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2024-11-08 9:00
Alcohol and Health
Alcohol on the Water: How Does It Affect You Differently?
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Learn how the effect of alcohol while boating compares to its effect on land, and discover safety tips for both passengers and operators to prevent accidents.

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Most of us understand the serious consequences of driving under the influence. But what about boating under the influence? It’s easy to think a drink on a boat is harmless fun. However, the unique environment of the water—the sun, wind, and constant motion—changes everything. This brings up a critical question: how does the effect of alcohol while boating compare to its effect while on land? Understanding this difference is key to knowing how alcohol use affects boat operators or passengers, because the effect is often dramatically increased while boating, raising the risk of accidents.

As boats and alcohol are no strangers to one another, it’s important to understand the detrimental impacts of boating under the influence to help prevent it. Hop on and let’s embark on a journey to understanding safe sailing as an operator and passenger.

Why Alcohol Hits Harder on the Water

We may be aware of the effects of alcohol intoxication, including loss of balance, behavior changes, poor judgment, and slowed heart rate and breathing. But how does the effect of alcohol while boating compare to its effect while on land?

Due to environmental factors such as water movement, increased sun exposure, wind, and noise, the same amount of alcohol can cause increased impacts when we’re on any water vessel. How, exactly?

  • Loss of balance. Alcohol disrupts our vestibular system, which controls our body’s sense of balance. When combined with impaired coordination and the unpredictable movements of the water, our balance can be seriously impacted. 
  • Impaired judgment. Lowered inhibitions lead to impaired judgment and increased potential for risky behaviors. 
  • Slowed reaction. Alcohol slows down messaging in our brain which leads to blurred vision and impaired motor function and coordination. This slows down our brain’s ability to appropriately comprehend and react to a situation.
  • Fatigue. Categorized as a depressant, alcohol can make us drowsy and tired. Combined with increased dehydration and sun exposure, alcohol can cause exacerbated tiredness known as boater’s fatigue.

Indeed, the effects of alcohol are heightened on water. And yet, drinking on boats and other water vessels is extremely common. We know drinking and driving can be a lethal combination and is highly regulated. What about boozing and boating?

The "One Drink on Water Equals Three on Land" Rule

You may have heard the saying that one drink on the water is like having three on land. This isn’t just an old wives’ tale; it’s a guideline backed by research. The unique environmental stressors of boating—the sun beating down, the constant motion of the waves, the engine's vibration, and the wind—all intensify alcohol's effects on your mind and body. This means that even a small amount of alcohol can lead to a much higher blood alcohol concentration (BAC) and a greater level of impairment than you would experience on solid ground. You might feel significantly more intoxicated after just one beer on a boat than you would after having that same beer at home on your couch.

How Alcohol Impairs Critical Boating Skills

The amplified effects of alcohol are particularly dangerous on the water because they directly undermine the specific skills required to operate a boat safely. Boating isn't a passive activity; it demands constant attention, sharp senses, and the ability to make quick, sound decisions. When you drink, you’re not just becoming more relaxed—you’re systematically dulling the very tools you need to keep yourself and your passengers safe. From your vision and balance to your ability to think clearly under pressure, alcohol compromises every critical faculty a boater relies on. Let’s look at exactly how this happens.

Vision and Color Recognition

Your sight is arguably your most important sense when you’re on the water. You need it to spot navigational aids, other vessels, swimmers, and debris. Alcohol, however, can significantly impair your vision. It reduces your peripheral vision, making it harder to notice hazards approaching from the side. It also affects depth perception, so you might misjudge the distance to a dock or another boat, leading to a collision. Furthermore, alcohol can interfere with your ability to distinguish between colors, which is especially dangerous at night when you rely on the red and green lights of other vessels to understand their direction of travel.

Balance and Multitasking

A boat is an unstable environment to begin with, and your body is constantly making small adjustments to maintain balance. Alcohol disrupts this ability, making it much harder to stay steady on your feet. This increases the risk of falling on the boat or, even worse, falling overboard. Beyond physical control, alcohol severely limits your cognitive ability to multitask. Safely operating a boat requires you to steer, monitor your speed, watch the water for hazards, and keep an eye on your passengers all at once. Alcohol makes it incredibly difficult to think clearly and process multiple streams of information, turning a routine situation into a potentially dangerous one.

Body Temperature Regulation

Many people believe a drink can warm them up, but this is a dangerous misconception, especially on the water. Alcohol causes blood vessels to widen, moving warm blood closer to the surface of your skin. This creates a false sensation of warmth while your core body temperature is actually dropping. If you were to fall into cold water after drinking, this effect becomes life-threatening. You would lose body heat much faster, yet you might not even realize the danger because the alcohol is masking the initial feelings of cold. This can hide the early stages of hypothermia, preventing you from recognizing the severity of the situation until it’s too late.

What Is Boating Under the Influence (BUI)?

Boating under the influence refers to operating any water vessel under the influence of alcohol, other drugs, or both. While it’s named boating under the influence, BUIs are not limited to boats and include all watercraft: jet skis, water skis, kayaks, paddle boards, hydroplanes, motorboats, diver propulsion vehicles, and whatever they come up with next. 

Boating under the influence may not seem like a big deal. After all, aren’t the waters a lot less traveled than the roads? Let’s take a closer look at the anchoring facts about BUI-related incidents.

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The Sobering Facts About BUI Accidents

Accidents are a part of life. However alcohol-related accidents can be prevented. To better understand the impact that alcohol has on boating accidents, let’s get a clearer breakdown of the facts. A case-control study about alcohol use and the relative risk of death while boating outlined the following findings:

  • 30-40% of boaters surveyed report drinking while boating.
  • Relative risk is similar for operators and passengers and increases as BAC increases.
  • Alcohol increases the risk of falling overboard whether the boat is underway or not.
  • Even at a low BAC, the relative risk of death from drinking on a boat increases for all persons on the boat.

This data shows that drinking is a common but hazardous factor that can lead to boating fatalities. Data from the US Coast Guard’s 2022 Recreational Boating Statistics gives us a more detailed picture of BUI-related harms:

  • In 2022, 4,040 accidents were documented, including 636 deaths and roughly 63 million dollars of property damage.
  • Alcohol is the leading known contributing factor to fatal boating accidents, accounting for 16% of deaths.
  • Alcohol use led to 215 reported boating accidents in 2022.
  • Of fatalities that resulted from drowning, 85% were not wearing a life jacket.

These staggering statistics help us understand the severity of boating under the influence and why regulations are put in place to help keep us safe.

The Link Between BAC and Fatality Risk

It’s not just about being “drunk.” Even a small amount of alcohol can have serious consequences on the water. Research from the JAMA Network shows that the relative risk of death while boating increases for everyone on board, even at a low Blood Alcohol Concentration (BAC). This risk isn't limited to the person operating the boat; it applies equally to passengers. As BAC levels rise, so does the danger. This is because alcohol impairs the critical skills needed for a safe boating experience, from balance to judgment. Understanding this direct link is the first step toward making safer choices. If you're ever curious, calculating your BAC can provide a clearer picture of how just one or two drinks can affect you.

Alcohol's Role in Boating Fatalities

The numbers paint a stark picture of alcohol's impact on water safety. According to the U.S. Coast Guard, alcohol is the leading known contributing factor in fatal boating accidents, responsible for 16% of all deaths. In 2022 alone, alcohol use was linked to 215 reported accidents. These aren't just minor incidents; they contribute to a larger pattern of harm that includes hundreds of deaths and millions of dollars in property damage each year. The data confirms that mixing alcohol with boating creates a hazardous environment where the potential for tragedy is significantly higher. This underscores the importance of mindful drinking, especially in recreational settings where risks are often underestimated.

Why Operator Inexperience Increases Risk

Unlike driving a car, which many of us do daily, operating a boat is an infrequent activity for most people. The U.S. Coast Guard notes that the average boater spends only about 110 hours a year on the water. This lack of regular practice means that skills like docking, navigating, and responding to sudden changes aren't as ingrained as they are for driving. When you add alcohol to the equation, it further compromises an operator's already taxed cognitive functions. This combination of inexperience and impairment makes a boater far more vulnerable to making critical errors. Building healthier habits with an app like Reframe can help you approach these situations with a clear mind, ensuring safety for you and everyone else on board.

BUI Laws You Need to Know Before Casting Off

Like with driving, there are laws that prohibit boating under the influence. In regards to alcohol, it’s against the law to operate a water vessel with a blood alcohol concentration (BAC) at or over 0.08%. However, this may vary between states with some at a lower legal BAC of 0.05% and others at a higher level of 0.10%. When boating, it’s important to be aware of local regulations and err on the side of caution, not exceeding .05% or staying away from alcohol altogether if it’s unclear.

Patrols can stop and request a sobriety test if they suspect boating under the influence. If deemed unsafe, operators can be arrested even if the tested BAC is below legal limits. If an operator refuses to participate in a sobriety test, consequences may still occur. 

BUI laws may be slightly different for commercial vehicles with a lower legal BAC of 0.04% and greater consequences if not adhered to. BUI accidents that cause injury are considered aggravated BUIs and are susceptible to greater consequences. Legal consequences may vary depending on the region, but we’ll outline the general guidelines.

Understanding "Implied Consent"

The term "implied consent" sounds like legal jargon, but it’s a straightforward concept that every boater should know. Just by taking the helm of a watercraft, you automatically agree to submit to a sobriety test if law enforcement suspects you are operating it while impaired. Think of it as the on-the-water equivalent of the rules you accept when you get behind the wheel of a car. It’s important to remember that refusing a blood alcohol concentration (BAC) test isn’t a way to avoid trouble. In fact, refusal carries its own legal consequences, which can be just as serious as failing the test itself. This principle is a key part of BUI enforcement initiatives and applies nationwide, as operating a boat under the influence is illegal in every state and under federal law.

What Happens If You Get a BUI?

Consequences for boating under the influence will vary depending on the severity of the crime. In most cases, the first charge is a misdemeanor. This may include fines, jail time, vessel impounding, court-ordered alcohol and drug counseling, increased insurance rates, loss of boating license/privileges, and even driver’s license suspension. 

Repeat offenses, damage of property, or having a minor on board can lead to enhanced penalties. Boating under the influence is a serious offense that not only leads to direct legal consequences but can also affect our personal life. 

Jail time, a record, and financial dues can consequently affect employment opportunities, disrupt our family environment, strain personal relationships, and impact our mental health. One poor decision can lead to negative impacts on the rest of our future. This goes for not only operators but passengers as well.

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Voyage Termination: When Law Enforcement Ends Your Trip

Picture this: you're enjoying a perfect day on the water when a patrol boat approaches. If law enforcement, like the U.S. Coast Guard, has reason to believe the boat's operator is impaired, they can do more than just issue a warning. They have the legal authority to terminate the voyage immediately. This means your trip is over. Under federal law, officers can order the boat back to the nearest dock, escorted either by a sober passenger or by the authorities themselves. This isn't a rare occurrence; it's a standard procedure to prevent accidents and enforce BUI laws. It’s a serious consequence that can turn a day of fun into one with significant legal troubles.

How Passengers Can Help Keep Everyone Safe

Safe boating doesn’t just fall on the operator. As a passenger, we can still be responsible for our own and others’ safety. There are many ways passengers can ensure safe boating practices: 

  • Wear life vests. Life vests are similar to bike helmets. They can feel excessive when we know how to ride a bike/swim, but they’re there for a reason — to protect us. As a passenger, we can practice boat safety by wearing a life vest and being aware of emergency protocols. 
  • Avoid/prevent peer pressuring. As a passenger, we may be planning to consume alcohol during the ride. For the safety of everyone aboard, avoid peer pressuring the designated driver and prevent others from pressuring them as well. 
  • Be aware of your surroundings. Backseat driving gets a bad rap. However, it can save lives. Sometimes the operator may not be able to see something that a passenger can. It’s always better to speak up and be safe rather than sorry.
  • Limit distractions. Alcohol is often associated with rowdiness. In conjunction with loud music, bright sunbeams, and salty winds, intoxicated passengers can effectively distract the operator — setting the scene for accidents. 
  • Prevent boating under the influence. As a passenger, our safety is partly in the hands of the operator. If we suspect or know that the driver is under the influence, we can stop them from operating until it’s safe to do so. 

As passengers, we can practice boating safety, but what else is being done to combat the severity of boating under the influence?

What Are the Rules for Passengers Drinking?

So, what about the rest of the crew? Generally, passengers of legal drinking age are allowed to drink alcohol on a boat. However, this isn't a free-for-all. The key rule is that passengers' consumption shouldn't create a hazard or distract the person operating the vessel. Remember how environmental factors on the water amplify alcohol's effects? That applies to everyone on board, not just the captain. Research shows that it takes only about one-third of the alcohol to make a boater as impaired as they would be on land. This heightened effect increases the risk of accidents for passengers, too, like falling overboard. This is where practicing mindful drinking becomes crucial for everyone's safety, ensuring a fun day on the water doesn't turn into a dangerous one.

What's Being Done to Stop Drunk Boating?

As we’ve determined from looking at the striking statistics, BUIs are a growing issue. Some steps have been implemented to promote greater safety but there’s still work to be done. 

Due to the upward trend in BUI-related incidents, boater safety exams and greater enforcement have been implemented. To obtain a boater’s card to operate a boat, we’ll need to first pass the boater safety education exam. The National Coast Guard has also partnered with local authorities to set up more sobriety checkpoints to deter boating under the influence. 

Technology such as substance detection before operating and automatic identification systems are being trialed to help prevent accidents. However, arguably the most influential method to prevent BUIs is bringing awareness and increasing public education regarding the severity of the matter. Campaigns by Mothers Against Drunk Driving (MADD) and the US Coast Guard help to spread awareness and provide us with information on how to prevent it.

Preventing Boating Under the Influence

Simple Steps for a Safe and Sober Boating Trip

While systemic changes are being made to help address the prevalence of BUI accidents, we can also take individual actions. There are six steps we can take to practice safe boating:

  1. Find alternatives. Boater’s fatigue is a real thing. A combination of the rocking, noise, and sun can leave us tired and dehydrated. Stocking up on alternatives to alcohol helps us stay hydrated throughout the journey.
  2. Plan ahead. If drinking is a part of the plan, make sure to plan ahead and know where to dock. Having a clear plan for how much and when we’ll be drinking helps us account for it and continue to follow safety regulations.
  3. Designate a driver. Before embarking, it’s important to designate a driver who will not drink. This clears up any confusion, especially if the driver changes on the trip there and back. 
  4. Know local regulations. Regulations regarding BUIs vary depending on the region. It’s best to err on the side of caution and stay away from drinking on boats or other vessels completely. If choosing to consume alcohol, knowing local regulations helps prevent us from breaking the law.
  5. Follow boat safety. In addition to following BUI laws, follow other boat safety practices, such as wearing a life vest. This helps to protect operators and passengers in case of an accident, BUI-related or not.
  6. Be aware. Boating under the influence doesn’t only apply to our vessel and safety. Keeping high awareness, especially during high traffic times can reduce instances of accidents.

Even when following all prevention strategies, boating accidents from BUIs can occur. If we or a loved one have been affected by a BUI incident, there are support groups to help us get through.

Use an Engine Cutoff Switch

An engine cutoff switch is a small but vital piece of safety equipment. This device, usually connected to the boat operator by a lanyard, will automatically stop the engine if the driver falls overboard. This prevents the terrifying scenario of an unmanned boat circling out of control, which could injure the person in the water or collide with other vessels. Since alcohol impairs balance and coordination, the risk of falling overboard increases significantly, even from a simple stumble. Using a cutoff switch is a non-negotiable safety measure that acts as a crucial fail-safe, especially when the operator’s judgment might be compromised.

Plan Ahead for a Safer Day

A great day on the water starts with a solid plan. If alcohol is going to be part of your outing, it’s essential to decide on the details before you even leave the dock. This means designating a sober operator who agrees not to drink, just like you would with a designated driver for a car. It also means planning your route, knowing where you’ll dock, and deciding when and how much others will drink. This approach aligns with the principles of mindful drinking, where you make conscious choices instead of getting swept up in the moment. A clear plan removes ambiguity and helps everyone stay accountable for a safe trip.

Take a Boating Safety Course

One of the most empowering things you can do is to take a boating safety course. These courses go far beyond just the basic rules of the water. You’ll learn how to handle emergencies, read navigational aids, and become more aware of your surroundings. Critically, these courses also cover the specific dangers of boating under the influence, providing a clear understanding of how alcohol uniquely impairs your ability to operate a vessel safely. Completing a course builds the confidence and competence needed to be a responsible boater for yourself and your passengers.

Save the Drinks for After the Dock

Ultimately, the simplest and most effective safety rule is to wait until you’re back on dry land to enjoy an alcoholic beverage. The U.S. Coast Guard is clear on this: the safest way to enjoy boating is to not drink any alcohol while on the water. This single choice completely eliminates the risk of a BUI. Think of it as separating the activity from the alcohol. You can fully immerse yourself in the fun of boating—the sun, the water, the company—and then celebrate a great day with a drink once the boat is safely docked and the engine is off.

Preventing Falls Overboard

Falling overboard is one of the most immediate dangers of drinking on a boat. As we’ve covered, alcohol directly impacts your judgment and balance, making a fall into the water much more likely. But you can take simple, practical steps to reduce this risk for everyone on board. Always wear non-slip footwear, keep the deck clear of ropes and other tripping hazards, and try to keep one hand on the boat for stability when moving around. These habits, combined with staying sober, create a much safer environment and dramatically lower the chances of a dangerous fall.

The Challenge of Water Rescues

A fall on land is one thing; a fall into the water is an entirely different and more dangerous situation. Rescue efforts on the water are far more challenging and time-consuming than on solid ground. Factors like cold water, strong currents, and the boat drifting away can quickly turn a bad situation into a tragic one. It’s also incredibly difficult to spot a person in the water, especially in choppy conditions. An intoxicated person is less able to stay afloat, fight the cold, or assist in their own rescue, making a swift and successful recovery even harder for others.

How to Report a Suspected BUI

Keeping the waterways safe is a shared responsibility. If you see another boater operating their vessel erratically or dangerously and you suspect they are under the influence, you can and should report it. This isn’t about getting someone in trouble; it’s about preventing a potential accident that could harm them or others. The correct procedure is to contact the U.S. Coast Guard on VHF Channel 16 or call 911. When you report a suspected BUI, be prepared to provide the boat’s location, description, and the specific behavior you observed. Your responsible action could save a life.

Where to Find Support After a BUI Incident

Whether we or a loved one are a victim or offender in a BUI incident, it’s not an easy situation to be in. Grief support, counseling, and other resources can be accessed through the following services:

  • MADD Victim Helpline. Mothers Against Drunk Driving has a 24/7 victim-focused helpline. Victims are encouraged to call 1-877-623-3435 for support. 
  • National Center for Victims of Crime (NCVC). The NCVC website offers support and resources through many different programs.
  • National Organization for Victim Assistance (NOVA). NOVA advocates for victims and offers resources and support. 
  • Students Against Destructive Decisions (SADD). SADD offers support and educational resources through school and community chapters throughout the country. 

BUI offenders also need support. Alcohol dependence and misuse are serious issues that can develop into alcohol use disorder (AUD) if not addressed. There are many options to address the issue:

  • Track alcohol consumption. Sometimes it can be difficult to identify an issue until we can clearly see it. Documenting our consumption, as well as the events leading up to it and the feelings we have surrounding the occasion helps us get a clear picture of our drinking habits. From there, we can set goals to quit or cut back on alcohol. 
  • Quit/cut back on alcohol. Oftentimes, there are underlying factors that drive us to drink. However, by quitting or cutting back on alcohol, we decrease or eliminate external complications that can distract us from addressing the root problem. 
  • Reach out for support. Opening up to friends and family can help us feel less alone. While drinking is often associated with feelings of shame, our loved ones can offer judgment-free support that can make the difference between semi-recovery and full recovery. 
  • Seek treatment options. Treatment can look like several different programs. Some of us may benefit from more traditional peer support programs and others may see more progress with individual-paced learning through alcohol reduction apps. With all the available options, we can find the one that best fits our needs.

Developing a healthy relationship with alcohol helps to reduce boating under the influence and the harm that comes from it. While it’s an issue that requires an exhaustive public health and policy approach, individual action can make a difference.

Putting Safety First on the Water

Booze on boats dates back to the colonial era — adding to the dangerous normalcy of drinking on boats. While most of us are aware that driving under the influence is a big no-go, boating under the influence is an issue that is less discussed but just as serious. BUIs can capsize lives, but they are preventable. We can work to prevent BUIs by clearly understanding the consequences and making intentional choices. Say goodbye to BUIs!

Frequently Asked Questions

Why does alcohol feel so much stronger when I’m on a boat? It’s not just your imagination. The unique environment on the water significantly intensifies alcohol's effects. Your body is already working overtime to manage the sun's heat, the constant motion of the waves, and the engine's noise and vibration. This combination, often called "boater's fatigue," wears you down. When you add alcohol to the mix, it hits your system much harder and faster, impairing your balance, judgment, and reaction time more than the same drink would on land.

Can my friends drink on the boat if I'm the designated sober operator? While passengers are generally allowed to drink, it’s a situation that requires caution. The same environmental factors that affect the operator also amplify alcohol's effects on passengers. An intoxicated passenger is at a much higher risk of falling overboard or getting injured. Their behavior can also become a dangerous distraction for you. The safest approach is for everyone to be mindful of their consumption and remember that safety on the water is a shared responsibility.

What exactly is "implied consent" and how does it affect me? Implied consent is a legal principle that applies the moment you take control of a watercraft. By operating a boat, you automatically agree to submit to a sobriety test, like a breathalyzer, if a law enforcement officer has probable cause to believe you are impaired. Refusing the test is not a way out of trouble; it comes with its own set of legal penalties, which can be just as severe as failing the test itself.

I’m just a passenger, so why is my safety at risk if the operator is sober? Even with a sober captain, drinking as a passenger introduces significant risks. Your own balance and coordination are compromised by the combination of alcohol and the unstable boating environment, making a fall overboard much more likely. Should an emergency occur, your ability to react, stay afloat, or assist in your own rescue would be seriously diminished. An accident on the water is far more complex than one on land, and being impaired makes a dangerous situation even worse.

What is the single most important thing I can do to prevent a BUI? The simplest and most effective way to guarantee safety is to save the alcoholic drinks for after you are back on shore and the boat is securely docked. This single decision completely removes the risk of the operator being impaired and ensures that everyone on board has the clear judgment needed to handle the dynamic conditions of the water. It separates the fun of boating from the risks of drinking, allowing you to enjoy both activities responsibly.

Key Takeaways

  • Alcohol Hits Harder on the Water: The unique environment of boating—with its sun, wind, and constant motion—intensifies alcohol's effects, meaning one drink can impair your balance, vision, and judgment far more than it would on land.
  • BUI Has Severe Consequences: Operating any watercraft while impaired is illegal and a leading cause of fatal accidents. The consequences aren't just legal—like fines or losing your license—they are life-altering for everyone involved, including passengers.
  • Prioritize Safety With a Simple Plan: The safest choice is always to wait until you're back on land to drink. For every trip, designate a sober operator, know the rules, and remember that passengers play a key role in maintaining a safe environment for everyone on board.

Related Articles

Most of us understand the serious consequences of driving under the influence. But what about boating under the influence? It’s easy to think a drink on a boat is harmless fun. However, the unique environment of the water—the sun, wind, and constant motion—changes everything. This brings up a critical question: how does the effect of alcohol while boating compare to its effect while on land? Understanding this difference is key to knowing how alcohol use affects boat operators or passengers, because the effect is often dramatically increased while boating, raising the risk of accidents.

As boats and alcohol are no strangers to one another, it’s important to understand the detrimental impacts of boating under the influence to help prevent it. Hop on and let’s embark on a journey to understanding safe sailing as an operator and passenger.

Why Alcohol Hits Harder on the Water

We may be aware of the effects of alcohol intoxication, including loss of balance, behavior changes, poor judgment, and slowed heart rate and breathing. But how does the effect of alcohol while boating compare to its effect while on land?

Due to environmental factors such as water movement, increased sun exposure, wind, and noise, the same amount of alcohol can cause increased impacts when we’re on any water vessel. How, exactly?

  • Loss of balance. Alcohol disrupts our vestibular system, which controls our body’s sense of balance. When combined with impaired coordination and the unpredictable movements of the water, our balance can be seriously impacted. 
  • Impaired judgment. Lowered inhibitions lead to impaired judgment and increased potential for risky behaviors. 
  • Slowed reaction. Alcohol slows down messaging in our brain which leads to blurred vision and impaired motor function and coordination. This slows down our brain’s ability to appropriately comprehend and react to a situation.
  • Fatigue. Categorized as a depressant, alcohol can make us drowsy and tired. Combined with increased dehydration and sun exposure, alcohol can cause exacerbated tiredness known as boater’s fatigue.

Indeed, the effects of alcohol are heightened on water. And yet, drinking on boats and other water vessels is extremely common. We know drinking and driving can be a lethal combination and is highly regulated. What about boozing and boating?

