in the same physiological and psychological effects associated with alcohol consumption. It's important to distinguish between these two categories of substances to avoid confusion.


The chemical structure of sugar alcohols is a hybrid between sugars (e.g., glucose or table sugar) and alcohols (e.g., ethanol). The alcohol we consume with the psychoactive effects is ethanol. Sugar alcohols differ from traditional sugars because they contain a functional alcohol group. An alcohol functional group, however, is not the same as the ethanol or the alcohol we drink because they are not the same chemical structures. Therefore, sugar alcohols do not have the same intoxicating properties as ethanol.

Key Takeaways


Sugar alcohols are low-calorie sweeteners used in place of regular sugars. If we consume too much, they can cause digestive problems, but they are mostly okay for us to consume in moderation. There are benefits to sugar alcohols — better for our dental health, glucose levels, and blood sugar levels. Sugar alcohols do not contain ethanol or the psychoactive properties of the alcohol we typically drink. 


Do you ever catch yourself reading food labels and wondering what all those ingredients actually are? If you’re trying to cut out sugars from your diet, you’ll probably see a lot of “-itols” in the ingredients. But what the heck is xylitol? Is it something we should be eating? 

In this blog, we will learn what sugar alcohols are, if they are safe to consume, some places we can commonly find them, and if they have anything to do with the alcohol that makes us drunk. 


What Are Sugar Alcohols?


Sugar alcohols, or polyols, are sugar substitutes used to sweeten our food. Some sugar alcohols occur naturally in fruits and vegetables such as apples, pears, blackberries, peaches, prunes, pineapples, olives, asparagus, sweet potatoes, and carrots. Others are produced industrially. Sugar alcohols are a type of carbohydrate, but they do not contain ethanol — the intoxicating ingredient that is in the alcohol we drink. We will touch more on this later. 


Sugar alcohols have a distinctive, sweet taste but lack the dense calories that regular sugars contain. The food industry uses sugar alcohols as thickeners, sweeteners, and substitutes for table sugar or sucrose. Our small intestine only partially absorbs sugar alcohols, which means they have a lower impact on our blood sugar levels. 


Spotting Sugar Alcohols in Our Foods


We can spot sugar alcohols in our foods by reading food labels. Let’s review some of the most common sugar alcohols and what foods we can typically find them in: 


• Xylitol. Xylitol is naturally found in fruits and vegetables such as strawberries, raspberries, mushrooms, and cauliflower, and it’s about as sweet as sugar. We can find xylitol in foods such as chewing gum, cough syrup, mouthwash, toothpaste, some peanut or nut butters, and sugar-free or “skinny” desserts. 

• Sorbitol. Sorbitol is found naturally in fruits such as berries, apples, and pears and it’s about 60% as sweet as sugar. Sorbitol is often found in baked goods, chocolates, frozen desserts, hard candies, snack bars, and sugar-free chewing gum. 

• Erythritol. Erythritol is very low in calories but provides 70% of the sweetness of regular sugars. It is naturally found in mushrooms and fermented foods like beer, cheese, sake, soy sauce, and wine. Erythritol can be found in zero/low-calorie sweeteners such as Truvia and Splenda, in diet or zero-sugar beverages, and in chewing gums, chocolates, hard candies, ice creams, and yogurts. 

• Isomalt. Isomalt is a mixture of mannitol and sorbitol, two common sugar alcohols, and it’s roughly 50% as sweet as sugar. Isomalt is an artificial sweetener used in the food industry and is most often found in sugar-free hard candies. 

• Lactitol. Lactitol is produced from lactose and has 30% to 24% sweetness compared to sugar. Lactitol is commonly found in low-fat foods, sugar-free candies, cookies, chocolates, and ice creams. A form of lactitol is used as a laxative in a prescription medication for constipation. 


Other sugar alcohols we might find in our foods, medications, or dental products include hydrogenated starch hydrolysates, mannitol, and maltitol. Note that the list above is not exhaustive. Anyone concerned about sugar alcohols should consult a doctor or dietitian. 


Now that we have the basic information on sugar alcohols, let’s get into the nitty-gritty. Keep reading to learn if sugar alcohols are bad for us and what science suggests about them. 

Are Sugar Alcohols Bad for Us? 

For the most part, sugar alcohols are safe to consume. As with any product we eat, the full impact of sugar alcohols varies based on factors of individual tolerance, the quantity we consume, and our overall diets. Sugar alcohols are safe to consume in moderation, but there are some potential reasons they are harmful to us:


• Digestive issues. Sugar alcohols can lead to digestive problems. Sugar alcohols are partially absorbed by the small intestine, but the rest will go to the large intestine or colons before being broken down. If the sugar alcohols are broken down in the colon, it can lead to discomforts such as bloating, gas, and diarrhea. We are more likely to develop digestive problems if we eat large amounts of sugar alcohols. 

• Caloric content. Despite sugar alcohols containing fewer calories than regular sugar, they are not calorie-free. Sugar alcohols will contribute about 1.5 to 3 calories per gram of food. Although there will be fewer calories than in traditional sugars, they can still add up. Those managing calorie intake need to be aware of this.  

• Individual tolerance. Some of us may be more sensitive to the digestive issues associated with consuming sugar alcohols. Those with irritable bowel syndrome or Crohn's disease may be more susceptible to the negative impacts of sugar alcohols. 

• Possible blood clots. A recent study found that people who had more erythritol circulating in their blood were more likely to have blood clots or strokes. It is important to note that this study does not prove erythritol causes blood clots or strokes as it was just a noted relationship or observation. 


Being mindful of the types and amounts of sugar alcohols we consume helps us avoid the negative effects. Consuming sugar alcohols in moderation is key to avoiding problems. Anyone concerned about a reaction to sugar alcohols should consult a healthcare professional such as a registered dietitian. 


The Good Sides of Sugar Alcohol


On the bright side, sugar alcohols have allowed for the creation of low-calorie and sugar-free options for those who need it. There are many positive aspects to sugar alcohols:


• Sugar alcohols have fewer calories than traditional sugars and can be beneficial for weight management. 

• They don’t affect our blood sugar levels as substantially as regular sugars. 

• Some sugar alcohols have dental health benefits because they are not broken down in the mouth. Science shows that xylitol can reduce tooth decay and reduce the growth of cavity-causing bacteria. 

• Sugar alcohols are a low-carbohydrate alternative to regular sugars and can be used to sweeten food. 


There are benefits to sugar alcohols, especially for cutting out traditional sugars, but are they a good option for those with diabetes?

Can We Have Sugar Alcohol If We Have Diabetes? 


Many sugar-free or low-carb products that use sugar alcohols as sweeteners are designed for people with diabetes. These products allow us to enjoy sweet flavors without the same impact on blood sugar levels, so yes — sugar alcohols are a safe option for those of us with diabetes! 


Sugar alcohols are not fully absorbed in the small intestines and have a less significant effect on our blood glucose levels compared to regular sugar. This makes it easier to manage blood sugar levels if we have diabetes. Sugar alcohols do not require insulin to absorb them, unlike glucose, making them a more suitable option for those who needs to regulate insulin levels. 


Alternatives to Sugar Alcohols


Sugar alcohols have their downsides. If we’re worried about the bad sides of sugar alcohols and want to avoid them, don’t worry. There are plenty of alternatives to sugar alcohol: 

• Saccharin (Sweet’N Low, Sugar Twin)
• Aspartame (NutraSweet, Equal)
• Sucralose (Splenda)
• Stevia
• Tagatose 

Nondiabetics worried about consuming artificial sweeteners or sugar substitutes such as sugar alcohols can always stick with regular sugar. 


Is Sugar Alcohol the Same as Intoxicating Alcohol?
 

While sugar alcohols are used to sweeten foods and may have some health benefits, they are unrelated to the consumption of alcoholic beverages and do not result in the same physiological and psychological effects associated with alcohol consumption. It's important to distinguish between these two categories of substances to avoid confusion.


The chemical structure of sugar alcohols is a hybrid between sugars (e.g., glucose or table sugar) and alcohols (e.g., ethanol). The alcohol we consume with the psychoactive effects is ethanol. Sugar alcohols differ from traditional sugars because they contain a functional alcohol group. An alcohol functional group, however, is not the same as the ethanol or the alcohol we drink because they are not the same chemical structures. Therefore, sugar alcohols do not have the same intoxicating properties as ethanol.

Key Takeaways


Sugar alcohols are low-calorie sweeteners used in place of regular sugars. If we consume too much, they can cause digestive problems, but they are mostly okay for us to consume in moderation. There are benefits to sugar alcohols — better for our dental health, glucose levels, and blood sugar levels. Sugar alcohols do not contain ethanol or the psychoactive properties of the alcohol we typically drink. 


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Compared to the beloved brain or the hallowed heart, the liver is no ostentatious organ. It’s fairly easy to ignore, and we don’t have as many health fads reminding us to check on it. 

Fortunately, with the rise of at-home conveniences, it’s now easier than ever to monitor your liver health. You may have seen at-home liver test kits pop up during your search about liver health. So, are you wondering if they really work or what they entail? Let’s walk through our guide to proper liver function and how to test liver health at home.

What Does Our Liver Do?

Located just above our stomach, our liver is the largest solid organ in our body. Our liver is commonly known for its role in metabolizing alcohol but is responsible for so many other primary functions in our body:

• Filtering blood. Our liver filters our blood by removing toxins and other harmful substances — converting them into waste products.
• Assisting with blood clotting. Essential proteins are produced in the liver and used in blood clotting to prevent us from losing too much blood.
• Creating bile. Bile is essential for digestion and helps to break down food. This helps our body make use of the proteins, carbohydrates, and fats that we consume.
• Fighting infections. Our liver houses macrophages, cells that remove bacteria and other harmful organisms, which is essential for fighting off infections and keeping us healthy.

Our liver does so much in our body — requiring proper functioning to maintain our overall health. Let’s take a look at some factors that can influence our liver health.

What Affects Our Liver Health?

Signs of liver disease or dysfunction may take time to appear. Being aware of the factors that affect our liver health can help us prevent dysfunction. Let’s consider the following factors that influence our liver health:

• Alcohol. The toxins in alcohol cause liver cell damage each time the liver works to metabolize it. Over time, liver cells will not be able to regenerate properly — resulting in permanent liver damage. Alcohol can also lead to a buildup of fats, which affects proper liver function. This is known as alcoholic fatty liver disease.
• Diet and weight. An unhealthy diet can lead to excess weight gain. This can lead to excess fat buildup in the liver, affecting proper liver function. 
• High cholesterol. The cholesterol we consume ends up mostly in the liver. An excess can increase the risk of non-alcoholic fatty liver disease. 
• Diabetes. High blood glucose levels cause cell damage, affecting organs like our liver.

We’ve established that many different elements can impact our liver health, but let’s explore some ways we can detect potential problems.

Indicators of Liver Dysfunction or Liver Disease

Liver disease is often not detected until serious symptoms arise. Learning to identify signs of liver dysfunction helps us determine if we need to test our liver function at home. The following are signs to watch for: 

• Fatigue
• Loss of appetite 
• Jaundice
• Itchy skin
• Low libido
• Nausea and/or vomiting
• Swelling of the ankles/legs

If we experience any of these symptoms and are concerned about our liver health, it might be worth testing our liver health.

What Are Liver Function Tests?

Liver function tests are blood tests that look at specific proteins and enzymes in our blood to help determine the functioning of our liver. Too much or too little of the proteins and enzymes that the liver function test checks for can suggest liver disease or dysfunction.

A liver panel can vary in the proteins and enzymes that are tested. The common liver function tests in a liver panel include the following: 

• Alanine transaminase (ALT). ALT tests check for acute liver cell damage by detecting ALT enzyme levels in our blood.
• Aspartate transaminase (AST). AST is another enzyme released after liver cell damage that suggests liver or heart problems. 
• Alkaline phosphatase (ALP). This enzyme, found in high concentrations in liver tissue, can be tested to help detect liver tumors and abscesses. 
• Gamma-glutamyl transferase (GGT). GGT is produced in the liver, pancreas, and biliary tract. This test can check liver function and detect alcohol absorption.
• Serum bilirubin. This test checks for the proper processing of bile in our liver.
• International normalized ratio (INR). The INR test determines the time it takes for our blood to clot. Since our liver produces essential proteins necessary for blood clotting, this test can help detect abnormal liver functioning.
• Albumin. Low levels of this protein found in our blood can be an indicator of liver dysfunction. It is one of the primary tests used to diagnose liver disease.
• Total protein. This test measures the level of proteins in our blood. The test is typically used as part of a comprehensive liver panel, as abnormal levels can indicate liver disease.

Now that we’ve determined reasons to check our liver function, let’s explore some ways we can get a liver function test.

How Can I Get a Liver Panel?

Our primary care physician can request a liver panel. If a liver function test is needed, we will be ordered to complete a blood test to detect any abnormalities. The test is typically performed in a laboratory, clinic, hospital, or doctor’s office. If ordered by a physician, some insurance policies may cover the cost of the panel. There may be a copayment, but the exact cost and policy will vary depending on the insurance.

A liver panel is easily requested from a practitioner, but some of us may be looking for other options. 

Can I Complete a Liver Test at Home?

A liver function test can be purchased online, completed at home, and referred to a lab for sample collection. Unlike lab tests, which typically involve a full blood draw, at-home testing kits mainly require a skin prick. Once the sample is taken, it is sent to a lab for analysis.

At-home liver function test costs can range from $30-$200, depending on the thoroughness of the panels. With prices as low as $30, it almost sounds too good to be true. We may be left questioning if at-home liver testing kits actually work.

Do At-Home Liver Function Tests Work?

Studies show that at-home liver function tests are effective and can help detect acute liver injury. At-home testing kits commonly check for the same proteins and enzymes in laboratory liver panels; however, at-home liver tests may not be as comprehensive or as accurate as in-clinic tests. The small, pinprick blood sample limits the range of at-home tests. 

Results may also vary in accuracy depending on the brand of the test and the lab where the results are processed. The reports commonly indicate abnormalities by showing results “out of normal range.” However, this may not always indicate the level of dysfunction and does not provide details on potential issues. If we have serious concerns about our liver health, it’s best to skip the at-home test and see a doctor.

At-home liver function tests are most optimal for those of us who want to maintain frequent liver health checks. The tests can also be helpful for those of us who are worried about potential side effects from medication or who struggle with alcohol misuse. For those of us who have determined that at-home liver tests can be beneficial, let’s walk through the steps on how to complete one.

How To Check Liver Function at Home: A Step-by-Step Guide

Before attempting to check our liver health at home, it’s important to determine if an at-home liver function test is appropriate for our personal needs. Consulting with a physician regarding serious concerns is recommended. For those who may benefit from an at-home liver test, let’s walk through a step-by-step guide to completing a liver health check at home.