The "One Drink on Water Equals Three on Land" Rule

You may have heard the saying that one drink on the water is like having three on land. This isn’t just an old wives’ tale; it’s a guideline backed by research. The unique environmental stressors of boating—the sun beating down, the constant motion of the waves, the engine's vibration, and the wind—all intensify alcohol's effects on your mind and body. This means that even a small amount of alcohol can lead to a much higher blood alcohol concentration (BAC) and a greater level of impairment than you would experience on solid ground. You might feel significantly more intoxicated after just one beer on a boat than you would after having that same beer at home on your couch.

How Alcohol Impairs Critical Boating Skills

The amplified effects of alcohol are particularly dangerous on the water because they directly undermine the specific skills required to operate a boat safely. Boating isn't a passive activity; it demands constant attention, sharp senses, and the ability to make quick, sound decisions. When you drink, you’re not just becoming more relaxed—you’re systematically dulling the very tools you need to keep yourself and your passengers safe. From your vision and balance to your ability to think clearly under pressure, alcohol compromises every critical faculty a boater relies on. Let’s look at exactly how this happens.

Vision and Color Recognition

Your sight is arguably your most important sense when you’re on the water. You need it to spot navigational aids, other vessels, swimmers, and debris. Alcohol, however, can significantly impair your vision. It reduces your peripheral vision, making it harder to notice hazards approaching from the side. It also affects depth perception, so you might misjudge the distance to a dock or another boat, leading to a collision. Furthermore, alcohol can interfere with your ability to distinguish between colors, which is especially dangerous at night when you rely on the red and green lights of other vessels to understand their direction of travel.

Balance and Multitasking

A boat is an unstable environment to begin with, and your body is constantly making small adjustments to maintain balance. Alcohol disrupts this ability, making it much harder to stay steady on your feet. This increases the risk of falling on the boat or, even worse, falling overboard. Beyond physical control, alcohol severely limits your cognitive ability to multitask. Safely operating a boat requires you to steer, monitor your speed, watch the water for hazards, and keep an eye on your passengers all at once. Alcohol makes it incredibly difficult to think clearly and process multiple streams of information, turning a routine situation into a potentially dangerous one.

Body Temperature Regulation

Many people believe a drink can warm them up, but this is a dangerous misconception, especially on the water. Alcohol causes blood vessels to widen, moving warm blood closer to the surface of your skin. This creates a false sensation of warmth while your core body temperature is actually dropping. If you were to fall into cold water after drinking, this effect becomes life-threatening. You would lose body heat much faster, yet you might not even realize the danger because the alcohol is masking the initial feelings of cold. This can hide the early stages of hypothermia, preventing you from recognizing the severity of the situation until it’s too late.

What Is Boating Under the Influence (BUI)?

Boating under the influence refers to operating any water vessel under the influence of alcohol, other drugs, or both. While it’s named boating under the influence, BUIs are not limited to boats and include all watercraft: jet skis, water skis, kayaks, paddle boards, hydroplanes, motorboats, diver propulsion vehicles, and whatever they come up with next. 

Boating under the influence may not seem like a big deal. After all, aren’t the waters a lot less traveled than the roads? Let’s take a closer look at the anchoring facts about BUI-related incidents.

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The Sobering Facts About BUI Accidents

Accidents are a part of life. However alcohol-related accidents can be prevented. To better understand the impact that alcohol has on boating accidents, let’s get a clearer breakdown of the facts. A case-control study about alcohol use and the relative risk of death while boating outlined the following findings:

  • 30-40% of boaters surveyed report drinking while boating.
  • Relative risk is similar for operators and passengers and increases as BAC increases.
  • Alcohol increases the risk of falling overboard whether the boat is underway or not.
  • Even at a low BAC, the relative risk of death from drinking on a boat increases for all persons on the boat.

This data shows that drinking is a common but hazardous factor that can lead to boating fatalities. Data from the US Coast Guard’s 2022 Recreational Boating Statistics gives us a more detailed picture of BUI-related harms:

  • In 2022, 4,040 accidents were documented, including 636 deaths and roughly 63 million dollars of property damage.
  • Alcohol is the leading known contributing factor to fatal boating accidents, accounting for 16% of deaths.
  • Alcohol use led to 215 reported boating accidents in 2022.
  • Of fatalities that resulted from drowning, 85% were not wearing a life jacket.

These staggering statistics help us understand the severity of boating under the influence and why regulations are put in place to help keep us safe.

The Link Between BAC and Fatality Risk

It’s not just about being “drunk.” Even a small amount of alcohol can have serious consequences on the water. Research from the JAMA Network shows that the relative risk of death while boating increases for everyone on board, even at a low Blood Alcohol Concentration (BAC). This risk isn't limited to the person operating the boat; it applies equally to passengers. As BAC levels rise, so does the danger. This is because alcohol impairs the critical skills needed for a safe boating experience, from balance to judgment. Understanding this direct link is the first step toward making safer choices. If you're ever curious, calculating your BAC can provide a clearer picture of how just one or two drinks can affect you.

Alcohol's Role in Boating Fatalities

The numbers paint a stark picture of alcohol's impact on water safety. According to the U.S. Coast Guard, alcohol is the leading known contributing factor in fatal boating accidents, responsible for 16% of all deaths. In 2022 alone, alcohol use was linked to 215 reported accidents. These aren't just minor incidents; they contribute to a larger pattern of harm that includes hundreds of deaths and millions of dollars in property damage each year. The data confirms that mixing alcohol with boating creates a hazardous environment where the potential for tragedy is significantly higher. This underscores the importance of mindful drinking, especially in recreational settings where risks are often underestimated.

Why Operator Inexperience Increases Risk

Unlike driving a car, which many of us do daily, operating a boat is an infrequent activity for most people. The U.S. Coast Guard notes that the average boater spends only about 110 hours a year on the water. This lack of regular practice means that skills like docking, navigating, and responding to sudden changes aren't as ingrained as they are for driving. When you add alcohol to the equation, it further compromises an operator's already taxed cognitive functions. This combination of inexperience and impairment makes a boater far more vulnerable to making critical errors. Building healthier habits with an app like Reframe can help you approach these situations with a clear mind, ensuring safety for you and everyone else on board.

BUI Laws You Need to Know Before Casting Off

Like with driving, there are laws that prohibit boating under the influence. In regards to alcohol, it’s against the law to operate a water vessel with a blood alcohol concentration (BAC) at or over 0.08%. However, this may vary between states with some at a lower legal BAC of 0.05% and others at a higher level of 0.10%. When boating, it’s important to be aware of local regulations and err on the side of caution, not exceeding .05% or staying away from alcohol altogether if it’s unclear.

Patrols can stop and request a sobriety test if they suspect boating under the influence. If deemed unsafe, operators can be arrested even if the tested BAC is below legal limits. If an operator refuses to participate in a sobriety test, consequences may still occur. 

BUI laws may be slightly different for commercial vehicles with a lower legal BAC of 0.04% and greater consequences if not adhered to. BUI accidents that cause injury are considered aggravated BUIs and are susceptible to greater consequences. Legal consequences may vary depending on the region, but we’ll outline the general guidelines.

Understanding "Implied Consent"

The term "implied consent" sounds like legal jargon, but it’s a straightforward concept that every boater should know. Just by taking the helm of a watercraft, you automatically agree to submit to a sobriety test if law enforcement suspects you are operating it while impaired. Think of it as the on-the-water equivalent of the rules you accept when you get behind the wheel of a car. It’s important to remember that refusing a blood alcohol concentration (BAC) test isn’t a way to avoid trouble. In fact, refusal carries its own legal consequences, which can be just as serious as failing the test itself. This principle is a key part of BUI enforcement initiatives and applies nationwide, as operating a boat under the influence is illegal in every state and under federal law.

What Happens If You Get a BUI?

Consequences for boating under the influence will vary depending on the severity of the crime. In most cases, the first charge is a misdemeanor. This may include fines, jail time, vessel impounding, court-ordered alcohol and drug counseling, increased insurance rates, loss of boating license/privileges, and even driver’s license suspension. 

Repeat offenses, damage of property, or having a minor on board can lead to enhanced penalties. Boating under the influence is a serious offense that not only leads to direct legal consequences but can also affect our personal life. 

Jail time, a record, and financial dues can consequently affect employment opportunities, disrupt our family environment, strain personal relationships, and impact our mental health. One poor decision can lead to negative impacts on the rest of our future. This goes for not only operators but passengers as well.

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Voyage Termination: When Law Enforcement Ends Your Trip

Picture this: you're enjoying a perfect day on the water when a patrol boat approaches. If law enforcement, like the U.S. Coast Guard, has reason to believe the boat's operator is impaired, they can do more than just issue a warning. They have the legal authority to terminate the voyage immediately. This means your trip is over. Under federal law, officers can order the boat back to the nearest dock, escorted either by a sober passenger or by the authorities themselves. This isn't a rare occurrence; it's a standard procedure to prevent accidents and enforce BUI laws. It’s a serious consequence that can turn a day of fun into one with significant legal troubles.

How Passengers Can Help Keep Everyone Safe

Safe boating doesn’t just fall on the operator. As a passenger, we can still be responsible for our own and others’ safety. There are many ways passengers can ensure safe boating practices: 

  • Wear life vests. Life vests are similar to bike helmets. They can feel excessive when we know how to ride a bike/swim, but they’re there for a reason — to protect us. As a passenger, we can practice boat safety by wearing a life vest and being aware of emergency protocols. 
  • Avoid/prevent peer pressuring. As a passenger, we may be planning to consume alcohol during the ride. For the safety of everyone aboard, avoid peer pressuring the designated driver and prevent others from pressuring them as well. 
  • Be aware of your surroundings. Backseat driving gets a bad rap. However, it can save lives. Sometimes the operator may not be able to see something that a passenger can. It’s always better to speak up and be safe rather than sorry.
  • Limit distractions. Alcohol is often associated with rowdiness. In conjunction with loud music, bright sunbeams, and salty winds, intoxicated passengers can effectively distract the operator — setting the scene for accidents. 
  • Prevent boating under the influence. As a passenger, our safety is partly in the hands of the operator. If we suspect or know that the driver is under the influence, we can stop them from operating until it’s safe to do so. 

As passengers, we can practice boating safety, but what else is being done to combat the severity of boating under the influence?

What Are the Rules for Passengers Drinking?

So, what about the rest of the crew? Generally, passengers of legal drinking age are allowed to drink alcohol on a boat. However, this isn't a free-for-all. The key rule is that passengers' consumption shouldn't create a hazard or distract the person operating the vessel. Remember how environmental factors on the water amplify alcohol's effects? That applies to everyone on board, not just the captain. Research shows that it takes only about one-third of the alcohol to make a boater as impaired as they would be on land. This heightened effect increases the risk of accidents for passengers, too, like falling overboard. This is where practicing mindful drinking becomes crucial for everyone's safety, ensuring a fun day on the water doesn't turn into a dangerous one.

What's Being Done to Stop Drunk Boating?

As we’ve determined from looking at the striking statistics, BUIs are a growing issue. Some steps have been implemented to promote greater safety but there’s still work to be done. 

Due to the upward trend in BUI-related incidents, boater safety exams and greater enforcement have been implemented. To obtain a boater’s card to operate a boat, we’ll need to first pass the boater safety education exam. The National Coast Guard has also partnered with local authorities to set up more sobriety checkpoints to deter boating under the influence. 

Technology such as substance detection before operating and automatic identification systems are being trialed to help prevent accidents. However, arguably the most influential method to prevent BUIs is bringing awareness and increasing public education regarding the severity of the matter. Campaigns by Mothers Against Drunk Driving (MADD) and the US Coast Guard help to spread awareness and provide us with information on how to prevent it.

Preventing Boating Under the Influence

Simple Steps for a Safe and Sober Boating Trip

While systemic changes are being made to help address the prevalence of BUI accidents, we can also take individual actions. There are six steps we can take to practice safe boating:

  1. Find alternatives. Boater’s fatigue is a real thing. A combination of the rocking, noise, and sun can leave us tired and dehydrated. Stocking up on alternatives to alcohol helps us stay hydrated throughout the journey.
  2. Plan ahead. If drinking is a part of the plan, make sure to plan ahead and know where to dock. Having a clear plan for how much and when we’ll be drinking helps us account for it and continue to follow safety regulations.
  3. Designate a driver. Before embarking, it’s important to designate a driver who will not drink. This clears up any confusion, especially if the driver changes on the trip there and back. 
  4. Know local regulations. Regulations regarding BUIs vary depending on the region. It’s best to err on the side of caution and stay away from drinking on boats or other vessels completely. If choosing to consume alcohol, knowing local regulations helps prevent us from breaking the law.
  5. Follow boat safety. In addition to following BUI laws, follow other boat safety practices, such as wearing a life vest. This helps to protect operators and passengers in case of an accident, BUI-related or not.
  6. Be aware. Boating under the influence doesn’t only apply to our vessel and safety. Keeping high awareness, especially during high traffic times can reduce instances of accidents.

Even when following all prevention strategies, boating accidents from BUIs can occur. If we or a loved one have been affected by a BUI incident, there are support groups to help us get through.

Use an Engine Cutoff Switch

An engine cutoff switch is a small but vital piece of safety equipment. This device, usually connected to the boat operator by a lanyard, will automatically stop the engine if the driver falls overboard. This prevents the terrifying scenario of an unmanned boat circling out of control, which could injure the person in the water or collide with other vessels. Since alcohol impairs balance and coordination, the risk of falling overboard increases significantly, even from a simple stumble. Using a cutoff switch is a non-negotiable safety measure that acts as a crucial fail-safe, especially when the operator’s judgment might be compromised.

Plan Ahead for a Safer Day

A great day on the water starts with a solid plan. If alcohol is going to be part of your outing, it’s essential to decide on the details before you even leave the dock. This means designating a sober operator who agrees not to drink, just like you would with a designated driver for a car. It also means planning your route, knowing where you’ll dock, and deciding when and how much others will drink. This approach aligns with the principles of mindful drinking, where you make conscious choices instead of getting swept up in the moment. A clear plan removes ambiguity and helps everyone stay accountable for a safe trip.

Take a Boating Safety Course

One of the most empowering things you can do is to take a boating safety course. These courses go far beyond just the basic rules of the water. You’ll learn how to handle emergencies, read navigational aids, and become more aware of your surroundings. Critically, these courses also cover the specific dangers of boating under the influence, providing a clear understanding of how alcohol uniquely impairs your ability to operate a vessel safely. Completing a course builds the confidence and competence needed to be a responsible boater for yourself and your passengers.

Save the Drinks for After the Dock

Ultimately, the simplest and most effective safety rule is to wait until you’re back on dry land to enjoy an alcoholic beverage. The U.S. Coast Guard is clear on this: the safest way to enjoy boating is to not drink any alcohol while on the water. This single choice completely eliminates the risk of a BUI. Think of it as separating the activity from the alcohol. You can fully immerse yourself in the fun of boating—the sun, the water, the company—and then celebrate a great day with a drink once the boat is safely docked and the engine is off.

Preventing Falls Overboard

Falling overboard is one of the most immediate dangers of drinking on a boat. As we’ve covered, alcohol directly impacts your judgment and balance, making a fall into the water much more likely. But you can take simple, practical steps to reduce this risk for everyone on board. Always wear non-slip footwear, keep the deck clear of ropes and other tripping hazards, and try to keep one hand on the boat for stability when moving around. These habits, combined with staying sober, create a much safer environment and dramatically lower the chances of a dangerous fall.

The Challenge of Water Rescues

A fall on land is one thing; a fall into the water is an entirely different and more dangerous situation. Rescue efforts on the water are far more challenging and time-consuming than on solid ground. Factors like cold water, strong currents, and the boat drifting away can quickly turn a bad situation into a tragic one. It’s also incredibly difficult to spot a person in the water, especially in choppy conditions. An intoxicated person is less able to stay afloat, fight the cold, or assist in their own rescue, making a swift and successful recovery even harder for others.

How to Report a Suspected BUI

Keeping the waterways safe is a shared responsibility. If you see another boater operating their vessel erratically or dangerously and you suspect they are under the influence, you can and should report it. This isn’t about getting someone in trouble; it’s about preventing a potential accident that could harm them or others. The correct procedure is to contact the U.S. Coast Guard on VHF Channel 16 or call 911. When you report a suspected BUI, be prepared to provide the boat’s location, description, and the specific behavior you observed. Your responsible action could save a life.

Where to Find Support After a BUI Incident

Whether we or a loved one are a victim or offender in a BUI incident, it’s not an easy situation to be in. Grief support, counseling, and other resources can be accessed through the following services:

  • MADD Victim Helpline. Mothers Against Drunk Driving has a 24/7 victim-focused helpline. Victims are encouraged to call 1-877-623-3435 for support. 
  • National Center for Victims of Crime (NCVC). The NCVC website offers support and resources through many different programs.
  • National Organization for Victim Assistance (NOVA). NOVA advocates for victims and offers resources and support. 
  • Students Against Destructive Decisions (SADD). SADD offers support and educational resources through school and community chapters throughout the country. 

BUI offenders also need support. Alcohol dependence and misuse are serious issues that can develop into alcohol use disorder (AUD) if not addressed. There are many options to address the issue:

  • Track alcohol consumption. Sometimes it can be difficult to identify an issue until we can clearly see it. Documenting our consumption, as well as the events leading up to it and the feelings we have surrounding the occasion helps us get a clear picture of our drinking habits. From there, we can set goals to quit or cut back on alcohol. 
  • Quit/cut back on alcohol. Oftentimes, there are underlying factors that drive us to drink. However, by quitting or cutting back on alcohol, we decrease or eliminate external complications that can distract us from addressing the root problem. 
  • Reach out for support. Opening up to friends and family can help us feel less alone. While drinking is often associated with feelings of shame, our loved ones can offer judgment-free support that can make the difference between semi-recovery and full recovery. 
  • Seek treatment options. Treatment can look like several different programs. Some of us may benefit from more traditional peer support programs and others may see more progress with individual-paced learning through alcohol reduction apps. With all the available options, we can find the one that best fits our needs.

Developing a healthy relationship with alcohol helps to reduce boating under the influence and the harm that comes from it. While it’s an issue that requires an exhaustive public health and policy approach, individual action can make a difference.

Putting Safety First on the Water

Booze on boats dates back to the colonial era — adding to the dangerous normalcy of drinking on boats. While most of us are aware that driving under the influence is a big no-go, boating under the influence is an issue that is less discussed but just as serious. BUIs can capsize lives, but they are preventable. We can work to prevent BUIs by clearly understanding the consequences and making intentional choices. Say goodbye to BUIs!

Frequently Asked Questions

Why does alcohol feel so much stronger when I’m on a boat? It’s not just your imagination. The unique environment on the water significantly intensifies alcohol's effects. Your body is already working overtime to manage the sun's heat, the constant motion of the waves, and the engine's noise and vibration. This combination, often called "boater's fatigue," wears you down. When you add alcohol to the mix, it hits your system much harder and faster, impairing your balance, judgment, and reaction time more than the same drink would on land.

Can my friends drink on the boat if I'm the designated sober operator? While passengers are generally allowed to drink, it’s a situation that requires caution. The same environmental factors that affect the operator also amplify alcohol's effects on passengers. An intoxicated passenger is at a much higher risk of falling overboard or getting injured. Their behavior can also become a dangerous distraction for you. The safest approach is for everyone to be mindful of their consumption and remember that safety on the water is a shared responsibility.

What exactly is "implied consent" and how does it affect me? Implied consent is a legal principle that applies the moment you take control of a watercraft. By operating a boat, you automatically agree to submit to a sobriety test, like a breathalyzer, if a law enforcement officer has probable cause to believe you are impaired. Refusing the test is not a way out of trouble; it comes with its own set of legal penalties, which can be just as severe as failing the test itself.

I’m just a passenger, so why is my safety at risk if the operator is sober? Even with a sober captain, drinking as a passenger introduces significant risks. Your own balance and coordination are compromised by the combination of alcohol and the unstable boating environment, making a fall overboard much more likely. Should an emergency occur, your ability to react, stay afloat, or assist in your own rescue would be seriously diminished. An accident on the water is far more complex than one on land, and being impaired makes a dangerous situation even worse.

What is the single most important thing I can do to prevent a BUI? The simplest and most effective way to guarantee safety is to save the alcoholic drinks for after you are back on shore and the boat is securely docked. This single decision completely removes the risk of the operator being impaired and ensures that everyone on board has the clear judgment needed to handle the dynamic conditions of the water. It separates the fun of boating from the risks of drinking, allowing you to enjoy both activities responsibly.

Key Takeaways

  • Alcohol Hits Harder on the Water: The unique environment of boating—with its sun, wind, and constant motion—intensifies alcohol's effects, meaning one drink can impair your balance, vision, and judgment far more than it would on land.
  • BUI Has Severe Consequences: Operating any watercraft while impaired is illegal and a leading cause of fatal accidents. The consequences aren't just legal—like fines or losing your license—they are life-altering for everyone involved, including passengers.
  • Prioritize Safety With a Simple Plan: The safest choice is always to wait until you're back on land to drink. For every trip, designate a sober operator, know the rules, and remember that passengers play a key role in maintaining a safe environment for everyone on board.

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2024-11-08 9:00
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Color Vision Impairment Through Drinking Alcohol
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When it comes to colors, alcohol can make it harder to distinguish different shades! Read about the science behind it and learn how to protect your eyes in our latest blog!

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See More With Less Alcohol While Navigating Your Journey 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!

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Is that blue and yellow IKEA sign looking a little blurry? The Goodyear tire logo you spot on your drive to work seems a bit less crisp than usual? Could be the alcohol! As it turns out, alcohol can reduce your ability to distinguish between colors, especially blue and yellow. The reasons have to do with the effect of alcohol on the eyes as well as on the visual cortex of the brain. Let’s find out more!

Color Vision Basics

How do we see colors in the first place? Let’s take a brief look.

A woman's eye displaying a mesmerizing rainbow pattern in the iris
  • Rods and cones pick up light. When light hits the retina — a light-sensitive tissue at the back of our eyeballs — cells known as rods and cones respond to particular wavelengths and pass that information on to the brain. While cones are in charge of color vision in bright light, rods come into play in darker environments. 
  • Color signals are translated in the brain. The brain picks up the signals from the rods and cones and puts them together into a “colorful” picture of the world in front of us. The signals travel from the retina through the optic nerve. After a stop at the thalamus, which acts as a sorting station, the signals reach their final destination — the visual cortex.
  • The colors come together to form a picture, “paint by number” style. We have three types of cones, with each sensitive to one of three different color ranges — red, green, and blue — which fall at the long, middle, and short wavelength ranges of visible light. The signals from these cones trigger specific areas of the visual cortex, “filling in” a tiny corresponding part of what forms our overall picture of the world. (Of course, the three colors are just markers that happen to correspond to the beginning, middle, and end of the visual spectrum — there are many specific shades of each color, and various combinations of the three that make the picture in front of us so wonderfully complex.)

    There are many glitches in this pathway that can cause problems with color vision. It’s often not an all-or-nothing scenario: we can lose our ability to perceive differences between certain colors or shades or, possibly, fail to recognize certain colors altogether. Here’s an overview:
  • Cone cell problems. Sometimes there are problems with the cone cells themselves (in some cases, one or more types can be missing altogether). This is what happens in the case of color blindness, which is a genetic condition that involves deficiencies in the cone cells. For example, if the red cones are missing, we’ll have trouble distinguishing between red and green.
  • Damage along the visual pathway. Occasionally, a glitch along the visual signal pathway will interfere with the process of signal transmission. Sometimes the problem could be with the optic nerve that transmits the signal. At other times, however, the snag might be a neurological one that happens in the visual cortex of the brain.

    There are many different things that could potentially cause this damage, and, as it turns out, alcohol might be one of them. Let’s take a closer look!

Alcohol and Vision: A Closer Look 

Alcohol can mess with the body in many ways we hear about often — damaging the liver, affecting the heart, causing brain damage, and so on. But did you know it can do a number on our vision? We’re not just talking about the blurry double-vision we get after a couple of margaritas or the infamous “beer goggles” that lead to questionable choices and embarrassing morning-after scenarios.

  • Drinking causes hypoxia, which affects the eyes. Hypoxia means “low oxygen” — and that’s exactly what it is. Drinking too much over time deprives parts of the body of oxygen, and the eyes are no exception. (While this condition is reversible, if we really overdo it, it could cause permanent damage and might even be fatal.)
  • Hypoxia can lead to optic neuropathy. Optic neuropathy is vision impairment due to changes in the brain — and yes, alcohol can cause it (especially if we also smoke). Over time, depriving the optic nerve and retina of oxygen can damage these delicate structures, potentially impairing vision. A study in Alcohol and Alcoholism sheds light on how the damage happens by showing that repeated ethanol exposure caused retina damage in rats. Specifically, alcohol-related damage was shown to affect the optic nerve, which plays a crucial role in transmitting visual information from the eyes to the brain. 

However, there’s an additional pathway through which alcohol damages the eyes — one that is directly related to color vision. Let’s take a closer look at what this means for the way alcohol can reduce your ability to see what colors look like.