1. Choose an at-home liver test. Liver function tests can vary by the specific proteins and enzymes that are tested. Determining how comprehensively we want to test our liver health can help us decide which liver test to purchase.
2. Read specific instructions. The instructions on liver function tests will differ. Some comprehensive tests require fasting, and less thorough tests typically do not. Completing the test as instructed ensures the results are as accurate as possible.
3. Gather the sample. Following the instructions carefully, the next step is to obtain the sample. At-home tests typically require a simple skin prick. 
4. Send the sample for analysis. Depending on the test, we will be directed to send the sample to the appropriate lab for analysis. There, the blood sample will be analyzed for any abnormalities the panel tests for. 
5. Review results. Once the lab completes the analysis, we will receive the results of the test. The results will indicate if our results fall inside or outside of the normal range. 
6. Consult a doctor. If abnormalities are detected, or if we continue to have concerns regarding our liver health, it is best to consult with a physician for further guidance. 

Regular liver checks help to detect dysfunction and disease, but we can also implement strategies to help maintain a healthy liver.

Tips for Maintaining a Healthy Liver

Aside from checking our liver health from time to time, we can take other initiatives to improve and maintain healthy liver function. Let’s explore several different habits we can implement to improve our liver health:

• Limit alcohol intake. Cutting back on alcohol reduces the chance of liver cell damage. Set limits to help cut back on alcohol or try alcohol-free alternatives to eliminate alcohol-related liver damage.
• Maintain a balanced diet. Eating a healthy diet is essential for optimal body functions and can help us maintain a healthy weight. This helps us reduce the risk of developing fatty liver disease. Focus on a balanced diet of complex carbohydrates, unsaturated fats, and lean proteins. 
• Exercise. Physical activity helps to lower cholesterol, lower blood pressure, and prevent excess fat buildup in the liver. It is helpful to find enjoyable ways to participate in daily movement to create sustainable habits. Try walking on a new scenic route or gathering friends and family to try a new dance class.
• Avoid smoking. Toxins in cigarettes can lead to liver inflammation and scarring. Over time, smoking can also increase the risk of liver cancer and fatty liver disease. Treatment or support should be explored if smoking habits are a concern.
• Get vaccinated. Viral liver infections, including Hepatitis A and B, can be prevented through vaccinations. 

Breaking It Down

“A healthy liver keeps the doctor away.” While that’s not exactly how the saying goes, it remains true that proper liver function is essential for our overall health. At-home liver function tests can help us check for any abnormalities without having to set foot in a doctor’s office. While consulting with a physician is always recommended when we are concerned about our health, at-home tests can be a convenient tool for maintaining regular liver health checks. Looking into your liver health can be just a click away.

Compared to the beloved brain or the hallowed heart, the liver is no ostentatious organ. It’s fairly easy to ignore, and we don’t have as many health fads reminding us to check on it. 

Fortunately, with the rise of at-home conveniences, it’s now easier than ever to monitor your liver health. You may have seen at-home liver test kits pop up during your search about liver health. So, are you wondering if they really work or what they entail? Let’s walk through our guide to proper liver function and how to test liver health at home.

What Does Our Liver Do?

Located just above our stomach, our liver is the largest solid organ in our body. Our liver is commonly known for its role in metabolizing alcohol but is responsible for so many other primary functions in our body:

• Filtering blood. Our liver filters our blood by removing toxins and other harmful substances — converting them into waste products.
• Assisting with blood clotting. Essential proteins are produced in the liver and used in blood clotting to prevent us from losing too much blood.
• Creating bile. Bile is essential for digestion and helps to break down food. This helps our body make use of the proteins, carbohydrates, and fats that we consume.
• Fighting infections. Our liver houses macrophages, cells that remove bacteria and other harmful organisms, which is essential for fighting off infections and keeping us healthy.

Our liver does so much in our body — requiring proper functioning to maintain our overall health. Let’s take a look at some factors that can influence our liver health.

What Affects Our Liver Health?

Signs of liver disease or dysfunction may take time to appear. Being aware of the factors that affect our liver health can help us prevent dysfunction. Let’s consider the following factors that influence our liver health:

• Alcohol. The toxins in alcohol cause liver cell damage each time the liver works to metabolize it. Over time, liver cells will not be able to regenerate properly — resulting in permanent liver damage. Alcohol can also lead to a buildup of fats, which affects proper liver function. This is known as alcoholic fatty liver disease.
• Diet and weight. An unhealthy diet can lead to excess weight gain. This can lead to excess fat buildup in the liver, affecting proper liver function. 
• High cholesterol. The cholesterol we consume ends up mostly in the liver. An excess can increase the risk of non-alcoholic fatty liver disease. 
• Diabetes. High blood glucose levels cause cell damage, affecting organs like our liver.

We’ve established that many different elements can impact our liver health, but let’s explore some ways we can detect potential problems.

Indicators of Liver Dysfunction or Liver Disease

Liver disease is often not detected until serious symptoms arise. Learning to identify signs of liver dysfunction helps us determine if we need to test our liver function at home. The following are signs to watch for: 

• Fatigue
• Loss of appetite 
• Jaundice
• Itchy skin
• Low libido
• Nausea and/or vomiting
• Swelling of the ankles/legs

If we experience any of these symptoms and are concerned about our liver health, it might be worth testing our liver health.

What Are Liver Function Tests?

Liver function tests are blood tests that look at specific proteins and enzymes in our blood to help determine the functioning of our liver. Too much or too little of the proteins and enzymes that the liver function test checks for can suggest liver disease or dysfunction.

A liver panel can vary in the proteins and enzymes that are tested. The common liver function tests in a liver panel include the following: 

• Alanine transaminase (ALT). ALT tests check for acute liver cell damage by detecting ALT enzyme levels in our blood.
• Aspartate transaminase (AST). AST is another enzyme released after liver cell damage that suggests liver or heart problems. 
• Alkaline phosphatase (ALP). This enzyme, found in high concentrations in liver tissue, can be tested to help detect liver tumors and abscesses. 
• Gamma-glutamyl transferase (GGT). GGT is produced in the liver, pancreas, and biliary tract. This test can check liver function and detect alcohol absorption.
• Serum bilirubin. This test checks for the proper processing of bile in our liver.
• International normalized ratio (INR). The INR test determines the time it takes for our blood to clot. Since our liver produces essential proteins necessary for blood clotting, this test can help detect abnormal liver functioning.
• Albumin. Low levels of this protein found in our blood can be an indicator of liver dysfunction. It is one of the primary tests used to diagnose liver disease.
• Total protein. This test measures the level of proteins in our blood. The test is typically used as part of a comprehensive liver panel, as abnormal levels can indicate liver disease.

Now that we’ve determined reasons to check our liver function, let’s explore some ways we can get a liver function test.

How Can I Get a Liver Panel?

Our primary care physician can request a liver panel. If a liver function test is needed, we will be ordered to complete a blood test to detect any abnormalities. The test is typically performed in a laboratory, clinic, hospital, or doctor’s office. If ordered by a physician, some insurance policies may cover the cost of the panel. There may be a copayment, but the exact cost and policy will vary depending on the insurance.

A liver panel is easily requested from a practitioner, but some of us may be looking for other options. 

Can I Complete a Liver Test at Home?

A liver function test can be purchased online, completed at home, and referred to a lab for sample collection. Unlike lab tests, which typically involve a full blood draw, at-home testing kits mainly require a skin prick. Once the sample is taken, it is sent to a lab for analysis.

At-home liver function test costs can range from $30-$200, depending on the thoroughness of the panels. With prices as low as $30, it almost sounds too good to be true. We may be left questioning if at-home liver testing kits actually work.

Do At-Home Liver Function Tests Work?

Studies show that at-home liver function tests are effective and can help detect acute liver injury. At-home testing kits commonly check for the same proteins and enzymes in laboratory liver panels; however, at-home liver tests may not be as comprehensive or as accurate as in-clinic tests. The small, pinprick blood sample limits the range of at-home tests. 

Results may also vary in accuracy depending on the brand of the test and the lab where the results are processed. The reports commonly indicate abnormalities by showing results “out of normal range.” However, this may not always indicate the level of dysfunction and does not provide details on potential issues. If we have serious concerns about our liver health, it’s best to skip the at-home test and see a doctor.

At-home liver function tests are most optimal for those of us who want to maintain frequent liver health checks. The tests can also be helpful for those of us who are worried about potential side effects from medication or who struggle with alcohol misuse. For those of us who have determined that at-home liver tests can be beneficial, let’s walk through the steps on how to complete one.

How To Check Liver Function at Home: A Step-by-Step Guide

Before attempting to check our liver health at home, it’s important to determine if an at-home liver function test is appropriate for our personal needs. Consulting with a physician regarding serious concerns is recommended. For those who may benefit from an at-home liver test, let’s walk through a step-by-step guide to completing a liver health check at home.

1. Choose an at-home liver test. Liver function tests can vary by the specific proteins and enzymes that are tested. Determining how comprehensively we want to test our liver health can help us decide which liver test to purchase.
2. Read specific instructions. The instructions on liver function tests will differ. Some comprehensive tests require fasting, and less thorough tests typically do not. Completing the test as instructed ensures the results are as accurate as possible.
3. Gather the sample. Following the instructions carefully, the next step is to obtain the sample. At-home tests typically require a simple skin prick. 
4. Send the sample for analysis. Depending on the test, we will be directed to send the sample to the appropriate lab for analysis. There, the blood sample will be analyzed for any abnormalities the panel tests for. 
5. Review results. Once the lab completes the analysis, we will receive the results of the test. The results will indicate if our results fall inside or outside of the normal range. 
6. Consult a doctor. If abnormalities are detected, or if we continue to have concerns regarding our liver health, it is best to consult with a physician for further guidance. 

Regular liver checks help to detect dysfunction and disease, but we can also implement strategies to help maintain a healthy liver.

Tips for Maintaining a Healthy Liver

Aside from checking our liver health from time to time, we can take other initiatives to improve and maintain healthy liver function. Let’s explore several different habits we can implement to improve our liver health:

• Limit alcohol intake. Cutting back on alcohol reduces the chance of liver cell damage. Set limits to help cut back on alcohol or try alcohol-free alternatives to eliminate alcohol-related liver damage.
• Maintain a balanced diet. Eating a healthy diet is essential for optimal body functions and can help us maintain a healthy weight. This helps us reduce the risk of developing fatty liver disease. Focus on a balanced diet of complex carbohydrates, unsaturated fats, and lean proteins. 
• Exercise. Physical activity helps to lower cholesterol, lower blood pressure, and prevent excess fat buildup in the liver. It is helpful to find enjoyable ways to participate in daily movement to create sustainable habits. Try walking on a new scenic route or gathering friends and family to try a new dance class.
• Avoid smoking. Toxins in cigarettes can lead to liver inflammation and scarring. Over time, smoking can also increase the risk of liver cancer and fatty liver disease. Treatment or support should be explored if smoking habits are a concern.
• Get vaccinated. Viral liver infections, including Hepatitis A and B, can be prevented through vaccinations. 

Breaking It Down

“A healthy liver keeps the doctor away.” While that’s not exactly how the saying goes, it remains true that proper liver function is essential for our overall health. At-home liver function tests can help us check for any abnormalities without having to set foot in a doctor’s office. While consulting with a physician is always recommended when we are concerned about our health, at-home tests can be a convenient tool for maintaining regular liver health checks. Looking into your liver health can be just a click away.

Reclaim Your Relationship to Alcohol With Reframe

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

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

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

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

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

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

The definition of moonshine is confusing at best. You may be thinking, “Isn’t moonshine that drink that can make you blind?” Or maybe you think of it as the famous Prohibition-era booze people made at home in their bathtubs. Even the hip-hop and country music star Nelly was a bit confused on the “moonshine” label, as he crafted his own celebrity “moonshine” last year, which really consisted more of a fruity, lower-proof spirit than the traditional moonshine whiskey.


Many people think of moonshine as some sort of off-limits alcohol, but it’s also a term for a class of unaged whiskey.

So, what exactly makes moonshine, moonshine? What is moonshine made out of? And can moonshine make you blind? Let’s dive in and explore the difference between the two definitions of moonshine and learn about the dangers of moonshine production and consumption.

What Is Moonshine?

The first moonshine came around in England in the late 1700s, but the word moonshine has been around since the 15th century. Fundamentally, moonshine was created to avoid paying taxes on high-proof liquor production.

Originally, the term “moonshine” referred to a distilled liquor produced and/or distributed illegally. The term “moonshine” comes from the tradition of making the liquor under the cover of darkness to avoid detection. Over the years, it developed a standard definition as a clear, unaged, high-proof whiskey made from corn. This definition was commonly used during Prohibition in the U.S. in the 1920s. Other names for moonshine include rotgut, white lightning, white dog, and corn liquor.

History of Moonshine in the United States

Moonshine has a particularly rich history in the United States.

• The Whiskey Rebellion. Moonshine first became popular in Pennsylvania in 1791 after the new federal government enacted a hefty tax on liquor to repay debts from the Revolutionary War. This sparked three years of (sometimes violent) protests known as the Whiskey Rebellion, during which Pennsylvania farmers and distillers attacked and intimidated tax inspectors to prevent them from collecting the tax. Moonshine production was a popular nonviolent way to protest the tax.
• The Whiskey RIng. History repeated itself in St. Louis in the 1870s when another tax was enacted to raise money after the American Civil War. A group of Missouri distillers and farmers known as The Whiskey Ring conspired against the government and bribed officials so they could pocket the taxes themselves. For many, moonshine was the only way to afford liquor or turn a profit on liquor sales.
• Prohibition. Federal alcohol prohibition laws came to the U.S. in 1920. Since liquor was now illegal and very hard to come by, demand for moonshine significantly increased and producers began experimenting with innovative flavors and additives.

What Is Moonshine Made of?

Traditionally, moonshine is made from corn. However, sometimes moonshiners (a.k.a. people who make moonshine) use rye or barley instead. Yeast, malt, sugar, and water are also added to the mix, with each moonshiner having their own particular preference.

Moonshine was originally popular because it could be created and purchased without paying taxes, but in modern times it’s sought out for its flavor and high alcohol content. Ethanol is the pure alcohol responsible for intoxication in alcoholic beverages. However, the moonshine distillation process creates a toxic byproduct called methanol that can have deadly consequences when consumed.

Moonshine is known for having significantly higher alcohol content than other hard liquors. Vodka, bourbon, and gin, for example, do not generally reach an alcohol by volume (ABV) above 80% alcohol content, and typically rest in the 35%-50% range. Moonshine, however, is often much higher.

The key to moonshine’s high alcohol content lies in the production process. Keep reading to understand how the chemical composition of moonshine makes it up to 95% ABV — and how this can cause blindness or death to consumers if distilled improperly.

How Is Moonshine Alcohol Made?

The most popular way to make moonshine is using a still. A still is a large, multi-chamber pot used to boil a liquid and extract certain chemicals (such as ethanol). Moonshine, in particular, uses a copper still.

• Fermentation. First, the corn is cooked in water to create a slurry known as a “mash.” Then, it is cooled and mixed with sugar and yeast and left to ferment. The yeast eats the sugar and produces ethanol as a waste product.

• Boiling. After the mash has fermented, it is filtered and transferred into a still, where it is heated to a boil.

• Evaporation. Ethanol has a lower evaporation temperature than water. As the mash boils, alcohol evaporates and is collected in another chamber, where it cools and condenses into a glass jar called a receiver.

• Bottling. The moonshine is then removed from the receiver, filtered, and bottled.

Some moonshiners add flavors or other ingredients at the end, such as sugar, fruit juice, or herbal mixtures. However, these flavor additives may not be the only things hidden inside this insidious liquor.

Moonshine vs. Other Spirits

The moonshine distillation process is very similar to the process for making other types of spirits. However, a few key details make all the difference.

Moonshine alcohol, when defined as the beverage, is an unaged clear whiskey and made from corn. It can also be up to 95% alcohol, which is much more alcohol content than most hard liquors. Let’s explore how this is different from a few other hard spirits.

• Whiskey generally uses the same ingredients as moonshine, and is typically aged, which produces its signature honey-amber color.
• Vodka is a clear alcohol that, like moonshine, is not aged. Vodka can be produced from grain, fruit, orpotatoes, and is usually distilled several times to remove impurities and other substances.
• Gin is also a clear hard liquor, but gin is made from grain alcohol and juniper berries. Many types of plants and sugars can be used to adjust the process, but juniper berries are fundamental to its definition.
• Tequila is made from agave and produced mainly in certain regions of Mexico. The agave plant is baked in a brick or clay oven called a “horno,” after which juice is extracted from the plant to be fermented, distilled, and aged.

These may seem similar, but the only big thing these liquors have in common is that they are all distilled. The process of moonshine distillation differs just slightly from other liquors, but it makes a huge difference.

Risks of Moonshine Production

The primary difference between common liquors and moonshine is that careful attention is paid to removing impurities from standard liquor, often with multiple rounds of distillation. By definition, moonshine is typically distilled only once.

Originally, moonshine was illegal due to its association with tax evasion. Even today there are many “illegal” distilleries that create moonshine in secret to avoid taxes, but they are less common because even major distilleries make commercial moonshine.

The danger on moonshine comes from the production process itself. If the distillation process is not done correctly, moonshine can contain high levels of a more toxic form of alcohol: methanol.

Methanol and ethanol (the two types of alcohol produced when making moonshine) are both highly flammable and have the potential to explode during the distillation process. A gas leak between the distillation apparatus and the receiving container could also spark an explosion. Ventilation is important, and illegal moonshine is often produced in non-commercial settings that were not designed with this in mind.

So, is moonshine bad for you? We knowSo, is moonshine bad for you? We know moonshine production can be dangerous, especially when moonshiners are inexperienced and don’t understand the precautions necessary for safety — and unfortunately, drinking it can be just as dangerous. moonshine production can be dangerous, especially when moonshiners are inexperienced and don’t understand the precautions necessary for safety — and, unfortunately, drinking it can be just as dangerous.

Why Is Moonshine Dangerous?

So, what is so dangerous about drinking moonshine? It has a reputation as a dangerous liquor, but the details are not often discussed. As we discussed earlier, methanol is a form of alcohol created during moonshine production alongside the commonly-known ethanol. The differences between ethanol and methanol are molecular, and they impact our body in dramatically different ways.

Can Moonshine Make You Blind?

Is there any truth to the rumors of “moonshine blindness”? Science says yes, moonshine can indeed make you blind. Humans can tolerate generous amounts of ethanol, but only a few milliliters of methanol will get us extremely drunk, and it only takes a few more milliliters later for methanol to become lethal. Our liver processes methanol into formaldehyde, and later into formic acid. As little as 2 teaspoons (10 mL) of methanol produces enough formic acid to cause blindness.

Because moonshine and methanol are both clear liquids, it’s impossible to tell if it contains any methanol just by looking at it. Commercial moonshine producers have the means to eliminate methanol after distillation, but some illegal moonshiners actually add small amounts of methanol to make the drink stronger.

There is no reliable way to test for methanol content in illicit moonshine. Upon first sip, we simply get really drunk — and we might not know whether or not methanol is responsible.

The Lethality Of Methanol

2 teaspoons (10 mL) of methanol is enough to give us the worst hangover of our life, but as we know, any more than that is damaging to our eyesight. For context, one standard shot glass contains about 9 tsp (3 tbsp/44 mL). Drinking too much methanol can result in full or partial blindness. This result is called methanol-induced optic neuropathy, or Me-ION.

Me-ION causes damage to the optic nerve, which connects visual information to our brain for interpretation. Any damage to this nerve behind either eye will result in different types of (or complete) — vision loss.

The lethal dose of methanol is 6 tsp (2 tbsp/30 mL). Some people may not need that much methanol for it to be lethal, either. In facilities where moonshine is still being produced illegally, there is no way of telling how many shots or glasses of moonshine will contain lethal amounts of methanol. Remember: moonshine that is made illicitly may be stronger because methanol has been added.

Our chances of alcohol poisoning are also higher when methanol is present because of how little methanol is needed to get drunk. Not only are we putting ourselves at risk for lethal doses of methanol, but we are also putting ourselves at risk for violent hangovers and alcohol-related experiences when drinking illicitly-produced moonshine. So how do we avoid this?

The Truth About Moonshine Safety

Simply put, moonshine made illegally is never guaranteed safe to drink — and “moonshine blindness” is a real possibility! For this reason, it’s probably best to avoid moonshine produced outside of a licensed commercial facility, and it’s definitely best to avoid making our own moonshine.

A high alcohol tolerance may lead us to seek out moonshine for an easier “buzz.” After all, a small amount of methanol will get us more drunk than several glasses of beer, right? But the risks associated with methanol consumption are too great, and we are putting our lives at risk when we decide to drink something with methanol. High tolerance can allow us to handle a little more methanol than a casual drinker, but there’s only so much the human body can handle regardless of how the alcohol content makes us feel.

Thankfully, there are ways to stay safe and avoid the dangers of methanol in moonshine.


• Keep it legal. Stay away from distilleries and moonshiners who don’t have proper licenses! This is a non-negotiable to ensure safety.

• Leave it to the pros. Don’t make moonshine at home, and avoid consuming homemade moonshine even if it’s from a trusted friend or family member. Leave the chemistry to the scientists for this one!

• Stay informed. Educate yourself on small distilleries and alcohol shops before purchasing moonshine. Does the shop or bar have a reputation for distributing alcohol under the radar?

• Consider alternatives. The best way to avoid methanol is to stay away from commercial moonshine and stay away from drinks containing any amount of moonshine.

The Bottom Line

Throughout history, moonshine has been described romantically as a boozy rebellion to taxation, but now we know it is illegal for a reason — it’s high risk of causing permanent disability. While it may be tempting to try a beverage as strong as moonshine, remember the dangerous consequences of moonshine consumption if it’s not regulated properly. Stay safe and remember: knowledge is power!

The definition of moonshine is confusing at best. You may be thinking, “Isn’t moonshine that drink that can make you blind?” Or maybe you think of it as the famous Prohibition-era booze people made at home in their bathtubs. Even the hip-hop and country music star Nelly was a bit confused on the “moonshine” label, as he crafted his own celebrity “moonshine” last year, which really consisted more of a fruity, lower-proof spirit than the traditional moonshine whiskey.


Many people think of moonshine as some sort of off-limits alcohol, but it’s also a term for a class of unaged whiskey.

So, what exactly makes moonshine, moonshine? What is moonshine made out of? And can moonshine make you blind? Let’s dive in and explore the difference between the two definitions of moonshine and learn about the dangers of moonshine production and consumption.

What Is Moonshine?

The first moonshine came around in England in the late 1700s, but the word moonshine has been around since the 15th century. Fundamentally, moonshine was created to avoid paying taxes on high-proof liquor production.

Originally, the term “moonshine” referred to a distilled liquor produced and/or distributed illegally. The term “moonshine” comes from the tradition of making the liquor under the cover of darkness to avoid detection. Over the years, it developed a standard definition as a clear, unaged, high-proof whiskey made from corn. This definition was commonly used during Prohibition in the U.S. in the 1920s. Other names for moonshine include rotgut, white lightning, white dog, and corn liquor.

History of Moonshine in the United States

Moonshine has a particularly rich history in the United States.

• The Whiskey Rebellion. Moonshine first became popular in Pennsylvania in 1791 after the new federal government enacted a hefty tax on liquor to repay debts from the Revolutionary War. This sparked three years of (sometimes violent) protests known as the Whiskey Rebellion, during which Pennsylvania farmers and distillers attacked and intimidated tax inspectors to prevent them from collecting the tax. Moonshine production was a popular nonviolent way to protest the tax.
• The Whiskey RIng. History repeated itself in St. Louis in the 1870s when another tax was enacted to raise money after the American Civil War. A group of Missouri distillers and farmers known as The Whiskey Ring conspired against the government and bribed officials so they could pocket the taxes themselves. For many, moonshine was the only way to afford liquor or turn a profit on liquor sales.
• Prohibition. Federal alcohol prohibition laws came to the U.S. in 1920. Since liquor was now illegal and very hard to come by, demand for moonshine significantly increased and producers began experimenting with innovative flavors and additives.

What Is Moonshine Made of?

Traditionally, moonshine is made from corn. However, sometimes moonshiners (a.k.a. people who make moonshine) use rye or barley instead. Yeast, malt, sugar, and water are also added to the mix, with each moonshiner having their own particular preference.

Moonshine was originally popular because it could be created and purchased without paying taxes, but in modern times it’s sought out for its flavor and high alcohol content. Ethanol is the pure alcohol responsible for intoxication in alcoholic beverages. However, the moonshine distillation process creates a toxic byproduct called methanol that can have deadly consequences when consumed.

Moonshine is known for having significantly higher alcohol content than other hard liquors. Vodka, bourbon, and gin, for example, do not generally reach an alcohol by volume (ABV) above 80% alcohol content, and typically rest in the 35%-50% range. Moonshine, however, is often much higher.

The key to moonshine’s high alcohol content lies in the production process. Keep reading to understand how the chemical composition of moonshine makes it up to 95% ABV — and how this can cause blindness or death to consumers if distilled improperly.

How Is Moonshine Alcohol Made?

The most popular way to make moonshine is using a still. A still is a large, multi-chamber pot used to boil a liquid and extract certain chemicals (such as ethanol). Moonshine, in particular, uses a copper still.

• Fermentation. First, the corn is cooked in water to create a slurry known as a “mash.” Then, it is cooled and mixed with sugar and yeast and left to ferment. The yeast eats the sugar and produces ethanol as a waste product.

• Boiling. After the mash has fermented, it is filtered and transferred into a still, where it is heated to a boil.

• Evaporation. Ethanol has a lower evaporation temperature than water. As the mash boils, alcohol evaporates and is collected in another chamber, where it cools and condenses into a glass jar called a receiver.

• Bottling. The moonshine is then removed from the receiver, filtered, and bottled.

Some moonshiners add flavors or other ingredients at the end, such as sugar, fruit juice, or herbal mixtures. However, these flavor additives may not be the only things hidden inside this insidious liquor.

Moonshine vs. Other Spirits

The moonshine distillation process is very similar to the process for making other types of spirits. However, a few key details make all the difference.

Moonshine alcohol, when defined as the beverage, is an unaged clear whiskey and made from corn. It can also be up to 95% alcohol, which is much more alcohol content than most hard liquors. Let’s explore how this is different from a few other hard spirits.

• Whiskey generally uses the same ingredients as moonshine, and is typically aged, which produces its signature honey-amber color.
• Vodka is a clear alcohol that, like moonshine, is not aged. Vodka can be produced from grain, fruit, orpotatoes, and is usually distilled several times to remove impurities and other substances.
• Gin is also a clear hard liquor, but gin is made from grain alcohol and juniper berries. Many types of plants and sugars can be used to adjust the process, but juniper berries are fundamental to its definition.
• Tequila is made from agave and produced mainly in certain regions of Mexico. The agave plant is baked in a brick or clay oven called a “horno,” after which juice is extracted from the plant to be fermented, distilled, and aged.

These may seem similar, but the only big thing these liquors have in common is that they are all distilled. The process of moonshine distillation differs just slightly from other liquors, but it makes a huge difference.

Risks of Moonshine Production

The primary difference between common liquors and moonshine is that careful attention is paid to removing impurities from standard liquor, often with multiple rounds of distillation. By definition, moonshine is typically distilled only once.

Originally, moonshine was illegal due to its association with tax evasion. Even today there are many “illegal” distilleries that create moonshine in secret to avoid taxes, but they are less common because even major distilleries make commercial moonshine.

The danger on moonshine comes from the production process itself. If the distillation process is not done correctly, moonshine can contain high levels of a more toxic form of alcohol: methanol.

Methanol and ethanol (the two types of alcohol produced when making moonshine) are both highly flammable and have the potential to explode during the distillation process. A gas leak between the distillation apparatus and the receiving container could also spark an explosion. Ventilation is important, and illegal moonshine is often produced in non-commercial settings that were not designed with this in mind.

So, is moonshine bad for you? We knowSo, is moonshine bad for you? We know moonshine production can be dangerous, especially when moonshiners are inexperienced and don’t understand the precautions necessary for safety — and unfortunately, drinking it can be just as dangerous. moonshine production can be dangerous, especially when moonshiners are inexperienced and don’t understand the precautions necessary for safety — and, unfortunately, drinking it can be just as dangerous.

Why Is Moonshine Dangerous?

So, what is so dangerous about drinking moonshine? It has a reputation as a dangerous liquor, but the details are not often discussed. As we discussed earlier, methanol is a form of alcohol created during moonshine production alongside the commonly-known ethanol. The differences between ethanol and methanol are molecular, and they impact our body in dramatically different ways.

Can Moonshine Make You Blind?

Is there any truth to the rumors of “moonshine blindness”? Science says yes, moonshine can indeed make you blind. Humans can tolerate generous amounts of ethanol, but only a few milliliters of methanol will get us extremely drunk, and it only takes a few more milliliters later for methanol to become lethal. Our liver processes methanol into formaldehyde, and later into formic acid. As little as 2 teaspoons (10 mL) of methanol produces enough formic acid to cause blindness.

Because moonshine and methanol are both clear liquids, it’s impossible to tell if it contains any methanol just by looking at it. Commercial moonshine producers have the means to eliminate methanol after distillation, but some illegal moonshiners actually add small amounts of methanol to make the drink stronger.

There is no reliable way to test for methanol content in illicit moonshine. Upon first sip, we simply get really drunk — and we might not know whether or not methanol is responsible.

The Lethality Of Methanol

2 teaspoons (10 mL) of methanol is enough to give us the worst hangover of our life, but as we know, any more than that is damaging to our eyesight. For context, one standard shot glass contains about 9 tsp (3 tbsp/44 mL). Drinking too much methanol can result in full or partial blindness. This result is called methanol-induced optic neuropathy, or Me-ION.