Alcohol and Color Vision: Starving the Visual Cortex

Studies show that alcohol can reduce your ability to distinguish between two colors. A study of young adults that examined the link between color vision and alcohol consumption found that even low to moderate alcohol intake took a toll on the ability to discriminate between colors and perform color arrangement tasks.

Authors suggest a mechanism for how this happens. There are specific cells in the retina that correspond to neurons in the visual cortex — when they’re activated by light of a certain wavelength, they send the message to their designated cortex “corner.” The neurons in the visual cortex require a lot of energy. Alcohol can throw a wrench in the distribution of nutrients throughout our body by reducing metabolic capacity. The result? Those hard-working neuron regions go underserved and lack the resources they need to perform at their best.

What Colors Does Alcohol Affect?

Does alcohol affect our ability to tell the difference between specific colors? It appears so!

“Drowning Out” Blue and Yellow

When it comes to colors, alcohol can have a particularly strong effect on blue and yellow. A study that followed 136 people with 16 in treatment for alcohol use disorder (AUD) showed that many had trouble distinguishing between different colors. Blue and yellow seemed to be the ones that were most affected, probably due to the higher density of nerve cells corresponding to those colors in the brain.

Others suggest similar results. An article on “tritanopia” — blue-yellow color blindness — suggests that one of the reasons for the condition is alcohol exposure. Unlike the more familiar red-and-green color blindness, genetic tritanopia is actually pretty rare, affecting only about 1 in every 10,000 people. So if we have it, it’s more likely that we acquired it through lifestyle factors (such as drinking) rather than inherited it.

There are a few other reasons tritanopia can develop:

  • Age. As we get older, our eye lens becomes less transparent, leading certain colors to be more difficult to distinguish. Blue and yellow can be among them. Cataracts and macular degeneration that comes with age could also be responsible for blue and yellow color vision difficulties.
  • Organic solvent exposure. A link was discovered between organic solvent exposure and color vision, primarily on the blue-yellow range.
  • Injury. Finally, injury to the front or back of the head can “knock” blue and yellow out of our sight! (Well, the reality isn’t quite so dramatic — but you get the picture.)

Thankfully, it’s also a bit less disruptive to everyday life than the red-and-green variety. (After all, not being able to see the contrast in colors in that IKEA sign we mentioned at the beginning isn’t quite as much of a problem as not distinguishing the colors of a traffic light.) 

A Color-Fading Future

At the same time, it looks like blue and yellow might just be the beginning. The study that found blue and yellow to be the main colors affected by alcohol consumption suggested that red and green could also be affected with time. The authors suggest that losing our ability to spot the difference between blue and yellow could be the first sign in a wider-spread degeneration in our ability to see colors due to excessive drinking.

Is It Reversible?

While alcohol can reduce our ability to distinguish between two colors, the good news is that the problem is often reversible! If we cut back on our drinking (and follow some other vision-friendly lifestyle tips discussed later), we can often get those vibrant colors back in our lives. (Yay!)

Spotting the Symptoms

What can we do if we suspect that our color vision is taking a hit due to alcohol consumption? An eye specialist will likely have us take a “color blind test.” Developed by Japanese ophthalmologist Shinobu Ishihara, the test is simple yet effective: it consists of circular “plates” of colored dots with numbers “hidden” among them as dots of a different color. 

For example, to test for blue and yellow color blindness, we might be asked to look at a plate of yellow circles of various shapes and shades. Inside the array, some of the dots — strategically placed to form the shape of a number — would be blue. Can’t see the number within the dots? You might have tritanopia.

While the Ishihara test works surprisingly well, if our situation calls for a more detailed investigation, we might take the Farnsworth-Munsell 100 Hue Test. This one feels a bit like a board game and is based on small disks of various hues that we are asked to arrange in four horizontal trays to form a continuous sequence ranging from dark to light. If we have trouble distinguishing between the hue differences within a certain color — for example, yellow or blue — the difficulty might indicate a problem with our color vision.

Don’t want to wait for an appointment to find out if there’s trouble brewing? There are also plenty of online color vision tests available, though, of course, they might not be quite as accurate.

And, of course, if we’re noticing other signs of excessive drinking, the problem isn’t one we should ignore. Alcohol-related damage to the body (including the eyes) tends to get worse over time, so it’s better to stop the problem in its tracks! 

Keep Your Vision Sharp

Is there anything we can do to keep the lovely shades of yellow and blue (as well as all the other colors of the rainbow) in our lives? You bet!

  • Watch your alcohol intake. First and foremost, take a closer look at your alcohol habits and see if anything needs changing. Cutting back or quitting altogether can help further color vision impairment while also improving your life in myriad ways. (Want a preview? Here are just a few benefits coming your way: better sleep, radiant skin, weight loss, a sharper mind, and lower risk of cardiovascular disease and many types of cancers.)
  • Nourish your eyes. Remember how mom always told you to eat those carrots? She was right! In addition to orange foods (such as carrots and pumpkin, both of which are rich in vitamin A), make sure to eat a diet rich in antioxidants, omega-3 fatty acids (found in salmon, olive oil, and avocados), and vitamins C and E. All of these nutrients are known to support healthy vision.
  • Watch your vision habits. Another piece of useful advice you might remember from childhood? Avoid eye strain caused by reading in the dark (comic books under the covers, anyone?) or in a moving vehicle. 
  • See your eye doctor. Make sure to stay on top of your vision health by seeing an eye specialist when you need to. If you notice that something might be amiss, don’t delay — many eye issues only get worse with time, so you want to catch any problems early, before they get worse.

Remember, preventing problems is always better than solving them after they develop. So, even if you’re not having trouble telling colors apart right now, it’s never too early to get proactive about your eye health!

Getting a Clear Picture

While color vision might not be on top of your list when it comes to alcohol-related concerns, in the end it’s an important part of our daily experience. Let’s do everything we can to keep the world in front of us sharp and colorful!

Is that blue and yellow IKEA sign looking a little blurry? The Goodyear tire logo you spot on your drive to work seems a bit less crisp than usual? Could be the alcohol! As it turns out, alcohol can reduce your ability to distinguish between colors, especially blue and yellow. The reasons have to do with the effect of alcohol on the eyes as well as on the visual cortex of the brain. Let’s find out more!

Color Vision Basics

How do we see colors in the first place? Let’s take a brief look.

A woman's eye displaying a mesmerizing rainbow pattern in the iris
  • Rods and cones pick up light. When light hits the retina — a light-sensitive tissue at the back of our eyeballs — cells known as rods and cones respond to particular wavelengths and pass that information on to the brain. While cones are in charge of color vision in bright light, rods come into play in darker environments. 
  • Color signals are translated in the brain. The brain picks up the signals from the rods and cones and puts them together into a “colorful” picture of the world in front of us. The signals travel from the retina through the optic nerve. After a stop at the thalamus, which acts as a sorting station, the signals reach their final destination — the visual cortex.
  • The colors come together to form a picture, “paint by number” style. We have three types of cones, with each sensitive to one of three different color ranges — red, green, and blue — which fall at the long, middle, and short wavelength ranges of visible light. The signals from these cones trigger specific areas of the visual cortex, “filling in” a tiny corresponding part of what forms our overall picture of the world. (Of course, the three colors are just markers that happen to correspond to the beginning, middle, and end of the visual spectrum — there are many specific shades of each color, and various combinations of the three that make the picture in front of us so wonderfully complex.)

    There are many glitches in this pathway that can cause problems with color vision. It’s often not an all-or-nothing scenario: we can lose our ability to perceive differences between certain colors or shades or, possibly, fail to recognize certain colors altogether. Here’s an overview:
  • Cone cell problems. Sometimes there are problems with the cone cells themselves (in some cases, one or more types can be missing altogether). This is what happens in the case of color blindness, which is a genetic condition that involves deficiencies in the cone cells. For example, if the red cones are missing, we’ll have trouble distinguishing between red and green.
  • Damage along the visual pathway. Occasionally, a glitch along the visual signal pathway will interfere with the process of signal transmission. Sometimes the problem could be with the optic nerve that transmits the signal. At other times, however, the snag might be a neurological one that happens in the visual cortex of the brain.

    There are many different things that could potentially cause this damage, and, as it turns out, alcohol might be one of them. Let’s take a closer look!

Alcohol and Vision: A Closer Look 

Alcohol can mess with the body in many ways we hear about often — damaging the liver, affecting the heart, causing brain damage, and so on. But did you know it can do a number on our vision? We’re not just talking about the blurry double-vision we get after a couple of margaritas or the infamous “beer goggles” that lead to questionable choices and embarrassing morning-after scenarios.

  • Drinking causes hypoxia, which affects the eyes. Hypoxia means “low oxygen” — and that’s exactly what it is. Drinking too much over time deprives parts of the body of oxygen, and the eyes are no exception. (While this condition is reversible, if we really overdo it, it could cause permanent damage and might even be fatal.)
  • Hypoxia can lead to optic neuropathy. Optic neuropathy is vision impairment due to changes in the brain — and yes, alcohol can cause it (especially if we also smoke). Over time, depriving the optic nerve and retina of oxygen can damage these delicate structures, potentially impairing vision. A study in Alcohol and Alcoholism sheds light on how the damage happens by showing that repeated ethanol exposure caused retina damage in rats. Specifically, alcohol-related damage was shown to affect the optic nerve, which plays a crucial role in transmitting visual information from the eyes to the brain. 

However, there’s an additional pathway through which alcohol damages the eyes — one that is directly related to color vision. Let’s take a closer look at what this means for the way alcohol can reduce your ability to see what colors look like.

Alcohol and Color Vision: Starving the Visual Cortex

Studies show that alcohol can reduce your ability to distinguish between two colors. A study of young adults that examined the link between color vision and alcohol consumption found that even low to moderate alcohol intake took a toll on the ability to discriminate between colors and perform color arrangement tasks.

Authors suggest a mechanism for how this happens. There are specific cells in the retina that correspond to neurons in the visual cortex — when they’re activated by light of a certain wavelength, they send the message to their designated cortex “corner.” The neurons in the visual cortex require a lot of energy. Alcohol can throw a wrench in the distribution of nutrients throughout our body by reducing metabolic capacity. The result? Those hard-working neuron regions go underserved and lack the resources they need to perform at their best.

What Colors Does Alcohol Affect?

Does alcohol affect our ability to tell the difference between specific colors? It appears so!

“Drowning Out” Blue and Yellow

When it comes to colors, alcohol can have a particularly strong effect on blue and yellow. A study that followed 136 people with 16 in treatment for alcohol use disorder (AUD) showed that many had trouble distinguishing between different colors. Blue and yellow seemed to be the ones that were most affected, probably due to the higher density of nerve cells corresponding to those colors in the brain.

Others suggest similar results. An article on “tritanopia” — blue-yellow color blindness — suggests that one of the reasons for the condition is alcohol exposure. Unlike the more familiar red-and-green color blindness, genetic tritanopia is actually pretty rare, affecting only about 1 in every 10,000 people. So if we have it, it’s more likely that we acquired it through lifestyle factors (such as drinking) rather than inherited it.

There are a few other reasons tritanopia can develop:

  • Age. As we get older, our eye lens becomes less transparent, leading certain colors to be more difficult to distinguish. Blue and yellow can be among them. Cataracts and macular degeneration that comes with age could also be responsible for blue and yellow color vision difficulties.
  • Organic solvent exposure. A link was discovered between organic solvent exposure and color vision, primarily on the blue-yellow range.
  • Injury. Finally, injury to the front or back of the head can “knock” blue and yellow out of our sight! (Well, the reality isn’t quite so dramatic — but you get the picture.)

Thankfully, it’s also a bit less disruptive to everyday life than the red-and-green variety. (After all, not being able to see the contrast in colors in that IKEA sign we mentioned at the beginning isn’t quite as much of a problem as not distinguishing the colors of a traffic light.) 

A Color-Fading Future

At the same time, it looks like blue and yellow might just be the beginning. The study that found blue and yellow to be the main colors affected by alcohol consumption suggested that red and green could also be affected with time. The authors suggest that losing our ability to spot the difference between blue and yellow could be the first sign in a wider-spread degeneration in our ability to see colors due to excessive drinking.

Is It Reversible?

While alcohol can reduce our ability to distinguish between two colors, the good news is that the problem is often reversible! If we cut back on our drinking (and follow some other vision-friendly lifestyle tips discussed later), we can often get those vibrant colors back in our lives. (Yay!)

Spotting the Symptoms

What can we do if we suspect that our color vision is taking a hit due to alcohol consumption? An eye specialist will likely have us take a “color blind test.” Developed by Japanese ophthalmologist Shinobu Ishihara, the test is simple yet effective: it consists of circular “plates” of colored dots with numbers “hidden” among them as dots of a different color. 

For example, to test for blue and yellow color blindness, we might be asked to look at a plate of yellow circles of various shapes and shades. Inside the array, some of the dots — strategically placed to form the shape of a number — would be blue. Can’t see the number within the dots? You might have tritanopia.

While the Ishihara test works surprisingly well, if our situation calls for a more detailed investigation, we might take the Farnsworth-Munsell 100 Hue Test. This one feels a bit like a board game and is based on small disks of various hues that we are asked to arrange in four horizontal trays to form a continuous sequence ranging from dark to light. If we have trouble distinguishing between the hue differences within a certain color — for example, yellow or blue — the difficulty might indicate a problem with our color vision.

Don’t want to wait for an appointment to find out if there’s trouble brewing? There are also plenty of online color vision tests available, though, of course, they might not be quite as accurate.

And, of course, if we’re noticing other signs of excessive drinking, the problem isn’t one we should ignore. Alcohol-related damage to the body (including the eyes) tends to get worse over time, so it’s better to stop the problem in its tracks! 

Keep Your Vision Sharp

Is there anything we can do to keep the lovely shades of yellow and blue (as well as all the other colors of the rainbow) in our lives? You bet!

  • Watch your alcohol intake. First and foremost, take a closer look at your alcohol habits and see if anything needs changing. Cutting back or quitting altogether can help further color vision impairment while also improving your life in myriad ways. (Want a preview? Here are just a few benefits coming your way: better sleep, radiant skin, weight loss, a sharper mind, and lower risk of cardiovascular disease and many types of cancers.)
  • Nourish your eyes. Remember how mom always told you to eat those carrots? She was right! In addition to orange foods (such as carrots and pumpkin, both of which are rich in vitamin A), make sure to eat a diet rich in antioxidants, omega-3 fatty acids (found in salmon, olive oil, and avocados), and vitamins C and E. All of these nutrients are known to support healthy vision.
  • Watch your vision habits. Another piece of useful advice you might remember from childhood? Avoid eye strain caused by reading in the dark (comic books under the covers, anyone?) or in a moving vehicle. 
  • See your eye doctor. Make sure to stay on top of your vision health by seeing an eye specialist when you need to. If you notice that something might be amiss, don’t delay — many eye issues only get worse with time, so you want to catch any problems early, before they get worse.

Remember, preventing problems is always better than solving them after they develop. So, even if you’re not having trouble telling colors apart right now, it’s never too early to get proactive about your eye health!

Getting a Clear Picture

While color vision might not be on top of your list when it comes to alcohol-related concerns, in the end it’s an important part of our daily experience. Let’s do everything we can to keep the world in front of us sharp and colorful!

Alcohol and Health
2024-11-05 9:00
Alcohol and Health
The Role of Glutamate in Alcohol Use and Its Impact on the Brain
This is some text inside of a div block.

Alcohol’s short and long-term effects on glutamate significantly impact our cognitive function and emotional balance. Check out our latest blog for more info.

15 min read

Learn How Alcohol Affects Your Brain 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!

Read Full Article  →

You’ve just finished a long week at work, and you’re hoping to wind down with your favorite takeout meal and some reality TV. You pour a couple of glasses of wine as a “nightcap,” hoping to get some deep sleep before an eventful weekend. While your eyelids start to feel heavy and you're out before you know it, you find yourself up at 4 a.m. still feeling drained but not able to go back to sleep. This could be alcohol’s effects on glutamate (a key brain chemical) at play. 

Alcohol causes glutamate to fluctuate, leading to negative effects during, after, and in the long term. These fluctuations are what ties glutamate and addiction, which we’ll get into more later. Let’s take a deep dive into how alcohol affects this important brain chemical and what consequences it leads to so we can make better decisions that improve our health and well-being.

What Is Glutamate?

A gathering of friends

Glutamate is an excitatory neurotransmitter (chemical messenger) in our brain that stimulates brain activity. Receptors on our brain cells take in glutamate, and glutamate tells the cell to perform its function. For example, if glutamate stimulates a motor neuron, it can send a signal for our muscles to contract. Essentially, glutamate stimulates brain activity, which helps us perform various functions. As our brain’s most abundant excitatory neurotransmitter, it also plays a key role in our learning and memory. 

Glutamate also affects our emotions and reward system. This is because glutamate contributes to the regulation of dopamine, which is a key hormone in our brain’s reward system that gives us a sense of pleasure and keeps us coming back for more.

Since alcohol impacts our central nervous system (our brain’s messaging center), it can throw our glutamate levels out of whack, impacting our cognitive function, reward system, and emotions. Let’s further understand alcohol’s extensive impact on glutamate.

Neurotransmitters and Alcohol: Neurobiology of Alcohol Use

To understand how alcohol affects glutamate, it’s also important to get an idea of how alcohol affects GABA, glutamate’s opposite. GABA is a chemical messenger in our brain that gives us a sense of calm and relaxation. 

When we drink, alcohol suppresses glutamate and mimics GABA, slowing down brain function and helping us relax. But not for long. When alcohol’s effects wear off, our GABA levels dip and glutamate activity surges to help us find balance again. This is why we often feel anxious or restless after drinking.

Over time, regular drinking has conflicting effects on our brain chemicals. We produce less GABA, its receptors reduce as a result, and glutamate activity increases to compensate for this. This becomes our brain’s new balanced state, leading to problems when we quit or cut back. Let’s take a closer look at the consequences.

Body, Brain Function, and Drinking: Alcohol’s Impact on Glutamate

1. The Honeymoon Phase

While we drink, we experience what feels like a honeymoon phase of alcohol consumption. GABA increases and glutamate decreases, which helps anxious thoughts slow down, releases muscle tension, and boosts our mood. But this is short-lived. 

Since alcohol suppresses glutamate, which is essential for proper cognitive function, there can be consequences. Here are some:

  • Fuzzy memory
  • Impaired judgment 
  • Lack of motor coordination 
  • Blurry vision
  • Increased chance of risky behaviors
  • Slower reflexes 

The GABA/glutamate balance helps us maintain proper brain and body function, affecting everything from how we think, feel, and act. When alcohol gets metabolized and eliminated from our body, this balance is thrown off again, leading to even more issues.

2. The Anxious Aftermath

When alcohol leaves our body, our GABA levels drop and glutamate is no longer suppressed. But since GABA is low, glutamate can go into overdrive, ensuring that our brain and body function properly. This hyperactivity can cause the following consequences (these might sound familiar if you’ve ever had a hangover): 

  • Restlessness
  • Anxiety 
  • Sleep disruptions
  • Trouble focusing 
  • Headache
  • Muscle tightness 
  • Irregular heart rhythm

So, even though alcohol might help us feel calm while we’re drinking, it actually has the opposite effect in the aftermath, contributing to alcohol withdrawal symptoms and overall poor well-being. But since our body adapts and builds up tolerance to alcohol over time, its effects on our brain chemicals don’t end here. 

3. The Toxic Cycle

Regular drinking can have lasting effects on our brain chemicals. Although alcohol increases GABA when we drink, over time it can lead to our brain naturally producing less GABA. When our brain has less GABA, GABA receptors, which pick up on those signals, also reduce as a result. And when GABA is low, glutamate picks up the slack.

This glutamate overdrive ensures that our brain and body are still able to function with alcohol’s depressant effects on GABA. This suppressed GABA and elevated glutamate becomes the new “normal” in our brain. But when glutamate goes unchecked, it can cause nerve cells to get overexcited, a phenomenon known as excitotoxicity. Excitotoxicity ultimately leads to death of brain cells. This can cause damage which is associated with many health conditions, including Alzheimer’s and Parkinson’s disease.

But that’s not all. This new “balance” of GABA and glutamate can also make it difficult to stop drinking. When we quit or cut back, this “balance” gets disrupted, and while our brain and body adjust, we may experience alcohol withdrawal. 

A common symptom of alcohol withdrawal is alcohol cravings, which can create a cycle of dependence that's hard to break. Research shows that excess glutamate and addiction are linked. So, even though we may want to stop, the severe impact alcohol has on our brain chemicals can make overcoming dependence or addiction challenging (but not impossible). Let’s get into ways we can prevent or overcome this toxic cycle by maintaining the balance of our brain chemicals.

Body, Brain Function, and Drinking Alcohol’s Impact on Glutamate

Restoring Brain Balance

There are many factors that affect our brain’s chemical balance. Here are some positive practices we can implement to maintain balance and promote overall well-being.

  • Quit or cut back on alcohol. As a mind-altering drug, alcohol throws off the chemical balance in our brain. Coaching at Reframe can help you develop manageable goals, learn positive coping strategies, and support you during the ups and downs. 
  • Get regular exercise. Physical activity releases brain chemicals such as endorphins, dopamine, and serotonin, which boost our mood, attention, and motivation. Try to find enjoyable ways to stay active so it’s easier to stick with it!
  • Eat a balanced diet. A healthy diet ensures we get all the vitamins and nutrients we need for our brain cells to function properly. Opt for seasonal produce or try out new recipes to have some fun with fruits and veggies.
  • Supplement with vitamins. Supplementing with B vitamins, magnesium, theanine, alpha lipoic acid (ALA), and more can be beneficial in maintaining brain chemical balance that alcohol disrupts. Just be sure to discuss options with your doctor for more individualized medical advice. 
  • Reduce stress. Have you noticed you might get sick more easily when you’re stressed? This is because our mental health also affects our physical health. Try stress-reducing activities such as yoga, meditation, journaling, and more.
  • Get enough sleep. Sleep promotes repair and flushes out excess toxins to maintain proper chemical balance in our brain. Try developing a bedtime routine, such as dimming the lights an hour before sleeping, doing a quick meditation, or swapping out scrolling with reading a book for a more restful sleep.
  • Explore hobbies and passions. Doing things we enjoy and learning new things can release happy chemicals in our brain like dopamine and endorphins. Get active with some outdoor hobbies or tap into your artistic side with more creative ones.
  • Find your people. Social interaction can boost endorphins, which reduces stress and boosts our mood. Lean into the things you enjoy and you’ll find people with similar interests and mindsets.

Our habits affect our brain health, and while brain damage from alcohol is reversible to some degree, the best bet is to prevent it from happening by supporting our brain health by limiting our alcohol intake and maintaining healthy lifestyle choices!

Key Takeaways

Glutamate is our brain’s most abundant excitatory chemical messenger, which means it’s pretty important for all things brain function. Alcohol not only slows things down when we drink, but it disrupts the balance between GABA and glutamate in the long run, contributing to alcohol withdrawal and the cycle of dependence and addiction. By limiting disruptions to our brain chemicals through quitting or cutting back on alcohol and other healthy habits, we can help ourselves feel and function best!

You’ve just finished a long week at work, and you’re hoping to wind down with your favorite takeout meal and some reality TV. You pour a couple of glasses of wine as a “nightcap,” hoping to get some deep sleep before an eventful weekend. While your eyelids start to feel heavy and you're out before you know it, you find yourself up at 4 a.m. still feeling drained but not able to go back to sleep. This could be alcohol’s effects on glutamate (a key brain chemical) at play. 

Alcohol causes glutamate to fluctuate, leading to negative effects during, after, and in the long term. These fluctuations are what ties glutamate and addiction, which we’ll get into more later. Let’s take a deep dive into how alcohol affects this important brain chemical and what consequences it leads to so we can make better decisions that improve our health and well-being.

What Is Glutamate?

A gathering of friends

Glutamate is an excitatory neurotransmitter (chemical messenger) in our brain that stimulates brain activity. Receptors on our brain cells take in glutamate, and glutamate tells the cell to perform its function. For example, if glutamate stimulates a motor neuron, it can send a signal for our muscles to contract. Essentially, glutamate stimulates brain activity, which helps us perform various functions. As our brain’s most abundant excitatory neurotransmitter, it also plays a key role in our learning and memory. 

Glutamate also affects our emotions and reward system. This is because glutamate contributes to the regulation of dopamine, which is a key hormone in our brain’s reward system that gives us a sense of pleasure and keeps us coming back for more.

Since alcohol impacts our central nervous system (our brain’s messaging center), it can throw our glutamate levels out of whack, impacting our cognitive function, reward system, and emotions. Let’s further understand alcohol’s extensive impact on glutamate.

Neurotransmitters and Alcohol: Neurobiology of Alcohol Use

To understand how alcohol affects glutamate, it’s also important to get an idea of how alcohol affects GABA, glutamate’s opposite. GABA is a chemical messenger in our brain that gives us a sense of calm and relaxation. 

When we drink, alcohol suppresses glutamate and mimics GABA, slowing down brain function and helping us relax. But not for long. When alcohol’s effects wear off, our GABA levels dip and glutamate activity surges to help us find balance again. This is why we often feel anxious or restless after drinking.

Over time, regular drinking has conflicting effects on our brain chemicals. We produce less GABA, its receptors reduce as a result, and glutamate activity increases to compensate for this. This becomes our brain’s new balanced state, leading to problems when we quit or cut back. Let’s take a closer look at the consequences.

Body, Brain Function, and Drinking: Alcohol’s Impact on Glutamate

1. The Honeymoon Phase

While we drink, we experience what feels like a honeymoon phase of alcohol consumption. GABA increases and glutamate decreases, which helps anxious thoughts slow down, releases muscle tension, and boosts our mood. But this is short-lived. 

Since alcohol suppresses glutamate, which is essential for proper cognitive function, there can be consequences. Here are some:

  • Fuzzy memory
  • Impaired judgment 
  • Lack of motor coordination 
  • Blurry vision
  • Increased chance of risky behaviors
  • Slower reflexes 

The GABA/glutamate balance helps us maintain proper brain and body function, affecting everything from how we think, feel, and act. When alcohol gets metabolized and eliminated from our body, this balance is thrown off again, leading to even more issues.

2. The Anxious Aftermath

When alcohol leaves our body, our GABA levels drop and glutamate is no longer suppressed. But since GABA is low, glutamate can go into overdrive, ensuring that our brain and body function properly. This hyperactivity can cause the following consequences (these might sound familiar if you’ve ever had a hangover): 

  • Restlessness
  • Anxiety 
  • Sleep disruptions
  • Trouble focusing 
  • Headache
  • Muscle tightness 
  • Irregular heart rhythm

So, even though alcohol might help us feel calm while we’re drinking, it actually has the opposite effect in the aftermath, contributing to alcohol withdrawal symptoms and overall poor well-being. But since our body adapts and builds up tolerance to alcohol over time, its effects on our brain chemicals don’t end here. 

3. The Toxic Cycle

Regular drinking can have lasting effects on our brain chemicals. Although alcohol increases GABA when we drink, over time it can lead to our brain naturally producing less GABA. When our brain has less GABA, GABA receptors, which pick up on those signals, also reduce as a result. And when GABA is low, glutamate picks up the slack.

This glutamate overdrive ensures that our brain and body are still able to function with alcohol’s depressant effects on GABA. This suppressed GABA and elevated glutamate becomes the new “normal” in our brain. But when glutamate goes unchecked, it can cause nerve cells to get overexcited, a phenomenon known as excitotoxicity. Excitotoxicity ultimately leads to death of brain cells. This can cause damage which is associated with many health conditions, including Alzheimer’s and Parkinson’s disease.

But that’s not all. This new “balance” of GABA and glutamate can also make it difficult to stop drinking. When we quit or cut back, this “balance” gets disrupted, and while our brain and body adjust, we may experience alcohol withdrawal. 

A common symptom of alcohol withdrawal is alcohol cravings, which can create a cycle of dependence that's hard to break. Research shows that excess glutamate and addiction are linked. So, even though we may want to stop, the severe impact alcohol has on our brain chemicals can make overcoming dependence or addiction challenging (but not impossible). Let’s get into ways we can prevent or overcome this toxic cycle by maintaining the balance of our brain chemicals.

Body, Brain Function, and Drinking Alcohol’s Impact on Glutamate

Restoring Brain Balance

There are many factors that affect our brain’s chemical balance. Here are some positive practices we can implement to maintain balance and promote overall well-being.

  • Quit or cut back on alcohol. As a mind-altering drug, alcohol throws off the chemical balance in our brain. Coaching at Reframe can help you develop manageable goals, learn positive coping strategies, and support you during the ups and downs. 
  • Get regular exercise. Physical activity releases brain chemicals such as endorphins, dopamine, and serotonin, which boost our mood, attention, and motivation. Try to find enjoyable ways to stay active so it’s easier to stick with it!
  • Eat a balanced diet. A healthy diet ensures we get all the vitamins and nutrients we need for our brain cells to function properly. Opt for seasonal produce or try out new recipes to have some fun with fruits and veggies.
  • Supplement with vitamins. Supplementing with B vitamins, magnesium, theanine, alpha lipoic acid (ALA), and more can be beneficial in maintaining brain chemical balance that alcohol disrupts. Just be sure to discuss options with your doctor for more individualized medical advice. 
  • Reduce stress. Have you noticed you might get sick more easily when you’re stressed? This is because our mental health also affects our physical health. Try stress-reducing activities such as yoga, meditation, journaling, and more.
  • Get enough sleep. Sleep promotes repair and flushes out excess toxins to maintain proper chemical balance in our brain. Try developing a bedtime routine, such as dimming the lights an hour before sleeping, doing a quick meditation, or swapping out scrolling with reading a book for a more restful sleep.
  • Explore hobbies and passions. Doing things we enjoy and learning new things can release happy chemicals in our brain like dopamine and endorphins. Get active with some outdoor hobbies or tap into your artistic side with more creative ones.
  • Find your people. Social interaction can boost endorphins, which reduces stress and boosts our mood. Lean into the things you enjoy and you’ll find people with similar interests and mindsets.

Our habits affect our brain health, and while brain damage from alcohol is reversible to some degree, the best bet is to prevent it from happening by supporting our brain health by limiting our alcohol intake and maintaining healthy lifestyle choices!

Key Takeaways

Glutamate is our brain’s most abundant excitatory chemical messenger, which means it’s pretty important for all things brain function. Alcohol not only slows things down when we drink, but it disrupts the balance between GABA and glutamate in the long run, contributing to alcohol withdrawal and the cycle of dependence and addiction. By limiting disruptions to our brain chemicals through quitting or cutting back on alcohol and other healthy habits, we can help ourselves feel and function best!

Alcohol and Health
2024-10-26 9:00
Alcohol and Health
Can You Drink Alcohol After Anesthesia?
This is some text inside of a div block.

Drinking after anesthesia may not seem like a big deal; however, there are many risks involved. Check out our latest blog for more info.

14 min read

Alcohol Impacts All Facets of Our Health. Learn More on 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!

Read Full Article  →

Anesthesia, one of the world’s greatest medical developments, helps us not feel pain during critical procedures. While a century and a half ago, during the Civil War, alcohol may have been used during amputations, it is a practice of the past (for good reason). 

Procedures that require anesthesia today typically come with clear warnings not to drink beforehand. However, the direction for drinking alcohol after anesthesia is a bit more muddled. To help us practice safe and speedy recovery, let’s get a closer look at what anesthesia is and how drinking after it is not a great idea. 

What Is Anesthesia?

A nurse confidently holds a syringe in her hand

Anesthesia is the use of anesthetic drugs to keep us from feeling pain during medical procedures and surgeries. Anesthetic drugs temporarily inhibit the nerves that send pain signals to our brains until the procedure is over.

Anesthesia can be administered by inhalation, injection, ointment, and sprays. The way it's administered and the level of sedation depends on the type and length of the procedure. Understanding the different types will help us understand when drinking after anesthesia is acceptable. 

Different Types of Anesthesia 

There are four main types of anesthesia: 

  1. General anesthesia. General anesthesia is used for major operations. It’s what we commonly think of when we hear anesthesia. As we may have seen in our favorite medical series or movies, it typically involves a face mask, a countdown, and a loss of consciousness. 
  2. Monitored sedation. This type is also used for invasive procedures but varies in the depth of sedation. As the name suggests, this type of anesthesia requires monitoring throughout and is commonly used for radiology procedures, biopsies, and colonoscopies.
  3. Regional anesthesia.
Regional anesthesia numbs a large part of the body and does not require the loss of consciousness. We can remain awake while the doctor works on the numb part of our body. It is commonly used in childbirth and orthopedic surgeries. 
  4. Local anesthesia. This form is similar to regional anesthesia but focuses on a smaller area. It is administered near the surgical site and allows us to stay conscious and alert. Local anesthesia is used in smaller procedures, such as dental work or biopsies.

Different types of anesthesia will impact the safety of consuming alcohol after it’s administered. Let’s take a closer look at how anesthesia and alcohol interact to determine if and when it’s safe to drink after.

How Anesthesia and Alcohol Interact 

Alcohol and anesthesia interact because they act on the same systems in our body. Anesthesia suppresses nerve transmission to our central nervous system. Higher levels of sedation also suppress functions of our nervous system such as our heart rate, circulation, and breathing. Similarly, alcohol depresses messengers in our brain that affect our motor, emotional, and cognitive control. 

Another similarity that causes interactions is how alcohol and anesthesia are metabolized. Both substances are primarily broken down and eliminated by our liver. Anesthesia stays in our system even after some of its effects wear off. When we drink before our body metabolizes the anesthetic, our liver may not be able to keep up — leading to prolonged and compounded impairment. 

Drinking Before Anesthesia

Consuming alcohol before administration of anesthesia can be dangerous. Due to the interactions between the two, the anesthetic may have reduced effectiveness. The amount of sedation is carefully calculated and takes into account many different factors to ensure our safety. When alcohol blocks the effect of the anesthetic, our treating physician may prescribe more, without knowing the full picture. This can cause serious complications with not only the anesthesia but also the procedure itself. 

Alcohol causes acute effects on anesthesia, but chronic drinking is also shown to cause permanent changes to anesthetic tolerance. Research shows that higher levels of anesthesia are needed for successful induction and maintenance of sedation for chronic drinkers. Anesthesia is generally safe, but complications can occur when other factors are involved.

Through its interactions, we can see why drinking before anesthesia is a no-go. But what about after?

Can You Have Alcohol After Anesthesia Wears Off?

The safest wait time depends on the type of procedure and anesthesia administered, but as a rule of thumb, the longer the better. Anesthesia inhibits our nerves and can affect our motor and cognitive function. Although the numbness or sedation may have worn off, the anesthetic drugs take time to be fully eliminated from our body and can continue to impair our normal functions. Anesthesia is also paired with medical procedures that typically require rest and recovery. Drinking after anesthesia can interfere with healing and opens the door to other risks

Dangers of Drinking After Anesthesia

With any procedure involving anesthesia, drinking alcohol afterward can greatly increase the risk of complications: 

  • Blood thinning.
Alcohol reduces platelet function, which consequently thins our blood. Following a procedure that requires anesthesia and incisions, blood thinning can be extremely dangerous and cause excessive loss of blood. 
  • Risk of infection. Our immune system function is decreased when we drink. This directly increases the risk of developing an infection. Many anesthetic procedures are invasive and require incisions, which are highly susceptible to infection.
  • Impacts healing. In addition to thinning our blood and increasing the risk of infection, alcohol also impacts healing by increasing inflammation and causing dehydration. This can prolong recovery and lead to negative effects such as increased tiredness and scarring. 
  • Interaction with medication. Medication is commonly prescribed following invasive procedures. Analgesics, anti-inflammatory medication, and antibiotics can all interact with alcohol and may impact its effectiveness and cause dangerous side effects.

Due to the numerous risks associated with drinking after anesthesia, it’s generally recommended that we wait at least two weeks after anesthesia to resume drinking alcohol, but it’s best to follow guidance from our practitioners who are most familiar with our medical background. 

Risks of Drinking After Anesthesia

Practicing Safe Recovery After Anesthesia

While drinking after anesthesia may not always cause immediate risk, it can still delay the healing process after a procedure. Safe recovery practices lead to optimal healing and get us functioning in less time. We can prioritize safety and healing after recovery with five simple steps:

  • Refrain from harmful substances. Harmful substances such as alcohol, tobacco, and recreational drugs only complicate recovery. They harm us when we’re healthy and even more so when we are trying to heal.
  • Get adequate rest. Adequate sleep is associated with decreased pain and quicker recovery. Rest also supports tissue growth and regeneration, which helps us heal faster. 
  • Stay hydrated. Water aids in all of our body’s functions. When recovering from surgery, proper hydration can help cell growth, flush out waste, and regulate our body temperature. It also helps combat symptoms of dehydration that can aggravate recovery.
  • Maintain proper nutrition. This may go without saying, but proper nutrition is essential to our overall health and well-being. Prioritizing nutritious and balanced meals can help our cells and organs return to normal functioning.
  • Follow aftercare protocols. Different procedures will require different protocols. Whether it be refraining from intensive movement or avoiding certain foods, specific aftercare instructions are provided to promote optimal healing.

Alcohol and Anesthesia in Review 

Alcohol before anesthesia is a big red flag. Drinking after anesthesia can also be dangerous. While the timeframe of abstinence may vary depending on the type and application, anesthesia and the procedures it’s used for are best left uncomplicated. It’s important to follow specific aftercare instructions, but in general, the longer we wait, the safer we are. We only get one chance to recover correctly, and alcohol can majorly disrupt the process. 

Anesthesia, one of the world’s greatest medical developments, helps us not feel pain during critical procedures. While a century and a half ago, during the Civil War, alcohol may have been used during amputations, it is a practice of the past (for good reason). 

Procedures that require anesthesia today typically come with clear warnings not to drink beforehand. However, the direction for drinking alcohol after anesthesia is a bit more muddled. To help us practice safe and speedy recovery, let’s get a closer look at what anesthesia is and how drinking after it is not a great idea. 

What Is Anesthesia?

A nurse confidently holds a syringe in her hand

Anesthesia is the use of anesthetic drugs to keep us from feeling pain during medical procedures and surgeries. Anesthetic drugs temporarily inhibit the nerves that send pain signals to our brains until the procedure is over.

Anesthesia can be administered by inhalation, injection, ointment, and sprays. The way it's administered and the level of sedation depends on the type and length of the procedure. Understanding the different types will help us understand when drinking after anesthesia is acceptable. 

Different Types of Anesthesia 

There are four main types of anesthesia: 

  1. General anesthesia. General anesthesia is used for major operations. It’s what we commonly think of when we hear anesthesia. As we may have seen in our favorite medical series or movies, it typically involves a face mask, a countdown, and a loss of consciousness. 
  2. Monitored sedation. This type is also used for invasive procedures but varies in the depth of sedation. As the name suggests, this type of anesthesia requires monitoring throughout and is commonly used for radiology procedures, biopsies, and colonoscopies.
  3. Regional anesthesia.
Regional anesthesia numbs a large part of the body and does not require the loss of consciousness. We can remain awake while the doctor works on the numb part of our body. It is commonly used in childbirth and orthopedic surgeries. 
  4. Local anesthesia. This form is similar to regional anesthesia but focuses on a smaller area. It is administered near the surgical site and allows us to stay conscious and alert. Local anesthesia is used in smaller procedures, such as dental work or biopsies.

Different types of anesthesia will impact the safety of consuming alcohol after it’s administered. Let’s take a closer look at how anesthesia and alcohol interact to determine if and when it’s safe to drink after.

How Anesthesia and Alcohol Interact 

Alcohol and anesthesia interact because they act on the same systems in our body. Anesthesia suppresses nerve transmission to our central nervous system. Higher levels of sedation also suppress functions of our nervous system such as our heart rate, circulation, and breathing. Similarly, alcohol depresses messengers in our brain that affect our motor, emotional, and cognitive control. 

Another similarity that causes interactions is how alcohol and anesthesia are metabolized. Both substances are primarily broken down and eliminated by our liver. Anesthesia stays in our system even after some of its effects wear off. When we drink before our body metabolizes the anesthetic, our liver may not be able to keep up — leading to prolonged and compounded impairment. 

Drinking Before Anesthesia

Consuming alcohol before administration of anesthesia can be dangerous. Due to the interactions between the two, the anesthetic may have reduced effectiveness. The amount of sedation is carefully calculated and takes into account many different factors to ensure our safety. When alcohol blocks the effect of the anesthetic, our treating physician may prescribe more, without knowing the full picture. This can cause serious complications with not only the anesthesia but also the procedure itself. 

Alcohol causes acute effects on anesthesia, but chronic drinking is also shown to cause permanent changes to anesthetic tolerance. Research shows that higher levels of anesthesia are needed for successful induction and maintenance of sedation for chronic drinkers. Anesthesia is generally safe, but complications can occur when other factors are involved.

Through its interactions, we can see why drinking before anesthesia is a no-go. But what about after?

Can You Have Alcohol After Anesthesia Wears Off?

The safest wait time depends on the type of procedure and anesthesia administered, but as a rule of thumb, the longer the better. Anesthesia inhibits our nerves and can affect our motor and cognitive function. Although the numbness or sedation may have worn off, the anesthetic drugs take time to be fully eliminated from our body and can continue to impair our normal functions. Anesthesia is also paired with medical procedures that typically require rest and recovery. Drinking after anesthesia can interfere with healing and opens the door to other risks

Dangers of Drinking After Anesthesia

With any procedure involving anesthesia, drinking alcohol afterward can greatly increase the risk of complications: 

  • Blood thinning.
Alcohol reduces platelet function, which consequently thins our blood. Following a procedure that requires anesthesia and incisions, blood thinning can be extremely dangerous and cause excessive loss of blood. 
  • Risk of infection. Our immune system function is decreased when we drink. This directly increases the risk of developing an infection. Many anesthetic procedures are invasive and require incisions, which are highly susceptible to infection.
  • Impacts healing. In addition to thinning our blood and increasing the risk of infection, alcohol also impacts healing by increasing inflammation and causing dehydration. This can prolong recovery and lead to negative effects such as increased tiredness and scarring. 
  • Interaction with medication. Medication is commonly prescribed following invasive procedures. Analgesics, anti-inflammatory medication, and antibiotics can all interact with alcohol and may impact its effectiveness and cause dangerous side effects.

Due to the numerous risks associated with drinking after anesthesia, it’s generally recommended that we wait at least two weeks after anesthesia to resume drinking alcohol, but it’s best to follow guidance from our practitioners who are most familiar with our medical background. 

Risks of Drinking After Anesthesia

Practicing Safe Recovery After Anesthesia

While drinking after anesthesia may not always cause immediate risk, it can still delay the healing process after a procedure. Safe recovery practices lead to optimal healing and get us functioning in less time. We can prioritize safety and healing after recovery with five simple steps:

  • Refrain from harmful substances. Harmful substances such as alcohol, tobacco, and recreational drugs only complicate recovery. They harm us when we’re healthy and even more so when we are trying to heal.
  • Get adequate rest. Adequate sleep is associated with decreased pain and quicker recovery. Rest also supports tissue growth and regeneration, which helps us heal faster. 
  • Stay hydrated. Water aids in all of our body’s functions. When recovering from surgery, proper hydration can help cell growth, flush out waste, and regulate our body temperature. It also helps combat symptoms of dehydration that can aggravate recovery.
  • Maintain proper nutrition. This may go without saying, but proper nutrition is essential to our overall health and well-being. Prioritizing nutritious and balanced meals can help our cells and organs return to normal functioning.
  • Follow aftercare protocols. Different procedures will require different protocols. Whether it be refraining from intensive movement or avoiding certain foods, specific aftercare instructions are provided to promote optimal healing.

Alcohol and Anesthesia in Review 

Alcohol before anesthesia is a big red flag. Drinking after anesthesia can also be dangerous. While the timeframe of abstinence may vary depending on the type and application, anesthesia and the procedures it’s used for are best left uncomplicated. It’s important to follow specific aftercare instructions, but in general, the longer we wait, the safer we are. We only get one chance to recover correctly, and alcohol can majorly disrupt the process. 

Alcohol and Health
2024-10-26 9:00
Alcohol and Health
Does Alcohol Stunt Growth? The Science-Backed Truth
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Curious about does alcohol stunt growth? Learn how drinking affects height, puberty, brain development, and long-term health at every stage of life.

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We all want to grow. Emotionally, financially, and physically. We set goals and work hard to reach them. But what if a regular part of your social life is quietly working against you? This brings up a critical question: does alcohol stunt growth? The answer is a clear yes. It's not just about physical development, like whether alcohol can stunt your height growth. It impacts your mental clarity, emotional regulation, and overall progress. Understanding how alcohol affects your body and mind is the first step to protecting the gains you're working so hard for.

As alcohol touches the lives of so many young adults and adolescents, it’s important to take a hard look at its detrimental effects. Let’s further examine the permanent influence that alcohol has on growth, especially during critical developmental stages.

The Science of How We Grow

Adolescence and young adulthood are 
periods of critical emotional and physical development. Puberty, for example, initiates reproductive maturity and great hormonal changes. Negative influences during puberty have long-term consequences.

Adolescent growth ends when the growth plates in the bones harden, which usually happens after puberty — around age 15 for girls and age 17 or 18 for boys. However, our brain — specifically, the prefrontal cortex (PFC), which regulates our thoughts, actions, and emotions — continues to develop into our mid-to-late 20s. Changes in the growth of our brain have lasting impacts on all of these areas, in addition to memory, learning, and ability to reason.

Alcohol significantly impairs functioning during adulthood, but drinking during adolescence can have even greater impacts. Research shows that binge drinking is more common among adolescents than adults, which, when combined with a still-developing PFC, increases the chance of risk-taking behaviors. Alcohol use also affects growth and development.

The Scope of Underage Drinking

From movies to social media, drinking is often portrayed as a rite of passage for teenagers. It’s seen as a normal part of high school parties and college life. But this normalization can mask the real risks involved when young people start drinking before their brains and bodies are fully developed. Understanding just how widespread this issue is can help us see past the cultural noise and focus on the facts. The numbers paint a clear picture of a trend that starts early and carries significant consequences, affecting everything from school performance to long-term health and well-being. It’s a conversation worth having, not to scare, but to inform and empower.

Key Statistics on Teen Alcohol Use

The reality is that alcohol consumption often begins during the early teen years, a critical period for growth. A 2016 survey revealed that 9.7% of 8th graders and 21.5% of 10th graders reported drinking in the past month. By the time they reach their senior year, the trend continues, with about one out of four high school seniors in the United States having had an alcoholic drink within the past month. These figures show that underage drinking isn't an isolated issue but a common behavior that exposes a large portion of young people to potential harm during a vulnerable stage of their lives.

The impact of starting to drink early extends far beyond the teen years. Research shows that if a child starts drinking before age 15, they are significantly more likely to develop a drinking problem later in life. This early introduction to alcohol can set a precedent for future habits and dependencies. In the short term, the consequences are also clear: teens who drink often do poorly in school and are more likely to get into trouble. This connection between alcohol use and academic struggles highlights how drinking can disrupt a crucial phase of personal and intellectual development, creating obstacles that can affect their future opportunities.

The Truth: Can Alcohol Stunt Your Growth?

A collection of beer bottles alongside a frothy glass of beer

Growth occurs until adulthood, but most of our growth happens during puberty. What we know as a “growth spurt” typically happens during puberty. Alcohol has been shown to induce suppression of Insulin-like Growth Factor 1 (IGF-1), which plays a large role in puberty and physical growth.

Drinking during adolescence has also been associated with delays in puberty, which can interfere with the maturation and normal development of our organ systems — directly affecting growth and development. Another way that alcohol plays a part in stunting our growth is through disruptions in our sleep. During sleep, our body produces hormones that help us grow. Not only in height, but through repairing tissue and building muscle.

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Effects on Physical Growth and Height

So, does alcohol actually affect how tall you get? The short answer is yes, it can. During our key growth years, our bodies rely on a complex symphony of hormones to develop properly. One of the main conductors of this orchestra is a hormone called Insulin-like Growth Factor 1 (IGF-1). Research shows that alcohol can suppress the production of IGF-1, which is essential for bone and tissue growth. When this hormone's levels are low, the body’s ability to reach its full height potential can be compromised. It’s not just about hormones, either. Quality sleep is when our bodies do most of their growing and repairing. Since alcohol is known to disrupt sleep patterns, it can interfere with the natural release of growth hormones that happens overnight.

Effects on Puberty and Hormones

Puberty is more than just a growth spurt; it’s a critical period when our bodies mature and our organ systems develop. Introducing alcohol during this time can have significant consequences. Studies have linked adolescent drinking to delays in puberty, which can create a domino effect, impacting the normal development of vital organs. This isn't a temporary setback; these hormonal disruptions can have lasting effects on reproductive health and overall well-being long into adulthood. Understanding how alcohol interferes with the body’s natural timeline gives us the power to protect our long-term health. By making informed choices, we can support our bodies through these crucial developmental stages instead of hindering them.

Is Alcohol Affecting Your Muscle Growth?

Not only does alcohol stunt physical growth and development, but it also restricts muscle growth. It does this through three main disruptions.

  1. Protein synthesis. Alcohol impairs protein synthesis, which is the process by which cells make proteins. Muscle growth occurs when protein synthesis is greater than the breakdown. Alcohol reduces the rate of protein synthesis, so even when supplementing with pricey protein powders and bars, muscle growth can still be decreased.
  2. Growth hormone. Drinking affects multiple hormones in our body that aid in the muscle-building process. It decreases testosterone and human growth hormone, increases our stress hormone, and induces insulin resistance. By disrupting these hormones in our body, alcohol effectively inhibits muscle development.
  3. Muscle recovery. Alcohol disrupts our sleep cycle, which is vital to tissue regeneration and restoration. It can also dehydrate our body, starving it of essential nutrients our cells need for muscle growth. 

Through disruptions in multiple systems and hormones in our body, we’ve concluded that alcohol has negative effects on our growth and development in general and even more so during puberty. Let’s take a look at another critical developmental stage — pregnancy.