Me-ION causes damage to the optic nerve, which connects visual information to our brain for interpretation. Any damage to this nerve behind either eye will result in different types of (or complete) — vision loss.

The lethal dose of methanol is 6 tsp (2 tbsp/30 mL). Some people may not need that much methanol for it to be lethal, either. In facilities where moonshine is still being produced illegally, there is no way of telling how many shots or glasses of moonshine will contain lethal amounts of methanol. Remember: moonshine that is made illicitly may be stronger because methanol has been added.

Our chances of alcohol poisoning are also higher when methanol is present because of how little methanol is needed to get drunk. Not only are we putting ourselves at risk for lethal doses of methanol, but we are also putting ourselves at risk for violent hangovers and alcohol-related experiences when drinking illicitly-produced moonshine. So how do we avoid this?

The Truth About Moonshine Safety

Simply put, moonshine made illegally is never guaranteed safe to drink — and “moonshine blindness” is a real possibility! For this reason, it’s probably best to avoid moonshine produced outside of a licensed commercial facility, and it’s definitely best to avoid making our own moonshine.

A high alcohol tolerance may lead us to seek out moonshine for an easier “buzz.” After all, a small amount of methanol will get us more drunk than several glasses of beer, right? But the risks associated with methanol consumption are too great, and we are putting our lives at risk when we decide to drink something with methanol. High tolerance can allow us to handle a little more methanol than a casual drinker, but there’s only so much the human body can handle regardless of how the alcohol content makes us feel.

Thankfully, there are ways to stay safe and avoid the dangers of methanol in moonshine.


• Keep it legal. Stay away from distilleries and moonshiners who don’t have proper licenses! This is a non-negotiable to ensure safety.

• Leave it to the pros. Don’t make moonshine at home, and avoid consuming homemade moonshine even if it’s from a trusted friend or family member. Leave the chemistry to the scientists for this one!

• Stay informed. Educate yourself on small distilleries and alcohol shops before purchasing moonshine. Does the shop or bar have a reputation for distributing alcohol under the radar?

• Consider alternatives. The best way to avoid methanol is to stay away from commercial moonshine and stay away from drinks containing any amount of moonshine.

The Bottom Line

Throughout history, moonshine has been described romantically as a boozy rebellion to taxation, but now we know it is illegal for a reason — it’s high risk of causing permanent disability. While it may be tempting to try a beverage as strong as moonshine, remember the dangerous consequences of moonshine consumption if it’s not regulated properly. Stay safe and remember: knowledge is power!

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 hundreds 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!

Pain from a recent surgery or injury can be a burden. For relief, we may be prescribed an opioid such as Tramadol. As we start to recover, we might be tempted to start our normal routines and activities. That Friday night happy hour with coworkers sounds like the perfect way to unwind after a long week! But wait … what about that Tramadol? What happens if we have just one drink? Is it safe? 

In this blog, we will learn that it is not safe to drink alcohol while taking Tramadol. Keep reading to learn the science behind the dangers of mixing alcohol and Tramadol. Learn some tips for cutting back on both substances and when it is safe to drink alcohol after we stop taking Tramadol.

What Is Tramadol? 

Tramadol is a prescription medication used to relieve moderate to severe pain. It is in the class of medications called opioids, which are derived from or mimic the opium poppy plant. Opioids are prescribed by physicians for pain management but are known for being highly addictive. Tramadol is a synthetic opioid and has a lower level of opioid content than other opioids such as morphine, oxycodone, or fentanyl, so it is thought to have lower addiction potential than others. Taking Tramadol outside of the prescription parameters is illegal and has dangerous consequences! 

How Tramadol Works

Tramadol is a depressant drug, meaning it slows down the central nervous system by acting on opioid receptors and neurotransmitters in our brains. Our brains have an endogenous (built-in) opioid-production system that helps us cope with stress and pain while increasing feelings of pleasure, relaxation, and contentment.

Endogenous opioids also control our breathing, coughing, and that warm, relaxed, satisfied feeling following exercise. When we take Tramadol, it partially binds to our opioid receptors, which then release endorphins (euphoria hormones) that reduce the sensation of pain. 

Tramadol vs. Other Opioids

Tramadol is not one of the strongest opioids, because it doesn’t bind as strongly to opioid receptors. However, Tramadol affects other neurotransmitters in our brain. Neurotransmitters are chemicals in the brain that are responsible for communication between the cells (neurons). 

Tramadol impacts the neurotransmitters norepinephrine and serotonin. Norepinephrine is known as the body's “fight-or-flight” chemical and is responsible for the regulation of arousal, attention, cognitive function, and stress reaction. That rapid increase in heart rate after hearing a loud noise comes from norepinephrine. Serotonin is referred to as the “happy” chemical because it regulates feelings of satisfaction, happiness, and optimism.

Tramadol increases the release of serotonin and blocks the reabsorption of serotonin and norepinephrine to neurons. By blocking reabsorption of excess serotonin and norepinephrine, there are more feel-good chemicals to act on nearby neurons and change our thoughts or behavior and reduce our pain.

Side Effects of Tramadol

Tramadol is effective at reducing moderate to severe pain, but it does come at a cost. Let’s review some common side effects associated with Tramadol.

• Dizziness
• Headaches
• Sleepiness, tired, “spaced out”
• Nausea, vomiting, heartburn
• Constipation
• Dry mouth
• Sweating 
• Low energy

Serious (and less common) side effects include the following:

• Extreme dizziness
• Hallucinations
• Confusion
• Extreme fatigue 

There is a risk for overdose with Tramadol if we do not follow the medically prescribed doses. If you notice any of the following signs of overdose, immediately seek emergency medical care! 

• Loss or change of consciousness 
• Lack of awareness or unresponsive 
• Difficulty breathing 
• Lack of muscle tone
• Lightheadedness
• Pinpointed pupils 
• Severe sleepiness or drowsiness
• Slow or irregular heart rate 

Tramadol misuse can be dangerous to our health. If we take Tramadol as prescribed, we might only experience minor side effects. Before we decide to have a drink while we are on Tramadol, let’s figure out how alcohol and Tramadol might interact.

Is It Dangerous To Mix Tramadol and Alcohol? 

You should never drink alcohol while on Tramadol or other opioids! It doesn’t matter if it's beer, wine, or your favorite spirit — even a low amount of alcohol can have life-threatening consequences! Let’s go through some of the dangers of having alcohol and Tramadol.

• Increased chance of overdose. Tramadol and alcohol slow our brains down, which can impact key functions such as breathing and heart rate. If the effects are severe enough, the combination can result in unconsciousness or death. 
• Enhanced side effects. Drinking alcohol while on Tramadol can intensify the reaction to both substances. The mix can lead to atypical reactions such as nausea, vomiting, confusion, disorientation, dizziness, blurred vision, increased blood pressure, insomnia, coma, or seizures. 
• Increased risk of accidents or injury. The intense lack of alertness, coordination, or impaired judgment can lead to risky decision-making that can result in injury to ourselves or others. 
• Damage to the liver. Alcohol and Tramadol are both metabolized in the liver. Both substances can cause extra strain on the liver and lead to liver-related diseases. When paired, the liver has to work overtime, amplifying the stress. 

Drinking alcohol while on Tramadol is not advised! It can lead to severe consequences such as injury or death!

Treating Comorbid Substance Use Disorders

Treatment for polysubstance drug dependence (misusing more than one drug at once) must focus on treating both substances at once to have the best success. It’s not easy quitting multiple substances at once, but thankfully there are ways to make quitting alcohol and Tramadol more manageable.

• Detox. The first step to quitting both substances is ridding them from the body through a detoxification process. During this time, the body will go through withdrawal symptoms for both substances. Detoxing at a hospital or medical facility is the safest option due to the risks associated with withdrawal. 
• Therapy. Talk therapy or counseling can help along the way to sobriety. There are many options for therapy such as cognitive behavioral, art, or psychotherapy. Finding one that is best for you can help with the road to recovery. 
• Support groups. Support groups can be a great resource — they offer validation and encouragement during the recovery process. A supportive community is a pivotal factor in successful recovery.

Abruptly stopping Tramadol and alcohol can be dangerous! Quitting alcohol cold turkey can result in life-threatening withdrawal symptoms such as seizures or delirium tremens. Seek advice from medical professionals before attempting to quit Tramadol and alcohol use. 

Other Medications To Avoid Mixing With Tramadol 

There are many other medications that are unsafe to mix with Tramadol. In general, sedatives or medications that slow the brain, medications that raise serotonin levels, or other opioids should be avoided while taking Tramadol. Let’s review some other substances that you should not mix with Tramadol. 

• Antidepressants (e.g., bupropion (Wellbutrin), fluoxetine (Prozac), or paroxetine (Paxil))
• Benzodiazepines (e.g., Xanax, Valium, or Klonopin)
• Sleep medications (e.g., Ambien, Edlura, ZolpiMist)
• Barbiturates (e.g., phenobarbital, secobarbital)
• Muscle relaxants (tizanidine, methocarbamol, diazepam (Valium))
• Diphenhydramine (Benadryl)
• Other opioids (oxycodone, hydrocodone, morphine, codeine)

Always consult your physician and a pharmacist before adding any medications to your regimen.

How To Wait Before Drinking After Tramadol 

We learned that drinking alcohol while taking Tramadol can be extremely dangerous, but you may be wondering, “How long after taking Tramadol can I drink alcohol?”

Tramadol has a half-life of six to eight hours. A half-life is the amount of time our bodies take to reduce the amount of drug by one half. It takes the body about four or five half-lives to fully get rid of Tramadol. It’s safest to wait 30-40 hours after our last dose of Tramadol before we start drinking. That’s about a day and a half.

Key Takeaways

Tramadol is an opioid medication used to treat pain. Alcohol and Tramadol are both depressants and when taken together, they can intensify one another’s side effects. We should not drink alcohol while on Tramadol because it can lead to serious side effects and increase our chances of overdose. Trying to quit both substances at once can be dangerous and it’s advised to seek medical attention while detoxing.

Pain from a recent surgery or injury can be a burden. For relief, we may be prescribed an opioid such as Tramadol. As we start to recover, we might be tempted to start our normal routines and activities. That Friday night happy hour with coworkers sounds like the perfect way to unwind after a long week! But wait … what about that Tramadol? What happens if we have just one drink? Is it safe? 

In this blog, we will learn that it is not safe to drink alcohol while taking Tramadol. Keep reading to learn the science behind the dangers of mixing alcohol and Tramadol. Learn some tips for cutting back on both substances and when it is safe to drink alcohol after we stop taking Tramadol.

What Is Tramadol? 

Tramadol is a prescription medication used to relieve moderate to severe pain. It is in the class of medications called opioids, which are derived from or mimic the opium poppy plant. Opioids are prescribed by physicians for pain management but are known for being highly addictive. Tramadol is a synthetic opioid and has a lower level of opioid content than other opioids such as morphine, oxycodone, or fentanyl, so it is thought to have lower addiction potential than others. Taking Tramadol outside of the prescription parameters is illegal and has dangerous consequences! 

How Tramadol Works

Tramadol is a depressant drug, meaning it slows down the central nervous system by acting on opioid receptors and neurotransmitters in our brains. Our brains have an endogenous (built-in) opioid-production system that helps us cope with stress and pain while increasing feelings of pleasure, relaxation, and contentment.

Endogenous opioids also control our breathing, coughing, and that warm, relaxed, satisfied feeling following exercise. When we take Tramadol, it partially binds to our opioid receptors, which then release endorphins (euphoria hormones) that reduce the sensation of pain. 

Tramadol vs. Other Opioids

Tramadol is not one of the strongest opioids, because it doesn’t bind as strongly to opioid receptors. However, Tramadol affects other neurotransmitters in our brain. Neurotransmitters are chemicals in the brain that are responsible for communication between the cells (neurons). 

Tramadol impacts the neurotransmitters norepinephrine and serotonin. Norepinephrine is known as the body's “fight-or-flight” chemical and is responsible for the regulation of arousal, attention, cognitive function, and stress reaction. That rapid increase in heart rate after hearing a loud noise comes from norepinephrine. Serotonin is referred to as the “happy” chemical because it regulates feelings of satisfaction, happiness, and optimism.

Tramadol increases the release of serotonin and blocks the reabsorption of serotonin and norepinephrine to neurons. By blocking reabsorption of excess serotonin and norepinephrine, there are more feel-good chemicals to act on nearby neurons and change our thoughts or behavior and reduce our pain.

Side Effects of Tramadol

Tramadol is effective at reducing moderate to severe pain, but it does come at a cost. Let’s review some common side effects associated with Tramadol.

• Dizziness
• Headaches
• Sleepiness, tired, “spaced out”
• Nausea, vomiting, heartburn
• Constipation
• Dry mouth
• Sweating 
• Low energy

Serious (and less common) side effects include the following:

• Extreme dizziness
• Hallucinations
• Confusion
• Extreme fatigue 

There is a risk for overdose with Tramadol if we do not follow the medically prescribed doses. If you notice any of the following signs of overdose, immediately seek emergency medical care! 

• Loss or change of consciousness 
• Lack of awareness or unresponsive 
• Difficulty breathing 
• Lack of muscle tone
• Lightheadedness
• Pinpointed pupils 
• Severe sleepiness or drowsiness
• Slow or irregular heart rate 

Tramadol misuse can be dangerous to our health. If we take Tramadol as prescribed, we might only experience minor side effects. Before we decide to have a drink while we are on Tramadol, let’s figure out how alcohol and Tramadol might interact.

Is It Dangerous To Mix Tramadol and Alcohol? 

You should never drink alcohol while on Tramadol or other opioids! It doesn’t matter if it's beer, wine, or your favorite spirit — even a low amount of alcohol can have life-threatening consequences! Let’s go through some of the dangers of having alcohol and Tramadol.

• Increased chance of overdose. Tramadol and alcohol slow our brains down, which can impact key functions such as breathing and heart rate. If the effects are severe enough, the combination can result in unconsciousness or death. 
• Enhanced side effects. Drinking alcohol while on Tramadol can intensify the reaction to both substances. The mix can lead to atypical reactions such as nausea, vomiting, confusion, disorientation, dizziness, blurred vision, increased blood pressure, insomnia, coma, or seizures. 
• Increased risk of accidents or injury. The intense lack of alertness, coordination, or impaired judgment can lead to risky decision-making that can result in injury to ourselves or others. 
• Damage to the liver. Alcohol and Tramadol are both metabolized in the liver. Both substances can cause extra strain on the liver and lead to liver-related diseases. When paired, the liver has to work overtime, amplifying the stress. 

Drinking alcohol while on Tramadol is not advised! It can lead to severe consequences such as injury or death!