How Alcohol Blocks Nutrient Absorption

Beyond the empty calories, alcohol actively works against your body's ability to absorb the vital nutrients it needs to thrive. Long-term drinking can interfere with the production and release of essential growth hormones and suppress Insulin-like Growth Factor 1 (IGF-1), a key player in physical development. Furthermore, alcohol is a diuretic, meaning it causes dehydration. This process doesn't just leave you thirsty; it flushes out essential nutrients your cells need for everything from tissue repair to muscle growth, effectively robbing your body of the fuel it gets from healthy food. Even if you’re eating well, alcohol can create a barrier that prevents your body from getting the full benefits of your diet.

Can Alcohol Stunt Growth During Pregnancy?

Drinking alcohol during pregnancy is not recommended in any amount. Not only does alcohol stunt the growth of the baby, it has serious permanent effects on the baby’s development. Alcohol consumption during pregnancy causes a multitude of complications known as fetal alcohol spectrum disorders (FASD). This spans a range of conditions, including the following:

  • Fetal alcohol syndrome (FAS). FAS causes abnormalities in growth and the central nervous system. This may include abnormalities on the face, learning disabilities, and mental disabilities. FAS is the most severe consequence of drinking during pregnancy and can cause fetal death or a broad range of issues after birth.
  • Alcohol-related birth defects. Alcohol can cause a broad range of physical changes or disabilities. Defects can occur in the baby’s heart, bones, kidneys, hearing, and bone structure. Systemic issues involve damage to hearing, vision, and brain growth.
  • Alcohol-related neurodevelopmental disorders (ARND). Neurodevelopmental disorders include learning disabilities, developmental delays, and intellectual disabilities. Children with ARND may have issues with memory, attention, impulse control, and understanding of school subjects.
  • Neurobehavioral disorders. Children with neurobehavioral disorders may have problems in the areas of memory, behavior, and daily living. 

So far, we’ve determined that alcohol has dramatic impacts on physical development and growth during pregnancy. Now, let’s take a look at how alcohol can influence a growing brain.

What Alcohol Does to a Developing Brain

Drinking while our brain is still developing impacts two main areas — the hippocampus and prefrontal lobe. Research shows that alcohol misuse during development reduces the rate of brain growth and volume of these areas. 

It goes without saying that all areas of the brain are important to our overall function. However, the hippocampal and prefrontal regions typically develop last, as they deal with our executive or higher cognitive functions.

The hippocampus controls our memory and learning whereas the prefrontal lobe deals with our decision-making skills, planning, emotional regulation, and judgment. Impacts on these areas of the brain are shown to increase the risk of developing alcohol misuse and alcohol use disorder (AUD) later in life.

Skills controlled by our hippocampus and prefrontal lobe are crucial in our adulthood, and impairments to these regions can have many negative and lasting consequences. Let’s learn more about what they are to grasp the gravity of the risks of drinking during development.

Slowing the Growth of White Matter and Thalamus

When we talk about brain development, it’s not just about overall size. Specific regions are hard at work forming connections that will last a lifetime. Research shows that heavy alcohol use directly interferes with this process. One study from OHSU found that it reduced the growth rate of the brain's white matter and the thalamus. Think of white matter as the brain's internal communication network, the highways that let different regions talk to each other quickly and efficiently. The thalamus acts as a central hub, sorting and relaying sensory information. When alcohol slows the development of these critical areas, it’s like building a city with fewer roads and a disorganized central station — the whole system becomes less efficient.

The Potential for Long-Term Learning Impairment

The physical changes to the brain's structure have real-world consequences that can last a lifetime. The same OHSU study points out a sobering reality: alcohol exposure during these key developmental years could permanently alter a person's ability to learn. This isn't just about struggling with exams in high school or college. It affects your capacity to acquire new job skills, adapt to new challenges, and form clear memories well into adulthood. When the development of the hippocampus and prefrontal cortex is disrupted, the very foundation of our ability to learn, reason, and regulate our emotions is weakened. Understanding this connection is a powerful first step toward mindful drinking and protecting your future self.

The Long-Term Risks of Drinking While You're Still Growing

According to the CDC, more than 3,900 deaths occur each year from excessive drinking for those under 21 years of age. Along with alcohol-related deaths, drinking during development poses numerous other issues.

  1. Health risks. Alcohol is related to a multitude of health issues. Underage drinking causes even more issues, as binge drinking is more common and because overall alcohol consumption adds up over time. Drinking during growth opens the door to abnormal organ function and increases the risk of developing diseases. 
  2. Alcohol-related accidents. Alcohol-related accidents are more prevalent in teens and young adults due to the increased risk of dangerous behaviors. Decreased inhibitions and impacts on decision-making skills can lead to increased risk of sexual activity, alcohol-related driving incidents, and alcohol poisoning from binge drinking.
  3. Mental health effects. Drinking during development increases the risk of developing mental health disorders such as anxiety, depression, and other mood disorders. Underage drinking also increases the risk of developing alcohol use disorder, which is also heavily correlated with co-occurring mental health issues.
  4. Impacts on brain development. Through impacting the proper development of our brain, alcohol can cause impairments in our memory, decision-making, social skills, and critical thinking.
  5. Influences on future goals. Underage drinking can impact an adolescent’s future goals through disruption of education or employment. Risky behavior can lead to legal problems that can have lasting effects on an adult’s ability to complete education or obtain and maintain employment.

Through the many consequences, we see the extensive interference that drinking during development leads to causes Let’s take a look at some ways we can go about it to have a more positive impact.

Impacts of Drinking During Development

Increased Risk of Accidents and Violence

When alcohol enters the picture, especially for a brain that’s still under construction, judgment and coordination are some of the first things to go. This impairment dramatically increases the likelihood of accidents. According to health experts, underage drinking is linked to a higher risk of car crashes, falls, and drowning. The underdeveloped prefrontal cortex, which we rely on for sound decision-making, can't effectively pump the brakes on risky impulses when alcohol is involved. This not only puts the individual in danger but also makes them more vulnerable to becoming a victim of violence, a sobering reality that highlights the far-reaching consequences of drinking during these formative years.

Impact on Decision-Making and Sexual Health

Alcohol has a way of lowering inhibitions, which can lead to choices with lifelong consequences, particularly around sexual health. When judgment is clouded, it's easier to engage in unsafe sexual practices, which heightens the risk of sexually transmitted infections (STIs) and unplanned pregnancies. It’s a serious concern, as a single night of poor decisions can alter the course of a young person's life. Furthermore, alcohol-induced vulnerability can increase the chances of being a victim of sexual assault. These aren't just abstract risks; they are real-world outcomes that underscore the importance of clear-headed decision-making during adolescence and young adulthood.

The Dangers of Binge Drinking and Alcohol Poisoning

Binge drinking, often defined as having four or five drinks in about two hours, is especially dangerous for young people. This rapid consumption can overwhelm the body and lead to alcohol poisoning, a life-threatening condition that requires immediate medical attention. Because an adolescent's body and brain are still developing, they may not process alcohol as efficiently as an adult's, making them more susceptible to its toxic effects. The combination of a higher tendency for risky behavior and the physical dangers of consuming large amounts of alcohol quickly creates a perfect storm for potentially fatal outcomes. Understanding your limits is crucial, and tools like a Blood Alcohol Content (BAC) calculator can offer perspective on how alcohol affects the body.

Is Alcohol Stunting My Growth?

If you’re concerned that drinking may be affecting your growth, don’t worry: every day is a new day to start growing in new ways. Whether you’re young and still growing up, or you’re struggling to make gains in the gym, or you feel stuck in life and you think alcohol may be interfering with your flourishing — there’s hope.

Start by assessing your relationship to alcohol. Take a few days (or a week) to track your cravings, your drinks, and your thoughts. Reflect on how your life would be different without alcohol. If you think drinking is harming your well-being, it may be time to get sober-curious or take a break with a 30-day challenge.

If you decide it’s time to change your relationship with alcohol, check out our blog on how to stop drinking and consider joining the Reframe app — a community of people on similar journeys to quit or cut back on alcohol.

How to Talk to Your Teen About Drinking

Approaching a conversation about drinking with the young adult in your life may not be easy. The teenage years can be a turbulent time socially and emotionally. Some ways that parents or other adults can help adolescents develop a more positive relationship include the following actions:

  • Educate. Clearly communicating and educating adolescents on the detrimental effects of underage drinking and alcohol in general helps them make more informed and intentional choices. Understanding the reason why underage drinking is illegal and how it may impact them in the future paints a clearer picture than just setting strict rules.
  • Set a good example. We are the most easily influenced during our adolescent years. Have you ever accidentally said a “bad word” just to have a kid in the family pick up on it immediately and start repeating it? Kids learn by observing those around them; setting a good example around drinking is crucial for developing positive habits. 
  • Develop rules. There may be laws in place for underage drinking, but they aren’t always enforced — especially when alcohol use can be hidden behind closed doors. Setting strict rules and making consequences clear shows how serious the issue is.
  • Address other factors. Aside from social pressure, drinking habits may stem from other issues in our life. Alcohol’s stimulant and depressant effects can temporarily increase our mood and serve as an escape or coping mechanism for other problems. Addressing the root of the issue can help reduce the consumption of alcohol. 
  • Explore treatment options. If we are concerned about our teens’ underage drinking or alcohol misuse, there are plenty of professional treatment options to explore. Addressing the problem early helps to minimize the negative impacts of alcohol and prevents further dependence and complications. 

For more thoughts on how to nurture your teen through recovery from alcohol misuse, head over to our blog titled “How To Help Your Teen With Alcohol Recovery.”

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Understanding Why Teens Drink

It’s easy to chalk up teen drinking to simple rebellion, but the reasons are often more complex. Curiosity, peer pressure, and the desire to fit in are powerful motivators during a time when social circles are everything. For others, alcohol can feel like a way to cope with stress, anxiety, or insecurity. It’s important to remember that the adolescent brain is wired for novelty and risk-taking, making them more susceptible to trying alcohol. Research shows that teens are not only more sensitive to alcohol but also less tolerant of its negative effects compared to adults. This vulnerability is why starting to drink before age 15 significantly increases the likelihood of developing a drinking problem later in life.

When to Start the Conversation

The best time to talk about alcohol is before you think you need to. Don’t wait for an incident or for them to reach high school. These conversations should be ongoing dialogues, not a single, scary "talk." Starting early, even in middle school, helps build a foundation of trust and openness. Frame the conversation around health, safety, and making smart choices for their developing bodies and brains. As one of our Reframe articles on helping your teen points out, addressing the topic early helps minimize the potential negative impacts of alcohol. It’s about equipping them with information and confidence, so they feel prepared to handle situations before they arise.

Where to Find Help and Support

If you’re concerned about a teen’s drinking, you are not alone and there are many avenues for support. Start by talking to a trusted professional, like a school counselor, family doctor, or therapist who specializes in adolescent behavior. They can provide guidance and resources tailored to your family’s needs. Educating your teen on the real-world effects of alcohol helps them make more informed choices for themselves. For adults looking to model healthier habits, tools like the Reframe app can provide the structure and community to change your own relationship with alcohol, setting a powerful example. Remember, seeking help is a proactive step toward well-being for the whole family.

Making Healthier Choices for Your Future

Alcohol has the power to impact all facets of our growth. From wide-ranging effects on fetal development to negative impacts on puberty and brain maturation in adolescents, to the inhibition of physical and emotional development of adults, alcohol can have dramatic impacts at every stage of life.

Beyond abstaining from alcohol during pregnancy, adolescence is the most impactful and important time to consider alcohol’s effects on growth. By understanding the seriousness of underage drinking and its consequences, we can be better prepared to handle it.

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Frequently Asked Questions

I drank a lot in my late teens and early twenties. Have I permanently stunted my growth? This is a really common concern, and it's smart to think about. While alcohol can interfere with development during those critical years, the most important thing to focus on is what you can do now. Your body has an incredible capacity for healing. By reducing or stopping your alcohol intake, you give your brain and body the chance to repair and function at their best. Instead of worrying about the past, think of this as an opportunity to support your long-term health and well-being starting today.

Does even moderate drinking, like a few beers on the weekend, really affect muscle growth? Yes, it can have a bigger impact than you might think. Alcohol disrupts the key processes your body needs to build and repair muscle, like protein synthesis and the release of growth hormone. It also interferes with your sleep quality, which is prime time for muscle recovery. So even if you're consistent with your workouts and nutrition during the week, weekend drinking can still undermine your progress in the gym.

Is the impact on development the same for all types of alcohol, like beer versus hard liquor? The type of drink isn't as important as the amount of alcohol being consumed. Your body processes ethanol the same way whether it comes from a beer, a glass of wine, or a shot of vodka. The key factor is how much alcohol enters your system and how frequently. Binge drinking, regardless of the beverage, is particularly harmful because it overwhelms your body's ability to process the alcohol, leading to more significant disruptions in your hormones, sleep, and brain function.

If alcohol affects brain development, what does that mean for my adult life? Drinking during the years your brain is still maturing, particularly in the prefrontal cortex and hippocampus, can impact skills you rely on every day. This can show up as challenges with decision-making, emotional regulation, and forming new memories. The good news is that the brain has a remarkable ability to adapt. Reducing your alcohol consumption can improve mental clarity and cognitive function, helping you feel sharper and more in control of your actions and emotions.

How long does it take to see positive changes in my body and mind after I cut back on drinking? Many people notice improvements surprisingly quickly. Within the first few weeks, you might experience better sleep, more stable energy levels, and improved hydration, which all contribute to feeling better physically. Mentally, you may find you have more clarity and a more even mood. The long-term benefits, like improved organ function and reduced health risks, build over time. Every day you choose to drink less is a step toward allowing your body to heal and thrive.

Key Takeaways

  • Alcohol disrupts key growth processes: It interferes with the hormones and quality sleep your body needs to reach its full height potential and build muscle effectively, regardless of your age.
  • Drinking can permanently alter your developing brain: Alcohol use during the teens and twenties can slow the growth of areas crucial for learning, memory, and decision-making, impacting your cognitive abilities for life.
  • Early alcohol use sets a precedent for future risk: Impaired judgment from drinking is especially dangerous for a developing brain, increasing the immediate risk of accidents and poor decisions while also heightening the chance of future dependency.

Related Articles

We all want to grow. Emotionally, financially, and physically. We set goals and work hard to reach them. But what if a regular part of your social life is quietly working against you? This brings up a critical question: does alcohol stunt growth? The answer is a clear yes. It's not just about physical development, like whether alcohol can stunt your height growth. It impacts your mental clarity, emotional regulation, and overall progress. Understanding how alcohol affects your body and mind is the first step to protecting the gains you're working so hard for.

As alcohol touches the lives of so many young adults and adolescents, it’s important to take a hard look at its detrimental effects. Let’s further examine the permanent influence that alcohol has on growth, especially during critical developmental stages.

The Science of How We Grow

Adolescence and young adulthood are 
periods of critical emotional and physical development. Puberty, for example, initiates reproductive maturity and great hormonal changes. Negative influences during puberty have long-term consequences.

Adolescent growth ends when the growth plates in the bones harden, which usually happens after puberty — around age 15 for girls and age 17 or 18 for boys. However, our brain — specifically, the prefrontal cortex (PFC), which regulates our thoughts, actions, and emotions — continues to develop into our mid-to-late 20s. Changes in the growth of our brain have lasting impacts on all of these areas, in addition to memory, learning, and ability to reason.

Alcohol significantly impairs functioning during adulthood, but drinking during adolescence can have even greater impacts. Research shows that binge drinking is more common among adolescents than adults, which, when combined with a still-developing PFC, increases the chance of risk-taking behaviors. Alcohol use also affects growth and development.

The Scope of Underage Drinking

From movies to social media, drinking is often portrayed as a rite of passage for teenagers. It’s seen as a normal part of high school parties and college life. But this normalization can mask the real risks involved when young people start drinking before their brains and bodies are fully developed. Understanding just how widespread this issue is can help us see past the cultural noise and focus on the facts. The numbers paint a clear picture of a trend that starts early and carries significant consequences, affecting everything from school performance to long-term health and well-being. It’s a conversation worth having, not to scare, but to inform and empower.

Key Statistics on Teen Alcohol Use

The reality is that alcohol consumption often begins during the early teen years, a critical period for growth. A 2016 survey revealed that 9.7% of 8th graders and 21.5% of 10th graders reported drinking in the past month. By the time they reach their senior year, the trend continues, with about one out of four high school seniors in the United States having had an alcoholic drink within the past month. These figures show that underage drinking isn't an isolated issue but a common behavior that exposes a large portion of young people to potential harm during a vulnerable stage of their lives.

The impact of starting to drink early extends far beyond the teen years. Research shows that if a child starts drinking before age 15, they are significantly more likely to develop a drinking problem later in life. This early introduction to alcohol can set a precedent for future habits and dependencies. In the short term, the consequences are also clear: teens who drink often do poorly in school and are more likely to get into trouble. This connection between alcohol use and academic struggles highlights how drinking can disrupt a crucial phase of personal and intellectual development, creating obstacles that can affect their future opportunities.

The Truth: Can Alcohol Stunt Your Growth?

A collection of beer bottles alongside a frothy glass of beer

Growth occurs until adulthood, but most of our growth happens during puberty. What we know as a “growth spurt” typically happens during puberty. Alcohol has been shown to induce suppression of Insulin-like Growth Factor 1 (IGF-1), which plays a large role in puberty and physical growth.

Drinking during adolescence has also been associated with delays in puberty, which can interfere with the maturation and normal development of our organ systems — directly affecting growth and development. Another way that alcohol plays a part in stunting our growth is through disruptions in our sleep. During sleep, our body produces hormones that help us grow. Not only in height, but through repairing tissue and building muscle.

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Effects on Physical Growth and Height

So, does alcohol actually affect how tall you get? The short answer is yes, it can. During our key growth years, our bodies rely on a complex symphony of hormones to develop properly. One of the main conductors of this orchestra is a hormone called Insulin-like Growth Factor 1 (IGF-1). Research shows that alcohol can suppress the production of IGF-1, which is essential for bone and tissue growth. When this hormone's levels are low, the body’s ability to reach its full height potential can be compromised. It’s not just about hormones, either. Quality sleep is when our bodies do most of their growing and repairing. Since alcohol is known to disrupt sleep patterns, it can interfere with the natural release of growth hormones that happens overnight.

Effects on Puberty and Hormones

Puberty is more than just a growth spurt; it’s a critical period when our bodies mature and our organ systems develop. Introducing alcohol during this time can have significant consequences. Studies have linked adolescent drinking to delays in puberty, which can create a domino effect, impacting the normal development of vital organs. This isn't a temporary setback; these hormonal disruptions can have lasting effects on reproductive health and overall well-being long into adulthood. Understanding how alcohol interferes with the body’s natural timeline gives us the power to protect our long-term health. By making informed choices, we can support our bodies through these crucial developmental stages instead of hindering them.

Is Alcohol Affecting Your Muscle Growth?

Not only does alcohol stunt physical growth and development, but it also restricts muscle growth. It does this through three main disruptions.

  1. Protein synthesis. Alcohol impairs protein synthesis, which is the process by which cells make proteins. Muscle growth occurs when protein synthesis is greater than the breakdown. Alcohol reduces the rate of protein synthesis, so even when supplementing with pricey protein powders and bars, muscle growth can still be decreased.
  2. Growth hormone. Drinking affects multiple hormones in our body that aid in the muscle-building process. It decreases testosterone and human growth hormone, increases our stress hormone, and induces insulin resistance. By disrupting these hormones in our body, alcohol effectively inhibits muscle development.
  3. Muscle recovery. Alcohol disrupts our sleep cycle, which is vital to tissue regeneration and restoration. It can also dehydrate our body, starving it of essential nutrients our cells need for muscle growth. 

Through disruptions in multiple systems and hormones in our body, we’ve concluded that alcohol has negative effects on our growth and development in general and even more so during puberty. Let’s take a look at another critical developmental stage — pregnancy.

How Alcohol Blocks Nutrient Absorption

Beyond the empty calories, alcohol actively works against your body's ability to absorb the vital nutrients it needs to thrive. Long-term drinking can interfere with the production and release of essential growth hormones and suppress Insulin-like Growth Factor 1 (IGF-1), a key player in physical development. Furthermore, alcohol is a diuretic, meaning it causes dehydration. This process doesn't just leave you thirsty; it flushes out essential nutrients your cells need for everything from tissue repair to muscle growth, effectively robbing your body of the fuel it gets from healthy food. Even if you’re eating well, alcohol can create a barrier that prevents your body from getting the full benefits of your diet.

Can Alcohol Stunt Growth During Pregnancy?

Drinking alcohol during pregnancy is not recommended in any amount. Not only does alcohol stunt the growth of the baby, it has serious permanent effects on the baby’s development. Alcohol consumption during pregnancy causes a multitude of complications known as fetal alcohol spectrum disorders (FASD). This spans a range of conditions, including the following:

  • Fetal alcohol syndrome (FAS). FAS causes abnormalities in growth and the central nervous system. This may include abnormalities on the face, learning disabilities, and mental disabilities. FAS is the most severe consequence of drinking during pregnancy and can cause fetal death or a broad range of issues after birth.
  • Alcohol-related birth defects. Alcohol can cause a broad range of physical changes or disabilities. Defects can occur in the baby’s heart, bones, kidneys, hearing, and bone structure. Systemic issues involve damage to hearing, vision, and brain growth.
  • Alcohol-related neurodevelopmental disorders (ARND). Neurodevelopmental disorders include learning disabilities, developmental delays, and intellectual disabilities. Children with ARND may have issues with memory, attention, impulse control, and understanding of school subjects.
  • Neurobehavioral disorders. Children with neurobehavioral disorders may have problems in the areas of memory, behavior, and daily living. 

So far, we’ve determined that alcohol has dramatic impacts on physical development and growth during pregnancy. Now, let’s take a look at how alcohol can influence a growing brain.

What Alcohol Does to a Developing Brain

Drinking while our brain is still developing impacts two main areas — the hippocampus and prefrontal lobe. Research shows that alcohol misuse during development reduces the rate of brain growth and volume of these areas. 

It goes without saying that all areas of the brain are important to our overall function. However, the hippocampal and prefrontal regions typically develop last, as they deal with our executive or higher cognitive functions.

The hippocampus controls our memory and learning whereas the prefrontal lobe deals with our decision-making skills, planning, emotional regulation, and judgment. Impacts on these areas of the brain are shown to increase the risk of developing alcohol misuse and alcohol use disorder (AUD) later in life.

Skills controlled by our hippocampus and prefrontal lobe are crucial in our adulthood, and impairments to these regions can have many negative and lasting consequences. Let’s learn more about what they are to grasp the gravity of the risks of drinking during development.

Slowing the Growth of White Matter and Thalamus

When we talk about brain development, it’s not just about overall size. Specific regions are hard at work forming connections that will last a lifetime. Research shows that heavy alcohol use directly interferes with this process. One study from OHSU found that it reduced the growth rate of the brain's white matter and the thalamus. Think of white matter as the brain's internal communication network, the highways that let different regions talk to each other quickly and efficiently. The thalamus acts as a central hub, sorting and relaying sensory information. When alcohol slows the development of these critical areas, it’s like building a city with fewer roads and a disorganized central station — the whole system becomes less efficient.

The Potential for Long-Term Learning Impairment

The physical changes to the brain's structure have real-world consequences that can last a lifetime. The same OHSU study points out a sobering reality: alcohol exposure during these key developmental years could permanently alter a person's ability to learn. This isn't just about struggling with exams in high school or college. It affects your capacity to acquire new job skills, adapt to new challenges, and form clear memories well into adulthood. When the development of the hippocampus and prefrontal cortex is disrupted, the very foundation of our ability to learn, reason, and regulate our emotions is weakened. Understanding this connection is a powerful first step toward mindful drinking and protecting your future self.

The Long-Term Risks of Drinking While You're Still Growing

According to the CDC, more than 3,900 deaths occur each year from excessive drinking for those under 21 years of age. Along with alcohol-related deaths, drinking during development poses numerous other issues.

  1. Health risks. Alcohol is related to a multitude of health issues. Underage drinking causes even more issues, as binge drinking is more common and because overall alcohol consumption adds up over time. Drinking during growth opens the door to abnormal organ function and increases the risk of developing diseases. 
  2. Alcohol-related accidents. Alcohol-related accidents are more prevalent in teens and young adults due to the increased risk of dangerous behaviors. Decreased inhibitions and impacts on decision-making skills can lead to increased risk of sexual activity, alcohol-related driving incidents, and alcohol poisoning from binge drinking.
  3. Mental health effects. Drinking during development increases the risk of developing mental health disorders such as anxiety, depression, and other mood disorders. Underage drinking also increases the risk of developing alcohol use disorder, which is also heavily correlated with co-occurring mental health issues.
  4. Impacts on brain development. Through impacting the proper development of our brain, alcohol can cause impairments in our memory, decision-making, social skills, and critical thinking.
  5. Influences on future goals. Underage drinking can impact an adolescent’s future goals through disruption of education or employment. Risky behavior can lead to legal problems that can have lasting effects on an adult’s ability to complete education or obtain and maintain employment.

Through the many consequences, we see the extensive interference that drinking during development leads to causes Let’s take a look at some ways we can go about it to have a more positive impact.

Impacts of Drinking During Development

Increased Risk of Accidents and Violence

When alcohol enters the picture, especially for a brain that’s still under construction, judgment and coordination are some of the first things to go. This impairment dramatically increases the likelihood of accidents. According to health experts, underage drinking is linked to a higher risk of car crashes, falls, and drowning. The underdeveloped prefrontal cortex, which we rely on for sound decision-making, can't effectively pump the brakes on risky impulses when alcohol is involved. This not only puts the individual in danger but also makes them more vulnerable to becoming a victim of violence, a sobering reality that highlights the far-reaching consequences of drinking during these formative years.

Impact on Decision-Making and Sexual Health

Alcohol has a way of lowering inhibitions, which can lead to choices with lifelong consequences, particularly around sexual health. When judgment is clouded, it's easier to engage in unsafe sexual practices, which heightens the risk of sexually transmitted infections (STIs) and unplanned pregnancies. It’s a serious concern, as a single night of poor decisions can alter the course of a young person's life. Furthermore, alcohol-induced vulnerability can increase the chances of being a victim of sexual assault. These aren't just abstract risks; they are real-world outcomes that underscore the importance of clear-headed decision-making during adolescence and young adulthood.

The Dangers of Binge Drinking and Alcohol Poisoning

Binge drinking, often defined as having four or five drinks in about two hours, is especially dangerous for young people. This rapid consumption can overwhelm the body and lead to alcohol poisoning, a life-threatening condition that requires immediate medical attention. Because an adolescent's body and brain are still developing, they may not process alcohol as efficiently as an adult's, making them more susceptible to its toxic effects. The combination of a higher tendency for risky behavior and the physical dangers of consuming large amounts of alcohol quickly creates a perfect storm for potentially fatal outcomes. Understanding your limits is crucial, and tools like a Blood Alcohol Content (BAC) calculator can offer perspective on how alcohol affects the body.

Is Alcohol Stunting My Growth?

If you’re concerned that drinking may be affecting your growth, don’t worry: every day is a new day to start growing in new ways. Whether you’re young and still growing up, or you’re struggling to make gains in the gym, or you feel stuck in life and you think alcohol may be interfering with your flourishing — there’s hope.

Start by assessing your relationship to alcohol. Take a few days (or a week) to track your cravings, your drinks, and your thoughts. Reflect on how your life would be different without alcohol. If you think drinking is harming your well-being, it may be time to get sober-curious or take a break with a 30-day challenge.

If you decide it’s time to change your relationship with alcohol, check out our blog on how to stop drinking and consider joining the Reframe app — a community of people on similar journeys to quit or cut back on alcohol.

How to Talk to Your Teen About Drinking

Approaching a conversation about drinking with the young adult in your life may not be easy. The teenage years can be a turbulent time socially and emotionally. Some ways that parents or other adults can help adolescents develop a more positive relationship include the following actions:

  • Educate. Clearly communicating and educating adolescents on the detrimental effects of underage drinking and alcohol in general helps them make more informed and intentional choices. Understanding the reason why underage drinking is illegal and how it may impact them in the future paints a clearer picture than just setting strict rules.
  • Set a good example. We are the most easily influenced during our adolescent years. Have you ever accidentally said a “bad word” just to have a kid in the family pick up on it immediately and start repeating it? Kids learn by observing those around them; setting a good example around drinking is crucial for developing positive habits. 
  • Develop rules. There may be laws in place for underage drinking, but they aren’t always enforced — especially when alcohol use can be hidden behind closed doors. Setting strict rules and making consequences clear shows how serious the issue is.
  • Address other factors. Aside from social pressure, drinking habits may stem from other issues in our life. Alcohol’s stimulant and depressant effects can temporarily increase our mood and serve as an escape or coping mechanism for other problems. Addressing the root of the issue can help reduce the consumption of alcohol. 
  • Explore treatment options. If we are concerned about our teens’ underage drinking or alcohol misuse, there are plenty of professional treatment options to explore. Addressing the problem early helps to minimize the negative impacts of alcohol and prevents further dependence and complications. 

For more thoughts on how to nurture your teen through recovery from alcohol misuse, head over to our blog titled “How To Help Your Teen With Alcohol Recovery.”

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Understanding Why Teens Drink

It’s easy to chalk up teen drinking to simple rebellion, but the reasons are often more complex. Curiosity, peer pressure, and the desire to fit in are powerful motivators during a time when social circles are everything. For others, alcohol can feel like a way to cope with stress, anxiety, or insecurity. It’s important to remember that the adolescent brain is wired for novelty and risk-taking, making them more susceptible to trying alcohol. Research shows that teens are not only more sensitive to alcohol but also less tolerant of its negative effects compared to adults. This vulnerability is why starting to drink before age 15 significantly increases the likelihood of developing a drinking problem later in life.

When to Start the Conversation

The best time to talk about alcohol is before you think you need to. Don’t wait for an incident or for them to reach high school. These conversations should be ongoing dialogues, not a single, scary "talk." Starting early, even in middle school, helps build a foundation of trust and openness. Frame the conversation around health, safety, and making smart choices for their developing bodies and brains. As one of our Reframe articles on helping your teen points out, addressing the topic early helps minimize the potential negative impacts of alcohol. It’s about equipping them with information and confidence, so they feel prepared to handle situations before they arise.

Where to Find Help and Support

If you’re concerned about a teen’s drinking, you are not alone and there are many avenues for support. Start by talking to a trusted professional, like a school counselor, family doctor, or therapist who specializes in adolescent behavior. They can provide guidance and resources tailored to your family’s needs. Educating your teen on the real-world effects of alcohol helps them make more informed choices for themselves. For adults looking to model healthier habits, tools like the Reframe app can provide the structure and community to change your own relationship with alcohol, setting a powerful example. Remember, seeking help is a proactive step toward well-being for the whole family.

Making Healthier Choices for Your Future

Alcohol has the power to impact all facets of our growth. From wide-ranging effects on fetal development to negative impacts on puberty and brain maturation in adolescents, to the inhibition of physical and emotional development of adults, alcohol can have dramatic impacts at every stage of life.

Beyond abstaining from alcohol during pregnancy, adolescence is the most impactful and important time to consider alcohol’s effects on growth. By understanding the seriousness of underage drinking and its consequences, we can be better prepared to handle it.

Call to action for signing up reframe app

Frequently Asked Questions

I drank a lot in my late teens and early twenties. Have I permanently stunted my growth? This is a really common concern, and it's smart to think about. While alcohol can interfere with development during those critical years, the most important thing to focus on is what you can do now. Your body has an incredible capacity for healing. By reducing or stopping your alcohol intake, you give your brain and body the chance to repair and function at their best. Instead of worrying about the past, think of this as an opportunity to support your long-term health and well-being starting today.

Does even moderate drinking, like a few beers on the weekend, really affect muscle growth? Yes, it can have a bigger impact than you might think. Alcohol disrupts the key processes your body needs to build and repair muscle, like protein synthesis and the release of growth hormone. It also interferes with your sleep quality, which is prime time for muscle recovery. So even if you're consistent with your workouts and nutrition during the week, weekend drinking can still undermine your progress in the gym.

Is the impact on development the same for all types of alcohol, like beer versus hard liquor? The type of drink isn't as important as the amount of alcohol being consumed. Your body processes ethanol the same way whether it comes from a beer, a glass of wine, or a shot of vodka. The key factor is how much alcohol enters your system and how frequently. Binge drinking, regardless of the beverage, is particularly harmful because it overwhelms your body's ability to process the alcohol, leading to more significant disruptions in your hormones, sleep, and brain function.

If alcohol affects brain development, what does that mean for my adult life? Drinking during the years your brain is still maturing, particularly in the prefrontal cortex and hippocampus, can impact skills you rely on every day. This can show up as challenges with decision-making, emotional regulation, and forming new memories. The good news is that the brain has a remarkable ability to adapt. Reducing your alcohol consumption can improve mental clarity and cognitive function, helping you feel sharper and more in control of your actions and emotions.

How long does it take to see positive changes in my body and mind after I cut back on drinking? Many people notice improvements surprisingly quickly. Within the first few weeks, you might experience better sleep, more stable energy levels, and improved hydration, which all contribute to feeling better physically. Mentally, you may find you have more clarity and a more even mood. The long-term benefits, like improved organ function and reduced health risks, build over time. Every day you choose to drink less is a step toward allowing your body to heal and thrive.

Key Takeaways

  • Alcohol disrupts key growth processes: It interferes with the hormones and quality sleep your body needs to reach its full height potential and build muscle effectively, regardless of your age.
  • Drinking can permanently alter your developing brain: Alcohol use during the teens and twenties can slow the growth of areas crucial for learning, memory, and decision-making, impacting your cognitive abilities for life.
  • Early alcohol use sets a precedent for future risk: Impaired judgment from drinking is especially dangerous for a developing brain, increasing the immediate risk of accidents and poor decisions while also heightening the chance of future dependency.

Related Articles

Alcohol and Health
2024-10-26 9:00
Alcohol and Health
Blood in Stool After Drinking: What You Should Know
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Understand the causes and concerns of blood in stool after drinking. Learn what this symptom means for your health and when to seek medical advice.

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Ready To Stop Drinking? Reframe Is Here To 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 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!

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Most of us think we have a handle on what alcohol does to our bodies. But some symptoms are impossible to ignore, and finding blood in your stool after drinking is one of them. It’s a frightening experience, and you’re right to be concerned. If you're pooping bright red blood after drinking alcohol, it's a clear warning sign. This isn't a one-off issue; it points to deeper damage. Understanding why you see blood in poop after drinking is the first step toward helping your body heal.

Think back to the school assemblies that dared us to “just say no” or that first mind-bending hangover. We’ve heard heavy drinking horror stories since before we could get into a bar, and now maybe we’ve lived through some of our own horror stories.  

We know the risks and still drink when we want. Why not? Most of us only think about the short-term effects of alcohol use, but we need to consider the long term, too.

As we age, the effects of alcohol use start to catch up with us — often in weird, wild ways. One of the strangest signs of problem drinking is seeing blood in our stool. If you’ve ever left the bathroom wondering, “Why am I bleeding after drinking alcohol?”, this one’s for you. Let’s explore the potential causes of bloody stool and the role alcohol can play.


Can Alcohol Cause Blood in Stool?

A woman relaxes on a couch, holding a glass of whiskey

Let’s cut to the chase: can alcohol cause blood in stool? Yes! We may see telltale red blood or partially digested blood, which is black and the texture of coffee grounds. This isn’t an in-the-moment effect we’ll observe after one or two drinks. Instead, it’s the cumulative result of ongoing overindulgence. The key to understanding this symptom is to unpack the way our body processes (and reacts to) alcohol.

  • Inflammation. First, consider alcohol’s inflammatory properties. As we drink, it irritates each part of our gastrointestinal tract: the esophagus, stomach, and large and small intestines. Prolonged heavy drinking erodes the delicate mucosal lining of these structures, exposing a network of capillaries and vessels, which will continue bleeding until alcohol use ceases. This blood can show up in our stool.
  • Alcohol absorption. Once that protective lining wears away, we’re left with some unpleasant results. The body struggles to take in vital nutrients and begins directly absorbing the toxins from alcohol. As alcohol easily passes into the bloodstream and liver, the complications of drinking become more pronounced. We’re likely to experience internal bleeding at this stage — often, the calling card of organ damage is bloody stool.
  • Functional changes. Alcohol affects our hormone levels, colonic movement, enzyme production, and the stomach’s ability to secrete gastric acid. It also disrupts the microflora levels in our intestines, which intensifies our body’s exposure to toxins. Together, these changes place us at risk of cirrhosis, liver failure, and various cancers.
  • Bleeding more (and longer). Alcohol thins the blood, making it harder for clots to form. It also dilates our blood vessels. If we have any existing issues causing blood in stool, drinking can make them worse.
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Why You Might See Blood in Stool After Drinking

When we hear “blood,” we probably picture red streaks. In reality, most blood in stool looks black after its trip through the digestive system. Dark, smelly, tar-like stools can be a sign of serious internal bleeding, as can stools that look like coffee grounds. Doctors call this “melena.” Potential causes linking alcohol and blood in stool include the following:

  • Cirrhosis and liver failure. Cirrhosis is a severe form of liver damage characterized by extensive scarring. As we drink, the liver tries valiantly to repair itself. Scar tissue replaces the healthy tissue that makes up our liver, inhibiting its function and causing organ failure. People with cirrhosis experience GI bleeding due to a phenomenon called portal hypertension. When scarring blocks crucial blood vessels leading to the liver, our blood pressure increases. This force creates varices — enlarged veins that tend to bleed when they rupture.

  • Peptic ulcers. These open sores in the stomach lining and small intestine cause most gastrointestinal bleeding. A combination of stomach acid, NSAIDs (nonsteroidal anti-inflammatory drugs), and alcohol accelerates the formation of ulcers.

  • Diverticulitis. When the intestinal walls weaken, small pouches may form within its lining. These are called diverticula. As those little pockets become inflamed or infected, they start bleeding, resulting in bloody stool.
  • Gastrointestinal damage. Have you heard of Mallory-Weiss tears? These gashes occur when alcohol thins the sensitive tissue lining our digestive tract, making it more vulnerable to damage. Once lacerations form, they bleed profusely.

Sometimes, we can attribute blood in stool after drinking to a more benign cause. If the blood we’re seeing is bright red, we may be experiencing anal fissures or hemorrhoids.

  • Anal fissures. When the thin skin lining the anal sphincter sustains damage, it may bleed, even after the bowel movement concludes.
  • Hemorrhoids. These swollen veins form inside or outside of the anal cavity. When inflamed, they may swell and begin bleeding. Often, hemorrhoids are behind bloody stool.

Let’s dive deeper into hemorrhoids, since they’re incredibly common — and alcohol can make them worse.


How Alcohol Directly Harms Your Gut

Beyond the more obvious effects, alcohol wages a quiet war on our digestive system. Think of it as a direct irritant. When you drink, alcohol can inflame your stomach lining, making it harder for your body to absorb essential nutrients from your food. This not only deprives your body of what it needs to function but can also lead to uncomfortable consequences like diarrhea and dehydration. While a single drink might not cause a major issue, frequent or heavy drinking continuously damages the gut. This ongoing irritation is a key reason why alcohol can contribute to more serious digestive problems, including bleeding, over time.

Other Digestive Issues Linked to Alcohol

While direct irritation is a major concern, alcohol’s impact doesn’t stop there. Its long-term use is linked to the development or worsening of several specific digestive conditions that can cause bleeding. Understanding these issues can help clarify why you might be experiencing symptoms and highlights the importance of addressing your drinking habits for your overall gut health. From inflammation in the stomach to issues in the colon, alcohol can be a trigger or an aggravating factor in a number of painful and serious conditions that require medical attention.

Gastritis

Gastritis is a straightforward term for an inflamed stomach lining, and excessive alcohol consumption is one of its primary culprits. When your stomach lining is constantly irritated by alcohol, it can become raw and inflamed. This chronic inflammation can eventually erode the lining to the point where it begins to bleed. This bleeding is a direct source of blood that can later appear in your stool, serving as a clear warning sign that your stomach is under significant distress from alcohol. It's a direct cause-and-effect relationship that shouldn't be ignored.

GERD

If you suffer from acid reflux, alcohol can make it much worse. Alcohol relaxes the muscle at the bottom of the esophagus, making it easier for stomach acid to splash back up. This is known as gastroesophageal reflux disease, or GERD. When this happens frequently, the acid can severely irritate and inflame the lining of your esophagus. In serious cases, this inflammation can cause the esophageal lining to bleed, which can then travel through your digestive system and show up in your stool, often appearing as dark, tarry material.

Colitis and Polyps

Colitis is inflammation of the colon, or large intestine. While alcohol may not be the sole cause, it is a known irritant that can significantly worsen the inflammation, potentially leading to bleeding and other painful symptoms. Similarly, alcohol consumption is considered a risk factor for developing colon polyps, which are small growths on the lining of the colon. While often benign, some polyps can grow and bleed, or even develop into more serious issues over time, making regular check-ups important if you have other risk factors.

Diverticular Disease

Diverticular disease occurs when small pouches, called diverticula, form in the wall of your intestine. This condition is quite common, and while the pouches themselves aren't necessarily a problem, they can become inflamed or infected—a painful condition called diverticulitis. When these pouches become severely inflamed, they can rupture and bleed, sometimes significantly. Alcohol’s inflammatory effect on the entire gut can aggravate this condition and increase the risk of a bleeding episode, especially during a flare-up.

How Alcohol Can Worsen Existing Conditions

If you’re already managing a chronic digestive issue, adding alcohol to the mix can be like pouring gasoline on a fire. For many people with pre-existing conditions, alcohol isn’t just a minor irritant; it’s a major trigger that can cause painful flare-ups and make symptoms significantly worse. It can undermine treatment plans and make it much harder to keep your condition under control. If you have a diagnosed digestive disorder, it’s especially important to be honest with yourself and your doctor about how alcohol might be affecting your health.

Crohn's Disease and IBS

For those with inflammatory bowel diseases like Crohn's disease, alcohol is a well-known trigger for flare-ups. Since Crohn's is characterized by inflammation in the digestive tract, introducing an inflammatory substance like alcohol can worsen symptoms, including bleeding. Similarly, while Irritable Bowel Syndrome (IBS) doesn't typically cause bleeding, alcohol can aggravate its symptoms, such as cramping, bloating, and diarrhea. For anyone trying to manage these conditions, reducing or eliminating alcohol is often a critical step toward feeling better and regaining control.

How Alcohol Affects Hemorrhoids

Hemorrhoids, or piles, are naturally occurring blood vessels lining the anus and rectum. They form at the junctions of small arteries and veins. These lumps only become problematic when they swell, causing itching, pain, and bloody stool.

Can alcohol cause hemorrhoids? Yes, and the explanation is fairly simple. Piles may be scraped during the passage of hard, dehydrated fecal matter, which leads to relatively painless bleeding. For many of us, small spots of bright red blood on toilet paper are the first sign of hemorrhoids.

While they can be caused by pregnancy, low fiber levels, or a sedentary lifestyle, alcohol also heightens our risk of bleeding from these uncomfortable bumps. Let’s explore the link between alcohol and hemorrhoids.

  • Weight gain. Cocktails, beer, wine — no matter what we drink, alcohol is packed with hidden calories. It also spurs late-night snacking. The result? Unexpected weight gain, which ups the pressure on our rectum, increasing the likelihood of hemorrhoid formation.
  • High blood pressure. While high blood pressure doesn’t cause hemorrhoids, it raises the probability that they will bleed profusely. Research has found that portal hypertension may be a risk factor in severe hemorrhoidal bleeding.
  • Dehydration. As a diuretic, alcohol dehydrates us, which causes the body to produce hard, difficult-to-pass bowel movements. When the rectum strains to pass hardened waste, our blood vessels experience irritation. This creates new hemorrhoids, which may itch and bleed.

Those of us experiencing bloody stool should familiarize ourselves with all the major warning signs of hemorrhoids. While they aren’t usually dangerous, they can be incredibly uncomfortable and interfere with our well-being.

Could It Be Hemorrhoids? Signs to Look For

Most of us realize we have hemorrhoids when we see red blood on our toilet paper after a painless bowel movement. However, there are a few more symptoms we should be aware of.

Other signs of hemorrhoids include the following:

  • Pain and discomfort while sitting or using the bathroom
  • Itching, irritation, and swelling
  • Bumps around or protruding from the anus

In rare cases, hemorrhoids can create serious health complications. Ongoing blood loss from severe lesions may cause anemia. If left untreated, hemorrhoids might become painful or cause blood clots. We should seek medical care for suspected hemorrhoids.

Lifestyle Choices That Make Hemorrhoids Worse

What to Do About Blood in Your Poop After Drinking

Sometimes, bleeding after drinking is exacerbated by our lifestyle choices. Spicy foods, low fiber, and dehydration can worsen rectal bleeding, especially if the bleeding is related to hemorrhoids. Consider these tips to promote healthy digestion and alleviate the stress on our GI tract.

  • Avoid NSAIDs. Nonsteroidal anti-inflammatory drugs are in just about everyone’s medicine cabinet, but did you know that they can increase our risk of internal bleeding? Lay off the OTC painkillers until the bleeding is under control. Common NSAIDs include ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin (Bayer, St. Joseph’s).
  • Eat a fiber-forward, nutrient-rich diet. Our bodies were made to digest fruits and vegetables. Follow dietary best practices and steer clear of processed or spicy foods, which can irritate the stomach.
  • Drink more water. Dehydration makes issues like hemorrhoids worse, and proper hydration can make bowel movements easier.
  • Use topical creams. Soothe itchy, painful hemorrhoids by applying topical creams, which are available at most drugstores.
  • Limit sitting. Long periods of inactivity or straining on the toilet can catalyze hemorrhoid formation. Stay active and resist the urge to scroll social media while in the bathroom.
  • Abstain from alcohol. If bleeding always happens after a night of drinking, consider cutting out alcohol altogether. As we discussed, heavy drinking can cause myriad health issues related to blood in stool.

Note: Bleeding after drinking can indicate a life-threatening condition. The only way to truly treat the symptom is to address its root cause. Instead of trying to DIY a solution for bloody stool, consult a healthcare provider.

Seeking a Proper Diagnosis

I can't stress this enough: if you see blood in your stool, you need to see a doctor. It’s the only way to get a clear answer and the right treatment. While it’s easy to brush off symptoms or hope they’ll go away, blood in your poop after drinking can be a sign of gastrointestinal hemorrhage, which means there’s bleeding somewhere along your digestive tract. A medical professional can investigate the cause, whether it’s something relatively minor or a more serious condition that needs immediate attention. Please don’t wait or try to diagnose yourself. Your health is too important to leave to chance.

When Blood Isn't Visible

It’s also important to know that sometimes bleeding isn't obvious. You might have blood in your stool that isn't visible to the naked eye, a condition known as "occult blood." This hidden bleeding can only be detected through a specific lab test, like a fecal occult test, which your doctor can order. This is why being proactive about your health is so crucial. Regular check-ups and being completely honest with your doctor about your symptoms and alcohol consumption are vital for catching potential problems early, even before they become visible signs you can see for yourself.

What to Expect at the Doctor's Office

Knowing what to expect can make the idea of a doctor's visit less intimidating. Your provider will likely start by asking about your medical history and your specific symptoms. From there, they may perform a physical exam and recommend further tests to pinpoint the source of the bleeding. These could include blood work to check for things like anemia or clotting issues, or a procedure like a colonoscopy to get a direct look at your digestive tract. It’s all part of a standard process to get you the answers and care you need, so try not to let fear of the unknown hold you back from getting help.

Tips to Reduce Harm if You Choose to Drink

The most effective way to prevent alcohol-related health issues is to reduce or stop drinking. However, if you choose to drink, there are ways to lessen the immediate harm to your digestive system. Always try to eat a solid meal before you drink, as alcohol on an empty stomach can be especially irritating. Make sure to drink plenty of water to stay hydrated and help your body process the alcohol. It’s also wise to avoid sugary mixers or drinks with caffeine. Most importantly, practicing mindful drinking and consuming in moderation can make a significant difference. If you’re looking for support in cutting back, the Reframe app offers a neuroscience-based program to help you build healthier habits.

When to Worry About Blood in Your Stool

If you ever see blood in your stool, discuss your symptoms with a doctor as soon as possible. A professional medical opinion is the only way to get an accurate diagnosis and appropriate treatment plan.

Whether your waste is bright red or black, this symptom warrants an examination. Multicolored bowel movements can be a sign of internal bleeding, organ damage, or liver failure.

Doctor's Office or Urgent Care: Making the Right Call

If you’re especially concerned about your symptoms, you can make an appointment with your local urgent care or primary care physician. Explain your symptoms and request to be seen within the next few days, not weeks.

Be sure to alert your provider of any changes in bowel habits. Tell them whether the blood is mixed in with stool or if you’re just seeing it on the toilet paper. Note the color — is it bright red or black? 

Finally, if possible, create a log of times when you’ve observed blood after using the restroom. This may seem like overkill, but it can be incredibly helpful. The more information your doctor has, the better your outcomes will be.

Warning Signs: When to Go to the ER Immediately

Sometimes, symptoms are severe or come on very quickly. Many people ignore the warning signs of internal bleeding — a decision that can be life-threatening. Head to the ER if you’re experiencing the following:

  • Passing a lot of blood at once, especially if you see clots
  • Blood accompanied by severe abdominal pain
  • Weakness and fatigue, which can be signs of anemia
  • Additional symptoms like dizziness, high heart rate, or low blood pressure
  • Vomiting blood 
  • Black, tar-like stools
  • Stools that look like coffee grounds
  • Painful passage of stools or pain during exertion

Listen to your body and trust your instincts. When in doubt, seek a professional opinion!

Tired of Pooping Blood After Drinking?

We know, we know — this whole topic feels a bit TMI. But if your stool has red or black in it, don’t let embarrassment keep you from seeking medical care. Pooping blood after drinking can signify serious internal damage. It may also be an easily solvable issue like hemorrhoids. You won’t know until you talk to a professional!