Treating Comorbid Substance Use Disorders

Treatment for polysubstance drug dependence (misusing more than one drug at once) must focus on treating both substances at once to have the best success. It’s not easy quitting multiple substances at once, but thankfully there are ways to make quitting alcohol and Tramadol more manageable.

• Detox. The first step to quitting both substances is ridding them from the body through a detoxification process. During this time, the body will go through withdrawal symptoms for both substances. Detoxing at a hospital or medical facility is the safest option due to the risks associated with withdrawal. 
• Therapy. Talk therapy or counseling can help along the way to sobriety. There are many options for therapy such as cognitive behavioral, art, or psychotherapy. Finding one that is best for you can help with the road to recovery. 
• Support groups. Support groups can be a great resource — they offer validation and encouragement during the recovery process. A supportive community is a pivotal factor in successful recovery.

Abruptly stopping Tramadol and alcohol can be dangerous! Quitting alcohol cold turkey can result in life-threatening withdrawal symptoms such as seizures or delirium tremens. Seek advice from medical professionals before attempting to quit Tramadol and alcohol use. 

Other Medications To Avoid Mixing With Tramadol 

There are many other medications that are unsafe to mix with Tramadol. In general, sedatives or medications that slow the brain, medications that raise serotonin levels, or other opioids should be avoided while taking Tramadol. Let’s review some other substances that you should not mix with Tramadol. 

• Antidepressants (e.g., bupropion (Wellbutrin), fluoxetine (Prozac), or paroxetine (Paxil))
• Benzodiazepines (e.g., Xanax, Valium, or Klonopin)
• Sleep medications (e.g., Ambien, Edlura, ZolpiMist)
• Barbiturates (e.g., phenobarbital, secobarbital)
• Muscle relaxants (tizanidine, methocarbamol, diazepam (Valium))
• Diphenhydramine (Benadryl)
• Other opioids (oxycodone, hydrocodone, morphine, codeine)

Always consult your physician and a pharmacist before adding any medications to your regimen.

How To Wait Before Drinking After Tramadol 

We learned that drinking alcohol while taking Tramadol can be extremely dangerous, but you may be wondering, “How long after taking Tramadol can I drink alcohol?”

Tramadol has a half-life of six to eight hours. A half-life is the amount of time our bodies take to reduce the amount of drug by one half. It takes the body about four or five half-lives to fully get rid of Tramadol. It’s safest to wait 30-40 hours after our last dose of Tramadol before we start drinking. That’s about a day and a half.

Key Takeaways

Tramadol is an opioid medication used to treat pain. Alcohol and Tramadol are both depressants and when taken together, they can intensify one another’s side effects. We should not drink alcohol while on Tramadol because it can lead to serious side effects and increase our chances of overdose. Trying to quit both substances at once can be dangerous and it’s advised to seek medical attention while detoxing.

Take Charge of Your Health With Reframe! 

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

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

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

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

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

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

It’s that time of year: everyone seems to be sick with something! We all know and dread the coughing, sneezing, runny nose, fevers, aches, and pains that come with cold and flu. When we’re not feeling well, we know medication can help us feel better, but we might also be craving a little drink because we believe it will boost our mood or help us sleep (more on this later!). But is it safe to drink alcohol while sick and then take a cold medication such as NyQuil? 

This blog will explore why drinking alcohol and taking NyQuil can be quite dangerous. Keep reading, and we will cover the basics on NyQuil and alcohol interactions — and why drinking when we’re sick can make us feel worse. Then we’ll learn some alternatives for fighting off cold and flu viruses.

What Is NyQuil?

NyQuil is an over-the-counter medication marketed to treat cold and flu symptoms. NyQuil has three main active ingredients – acetaminophen, dextromethorphan, and doxylamine. These active ingredients work to treat common cold or flu symptoms such as headache, body aches, fever, cough, and congestion. 

• Acetaminophen. The popular brand name for acetaminophen is Tylenol. Acetaminophen is an analgesic (pain reliever) and antipyretic (fever reducer). Acetaminophen fights pain by directly affecting pain receptors in the brain. It also reduces fevers by acting on the hypothalamus, which is responsible for temperature regulation.
• Dextromethorphan. Dextromethorphan is the generic form of Robitussin, a popular antitussive (cough suppressant). Dextromethorphan decreases neuronal activity in the brainstem that causes us to cough, thereby reducing our urge to cough.
• Doxylamine. Doxylamine is an antihistamine. Histamine is a chemical in our body and brain that is responsible for causing allergy symptoms such as congestion and sneezing. Histamine also helps regulate our sleep and wake cycle, promoting wakefulness. As an antihistamine, doxylamine reduces histamine functionality by blocking histamine receptors in the brain, promoting sleep and reducing congestion and sneezing. The primary purpose of doxylamine in NyQuil is to help us fall asleep (and if you’ve ever taken it, you know how effective it is at making us sleepy!).

Although it’s not a necessary ingredient, some forms of NyQuil have alcohol — but why is this? Alcohol is added to liquid NyQuil to help the active ingredients dissolve, but it serves no therapeutic purpose.

How Long Does NyQuil Take To Work? 

The active ingredients of NyQuil provide temporary relief of cold or flu symptoms. NyQuil begins to work within 30 minutes of taking it and lasts for about four to six hours. Ingredients in NyQuil can take up to two days to fully leave your system. NyQuil should only be used as advised on the bottle’s label or as advised by a medical professional — it is not recommended to use nightly as a sleep aid for many reasons. Plus, the body rapidly develops tolerance to the sedative effects of antihistamines when used regularly.

Spotting Alcoholic NyQuil Products

Not all NyQuil products contain alcohol. If we’re trying to avoid alcohol, it’s important to check the label of our product to confirm if alcohol is present (that includes generic forms of NyQuil). 

While this is not an exhaustive list, here are some popular NyQuil products that contain alcohol:

• NyQuil Cold & Flu Nighttime Relief Liquid, Original Flavor
• NyQuil VapoCool Severe Cold & Flu Liquid + Congestion
• NyQuil HBP Cold and Flu Medicine

Now let’s look at some popular alcohol-free options:

• Alcohol-Free NyQuil Cold & Flu Nighttime Relief Liquid
• NyQuil Severe Cold & Flu LiquiCaps
• NyQuil Severe Cold & Flu Relief Liquid, Berry Flavored
• NyQuil Kids Honey Cough and Cold (for ages 6 and over)
• NyQuil Cough DM and Congestion Medicine

The Dangers of Drinking While Sick

While reaching for alcohol may seem like a good way to relax, drinking actually does more harm than good. Some people swear by a hot toddy or a white whiskey & orange juice, however, drinking alcohol while sick will only make us feel worse! Here’s what alcohol actually does when we’re fighting off a cold:

• Weakens our immune system. Alcohol is an immunosuppressant, meaning it reduces the effectiveness of our immune system. Drinking alcohol suppresses our immune system and makes it harder to fight off viruses such as cold and flu. With our bodies less able to fight off the illness, we may get sicker or prolong the recovery process. 
• Worsens dehydration. Being sick with viruses such as the cold and flu leads to dehydration through fever, sweating, loss of appetite, or production of mucus. Drinking alcohol leads to further dehydration as alcohol is a diuretic which makes us lose fluids. Drinking while sick makes us more dehydrated and can make us feel worse.
• Heightens cold and flu symptoms. Common symptoms of cold and flu include stuffy or runny nose, cough, sore throat, headache, body aches, fever, or fatigue. Drinking alcohol while sick can make these symptoms worse. Why? Alcohol widens our blood vessels through a process called vasodilation, which makes congestion or a runny nose worse.

• Disrupts sleep. When we’re sick, we need to rest up and take it easy so our body can focus on getting better. Alcohol decreases the quality of our sleep and leaves us feeling worn out for longer, and our body has to redirect precious energy from the immune system to process the alcohol. 

We should not reach for alcohol when we’re feeling under the weather. The good news is that there are plenty of over-the-counter medications that can help us feel better when we are sick. However, we must consider that drinking alcohol while taking these medications may not be safe. 

How Does NyQuil Interact With Alcohol?

NyQuil has multiple active ingredients, so it’s important to understand how each of these interacts with alcohol. Let’s breakdown those three main components of NyQuil to see how alcohol interacts with each.

• Acetaminophen. Alcohol and acetaminophen are both metabolized in the liver. Excessive use of either is hard on the liver, and taking them together increases risk for liver damage or toxicity. 
• Dextromethorphan. Mixing alcohol and dextromethorphan can enhance the psychoactive effects of both. At high doses, dextromethorphan can cause sensations similar to being drunk, such as euphoria, hallucinations, or loss of motor coordination. Alcohol enhances the effects of dextromethorphan and combining them can lead to dangerous and extreme effects. 
• Doxylamine. Alcohol and doxylamine are both sedatives, but they work in different ways. Doxylamine promotes sleep by inhibiting histamines while alcohol stimulates the release of sedating neurotransmitters and sleep-inducing compounds like adenosine (a byproduct of cellular metabolism). All of these effects combine to induce extreme drowsiness.

Alcohol interacts with the active ingredients in NyQuil by enhancing the associated side-effects, such as the following:

• Drowsiness
• Dizziness
• Balance and motor issues 
• Upset stomach 
• Nausea
• Headache

Long-Term Effects of Mixing NyQuil and Alcohol

NyQuil’s label states that consuming three or more drinks while taking NyQuil can lead to severe liver damage — but that’s not an invitation to pour two drinks. The risk for developing severe liver damage or intense side effects is lower with fewer drinks, but it’s still risky.

If we regularly combine alcohol and NyQuil, there can be severe consequences to our bodies.

• Severe liver damage. Alcohol and acetaminophen are both metabolized in the liver. Having both in our systems can strain the liver and lead to damage. 

• Weakened immune system. Repeated and heavy alcohol use can weaken the immune system. If we’re taking NyQuil, we are likely trying to fight off an illness. Drinking alcohol will only make this more difficult for our body and may prolong or worsen the illness. 

• Increased risk of alcohol poisoning. Liquid NyQuil products contain 10% alcohol. If we drink large amounts of alcohol and then take NyQuil, we are unintentionally adding more alcohol to our systems and putting ourselves at risk for developing alcohol poisoning.

• Increased chance for misuse. NyQuil and alcohol enhance the associated side effects of each — both the bad ones and the relaxing ones. As we know, the “feel-good” effects of both of these substances are short-lived, which may drive us to use higher amounts in search of that original feeling. Repeated use of NyQuil and alcohol together can increase our chances of developing alcohol use disorder or polysubstance misuse. 

For these reasons, it’s not a great idea to mix alcohol and NyQuil. But what if it’s too late and we’ve already mixed the two? Are we in danger? What should we do?

What Do I Do If Alcohol Is Found in My Urine?

While one or two drinks and a standard dose of NyQuil isn’t necessarily a medical emergency, the risks go up exponentially when the amounts increase. If you already have a liver condition, even small amounts of these substances can be harmful.

If you’ve had fewer than two drinks, you are probably okay. But, it’s best to take some precautionary measures.

• Stop drinking. Do not consume more alcohol! Any additional booze can quickly shift the situation from unpleasant to dangerous.

• Don’t add medications. Don’t take other medications to “balance out” the side effects of alcohol or NyQuil, and definitely avoid anything containing the active ingredients of NyQuil —acetaminophen, dextromethorphan, or doxylamine.

• Enlist a helper. Consider reaching out to a trusted friend or family member to check on you and help you monitor your symptoms.

• Monitor your symptoms. Check in with yourself and stay aware of your symptoms so you know when it’s time to seek help.

If you’ve combined small amounts of NyQuil and alcohol, don’t panic. Just stay in tune with your body and look out for signs you may need medical attention.

Danger Signs

Everyone’s body reacts differently to both alcohol and NyQuil, and individual factors like age and overall health play a big part in how we might react to the combination. The most important thing to do is listen to your body. If something feels wrong, get help, and don’t hesitate to seek medical attention if any of your symptoms become severe!

Here are a few danger signs that require immediate attention:

• Rapid heart rate (above 110 bpm)
• Excessive vomiting
• Severe abdominal pain
• Confusion
• Hallucinations
• Seizures

Avoiding alcohol while sick is essential if we want to get back to good health quickly. Medications like NyQuil are helpful in reducing the uncomfortable symptoms of cold and flu. However, for those of us making a firm effort to steer clear of alcohol, there are plenty of options that don’t involve drinking or using alcohol-containing cold and flu medicines.

Alternatives to Alcohol-Based NyQuil

There are a host of over-the-counter cold and flu medications that don’t contain alcohol, including a variety of NyQuil products. Let’s review some alcohol-free ways to treat cold and flu. 

• Alcohol-free cold medications. There are a variety of alcohol-free NyQuil products and generic counterparts (check the first section here for a list!). Ask a pharmacist or your doctor for more alcohol-free cold and flu medication options, and always check product labels for clarification.

• Decongestants. Decongestants such as Sudafed can help open the airways to relieve congestion. Nasal sprays and nasal rinses can also help clear things out in the sinuses.

• Pain relievers. Consider pain and fever relievers such as ibuprofen (Advil or Motrin), naproxen (Aleve), and acetaminophen (Tylenol). Note that many cold medications already contain acetaminophen. Do not take acetaminophen with other medications also containing acetaminophen as this can cause liver damage.
• Cough medications. Cough suppressant products such as Robitussin, Delsum, or cough drops can help relieve the urge to cough, while guaifenesin (Mucinex) can help break up mucus and make it easier to pass.

• Natural remedies. Natural remedies for cold and flu symptoms include drinking enough water, getting plenty of rest, saline spray or drops, steam showers or hot water bowls, and cool mist vaporizers or humidifiers

Just because a product doesn’t contain alcohol does not mean it is safe to take with alcohol! Read labels and consult a doctor before taking any of these over-the-counter medications. Ultimately, recovering from a cold or flu takes time and rest! Medications or natural remedies can help us tolerate symptoms, but they will not cure them.

Key Takeaways

Colds and flus are quite unpleasant to deal with. We might think it’s a good idea to have a drink to take the edge off, but as we’ve learned throughout this blog, drinking may actually make our symptoms worse and extend our illness. Most cold and flu medications should not be mixed with alcohol, and it’s an especially bad idea to take NyQuil with alcohol!

Liquid NyQuil contains 10% alcohol, so if we are trying to avoid alcohol, we can try one of the many alcohol-free cold and flu remedies out there. We can also help prevent the next illness by exercising, eating healthy, and quitting or cutting back on alcohol — all of which will boost our immune system and overall health!

It’s that time of year: everyone seems to be sick with something! We all know and dread the coughing, sneezing, runny nose, fevers, aches, and pains that come with cold and flu. When we’re not feeling well, we know medication can help us feel better, but we might also be craving a little drink because we believe it will boost our mood or help us sleep (more on this later!). But is it safe to drink alcohol while sick and then take a cold medication such as NyQuil? 

This blog will explore why drinking alcohol and taking NyQuil can be quite dangerous. Keep reading, and we will cover the basics on NyQuil and alcohol interactions — and why drinking when we’re sick can make us feel worse. Then we’ll learn some alternatives for fighting off cold and flu viruses.