Bleeding after drinking inspires many of us to reassess our relationship with alcohol. If you’re hoping to cut back or quit, Reframe can help. Our innovative app combines proven habit-change techniques with 24/7 community support. Join millions of Reframers in the journey toward balance and well-being.

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Frequently Asked Questions

Is bright red blood in my stool less serious than dark, black stool? While bright red blood often points to issues lower in your digestive tract, like hemorrhoids, it’s never something to ignore. Black, tarry stool suggests the bleeding is happening higher up, perhaps in your stomach, and the blood has been digested. This can signal more serious conditions like ulcers or gastritis. The bottom line is that any blood, regardless of color, is your body’s way of telling you something is wrong, and it’s a clear sign to consult a medical professional.

If I stop drinking, will the bleeding just go away? Quitting or cutting back on alcohol is a crucial first step because it removes a major source of irritation and gives your body a chance to heal. However, it’s not a magic fix. If there’s an underlying condition like an ulcer, severe gastritis, or liver damage, that issue will still need to be diagnosed and treated by a doctor. Think of stopping alcohol as clearing the way for healing, but a proper medical plan is what will truly resolve the root cause.

I only drink on the weekends. Can that still cause this kind of problem? Absolutely. It’s not always about drinking every single day. Binge drinking or heavy weekend consumption can still cause significant inflammation and damage to your digestive lining over time. Your gut doesn't just hit a reset button every Monday morning. This repeated irritation can lead to chronic problems, so even if your drinking is confined to a couple of days a week, it can certainly be the source of these symptoms.

I’m really embarrassed to bring this up with my doctor. What do I even say? It’s completely normal to feel awkward, but your health is too important to let embarrassment get in the way. You can be direct and simply say, "I've noticed blood in my stool, and I'm concerned it might be related to my drinking." Be ready to share details like the color, how often it happens, and if you have other symptoms like pain or fatigue. Your doctor is a professional who needs this information to help you, and being honest is the quickest path to getting the right diagnosis and care.

Besides cutting out alcohol, what’s one simple thing I can do to help right now? While you’re waiting for your doctor's appointment, focus on hydration and fiber. Alcohol is dehydrating, which can lead to hard stools that make things worse, especially if you have hemorrhoids. Drinking plenty of water and incorporating more fiber-rich foods like fruits, vegetables, and whole grains can help soften your stool and reduce strain on your digestive system. It’s a small, practical step that can offer some relief.

Key Takeaways

  • Alcohol directly harms your gut: Frequent drinking irritates the entire lining of your digestive tract. This inflammation can cause bleeding from conditions like gastritis and ulcers or signal more serious issues like liver damage.
  • Pay attention to the color: Bright red blood often points to problems lower down, like hemorrhoids, which alcohol can make worse. Dark, black, or tar-like stool is a more urgent sign that suggests bleeding is happening higher up in your digestive system.
  • A doctor's visit is essential: Don't try to guess the cause or wait for it to go away. Seeing a doctor is the only way to get an accurate diagnosis and address the root of the problem, which often involves re-evaluating your relationship with alcohol.

Related Articles

Most of us think we have a handle on what alcohol does to our bodies. But some symptoms are impossible to ignore, and finding blood in your stool after drinking is one of them. It’s a frightening experience, and you’re right to be concerned. If you're pooping bright red blood after drinking alcohol, it's a clear warning sign. This isn't a one-off issue; it points to deeper damage. Understanding why you see blood in poop after drinking is the first step toward helping your body heal.

Think back to the school assemblies that dared us to “just say no” or that first mind-bending hangover. We’ve heard heavy drinking horror stories since before we could get into a bar, and now maybe we’ve lived through some of our own horror stories.  

We know the risks and still drink when we want. Why not? Most of us only think about the short-term effects of alcohol use, but we need to consider the long term, too.

As we age, the effects of alcohol use start to catch up with us — often in weird, wild ways. One of the strangest signs of problem drinking is seeing blood in our stool. If you’ve ever left the bathroom wondering, “Why am I bleeding after drinking alcohol?”, this one’s for you. Let’s explore the potential causes of bloody stool and the role alcohol can play.


Can Alcohol Cause Blood in Stool?

A woman relaxes on a couch, holding a glass of whiskey

Let’s cut to the chase: can alcohol cause blood in stool? Yes! We may see telltale red blood or partially digested blood, which is black and the texture of coffee grounds. This isn’t an in-the-moment effect we’ll observe after one or two drinks. Instead, it’s the cumulative result of ongoing overindulgence. The key to understanding this symptom is to unpack the way our body processes (and reacts to) alcohol.

  • Inflammation. First, consider alcohol’s inflammatory properties. As we drink, it irritates each part of our gastrointestinal tract: the esophagus, stomach, and large and small intestines. Prolonged heavy drinking erodes the delicate mucosal lining of these structures, exposing a network of capillaries and vessels, which will continue bleeding until alcohol use ceases. This blood can show up in our stool.
  • Alcohol absorption. Once that protective lining wears away, we’re left with some unpleasant results. The body struggles to take in vital nutrients and begins directly absorbing the toxins from alcohol. As alcohol easily passes into the bloodstream and liver, the complications of drinking become more pronounced. We’re likely to experience internal bleeding at this stage — often, the calling card of organ damage is bloody stool.
  • Functional changes. Alcohol affects our hormone levels, colonic movement, enzyme production, and the stomach’s ability to secrete gastric acid. It also disrupts the microflora levels in our intestines, which intensifies our body’s exposure to toxins. Together, these changes place us at risk of cirrhosis, liver failure, and various cancers.
  • Bleeding more (and longer). Alcohol thins the blood, making it harder for clots to form. It also dilates our blood vessels. If we have any existing issues causing blood in stool, drinking can make them worse.
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Why You Might See Blood in Stool After Drinking

When we hear “blood,” we probably picture red streaks. In reality, most blood in stool looks black after its trip through the digestive system. Dark, smelly, tar-like stools can be a sign of serious internal bleeding, as can stools that look like coffee grounds. Doctors call this “melena.” Potential causes linking alcohol and blood in stool include the following:

  • Cirrhosis and liver failure. Cirrhosis is a severe form of liver damage characterized by extensive scarring. As we drink, the liver tries valiantly to repair itself. Scar tissue replaces the healthy tissue that makes up our liver, inhibiting its function and causing organ failure. People with cirrhosis experience GI bleeding due to a phenomenon called portal hypertension. When scarring blocks crucial blood vessels leading to the liver, our blood pressure increases. This force creates varices — enlarged veins that tend to bleed when they rupture.

  • Peptic ulcers. These open sores in the stomach lining and small intestine cause most gastrointestinal bleeding. A combination of stomach acid, NSAIDs (nonsteroidal anti-inflammatory drugs), and alcohol accelerates the formation of ulcers.

  • Diverticulitis. When the intestinal walls weaken, small pouches may form within its lining. These are called diverticula. As those little pockets become inflamed or infected, they start bleeding, resulting in bloody stool.
  • Gastrointestinal damage. Have you heard of Mallory-Weiss tears? These gashes occur when alcohol thins the sensitive tissue lining our digestive tract, making it more vulnerable to damage. Once lacerations form, they bleed profusely.

Sometimes, we can attribute blood in stool after drinking to a more benign cause. If the blood we’re seeing is bright red, we may be experiencing anal fissures or hemorrhoids.

  • Anal fissures. When the thin skin lining the anal sphincter sustains damage, it may bleed, even after the bowel movement concludes.
  • Hemorrhoids. These swollen veins form inside or outside of the anal cavity. When inflamed, they may swell and begin bleeding. Often, hemorrhoids are behind bloody stool.

Let’s dive deeper into hemorrhoids, since they’re incredibly common — and alcohol can make them worse.


How Alcohol Directly Harms Your Gut

Beyond the more obvious effects, alcohol wages a quiet war on our digestive system. Think of it as a direct irritant. When you drink, alcohol can inflame your stomach lining, making it harder for your body to absorb essential nutrients from your food. This not only deprives your body of what it needs to function but can also lead to uncomfortable consequences like diarrhea and dehydration. While a single drink might not cause a major issue, frequent or heavy drinking continuously damages the gut. This ongoing irritation is a key reason why alcohol can contribute to more serious digestive problems, including bleeding, over time.

Other Digestive Issues Linked to Alcohol

While direct irritation is a major concern, alcohol’s impact doesn’t stop there. Its long-term use is linked to the development or worsening of several specific digestive conditions that can cause bleeding. Understanding these issues can help clarify why you might be experiencing symptoms and highlights the importance of addressing your drinking habits for your overall gut health. From inflammation in the stomach to issues in the colon, alcohol can be a trigger or an aggravating factor in a number of painful and serious conditions that require medical attention.

Gastritis

Gastritis is a straightforward term for an inflamed stomach lining, and excessive alcohol consumption is one of its primary culprits. When your stomach lining is constantly irritated by alcohol, it can become raw and inflamed. This chronic inflammation can eventually erode the lining to the point where it begins to bleed. This bleeding is a direct source of blood that can later appear in your stool, serving as a clear warning sign that your stomach is under significant distress from alcohol. It's a direct cause-and-effect relationship that shouldn't be ignored.

GERD

If you suffer from acid reflux, alcohol can make it much worse. Alcohol relaxes the muscle at the bottom of the esophagus, making it easier for stomach acid to splash back up. This is known as gastroesophageal reflux disease, or GERD. When this happens frequently, the acid can severely irritate and inflame the lining of your esophagus. In serious cases, this inflammation can cause the esophageal lining to bleed, which can then travel through your digestive system and show up in your stool, often appearing as dark, tarry material.

Colitis and Polyps

Colitis is inflammation of the colon, or large intestine. While alcohol may not be the sole cause, it is a known irritant that can significantly worsen the inflammation, potentially leading to bleeding and other painful symptoms. Similarly, alcohol consumption is considered a risk factor for developing colon polyps, which are small growths on the lining of the colon. While often benign, some polyps can grow and bleed, or even develop into more serious issues over time, making regular check-ups important if you have other risk factors.

Diverticular Disease

Diverticular disease occurs when small pouches, called diverticula, form in the wall of your intestine. This condition is quite common, and while the pouches themselves aren't necessarily a problem, they can become inflamed or infected—a painful condition called diverticulitis. When these pouches become severely inflamed, they can rupture and bleed, sometimes significantly. Alcohol’s inflammatory effect on the entire gut can aggravate this condition and increase the risk of a bleeding episode, especially during a flare-up.

How Alcohol Can Worsen Existing Conditions

If you’re already managing a chronic digestive issue, adding alcohol to the mix can be like pouring gasoline on a fire. For many people with pre-existing conditions, alcohol isn’t just a minor irritant; it’s a major trigger that can cause painful flare-ups and make symptoms significantly worse. It can undermine treatment plans and make it much harder to keep your condition under control. If you have a diagnosed digestive disorder, it’s especially important to be honest with yourself and your doctor about how alcohol might be affecting your health.

Crohn's Disease and IBS

For those with inflammatory bowel diseases like Crohn's disease, alcohol is a well-known trigger for flare-ups. Since Crohn's is characterized by inflammation in the digestive tract, introducing an inflammatory substance like alcohol can worsen symptoms, including bleeding. Similarly, while Irritable Bowel Syndrome (IBS) doesn't typically cause bleeding, alcohol can aggravate its symptoms, such as cramping, bloating, and diarrhea. For anyone trying to manage these conditions, reducing or eliminating alcohol is often a critical step toward feeling better and regaining control.

How Alcohol Affects Hemorrhoids

Hemorrhoids, or piles, are naturally occurring blood vessels lining the anus and rectum. They form at the junctions of small arteries and veins. These lumps only become problematic when they swell, causing itching, pain, and bloody stool.

Can alcohol cause hemorrhoids? Yes, and the explanation is fairly simple. Piles may be scraped during the passage of hard, dehydrated fecal matter, which leads to relatively painless bleeding. For many of us, small spots of bright red blood on toilet paper are the first sign of hemorrhoids.

While they can be caused by pregnancy, low fiber levels, or a sedentary lifestyle, alcohol also heightens our risk of bleeding from these uncomfortable bumps. Let’s explore the link between alcohol and hemorrhoids.

  • Weight gain. Cocktails, beer, wine — no matter what we drink, alcohol is packed with hidden calories. It also spurs late-night snacking. The result? Unexpected weight gain, which ups the pressure on our rectum, increasing the likelihood of hemorrhoid formation.
  • High blood pressure. While high blood pressure doesn’t cause hemorrhoids, it raises the probability that they will bleed profusely. Research has found that portal hypertension may be a risk factor in severe hemorrhoidal bleeding.
  • Dehydration. As a diuretic, alcohol dehydrates us, which causes the body to produce hard, difficult-to-pass bowel movements. When the rectum strains to pass hardened waste, our blood vessels experience irritation. This creates new hemorrhoids, which may itch and bleed.

Those of us experiencing bloody stool should familiarize ourselves with all the major warning signs of hemorrhoids. While they aren’t usually dangerous, they can be incredibly uncomfortable and interfere with our well-being.

Could It Be Hemorrhoids? Signs to Look For

Most of us realize we have hemorrhoids when we see red blood on our toilet paper after a painless bowel movement. However, there are a few more symptoms we should be aware of.

Other signs of hemorrhoids include the following:

  • Pain and discomfort while sitting or using the bathroom
  • Itching, irritation, and swelling
  • Bumps around or protruding from the anus

In rare cases, hemorrhoids can create serious health complications. Ongoing blood loss from severe lesions may cause anemia. If left untreated, hemorrhoids might become painful or cause blood clots. We should seek medical care for suspected hemorrhoids.

Lifestyle Choices That Make Hemorrhoids Worse

What to Do About Blood in Your Poop After Drinking

Sometimes, bleeding after drinking is exacerbated by our lifestyle choices. Spicy foods, low fiber, and dehydration can worsen rectal bleeding, especially if the bleeding is related to hemorrhoids. Consider these tips to promote healthy digestion and alleviate the stress on our GI tract.

  • Avoid NSAIDs. Nonsteroidal anti-inflammatory drugs are in just about everyone’s medicine cabinet, but did you know that they can increase our risk of internal bleeding? Lay off the OTC painkillers until the bleeding is under control. Common NSAIDs include ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin (Bayer, St. Joseph’s).
  • Eat a fiber-forward, nutrient-rich diet. Our bodies were made to digest fruits and vegetables. Follow dietary best practices and steer clear of processed or spicy foods, which can irritate the stomach.
  • Drink more water. Dehydration makes issues like hemorrhoids worse, and proper hydration can make bowel movements easier.
  • Use topical creams. Soothe itchy, painful hemorrhoids by applying topical creams, which are available at most drugstores.
  • Limit sitting. Long periods of inactivity or straining on the toilet can catalyze hemorrhoid formation. Stay active and resist the urge to scroll social media while in the bathroom.
  • Abstain from alcohol. If bleeding always happens after a night of drinking, consider cutting out alcohol altogether. As we discussed, heavy drinking can cause myriad health issues related to blood in stool.

Note: Bleeding after drinking can indicate a life-threatening condition. The only way to truly treat the symptom is to address its root cause. Instead of trying to DIY a solution for bloody stool, consult a healthcare provider.

Seeking a Proper Diagnosis

I can't stress this enough: if you see blood in your stool, you need to see a doctor. It’s the only way to get a clear answer and the right treatment. While it’s easy to brush off symptoms or hope they’ll go away, blood in your poop after drinking can be a sign of gastrointestinal hemorrhage, which means there’s bleeding somewhere along your digestive tract. A medical professional can investigate the cause, whether it’s something relatively minor or a more serious condition that needs immediate attention. Please don’t wait or try to diagnose yourself. Your health is too important to leave to chance.

When Blood Isn't Visible

It’s also important to know that sometimes bleeding isn't obvious. You might have blood in your stool that isn't visible to the naked eye, a condition known as "occult blood." This hidden bleeding can only be detected through a specific lab test, like a fecal occult test, which your doctor can order. This is why being proactive about your health is so crucial. Regular check-ups and being completely honest with your doctor about your symptoms and alcohol consumption are vital for catching potential problems early, even before they become visible signs you can see for yourself.

What to Expect at the Doctor's Office

Knowing what to expect can make the idea of a doctor's visit less intimidating. Your provider will likely start by asking about your medical history and your specific symptoms. From there, they may perform a physical exam and recommend further tests to pinpoint the source of the bleeding. These could include blood work to check for things like anemia or clotting issues, or a procedure like a colonoscopy to get a direct look at your digestive tract. It’s all part of a standard process to get you the answers and care you need, so try not to let fear of the unknown hold you back from getting help.

Tips to Reduce Harm if You Choose to Drink

The most effective way to prevent alcohol-related health issues is to reduce or stop drinking. However, if you choose to drink, there are ways to lessen the immediate harm to your digestive system. Always try to eat a solid meal before you drink, as alcohol on an empty stomach can be especially irritating. Make sure to drink plenty of water to stay hydrated and help your body process the alcohol. It’s also wise to avoid sugary mixers or drinks with caffeine. Most importantly, practicing mindful drinking and consuming in moderation can make a significant difference. If you’re looking for support in cutting back, the Reframe app offers a neuroscience-based program to help you build healthier habits.

When to Worry About Blood in Your Stool

If you ever see blood in your stool, discuss your symptoms with a doctor as soon as possible. A professional medical opinion is the only way to get an accurate diagnosis and appropriate treatment plan.

Whether your waste is bright red or black, this symptom warrants an examination. Multicolored bowel movements can be a sign of internal bleeding, organ damage, or liver failure.

Doctor's Office or Urgent Care: Making the Right Call

If you’re especially concerned about your symptoms, you can make an appointment with your local urgent care or primary care physician. Explain your symptoms and request to be seen within the next few days, not weeks.

Be sure to alert your provider of any changes in bowel habits. Tell them whether the blood is mixed in with stool or if you’re just seeing it on the toilet paper. Note the color — is it bright red or black? 

Finally, if possible, create a log of times when you’ve observed blood after using the restroom. This may seem like overkill, but it can be incredibly helpful. The more information your doctor has, the better your outcomes will be.

Warning Signs: When to Go to the ER Immediately

Sometimes, symptoms are severe or come on very quickly. Many people ignore the warning signs of internal bleeding — a decision that can be life-threatening. Head to the ER if you’re experiencing the following:

  • Passing a lot of blood at once, especially if you see clots
  • Blood accompanied by severe abdominal pain
  • Weakness and fatigue, which can be signs of anemia
  • Additional symptoms like dizziness, high heart rate, or low blood pressure
  • Vomiting blood 
  • Black, tar-like stools
  • Stools that look like coffee grounds
  • Painful passage of stools or pain during exertion

Listen to your body and trust your instincts. When in doubt, seek a professional opinion!

Tired of Pooping Blood After Drinking?

We know, we know — this whole topic feels a bit TMI. But if your stool has red or black in it, don’t let embarrassment keep you from seeking medical care. Pooping blood after drinking can signify serious internal damage. It may also be an easily solvable issue like hemorrhoids. You won’t know until you talk to a professional!

Bleeding after drinking inspires many of us to reassess our relationship with alcohol. If you’re hoping to cut back or quit, Reframe can help. Our innovative app combines proven habit-change techniques with 24/7 community support. Join millions of Reframers in the journey toward balance and well-being.

Call to action for signing up reframe app

Frequently Asked Questions

Is bright red blood in my stool less serious than dark, black stool? While bright red blood often points to issues lower in your digestive tract, like hemorrhoids, it’s never something to ignore. Black, tarry stool suggests the bleeding is happening higher up, perhaps in your stomach, and the blood has been digested. This can signal more serious conditions like ulcers or gastritis. The bottom line is that any blood, regardless of color, is your body’s way of telling you something is wrong, and it’s a clear sign to consult a medical professional.

If I stop drinking, will the bleeding just go away? Quitting or cutting back on alcohol is a crucial first step because it removes a major source of irritation and gives your body a chance to heal. However, it’s not a magic fix. If there’s an underlying condition like an ulcer, severe gastritis, or liver damage, that issue will still need to be diagnosed and treated by a doctor. Think of stopping alcohol as clearing the way for healing, but a proper medical plan is what will truly resolve the root cause.

I only drink on the weekends. Can that still cause this kind of problem? Absolutely. It’s not always about drinking every single day. Binge drinking or heavy weekend consumption can still cause significant inflammation and damage to your digestive lining over time. Your gut doesn't just hit a reset button every Monday morning. This repeated irritation can lead to chronic problems, so even if your drinking is confined to a couple of days a week, it can certainly be the source of these symptoms.

I’m really embarrassed to bring this up with my doctor. What do I even say? It’s completely normal to feel awkward, but your health is too important to let embarrassment get in the way. You can be direct and simply say, "I've noticed blood in my stool, and I'm concerned it might be related to my drinking." Be ready to share details like the color, how often it happens, and if you have other symptoms like pain or fatigue. Your doctor is a professional who needs this information to help you, and being honest is the quickest path to getting the right diagnosis and care.

Besides cutting out alcohol, what’s one simple thing I can do to help right now? While you’re waiting for your doctor's appointment, focus on hydration and fiber. Alcohol is dehydrating, which can lead to hard stools that make things worse, especially if you have hemorrhoids. Drinking plenty of water and incorporating more fiber-rich foods like fruits, vegetables, and whole grains can help soften your stool and reduce strain on your digestive system. It’s a small, practical step that can offer some relief.

Key Takeaways

  • Alcohol directly harms your gut: Frequent drinking irritates the entire lining of your digestive tract. This inflammation can cause bleeding from conditions like gastritis and ulcers or signal more serious issues like liver damage.
  • Pay attention to the color: Bright red blood often points to problems lower down, like hemorrhoids, which alcohol can make worse. Dark, black, or tar-like stool is a more urgent sign that suggests bleeding is happening higher up in your digestive system.
  • A doctor's visit is essential: Don't try to guess the cause or wait for it to go away. Seeing a doctor is the only way to get an accurate diagnosis and address the root of the problem, which often involves re-evaluating your relationship with alcohol.

Related Articles

Alcohol and Health
2024-10-26 9:00
Alcohol and Health
What Are the Pros and Cons of Women’s Rehab Centers
This is some text inside of a div block.

Interested in inpatient rehab for women? Women’s rehab centers offer inpatient addiction treatment services in a gender-specific setting.

13 min read

Reframe Helps Women in Recovery

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!

Read Full Article  →

After a long day at the office, you kick off your heels and uncork a bottle of your favorite wine. What started as a weekend celebration has become an after-work ritual — one that has begun to worry you. A single nightly glass of red turned into two, then four. Now you’re killing the bottle and waking up with a hangover. At what point does your drinking become serious enough to warrant considering professional treatment?

You’re not the first person in this situation, and you won’t be the last. Women all over the world develop alcohol use disorder without even realizing it. The female body metabolizes alcohol differently than the male body, causing us to develop dependence much faster than our husbands, boyfriends, guy friends, or fathers. If you’ve tried and failed to cut back on your own, it might be time to consider a women’s addiction treatment center.

What Is a Women’s Rehab Center?

A gathering of young adults sitting in a circle

A women’s rehab center is just what it sounds like: a facility offering a drug and alcohol treatment program with gender-specific care. While some facilities may have men on staff, all participants are female. This approach to inpatient care is especially beneficial for women who have been traumatized by men. It also provides women with a great opportunity to uncover the factors fueling their drinking.

While no two rehab centers are created equal, most provide a similar set of services. Inpatient treatment usually involves individual therapy, group counseling, and 12-step meetings. Some programs provide life skills training, career assistance, and family counseling, too.

Are you thinking about enrolling in one of these programs? Let’s explore the pros and cons of women’s addiction treatment centers.

Benefits of Women’s Addiction Treatment Centers

Women face challenges from those facing men. A female-focused rehab center helps women connect the dots between their alcohol consumption and influences such as chronic stress, caregiving, and hormonal fluctuations.

Gender-Specific Treatment

Thanks to a whole host of biological and social factors, gender plays a major role in alcohol use and mental health. Women develop alcohol use disorder (AUD) faster than men (a phenomenon called “telescoping”). They’re more likely to experience trauma and abuse, and they’re also at higher risk for depression, anxiety, and other mental health conditions.

To address these concerns, women require personalized care. Gender-specific centers offer programming tailored to women’s needs only, while co-ed programs address men’s issues, too. Female therapists and facilitators focus on self-esteem, codependence, motherhood, hormonal changes, and other female issues.

A Safe Environment for Recovery

A women’s addiction treatment center is a soft place to land and unpack alcohol’s impact on your life. Everyone there is in the same boat — often, staff members are women in recovery, too. This shared understanding creates community. As you get to know your peers, you’ll feel comfortable discussing past traumas and future challenges, all in a nonjudgmental setting.

Distance From Triggers

Until you’ve got a few weeks of sobriety under your belt, you’ll want some space from the people, places, and activities you associate with drinking. Rehab keeps you out of the wine aisle, away from the liquor store, and outside the bars. Instead of grabbing cocktails with coworkers, you’ll bond with other women in recovery. By the time you head home, you’ll have the perspective you need to resist alcohol cravings.