What Is NyQuil?

NyQuil is an over-the-counter medication marketed to treat cold and flu symptoms. NyQuil has three main active ingredients – acetaminophen, dextromethorphan, and doxylamine. These active ingredients work to treat common cold or flu symptoms such as headache, body aches, fever, cough, and congestion. 

• Acetaminophen. The popular brand name for acetaminophen is Tylenol. Acetaminophen is an analgesic (pain reliever) and antipyretic (fever reducer). Acetaminophen fights pain by directly affecting pain receptors in the brain. It also reduces fevers by acting on the hypothalamus, which is responsible for temperature regulation.
• Dextromethorphan. Dextromethorphan is the generic form of Robitussin, a popular antitussive (cough suppressant). Dextromethorphan decreases neuronal activity in the brainstem that causes us to cough, thereby reducing our urge to cough.
• Doxylamine. Doxylamine is an antihistamine. Histamine is a chemical in our body and brain that is responsible for causing allergy symptoms such as congestion and sneezing. Histamine also helps regulate our sleep and wake cycle, promoting wakefulness. As an antihistamine, doxylamine reduces histamine functionality by blocking histamine receptors in the brain, promoting sleep and reducing congestion and sneezing. The primary purpose of doxylamine in NyQuil is to help us fall asleep (and if you’ve ever taken it, you know how effective it is at making us sleepy!).

Although it’s not a necessary ingredient, some forms of NyQuil have alcohol — but why is this? Alcohol is added to liquid NyQuil to help the active ingredients dissolve, but it serves no therapeutic purpose.

How Long Does NyQuil Take To Work? 

The active ingredients of NyQuil provide temporary relief of cold or flu symptoms. NyQuil begins to work within 30 minutes of taking it and lasts for about four to six hours. Ingredients in NyQuil can take up to two days to fully leave your system. NyQuil should only be used as advised on the bottle’s label or as advised by a medical professional — it is not recommended to use nightly as a sleep aid for many reasons. Plus, the body rapidly develops tolerance to the sedative effects of antihistamines when used regularly.

Spotting Alcoholic NyQuil Products

Not all NyQuil products contain alcohol. If we’re trying to avoid alcohol, it’s important to check the label of our product to confirm if alcohol is present (that includes generic forms of NyQuil). 

While this is not an exhaustive list, here are some popular NyQuil products that contain alcohol:

• NyQuil Cold & Flu Nighttime Relief Liquid, Original Flavor
• NyQuil VapoCool Severe Cold & Flu Liquid + Congestion
• NyQuil HBP Cold and Flu Medicine

Now let’s look at some popular alcohol-free options:

• Alcohol-Free NyQuil Cold & Flu Nighttime Relief Liquid
• NyQuil Severe Cold & Flu LiquiCaps
• NyQuil Severe Cold & Flu Relief Liquid, Berry Flavored
• NyQuil Kids Honey Cough and Cold (for ages 6 and over)
• NyQuil Cough DM and Congestion Medicine

The Dangers of Drinking While Sick

While reaching for alcohol may seem like a good way to relax, drinking actually does more harm than good. Some people swear by a hot toddy or a white whiskey & orange juice, however, drinking alcohol while sick will only make us feel worse! Here’s what alcohol actually does when we’re fighting off a cold:

• Weakens our immune system. Alcohol is an immunosuppressant, meaning it reduces the effectiveness of our immune system. Drinking alcohol suppresses our immune system and makes it harder to fight off viruses such as cold and flu. With our bodies less able to fight off the illness, we may get sicker or prolong the recovery process. 
• Worsens dehydration. Being sick with viruses such as the cold and flu leads to dehydration through fever, sweating, loss of appetite, or production of mucus. Drinking alcohol leads to further dehydration as alcohol is a diuretic which makes us lose fluids. Drinking while sick makes us more dehydrated and can make us feel worse.
• Heightens cold and flu symptoms. Common symptoms of cold and flu include stuffy or runny nose, cough, sore throat, headache, body aches, fever, or fatigue. Drinking alcohol while sick can make these symptoms worse. Why? Alcohol widens our blood vessels through a process called vasodilation, which makes congestion or a runny nose worse.

• Disrupts sleep. When we’re sick, we need to rest up and take it easy so our body can focus on getting better. Alcohol decreases the quality of our sleep and leaves us feeling worn out for longer, and our body has to redirect precious energy from the immune system to process the alcohol. 

We should not reach for alcohol when we’re feeling under the weather. The good news is that there are plenty of over-the-counter medications that can help us feel better when we are sick. However, we must consider that drinking alcohol while taking these medications may not be safe. 

How Does NyQuil Interact With Alcohol?

NyQuil has multiple active ingredients, so it’s important to understand how each of these interacts with alcohol. Let’s breakdown those three main components of NyQuil to see how alcohol interacts with each.

• Acetaminophen. Alcohol and acetaminophen are both metabolized in the liver. Excessive use of either is hard on the liver, and taking them together increases risk for liver damage or toxicity. 
• Dextromethorphan. Mixing alcohol and dextromethorphan can enhance the psychoactive effects of both. At high doses, dextromethorphan can cause sensations similar to being drunk, such as euphoria, hallucinations, or loss of motor coordination. Alcohol enhances the effects of dextromethorphan and combining them can lead to dangerous and extreme effects. 
• Doxylamine. Alcohol and doxylamine are both sedatives, but they work in different ways. Doxylamine promotes sleep by inhibiting histamines while alcohol stimulates the release of sedating neurotransmitters and sleep-inducing compounds like adenosine (a byproduct of cellular metabolism). All of these effects combine to induce extreme drowsiness.

Alcohol interacts with the active ingredients in NyQuil by enhancing the associated side-effects, such as the following:

• Drowsiness
• Dizziness
• Balance and motor issues 
• Upset stomach 
• Nausea
• Headache

Long-Term Effects of Mixing NyQuil and Alcohol

NyQuil’s label states that consuming three or more drinks while taking NyQuil can lead to severe liver damage — but that’s not an invitation to pour two drinks. The risk for developing severe liver damage or intense side effects is lower with fewer drinks, but it’s still risky.

If we regularly combine alcohol and NyQuil, there can be severe consequences to our bodies.

• Severe liver damage. Alcohol and acetaminophen are both metabolized in the liver. Having both in our systems can strain the liver and lead to damage. 

• Weakened immune system. Repeated and heavy alcohol use can weaken the immune system. If we’re taking NyQuil, we are likely trying to fight off an illness. Drinking alcohol will only make this more difficult for our body and may prolong or worsen the illness. 

• Increased risk of alcohol poisoning. Liquid NyQuil products contain 10% alcohol. If we drink large amounts of alcohol and then take NyQuil, we are unintentionally adding more alcohol to our systems and putting ourselves at risk for developing alcohol poisoning.

• Increased chance for misuse. NyQuil and alcohol enhance the associated side effects of each — both the bad ones and the relaxing ones. As we know, the “feel-good” effects of both of these substances are short-lived, which may drive us to use higher amounts in search of that original feeling. Repeated use of NyQuil and alcohol together can increase our chances of developing alcohol use disorder or polysubstance misuse. 

For these reasons, it’s not a great idea to mix alcohol and NyQuil. But what if it’s too late and we’ve already mixed the two? Are we in danger? What should we do?

What Do I Do If Alcohol Is Found in My Urine?

While one or two drinks and a standard dose of NyQuil isn’t necessarily a medical emergency, the risks go up exponentially when the amounts increase. If you already have a liver condition, even small amounts of these substances can be harmful.

If you’ve had fewer than two drinks, you are probably okay. But, it’s best to take some precautionary measures.

• Stop drinking. Do not consume more alcohol! Any additional booze can quickly shift the situation from unpleasant to dangerous.

• Don’t add medications. Don’t take other medications to “balance out” the side effects of alcohol or NyQuil, and definitely avoid anything containing the active ingredients of NyQuil —acetaminophen, dextromethorphan, or doxylamine.

• Enlist a helper. Consider reaching out to a trusted friend or family member to check on you and help you monitor your symptoms.

• Monitor your symptoms. Check in with yourself and stay aware of your symptoms so you know when it’s time to seek help.

If you’ve combined small amounts of NyQuil and alcohol, don’t panic. Just stay in tune with your body and look out for signs you may need medical attention.

Danger Signs

Everyone’s body reacts differently to both alcohol and NyQuil, and individual factors like age and overall health play a big part in how we might react to the combination. The most important thing to do is listen to your body. If something feels wrong, get help, and don’t hesitate to seek medical attention if any of your symptoms become severe!

Here are a few danger signs that require immediate attention:

• Rapid heart rate (above 110 bpm)
• Excessive vomiting
• Severe abdominal pain
• Confusion
• Hallucinations
• Seizures

Avoiding alcohol while sick is essential if we want to get back to good health quickly. Medications like NyQuil are helpful in reducing the uncomfortable symptoms of cold and flu. However, for those of us making a firm effort to steer clear of alcohol, there are plenty of options that don’t involve drinking or using alcohol-containing cold and flu medicines.

Alternatives to Alcohol-Based NyQuil

There are a host of over-the-counter cold and flu medications that don’t contain alcohol, including a variety of NyQuil products. Let’s review some alcohol-free ways to treat cold and flu. 

• Alcohol-free cold medications. There are a variety of alcohol-free NyQuil products and generic counterparts (check the first section here for a list!). Ask a pharmacist or your doctor for more alcohol-free cold and flu medication options, and always check product labels for clarification.

• Decongestants. Decongestants such as Sudafed can help open the airways to relieve congestion. Nasal sprays and nasal rinses can also help clear things out in the sinuses.

• Pain relievers. Consider pain and fever relievers such as ibuprofen (Advil or Motrin), naproxen (Aleve), and acetaminophen (Tylenol). Note that many cold medications already contain acetaminophen. Do not take acetaminophen with other medications also containing acetaminophen as this can cause liver damage.
• Cough medications. Cough suppressant products such as Robitussin, Delsum, or cough drops can help relieve the urge to cough, while guaifenesin (Mucinex) can help break up mucus and make it easier to pass.

• Natural remedies. Natural remedies for cold and flu symptoms include drinking enough water, getting plenty of rest, saline spray or drops, steam showers or hot water bowls, and cool mist vaporizers or humidifiers

Just because a product doesn’t contain alcohol does not mean it is safe to take with alcohol! Read labels and consult a doctor before taking any of these over-the-counter medications. Ultimately, recovering from a cold or flu takes time and rest! Medications or natural remedies can help us tolerate symptoms, but they will not cure them.

Key Takeaways

Colds and flus are quite unpleasant to deal with. We might think it’s a good idea to have a drink to take the edge off, but as we’ve learned throughout this blog, drinking may actually make our symptoms worse and extend our illness. Most cold and flu medications should not be mixed with alcohol, and it’s an especially bad idea to take NyQuil with alcohol!

Liquid NyQuil contains 10% alcohol, so if we are trying to avoid alcohol, we can try one of the many alcohol-free cold and flu remedies out there. We can also help prevent the next illness by exercising, eating healthy, and quitting or cutting back on alcohol — all of which will boost our immune system and overall health!

Take Control of Your Drinking 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!

Imagine this: after an evening of having a few drinks with friends, you wake up feeling crummy, but this isn’t a usual hangover. It’s not just the typical headache and nausea, but also an unusual warmth flooding your body. You reach for the thermometer and there it is — a fever. How did a night of drinking lead to feeling feverish the next day?

Is there a direct link between alcohol consumption and developing a fever after drinking? Can alcohol cause fever symptoms or are these feelings just another dimension of the dreaded hangover? In this article, we'll dive into the effects of alcohol on the body, dissect the relationship between hangover and fever symptoms, and explore whether the "alcohol-induced fever" is a myth or a medical reality. We'll also touch upon the risks of drinking when you’re already sick and provide guidance on when it might be time to seek medical attention.

So, if you've ever found yourself feeling unusually warm after a night out, read on to discover what's really happening inside your body.

Reasons for Fever and Chills After Drinking Alcohol

Experiencing a fever after drinking alcohol might feel just like being sick, but it's a bit more complex than that. Alcohol interacts with several systems in our body that could produce fever-like symptoms and chills.

• Vasodilation. Alcohol causes blood vessels to dilate, leading to a loss of body heat. This causes an initial feeling of warmth (ever had hot skin after drinking or experienced flushing?).

• Hypothalamus disruption. Alcohol also disrupts the function of the hypothalamus, the part of the brain responsible for temperature control. This disruption can make us feel hot one moment and cold the next, mimicking fever and chills.

• Dehydration. Alcohol is a diuretic, meaning it increases urine production and causes dehydration if we don’t replenish with plenty of water. Dehydration can contribute to fever and chills as the body's fluid balance is disrupted, affecting its ability to regulate temperature effectively.

• Immune system disruption. Alcohol suppresses our immune system by interfering with how immune cells coordinate with one another and rendering them less effective. If we are already fighting off some sort of infection (without being aware of it), that pathogen has a temporary opportunity to mount an offensive. We may develop a low-grade fever after drinking alcohol as our immune system gets back to business.

If we’ve ever felt feverish after drinking, we’re not imagining things! The term "alcohol fever" is a bit of a misnomer, however. In most cases, our “fever” is some combination of the conditions above.

Rest assured that those fever-like symptoms won’t last too long. Even if we do experience an immune system disruption, it’s likely to be mild and it should resolve by the next day.

But what happens if we drink when we already have a fever? Can alcohol make things worse? Unfortunately, the answer is yes.

Drinking with a Fever: Risks and Considerations

Drinking alcohol when we're already battling a fever introduces unnecessary challenges to a body that’s already fighting off foreign invaders. This combo could not only prolong our illness but could also introduce new health complications. Let’s take a closer look at why alcohol and fevers don't mix well.

• Dehydration. Fever elevates body temperature, leading to increased sweating as our body attempts to cool down. This natural response can quickly lead to dehydration. Alcohol compounds this problem by acting as a diuretic, increasing the risk of serious dehydration and making it even harder for our body to recover.

• Interference with medication. Many of us turn to over-the-counter (OTC) or prescription medications to manage fever. Mixing alcohol with common fever and cold medications is risky. Alcohol alters the metabolism of the drugs, either rendering them less effective or interacting with them and increasing the risk of adverse side effects.


  
  For example, alcohol can increase the drowsiness caused by antipyretics (fever reducers) and some antibiotics, potentially leading to dangerous levels of sedation. Acetaminophen (Tylenol) is a common pain and fever reliever found in many cold medicines. Tylenol and alcohol compete for attention in the liver, increasing toxicity and risk of liver damage.

  
• Impaired immune response. Our body's immune system is already working overtime when we have a fever. Alcohol impairs its ability to fight off infections effectively, prolonging our illness and making us susceptible to secondary infections.

Advice for Drinking With a Fever

Drinking alcohol with a fever is not a good idea. It can prolong illness and cause dangerous side effects. If you're feeling unwell or experiencing fever symptoms, the best course of action is to avoid alcohol entirely. Here are a few reasons why:

• Hydration heals. Focus on hydrating with water, herbal teas, or electrolyte-replenishing drinks. Proper hydration supports your immune system's efforts to fight off illness and helps reduce fever symptoms.
• Rest is crucial. Your body needs energy to fight off illness, and alcohol interferes with sleep quality. Opt for restful sleep without alcohol to give your body the best chance at a swift recovery.
• Alternatives help more. If you're trying to relax or looking for relief from discomfort, consider non-alcoholic options that won't compromise your health. Warm broths and herbal teas provide immune-boosting nutrients and soothe the body from the inside out. A warm bath can bring a whole lot of comfort without the risks associated with alcohol.

While it might be tempting to reach for a drink to ease the discomfort of a fever, drinking while feverish is risky. Making sure you’re hydrated, getting enough rest, and seeking proper medical care if needed are safer and more effective ways to recover.

When to Seek Medical Attention

It's crucial to be able to distinguish between the typical symptoms of a hangover and signs that something more serious might be going on. Most hangover symptoms are uncomfortable but not life-threatening. However, there are certain instances when seeking medical attention becomes necessary.

Hangovers can bring on headaches, nausea, sensitivity to light and sound, dizziness, thirst, and fatigue. These symptoms usually resolve within 24 hours as our body processes the alcohol.

If you experience symptoms that are severe, unusual, or persist beyond the expected timeframe of a hangover, it might be indicative of a more serious issue. Key signs to watch out for include:

• High fever. Hangovers may have us feeling a bit feverish or running a low-grade fever (up to 100.4ºF or 38ºC). However, a high fever (over 101°F or 38.3°C) is not typical and could suggest that something more serious is happening.
• Severe dehydration. Symptoms like extreme thirst, dizziness, and confusion may point to severe dehydration, especially if you're unable to keep fluids down.
• Uncontrollable vomiting. Persistent vomiting can lead to dehydration and a significant loss of nutrients, and could require medical intervention.

• Chest pain or difficulty breathing. These symptoms are never typical of a hangover and always warrant immediate medical attention.
• Seizures. Alcohol withdrawal in those with alcohol dependency can lead to seizures, a medical emergency that requires immediate attention.

If you’re experiencing the above symptoms, seek immediate medical care. Call 911 (or your local emergency services number) or enlist a trusted friend or loved one to get you to a hospital. These symptoms can’t wait until your doctor’s office opens — they indicate an emergency. If you're unsure whether your symptoms are hangover-related or indicative of a more serious condition, err on the side of caution and seek medical advice.

Importance of Monitoring Symptoms

If you've consumed a significant amount of alcohol and begin to feel unusually unwell, it's important to monitor your symptoms closely. Keep notes or reach out to a trusted caretaker and ask them to check on you regularly. This is particularly true if you have underlying health conditions that could be exacerbated by alcohol consumption.

Understanding Alcohol's Impact on the Body

Now, let’s take a deeper look at alcohol’s effects on the body to understand why it can wreak havoc on our system. Beyond alcohol-induced fevers, there’s a number of unpleasant surprises we can expect when we drink, especially if we overdo it.

As soon as we take a sip of alcohol, it starts making its way through our body. Alcohol is a central nervous system (CNS) depressant, meaning it slows down nerve signals in our body. From the moment it touches our tongue, alcohol gets to work by dulling our sense of taste!

Alcohol is mostly absorbed into our bloodstream from our stomach and intestines. From there, it travels throughout the body and brain and changes how our neurotransmitters function. Here are some of the main neurotransmitters affected:

• Dopamine. Alcohol stimulates the release of dopamine (the “feel good” neurotransmitter), causing us to feel euphoric.

• GABA and glutamate. Alcohol increases the functionality of gamma-aminobutyric acid (GABA), a calming neurotransmitter, and decreases the effectiveness of glutamate, a stimulating neurotransmitter. Together, these shifts account for alcohol’s sedative effect.

Meanwhile, our liver is hard at work metabolizing alcohol and getting it out of our system. The liver converts alcohol into a toxic compound called acetaldehyde, which is responsible for most of the nasty hangover symptoms we see the day after drinking.

Our Brain on Hangovers

Our brain doesn’t like being out of balance. To restore the proper ratio of neurotransmitters, the brain changes how much dopamine, glutamate, and GABA it produces. Once alcohol is out of our system, we have a rebound and feel the opposite way we did while drunk. Instead of calm and euphoric, we feel overstimulated and maybe a little down in the dumps.

But there’s more chemical chaos going on inside us than just changes to our neurotransmitters. Our liver is still working to eliminate the byproducts of alcohol consumption, including that pesky compound we mentioned earlier: acetaldehyde.

Acetaldehyde: The Morning-After Villain

The morning after drinking, acetaldehyde is still present in our system, making us feel crummy, achey, and nauseous. Throughout the day, our liver continues its clean-up efforts and gets rid of the acetaldehyde, converting it into acetate and expelling it through our urine.

All of this sounds pretty unfun, and those of us who have experienced a hangover can confirm how unpleasant it is. But can a hangover cause a fever? 

Acetaldehyde can trigger an inflammatory response as the immune system attempts to fight off the toxin. This can produce fever-like symptoms and chills that trick us into thinking maybe we’re coming down with something.

Acetaldehyde isn’t the only culprit in an alcohol fever — there’s a whole bunch of usual suspects to investigate.

Conclusion

Remember, while a hangRemember, while a hangover can make us feel bad, it shouldn't make us feel like we're in danger. Paying attention to our body and recognizing abnormal symptoms can ensure that we receive appropriate care when needed.over can make us feel bad, it shouldn't make us feel like we're in danger. Paying attention to our body and recognizing abnormal symptoms can ensure that we receive appropriate care when needed.

Prioritizing our health after drinking is key to preventing complications. Of course, the best way to prevent alcohol-related complications is to drink mindfully and practice moderation.

If you feel like you aren’t in control of your drinking, consider seeking professional help and using an app like Reframe to evaluate your relationship with alcohol and make a plan to cut back or quit. You have the power!

Imagine this: after an evening of having a few drinks with friends, you wake up feeling crummy, but this isn’t a usual hangover. It’s not just the typical headache and nausea, but also an unusual warmth flooding your body. You reach for the thermometer and there it is — a fever. How did a night of drinking lead to feeling feverish the next day?

Is there a direct link between alcohol consumption and developing a fever after drinking? Can alcohol cause fever symptoms or are these feelings just another dimension of the dreaded hangover? In this article, we'll dive into the effects of alcohol on the body, dissect the relationship between hangover and fever symptoms, and explore whether the "alcohol-induced fever" is a myth or a medical reality. We'll also touch upon the risks of drinking when you’re already sick and provide guidance on when it might be time to seek medical attention.

So, if you've ever found yourself feeling unusually warm after a night out, read on to discover what's really happening inside your body.

Reasons for Fever and Chills After Drinking Alcohol

Experiencing a fever after drinking alcohol might feel just like being sick, but it's a bit more complex than that. Alcohol interacts with several systems in our body that could produce fever-like symptoms and chills.

• Vasodilation. Alcohol causes blood vessels to dilate, leading to a loss of body heat. This causes an initial feeling of warmth (ever had hot skin after drinking or experienced flushing?).

• Hypothalamus disruption. Alcohol also disrupts the function of the hypothalamus, the part of the brain responsible for temperature control. This disruption can make us feel hot one moment and cold the next, mimicking fever and chills.

• Dehydration. Alcohol is a diuretic, meaning it increases urine production and causes dehydration if we don’t replenish with plenty of water. Dehydration can contribute to fever and chills as the body's fluid balance is disrupted, affecting its ability to regulate temperature effectively.

• Immune system disruption. Alcohol suppresses our immune system by interfering with how immune cells coordinate with one another and rendering them less effective. If we are already fighting off some sort of infection (without being aware of it), that pathogen has a temporary opportunity to mount an offensive. We may develop a low-grade fever after drinking alcohol as our immune system gets back to business.

If we’ve ever felt feverish after drinking, we’re not imagining things! The term "alcohol fever" is a bit of a misnomer, however. In most cases, our “fever” is some combination of the conditions above.

Rest assured that those fever-like symptoms won’t last too long. Even if we do experience an immune system disruption, it’s likely to be mild and it should resolve by the next day.

But what happens if we drink when we already have a fever? Can alcohol make things worse? Unfortunately, the answer is yes.

Drinking with a Fever: Risks and Considerations

Drinking alcohol when we're already battling a fever introduces unnecessary challenges to a body that’s already fighting off foreign invaders. This combo could not only prolong our illness but could also introduce new health complications. Let’s take a closer look at why alcohol and fevers don't mix well.

• Dehydration. Fever elevates body temperature, leading to increased sweating as our body attempts to cool down. This natural response can quickly lead to dehydration. Alcohol compounds this problem by acting as a diuretic, increasing the risk of serious dehydration and making it even harder for our body to recover.

• Interference with medication. Many of us turn to over-the-counter (OTC) or prescription medications to manage fever. Mixing alcohol with common fever and cold medications is risky. Alcohol alters the metabolism of the drugs, either rendering them less effective or interacting with them and increasing the risk of adverse side effects.


  
  For example, alcohol can increase the drowsiness caused by antipyretics (fever reducers) and some antibiotics, potentially leading to dangerous levels of sedation. Acetaminophen (Tylenol) is a common pain and fever reliever found in many cold medicines. Tylenol and alcohol compete for attention in the liver, increasing toxicity and risk of liver damage.

  
• Impaired immune response. Our body's immune system is already working overtime when we have a fever. Alcohol impairs its ability to fight off infections effectively, prolonging our illness and making us susceptible to secondary infections.

Advice for Drinking With a Fever

Drinking alcohol with a fever is not a good idea. It can prolong illness and cause dangerous side effects. If you're feeling unwell or experiencing fever symptoms, the best course of action is to avoid alcohol entirely. Here are a few reasons why:

• Hydration heals. Focus on hydrating with water, herbal teas, or electrolyte-replenishing drinks. Proper hydration supports your immune system's efforts to fight off illness and helps reduce fever symptoms.
• Rest is crucial. Your body needs energy to fight off illness, and alcohol interferes with sleep quality. Opt for restful sleep without alcohol to give your body the best chance at a swift recovery.
• Alternatives help more. If you're trying to relax or looking for relief from discomfort, consider non-alcoholic options that won't compromise your health. Warm broths and herbal teas provide immune-boosting nutrients and soothe the body from the inside out. A warm bath can bring a whole lot of comfort without the risks associated with alcohol.

While it might be tempting to reach for a drink to ease the discomfort of a fever, drinking while feverish is risky. Making sure you’re hydrated, getting enough rest, and seeking proper medical care if needed are safer and more effective ways to recover.

When to Seek Medical Attention

It's crucial to be able to distinguish between the typical symptoms of a hangover and signs that something more serious might be going on. Most hangover symptoms are uncomfortable but not life-threatening. However, there are certain instances when seeking medical attention becomes necessary.

Hangovers can bring on headaches, nausea, sensitivity to light and sound, dizziness, thirst, and fatigue. These symptoms usually resolve within 24 hours as our body processes the alcohol.

If you experience symptoms that are severe, unusual, or persist beyond the expected timeframe of a hangover, it might be indicative of a more serious issue. Key signs to watch out for include:

• High fever. Hangovers may have us feeling a bit feverish or running a low-grade fever (up to 100.4ºF or 38ºC). However, a high fever (over 101°F or 38.3°C) is not typical and could suggest that something more serious is happening.
• Severe dehydration. Symptoms like extreme thirst, dizziness, and confusion may point to severe dehydration, especially if you're unable to keep fluids down.
• Uncontrollable vomiting. Persistent vomiting can lead to dehydration and a significant loss of nutrients, and could require medical intervention.

• Chest pain or difficulty breathing. These symptoms are never typical of a hangover and always warrant immediate medical attention.
• Seizures. Alcohol withdrawal in those with alcohol dependency can lead to seizures, a medical emergency that requires immediate attention.

If you’re experiencing the above symptoms, seek immediate medical care. Call 911 (or your local emergency services number) or enlist a trusted friend or loved one to get you to a hospital. These symptoms can’t wait until your doctor’s office opens — they indicate an emergency. If you're unsure whether your symptoms are hangover-related or indicative of a more serious condition, err on the side of caution and seek medical advice.

Importance of Monitoring Symptoms

If you've consumed a significant amount of alcohol and begin to feel unusually unwell, it's important to monitor your symptoms closely. Keep notes or reach out to a trusted caretaker and ask them to check on you regularly. This is particularly true if you have underlying health conditions that could be exacerbated by alcohol consumption.

Understanding Alcohol's Impact on the Body

Now, let’s take a deeper look at alcohol’s effects on the body to understand why it can wreak havoc on our system. Beyond alcohol-induced fevers, there’s a number of unpleasant surprises we can expect when we drink, especially if we overdo it.

As soon as we take a sip of alcohol, it starts making its way through our body. Alcohol is a central nervous system (CNS) depressant, meaning it slows down nerve signals in our body. From the moment it touches our tongue, alcohol gets to work by dulling our sense of taste!

Alcohol is mostly absorbed into our bloodstream from our stomach and intestines. From there, it travels throughout the body and brain and changes how our neurotransmitters function. Here are some of the main neurotransmitters affected:

• Dopamine. Alcohol stimulates the release of dopamine (the “feel good” neurotransmitter), causing us to feel euphoric.

• GABA and glutamate. Alcohol increases the functionality of gamma-aminobutyric acid (GABA), a calming neurotransmitter, and decreases the effectiveness of glutamate, a stimulating neurotransmitter. Together, these shifts account for alcohol’s sedative effect.

Meanwhile, our liver is hard at work metabolizing alcohol and getting it out of our system. The liver converts alcohol into a toxic compound called acetaldehyde, which is responsible for most of the nasty hangover symptoms we see the day after drinking.

Our Brain on Hangovers

Our brain doesn’t like being out of balance. To restore the proper ratio of neurotransmitters, the brain changes how much dopamine, glutamate, and GABA it produces. Once alcohol is out of our system, we have a rebound and feel the opposite way we did while drunk. Instead of calm and euphoric, we feel overstimulated and maybe a little down in the dumps.

But there’s more chemical chaos going on inside us than just changes to our neurotransmitters. Our liver is still working to eliminate the byproducts of alcohol consumption, including that pesky compound we mentioned earlier: acetaldehyde.

Acetaldehyde: The Morning-After Villain

The morning after drinking, acetaldehyde is still present in our system, making us feel crummy, achey, and nauseous. Throughout the day, our liver continues its clean-up efforts and gets rid of the acetaldehyde, converting it into acetate and expelling it through our urine.

All of this sounds pretty unfun, and those of us who have experienced a hangover can confirm how unpleasant it is. But can a hangover cause a fever? 

Acetaldehyde can trigger an inflammatory response as the immune system attempts to fight off the toxin. This can produce fever-like symptoms and chills that trick us into thinking maybe we’re coming down with something.

Acetaldehyde isn’t the only culprit in an alcohol fever — there’s a whole bunch of usual suspects to investigate.

Conclusion

Remember, while a hangRemember, while a hangover can make us feel bad, it shouldn't make us feel like we're in danger. Paying attention to our body and recognizing abnormal symptoms can ensure that we receive appropriate care when needed.over can make us feel bad, it shouldn't make us feel like we're in danger. Paying attention to our body and recognizing abnormal symptoms can ensure that we receive appropriate care when needed.

Prioritizing our health after drinking is key to preventing complications. Of course, the best way to prevent alcohol-related complications is to drink mindfully and practice moderation.

If you feel like you aren’t in control of your drinking, consider seeking professional help and using an app like Reframe to evaluate your relationship with alcohol and make a plan to cut back or quit. You have the power!

Want To Have Healthier Drinking Habits?

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

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

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

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.

You wake up on a Sunday morning after a night of drinking. In addition to the hangover symptoms you feel, you notice a little twinge of back pain. Maybe you just slept wrong, and it’s no big deal, but then a thought dawns on you: could the pain you’re experiencing be related to those margaritas you drank last night?

Turns out, back pain and alcohol may actually be related. Let’s explore the link between the two in more detail as we dive into the topic together.

How Does Alcohol Affect Your Back?

When it comes to the relationship between back pain and alcohol, multiple physiological factors are involved! Excessive alcohol consumption contributes to various health issues, many that are related to our nerves and contribute to back pain. Let’s take a look at some common contributors:

• Nutritional deficiencies. Heavy drinking impairs our body’s ability to absorb essential vitamins and minerals, such as calcium and iron, which are crucial for spinal health.

• Inflammation. Chronic alcohol use contributes to inflammation throughout our body because it can damage our tissues, disrupt our immune function, and cause stress on our systems overall. This level of stress can exacerbate pain and discomfort in areas that are already weakened or injured, including our back muscles.

• Dehydration. Alcohol is a diuretic, meaning it increases urine production and leaves us feeling dehydrated. Dehydration affects several systems in our body, including our spinal discs, making them more susceptible to injury or sensitivity.

• Kidney damage and constipation. If we picture our organs’ locations in our body and think about where the kidneys are in relation to our back, it makes sense that we might feel some discomfort or pain in that area. Our bodies are all one unit, afterall! Alcohol can cause kidney damage and slow down our metabolism, which can cause constipation. These conditions are both related to back pain (particularly lower back pain).

• Accidents and injuries. Alcohol can lower our inhibitions or cause us to be (yikes) a bit less aware of our movements and actions. Ever found a mystery bruise the day after a night of drinking? Yep, bumps and falls can happen when we’re less aware of our movements. Alcohol-related accidents or injuries, particularly those involving falls or other more serious trauma, are another factor to consider.

While moderate alcohol consumption can temporarily exacerbate existing back issues, excessive and chronic alcohol use significantly increases the risk and severity of new back problems from arising.

Back Pain Conditions Affected By Alcohol

There are many reasons for back pain. Our back is pretty much a hub for our body’s nerves. Let’s discuss a few other conditions, such as sciatica and gastritis, that could be responsible for back pain or discomfort.

If you’re experiencing any of these symptoms, it’s a good idea to contact your healthcare provider for a professional diagnosis and treatment recommendations, as not all back issues are related to drinking alcohol. Either way, good for you taking control of your health!

Sciatica

Sciatica is characterized by pain that radiates along the sciatic nerve, which runs from our lower back down through our hips and legs. The severity of the pain can vary, from a mild ache to a sharp burning sensation or even severe discomfort.

Sciatica is often caused by compression or irritation of the sciatic nerve due to factors like a herniated disc, spinal bone spur, or other spinal conditions. Sciatica can also be triggered by lower back trauma or other injuries. Common symptoms of sciatica include numbness, tingling, weakness, or difficulty moving a specific part of your body.

Ever heard of alcohol being called the “great magnifier?” Basically, this means alcohol can add to our already existing feelings, whether those feelings are emotional or physical. This same concept applies to underlying back pain or other health problems. Like we mentioned above, alcohol consumption can exacerbate existing conditions we’re experiencing and cause inflammation and dehydration, which in turn, may worsen spinal disc degeneration and increase our risk of getting a herniated disc. Also don’t forget about clumsy behavior. Similar to the slips, bumps, and falls that sometimes happen when we’re drinking, some of us might also engage in riskier behaviors when we’re drinking that could mean a potential back injury.

Gastritis

Another health condition to consider when we’re thinking about back pain is gastritis. Gastritis is characterized by inflammation of the stomach lining. This inflammation can lead to symptoms like abdominal pain, lower back pain, nausea, vomiting, bloating, or other uncomfortable symptoms like indigestion. Gastritis can be acute, occurring suddenly and lasting for a short time, or chronic, meaning it develops gradually and lasts over an extended time period.

Drinking alcohol increases our risk of gastritis in a few ways.

• Alcohol irritates the stomach lining, leading to inflammation and damage.

• Drinking alcohol also increases the production of stomach acid, which can further aggravate the lining and lead to erosions or ulcers.

• Alcohol can weaken the stomach’s protective barrier, making it generally more susceptible to damage.

Now that we’re aware of the potential links between drinking alcohol and back pain, what can we do to prevent unpleasant or serious back problems?

What If Alcohol Is Affecting Your Kidneys?

Another important aspect of alcohol-related back pain to consider is that it might not actually be our back that’s hurting — instead, the pain could be coming from our kidneys.

Alcohol affects the kidneys in a number of ways. First of all, the dehydration it leads to makes the kidneys work overtime while disrupting the balance of electrolytes crucial to healthy kidney functioning. Moreover, heavy drinking often results in high blood pressure — a leading cause of chronic kidney disease (CKD). Over time, this can damage the blood vessels in the kidneys, reducing their ability to filter waste from the blood. Finally, drinking can contribute to the formation of kidney stones. (Want to learn more? Check out “How Does Alcohol Affect Kidney Health?”)

How To Prevent Back Pain

To help avoid uncomfortable back aches and pains, here are a few ways to keep your spine (and you) happy, and prevent the risk of any painful alcohol-related accidents along the way!

• Drink in moderation. Moderation is key when it comes to reducing your risk of  back pain and other health problems. Consider making a plan or setting a limit for alcohol intake and holding yourself accountable. (Check out our article with tips for managing moderation in your day-to-day life.)
• Stay hydrated. Drink plenty of water or other healthy hydrating fluids with electrolytes, such as sports drinks or coconut water. If you choose to drink alcohol, you can try alternating alcoholic beverages with non-alcoholic options like soda or water to slow yourself down and keep hydrated. You can also try a healthy mocktail or order craft mocktails at a bar.
• Stretch and exercise regularly. Get moving! It’s important to move our bodies regularly to help reduce inflammation and tightness, and it’s also great for our mental health. Luckily, we’ve written extensively about the many benefits of exercising.

What Is Drinking in Moderation?

Like we mentioned earlier, moderation is key to overall health and a healthy relationship with alcohol. We may have heard the term “moderation” thrown around a lot but what does it actually mean?

Moderation means consuming alcoholic beverages in reasonable limits that mitigate risks to health. Moderation implies a balanced and controlled approach to drinking, and it’s typically defined as less than 1 drink per day for women and fewer than 2 drinks per day for men.

Moderation entails making intentional and informed decisions about the quantity and frequency of our alcohol intake. Mindful drinking prioritizes our health goals and allows us to avoid negative consequences such as impaired judgment or dependency. To learn more about how mindful drinking benefits overall well-being, check out our article about health benefits of cutting back on drinking.

Summing Up

Everyone’s body is different and we all respond to alcohol differently. The first step to taking better care of our body is being more in tune with how we treat it. What we put into our bodies can affect the way we feel, physically and mentally. It’s never too late to start our journey to better health!

You wake up on a Sunday morning after a night of drinking. In addition to the hangover symptoms you feel, you notice a little twinge of back pain. Maybe you just slept wrong, and it’s no big deal, but then a thought dawns on you: could the pain you’re experiencing be related to those margaritas you drank last night?

Turns out, back pain and alcohol may actually be related. Let’s explore the link between the two in more detail as we dive into the topic together.

How Does Alcohol Affect Your Back?

When it comes to the relationship between back pain and alcohol, multiple physiological factors are involved! Excessive alcohol consumption contributes to various health issues, many that are related to our nerves and contribute to back pain. Let’s take a look at some common contributors:

• Nutritional deficiencies. Heavy drinking impairs our body’s ability to absorb essential vitamins and minerals, such as calcium and iron, which are crucial for spinal health.

• Inflammation. Chronic alcohol use contributes to inflammation throughout our body because it can damage our tissues, disrupt our immune function, and cause stress on our systems overall. This level of stress can exacerbate pain and discomfort in areas that are already weakened or injured, including our back muscles.

• Dehydration. Alcohol is a diuretic, meaning it increases urine production and leaves us feeling dehydrated. Dehydration affects several systems in our body, including our spinal discs, making them more susceptible to injury or sensitivity.

• Kidney damage and constipation. If we picture our organs’ locations in our body and think about where the kidneys are in relation to our back, it makes sense that we might feel some discomfort or pain in that area. Our bodies are all one unit, afterall! Alcohol can cause kidney damage and slow down our metabolism, which can cause constipation. These conditions are both related to back pain (particularly lower back pain).

• Accidents and injuries. Alcohol can lower our inhibitions or cause us to be (yikes) a bit less aware of our movements and actions. Ever found a mystery bruise the day after a night of drinking? Yep, bumps and falls can happen when we’re less aware of our movements. Alcohol-related accidents or injuries, particularly those involving falls or other more serious trauma, are another factor to consider.

While moderate alcohol consumption can temporarily exacerbate existing back issues, excessive and chronic alcohol use significantly increases the risk and severity of new back problems from arising.

Back Pain Conditions Affected By Alcohol

There are many reasons for back pain. Our back is pretty much a hub for our body’s nerves. Let’s discuss a few other conditions, such as sciatica and gastritis, that could be responsible for back pain or discomfort.

If you’re experiencing any of these symptoms, it’s a good idea to contact your healthcare provider for a professional diagnosis and treatment recommendations, as not all back issues are related to drinking alcohol. Either way, good for you taking control of your health!

Sciatica

Sciatica is characterized by pain that radiates along the sciatic nerve, which runs from our lower back down through our hips and legs. The severity of the pain can vary, from a mild ache to a sharp burning sensation or even severe discomfort.

Sciatica is often caused by compression or irritation of the sciatic nerve due to factors like a herniated disc, spinal bone spur, or other spinal conditions. Sciatica can also be triggered by lower back trauma or other injuries. Common symptoms of sciatica include numbness, tingling, weakness, or difficulty moving a specific part of your body.

Ever heard of alcohol being called the “great magnifier?” Basically, this means alcohol can add to our already existing feelings, whether those feelings are emotional or physical. This same concept applies to underlying back pain or other health problems. Like we mentioned above, alcohol consumption can exacerbate existing conditions we’re experiencing and cause inflammation and dehydration, which in turn, may worsen spinal disc degeneration and increase our risk of getting a herniated disc. Also don’t forget about clumsy behavior. Similar to the slips, bumps, and falls that sometimes happen when we’re drinking, some of us might also engage in riskier behaviors when we’re drinking that could mean a potential back injury.

Gastritis

Another health condition to consider when we’re thinking about back pain is gastritis. Gastritis is characterized by inflammation of the stomach lining. This inflammation can lead to symptoms like abdominal pain, lower back pain, nausea, vomiting, bloating, or other uncomfortable symptoms like indigestion. Gastritis can be acute, occurring suddenly and lasting for a short time, or chronic, meaning it develops gradually and lasts over an extended time period.

Drinking alcohol increases our risk of gastritis in a few ways.

• Alcohol irritates the stomach lining, leading to inflammation and damage.

• Drinking alcohol also increases the production of stomach acid, which can further aggravate the lining and lead to erosions or ulcers.

• Alcohol can weaken the stomach’s protective barrier, making it generally more susceptible to damage.

Now that we’re aware of the potential links between drinking alcohol and back pain, what can we do to prevent unpleasant or serious back problems?

What If Alcohol Is Affecting Your Kidneys?

Another important aspect of alcohol-related back pain to consider is that it might not actually be our back that’s hurting — instead, the pain could be coming from our kidneys.

Alcohol affects the kidneys in a number of ways. First of all, the dehydration it leads to makes the kidneys work overtime while disrupting the balance of electrolytes crucial to healthy kidney functioning. Moreover, heavy drinking often results in high blood pressure — a leading cause of chronic kidney disease (CKD). Over time, this can damage the blood vessels in the kidneys, reducing their ability to filter waste from the blood. Finally, drinking can contribute to the formation of kidney stones. (Want to learn more? Check out “How Does Alcohol Affect Kidney Health?”)

How To Prevent Back Pain

To help avoid uncomfortable back aches and pains, here are a few ways to keep your spine (and you) happy, and prevent the risk of any painful alcohol-related accidents along the way!

• Drink in moderation. Moderation is key when it comes to reducing your risk of  back pain and other health problems. Consider making a plan or setting a limit for alcohol intake and holding yourself accountable. (Check out our article with tips for managing moderation in your day-to-day life.)
• Stay hydrated. Drink plenty of water or other healthy hydrating fluids with electrolytes, such as sports drinks or coconut water. If you choose to drink alcohol, you can try alternating alcoholic beverages with non-alcoholic options like soda or water to slow yourself down and keep hydrated. You can also try a healthy mocktail or order craft mocktails at a bar.
• Stretch and exercise regularly. Get moving! It’s important to move our bodies regularly to help reduce inflammation and tightness, and it’s also great for our mental health. Luckily, we’ve written extensively about the many benefits of exercising.

What Is Drinking in Moderation?

Like we mentioned earlier, moderation is key to overall health and a healthy relationship with alcohol. We may have heard the term “moderation” thrown around a lot but what does it actually mean?

Moderation means consuming alcoholic beverages in reasonable limits that mitigate risks to health. Moderation implies a balanced and controlled approach to drinking, and it’s typically defined as less than 1 drink per day for women and fewer than 2 drinks per day for men.

Moderation entails making intentional and informed decisions about the quantity and frequency of our alcohol intake. Mindful drinking prioritizes our health goals and allows us to avoid negative consequences such as impaired judgment or dependency. To learn more about how mindful drinking benefits overall well-being, check out our article about health benefits of cutting back on drinking.

Summing Up

Everyone’s body is different and we all respond to alcohol differently. The first step to taking better care of our body is being more in tune with how we treat it. What we put into our bodies can affect the way we feel, physically and mentally. It’s never too late to start our journey to better health!