Focus on Getting Well

When you go to a women’s rehab center, you’ve got one thing to focus on: your relationship with alcohol. Moms get to enjoy a vacation from the mental load. No shuttling kids to soccer practice, wrapping presents for in-laws, or scrambling to meet work deadlines. If you’re single and interested in men, a women-only program insulates you from the turbulent (and ill-advised) world of dating in early recovery.

Cons of Inpatient Rehab for Women

Addiction treatment for women may be exactly what you need, but before you go, take a moment to consider the drawbacks of a 30- to 90-day program.

Time

There’s no getting around it — recovery takes time. Inpatient rehab for women lasts at least 30 days. (Fun fact: The 30-day stay is a holdover from the 1970s. The National Institute on Drug Abuse recommends 90 days.) No matter how long you’re on site, you’ll spend weeks away from family, friends, and work. If that’s a major deterrent for you, you’re not alone. Women are far more likely to avoid addressing substance use due to family obligations.

Cost

Rehab is also notoriously expensive. The cheapest inpatient programs cost around $6,000 per month. While all insurance plans must cover some rehabilitation thanks to the Mental Health Parity and Addiction Equity Act, you may be left with large copays or high deductibles. Consult with your insurer before choosing a treatment center.

Confusion

Getting help for your drinking is a tough process. Google will display pages of results for “women’s drug rehab” and “drug rehab women only” — a series of sites that may or may not answer your questions about alcohol use disorder. To find an effective, accredited program, you’ll have to do some serious research.

Pros and Cons of Inpatient Rehab for Women

How Can I Make a Change Without Rehab?

If you’re ready to address your alcohol use but don’t want to go to rehab, you have options. Try these top tips from the Reframe team.  

  • Community is key. Build a supportive network of women in recovery as you examine your relationship with alcohol. Share your goals and ask those friends to hold you accountable.
  • Learn the facts. Self-education is a powerful tool in your recovery arsenal. Hop online and become an expert in alcohol cessation. What happens when you stop drinking? How does alcohol affect your body? The more you know, the better equipped you’ll be to resist cravings and move forward.
  • Get professional help. Many women uncork a bottle of wine after a hard day — it’s a common response to stress. A therapist can help you break this association between alcohol and stress relief and replace drinking with healthy coping skills. They can also identify any underlying mental health concerns contributing to your alcohol use.
  • Stay healthy. Taking care of your body gives you the strength to stay sober. Eat well, exercise, go to bed early, and maintain a daily routine.  
  • Try cutting back at home. Before committing to a women’s addiction treatment center, experiment with smaller-scale solutions. Reframe lets you travel the road to recovery from the comfort of your couch. Whether your goals are mindful drinking or quitting alcohol altogether, we have a track for you.

Build a Life You’re Proud Of

Every year, thousands of women transform their lives by reframing their relationship with alcohol. While professional treatment fast-tracks your recovery, you can take the first step all by yourself. Downloading an app like Reframe kick starts your journey to sobriety — whether you’re hoping to cut back or quit.

We offer gender-specific programs and through our 24/7 forum and daily Zoom check-ins, where you’ll connect with other women in recovery. Start your free trial by visiting the App Store or Google Play today!

After a long day at the office, you kick off your heels and uncork a bottle of your favorite wine. What started as a weekend celebration has become an after-work ritual — one that has begun to worry you. A single nightly glass of red turned into two, then four. Now you’re killing the bottle and waking up with a hangover. At what point does your drinking become serious enough to warrant considering professional treatment?

You’re not the first person in this situation, and you won’t be the last. Women all over the world develop alcohol use disorder without even realizing it. The female body metabolizes alcohol differently than the male body, causing us to develop dependence much faster than our husbands, boyfriends, guy friends, or fathers. If you’ve tried and failed to cut back on your own, it might be time to consider a women’s addiction treatment center.

What Is a Women’s Rehab Center?

A gathering of young adults sitting in a circle

A women’s rehab center is just what it sounds like: a facility offering a drug and alcohol treatment program with gender-specific care. While some facilities may have men on staff, all participants are female. This approach to inpatient care is especially beneficial for women who have been traumatized by men. It also provides women with a great opportunity to uncover the factors fueling their drinking.

While no two rehab centers are created equal, most provide a similar set of services. Inpatient treatment usually involves individual therapy, group counseling, and 12-step meetings. Some programs provide life skills training, career assistance, and family counseling, too.

Are you thinking about enrolling in one of these programs? Let’s explore the pros and cons of women’s addiction treatment centers.

Benefits of Women’s Addiction Treatment Centers

Women face challenges from those facing men. A female-focused rehab center helps women connect the dots between their alcohol consumption and influences such as chronic stress, caregiving, and hormonal fluctuations.

Gender-Specific Treatment

Thanks to a whole host of biological and social factors, gender plays a major role in alcohol use and mental health. Women develop alcohol use disorder (AUD) faster than men (a phenomenon called “telescoping”). They’re more likely to experience trauma and abuse, and they’re also at higher risk for depression, anxiety, and other mental health conditions.

To address these concerns, women require personalized care. Gender-specific centers offer programming tailored to women’s needs only, while co-ed programs address men’s issues, too. Female therapists and facilitators focus on self-esteem, codependence, motherhood, hormonal changes, and other female issues.

A Safe Environment for Recovery

A women’s addiction treatment center is a soft place to land and unpack alcohol’s impact on your life. Everyone there is in the same boat — often, staff members are women in recovery, too. This shared understanding creates community. As you get to know your peers, you’ll feel comfortable discussing past traumas and future challenges, all in a nonjudgmental setting.

Distance From Triggers

Until you’ve got a few weeks of sobriety under your belt, you’ll want some space from the people, places, and activities you associate with drinking. Rehab keeps you out of the wine aisle, away from the liquor store, and outside the bars. Instead of grabbing cocktails with coworkers, you’ll bond with other women in recovery. By the time you head home, you’ll have the perspective you need to resist alcohol cravings.

Focus on Getting Well

When you go to a women’s rehab center, you’ve got one thing to focus on: your relationship with alcohol. Moms get to enjoy a vacation from the mental load. No shuttling kids to soccer practice, wrapping presents for in-laws, or scrambling to meet work deadlines. If you’re single and interested in men, a women-only program insulates you from the turbulent (and ill-advised) world of dating in early recovery.

Cons of Inpatient Rehab for Women

Addiction treatment for women may be exactly what you need, but before you go, take a moment to consider the drawbacks of a 30- to 90-day program.

Time

There’s no getting around it — recovery takes time. Inpatient rehab for women lasts at least 30 days. (Fun fact: The 30-day stay is a holdover from the 1970s. The National Institute on Drug Abuse recommends 90 days.) No matter how long you’re on site, you’ll spend weeks away from family, friends, and work. If that’s a major deterrent for you, you’re not alone. Women are far more likely to avoid addressing substance use due to family obligations.

Cost

Rehab is also notoriously expensive. The cheapest inpatient programs cost around $6,000 per month. While all insurance plans must cover some rehabilitation thanks to the Mental Health Parity and Addiction Equity Act, you may be left with large copays or high deductibles. Consult with your insurer before choosing a treatment center.

Confusion

Getting help for your drinking is a tough process. Google will display pages of results for “women’s drug rehab” and “drug rehab women only” — a series of sites that may or may not answer your questions about alcohol use disorder. To find an effective, accredited program, you’ll have to do some serious research.

Pros and Cons of Inpatient Rehab for Women

How Can I Make a Change Without Rehab?

If you’re ready to address your alcohol use but don’t want to go to rehab, you have options. Try these top tips from the Reframe team.  

  • Community is key. Build a supportive network of women in recovery as you examine your relationship with alcohol. Share your goals and ask those friends to hold you accountable.
  • Learn the facts. Self-education is a powerful tool in your recovery arsenal. Hop online and become an expert in alcohol cessation. What happens when you stop drinking? How does alcohol affect your body? The more you know, the better equipped you’ll be to resist cravings and move forward.
  • Get professional help. Many women uncork a bottle of wine after a hard day — it’s a common response to stress. A therapist can help you break this association between alcohol and stress relief and replace drinking with healthy coping skills. They can also identify any underlying mental health concerns contributing to your alcohol use.
  • Stay healthy. Taking care of your body gives you the strength to stay sober. Eat well, exercise, go to bed early, and maintain a daily routine.  
  • Try cutting back at home. Before committing to a women’s addiction treatment center, experiment with smaller-scale solutions. Reframe lets you travel the road to recovery from the comfort of your couch. Whether your goals are mindful drinking or quitting alcohol altogether, we have a track for you.

Build a Life You’re Proud Of

Every year, thousands of women transform their lives by reframing their relationship with alcohol. While professional treatment fast-tracks your recovery, you can take the first step all by yourself. Downloading an app like Reframe kick starts your journey to sobriety — whether you’re hoping to cut back or quit.

We offer gender-specific programs and through our 24/7 forum and daily Zoom check-ins, where you’ll connect with other women in recovery. Start your free trial by visiting the App Store or Google Play today!

Alcohol and Health
2024-10-24 9:00
Alcohol and Health
What Is a Seizure From Alcohol Withdrawal?
This is some text inside of a div block.

Alcohol disrupts our brain signaling, potentially resulting in alcohol withdrawal seizures. Check out our latest blog to learn the science behind this, and safety tips.

13 min read

Manage Alcohol Withdrawal 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!

Read Full Article  →

You’re watching an episode of your favorite show, Stranger Things, when all of a sudden one of the characters falls to the ground, jerking and convulsing rapidly. This is a seizure (or at least a massive generalization of what a seizure looks like). Beyond being in an alternate dimension like the characters in the show, seizures can happen for many different reasons — even ones that may seem unrelated, such as alcohol withdrawal.

Quitting or cutting back on alcohol is undoubtedly good for our health, but stopping abruptly after a period of heavy drinking can throw off the chemical balance in our brain, potentially triggering alcohol withdrawal seizures. Let’s jump into everything we need to know about this dangerous and often overlooked effect of alcohol withdrawal to stay healthy and safe.

Understanding Alcohol Withdrawal Seizures

A person lies on the floor with their arms extended outward

Seizures are sudden, uncontrolled spurts of electrical activity in our brain that change or disrupt normal messaging in our brain. It’s like getting hit with a spam email. Clicking on it might download a virus, messing up the normal function of your phone or computer.

When we quit or cut back on alcohol abruptly, we may experience withdrawal, a period of physical and mental symptoms occurring as our brain tries to regain balance. The abnormal electrical activity from a seizure can scramble normal activity in our brain, which can impact our consciousness, movement, and behavior. There are different types of seizures, but the most common type caused by alcohol withdrawal is generalized tonic-clonic seizures. 

This type of seizure is what probably comes to mind when we think of a “seizure” and what we commonly see portrayed in movies (although typically exaggerated). It involves two phases: the tonic phase, which is the stiffening phase, and the clonic, which is characterized by rhythmic jerking. Generalized tonic-clonic seizures can include the following symptoms: 

  • Muscle stiffness
  • Clenched jaw
  • Oral bleeding from biting down on the tongue or cheeks 
  • Rapid jerking of the body 
  • Loss of bladder/bowel control 
  • Blue skin from lack of oxygen 
  • Difficulty/stopped breathing
  • Loss of consciousness

Symptoms typically last about one to three minutes. If someone is experiencing a seizure or other serious symptoms, it’s important to seek emergency medical assistance right away. Now that we know alcohol withdrawal can undoubtedly cause seizures, let’s understand how it works. 

How Alcohol Withdrawal Can Cause Seizures

Alcohol is directly linked to an increased seizure risk due to the way alcohol affects our brain chemistry. Here’s how:

1. Brain Chemical Upheaval

Alcohol impacts two major neurotransmitters that can play a role in seizures: gamma-aminobutyric acid (GABA) and glutamate

GABA slows down signaling in the brain by blocking messages in the central nervous system (CNS). This neurotransmitter produces a calming effect by reeling in nerve cell hyperactivity, which is linked to fear, anxiety, and stress. 

On the other hand, glutamate is an excitatory neurotransmitter that stimulates brain signaling. It’s critical for normal brain function and plays a key role in learning, memory, and mood regulation. GABA and glutamate are opposites that keep each other in balance.

Alcohol throws a wrench in the works by mimicking GABA and increasing its depressant effects. Meanwhile, alcohol blocks glutamate receptors, decreasing brain signaling. This significant disruption to our brain activity can trigger seizures for those who may have epilepsy and even for those who don’t.

2. The New Normal

While consuming alcohol can lead to seizures, the more common alcohol-related reason for seizures is alcohol withdrawal. To understand why, let’s first understand why withdrawal occurs. 

Because alcohol mimics GABA, it decreases our brain’s natural ability to produce GABA and decreases its receptors over time. Glutamate receptors adapt to alcohol’s depressant effects by increasing brain activity to compensate. This “balance” becomes the new normal, explaining why we become more tolerant or less affected by alcohol. This tolerance is the reason why alcohol withdrawal occurs, and consequently, alcohol withdrawal seizures.

3. Recalibration

When we quit or cut back, alcohol’s depressant effects are reduced or eliminated and brain activity can go into overdrive. Imagine pulling back a bowstring tighter and tighter, increasing tension. When we release the string quickly rather than slowly, the arrow shoots forward forcefully — similar to how activity in our brain can go into overdrive. 

As our body adjusts, we might experience physical withdrawal symptoms such as headache, nausea, increased heart rate, tremors, and excessive sweating. As our brain adjusts, we may experience mental and emotional symptoms such as anxiety, mood swings, insomnia, confusion, and hallucinations. 

This abrupt change in our brain chemistry can also lead to seizures, as our brain recalibrates to functioning without alcohol’s depressant effects. Research shows that about 5% of those who experience alcohol withdrawal experience seizures, and more than 90% of those seizures occur within the first 48 hours after stopping drinking. 

Now that we better understand how alcohol consumption and withdrawal are linked to seizures, let’s map out the steps we can take to prevent them and maintain our well-being.

Preventing Seizures From Alcohol Withdrawal

We can better prevent seizures and complications tied to seizures by practicing more mindful consumption and safe alcohol detox. Here are some practices we can implement: 

  • Drink in moderation. Heavy drinking increases the risk of triggering seizures and alcohol withdrawal. Stay below drinking guidelines, which define moderate drinking as 2 drinks or fewer in a day for men and 1 drink or fewer per day for women. 
  • Consider family history. Research shows that those of us with a family history of seizures are more likely to experience alcohol-related seizures. Understanding this helps us take even greater precautions. 
  • Avoid quitting cold turkey. Quitting cold turkey can be too abrupt a change for our brain and body, increasing seizure risk. Consult a professional to see if this method is right for you or consider taking a more gradual approach to cutting back, such as reducing your consumption by half each week.
  • Seek supported detox. Another option is to seek supported alcohol detox, which means medical monitoring to treat any complications that occur. Check out “Home Alcohol Detox: Is It Right For You?
  • Reach out for support. If you’re having trouble quitting or cutting back, or you’re looking for support during withdrawal, you can reach out for support. Consider joining the Reframe community to connect with others who may be going through a similar experience and explore resources to help quit or cut back safely and effectively. 

Alcohol withdrawal is unpleasant and sometimes dangerous, but it’s also a sign that we're breaking free from harmful drinking habits. The steps we can take to prevent seizures can be our first steps to a healthier future!

Seizing the Opportunity for Health and Well-Being

Seizures are scary, but now that we understand how the upheaval of our brain chemicals during withdrawal can cause seizures, we can take steps to prevent them. Practicing moderation, taking a more gradual approach to quitting or cutting back, and exploring supported detox options decreases our risk of alcohol withdrawal seizures. Take control and seize the opportunity for a healthier, seizure-free future!

You’re watching an episode of your favorite show, Stranger Things, when all of a sudden one of the characters falls to the ground, jerking and convulsing rapidly. This is a seizure (or at least a massive generalization of what a seizure looks like). Beyond being in an alternate dimension like the characters in the show, seizures can happen for many different reasons — even ones that may seem unrelated, such as alcohol withdrawal.

Quitting or cutting back on alcohol is undoubtedly good for our health, but stopping abruptly after a period of heavy drinking can throw off the chemical balance in our brain, potentially triggering alcohol withdrawal seizures. Let’s jump into everything we need to know about this dangerous and often overlooked effect of alcohol withdrawal to stay healthy and safe.

Understanding Alcohol Withdrawal Seizures

A person lies on the floor with their arms extended outward

Seizures are sudden, uncontrolled spurts of electrical activity in our brain that change or disrupt normal messaging in our brain. It’s like getting hit with a spam email. Clicking on it might download a virus, messing up the normal function of your phone or computer.

When we quit or cut back on alcohol abruptly, we may experience withdrawal, a period of physical and mental symptoms occurring as our brain tries to regain balance. The abnormal electrical activity from a seizure can scramble normal activity in our brain, which can impact our consciousness, movement, and behavior. There are different types of seizures, but the most common type caused by alcohol withdrawal is generalized tonic-clonic seizures. 

This type of seizure is what probably comes to mind when we think of a “seizure” and what we commonly see portrayed in movies (although typically exaggerated). It involves two phases: the tonic phase, which is the stiffening phase, and the clonic, which is characterized by rhythmic jerking. Generalized tonic-clonic seizures can include the following symptoms: 

  • Muscle stiffness
  • Clenched jaw
  • Oral bleeding from biting down on the tongue or cheeks 
  • Rapid jerking of the body 
  • Loss of bladder/bowel control 
  • Blue skin from lack of oxygen 
  • Difficulty/stopped breathing
  • Loss of consciousness

Symptoms typically last about one to three minutes. If someone is experiencing a seizure or other serious symptoms, it’s important to seek emergency medical assistance right away. Now that we know alcohol withdrawal can undoubtedly cause seizures, let’s understand how it works. 

How Alcohol Withdrawal Can Cause Seizures

Alcohol is directly linked to an increased seizure risk due to the way alcohol affects our brain chemistry. Here’s how:

1. Brain Chemical Upheaval

Alcohol impacts two major neurotransmitters that can play a role in seizures: gamma-aminobutyric acid (GABA) and glutamate

GABA slows down signaling in the brain by blocking messages in the central nervous system (CNS). This neurotransmitter produces a calming effect by reeling in nerve cell hyperactivity, which is linked to fear, anxiety, and stress. 

On the other hand, glutamate is an excitatory neurotransmitter that stimulates brain signaling. It’s critical for normal brain function and plays a key role in learning, memory, and mood regulation. GABA and glutamate are opposites that keep each other in balance.

Alcohol throws a wrench in the works by mimicking GABA and increasing its depressant effects. Meanwhile, alcohol blocks glutamate receptors, decreasing brain signaling. This significant disruption to our brain activity can trigger seizures for those who may have epilepsy and even for those who don’t.

2. The New Normal

While consuming alcohol can lead to seizures, the more common alcohol-related reason for seizures is alcohol withdrawal. To understand why, let’s first understand why withdrawal occurs. 

Because alcohol mimics GABA, it decreases our brain’s natural ability to produce GABA and decreases its receptors over time. Glutamate receptors adapt to alcohol’s depressant effects by increasing brain activity to compensate. This “balance” becomes the new normal, explaining why we become more tolerant or less affected by alcohol. This tolerance is the reason why alcohol withdrawal occurs, and consequently, alcohol withdrawal seizures.

3. Recalibration

When we quit or cut back, alcohol’s depressant effects are reduced or eliminated and brain activity can go into overdrive. Imagine pulling back a bowstring tighter and tighter, increasing tension. When we release the string quickly rather than slowly, the arrow shoots forward forcefully — similar to how activity in our brain can go into overdrive. 

As our body adjusts, we might experience physical withdrawal symptoms such as headache, nausea, increased heart rate, tremors, and excessive sweating. As our brain adjusts, we may experience mental and emotional symptoms such as anxiety, mood swings, insomnia, confusion, and hallucinations. 

This abrupt change in our brain chemistry can also lead to seizures, as our brain recalibrates to functioning without alcohol’s depressant effects. Research shows that about 5% of those who experience alcohol withdrawal experience seizures, and more than 90% of those seizures occur within the first 48 hours after stopping drinking. 

Now that we better understand how alcohol consumption and withdrawal are linked to seizures, let’s map out the steps we can take to prevent them and maintain our well-being.

Preventing Seizures From Alcohol Withdrawal

We can better prevent seizures and complications tied to seizures by practicing more mindful consumption and safe alcohol detox. Here are some practices we can implement: 

  • Drink in moderation. Heavy drinking increases the risk of triggering seizures and alcohol withdrawal. Stay below drinking guidelines, which define moderate drinking as 2 drinks or fewer in a day for men and 1 drink or fewer per day for women. 
  • Consider family history. Research shows that those of us with a family history of seizures are more likely to experience alcohol-related seizures. Understanding this helps us take even greater precautions. 
  • Avoid quitting cold turkey. Quitting cold turkey can be too abrupt a change for our brain and body, increasing seizure risk. Consult a professional to see if this method is right for you or consider taking a more gradual approach to cutting back, such as reducing your consumption by half each week.
  • Seek supported detox. Another option is to seek supported alcohol detox, which means medical monitoring to treat any complications that occur. Check out “Home Alcohol Detox: Is It Right For You?
  • Reach out for support. If you’re having trouble quitting or cutting back, or you’re looking for support during withdrawal, you can reach out for support. Consider joining the Reframe community to connect with others who may be going through a similar experience and explore resources to help quit or cut back safely and effectively. 

Alcohol withdrawal is unpleasant and sometimes dangerous, but it’s also a sign that we're breaking free from harmful drinking habits. The steps we can take to prevent seizures can be our first steps to a healthier future!

Seizing the Opportunity for Health and Well-Being

Seizures are scary, but now that we understand how the upheaval of our brain chemicals during withdrawal can cause seizures, we can take steps to prevent them. Practicing moderation, taking a more gradual approach to quitting or cutting back, and exploring supported detox options decreases our risk of alcohol withdrawal seizures. Take control and seize the opportunity for a healthier, seizure-free future!

Alcohol and Health
2024-10-18 9:00
Alcohol and Health
The Latest Findings on Alcohol and Cardiovascular Health
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New studies show that estrogen and an organic compound (Alda-1) significantly affect alcohol's impact on the heart. Check out our newest blog for the latest research.

14 min read

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Have you heard that a glass of wine can be good for your heart health? This is (somewhat) true due to the antioxidants that are found in red wine, but the negative effects of the alcohol itself counteract any benefit. Antioxidants are also in fruits, vegetables, nuts, and even chocolate, and those aren’t toxic to our body! Research has since debunked the common misconception that wine is good for heart health, and found that even minimal amounts of alcohol can be bad for our heart. 

So, what are the new studies on alcohol and heart health all about? In two recent studies, researchers looked into two compounds (which we’ll get into later) to see how they impact alcohol-related heart issues. But first, let’s examine what we already know.

What We Know: Alcohol and Heart Health

A glass of whiskey beside a heart-shaped stethoscope

Our heart is the core of our body function. After all, it keeps us alive! But alcohol, which is so normalized in our social culture, is directly linked to many heart issues:

  • High blood pressure. Regular drinking increases blood pressure, which in turn increases the risk of heart attack and stroke.
  • Atrial fibrillation (AFib). Alcohol impacts electrolyte balance and heart rate. Long-term alcohol use can also cause structural changes such as thickening and scarring of the heart muscle, increasing the risk of irregular heartbeat, known as AFib.
  • Cardiomyopathy. Regular drinking can damage the heart muscle over time. The damage makes it difficult for our heart to pump blood, and when it can’t do this efficiently, the heart can start to expand, thinning and weakening the heart, causing a condition called cardiomyopathy. Cardiomyopathy can lead to heart dysfunction and even heart failure. 
  • Tachycardia. Alcohol may be a depressant, but for multiple reasons it can cause a rapid heartbeat known as tachycardia. It dilates our blood vessels, slows down breathing, and impacts the signals that tell our heart to contract, making our heart work harder to circulate blood.
  • Stroke. AFib increases the risk of blood clots in the heart. If the clot moves up to the brain, it can lead to stroke. Research shows that people with AFib are five times more likely to have a stroke.

So, it’s clear that alcohol and poor heart health are directly tied, but what does the latest research tell us? 

The Latest Findings on Alcohol and Heart Disease

While it’s been previously established that quitting or cutting back on alcohol improves heart health, the truth is that heart damage from alcohol consumption continues to be a public health issue. Two new animal studies looked at factors that could help protect against cardiovascular damage from alcohol, namely Alda-1 (a chemical activator) and estrogen (a hormone). Let’s take a closer look:

1. The Chemical Chaperone: Alda-1 

Previous research found that binge drinking increases a stress-related protein in the heart known as JNK2. This protein disrupts how our heart cells handle calcium (which is essential for helping our heart muscles contract), leading to irregular heart rhythm (arrhythmia).

This new study looked at how aldehyde dehydrogenase activator 1 (Alda-1) could prevent the activation of this stress protein. Alda-1 is a chemical compound that increases the activity of the ALDH2 enzyme (a main enzyme that helps break down alcohol). 

To test this, researchers separated mice into three groups. Two groups of mice were given every-other-day doses of alcohol to mimic binge drinking with only one group given Alda-1. The last group wasn’t exposed to alcohol or given Alda-1. They found that the mice exposed to alcohol had almost double the level of JNK2 (the stress-related protein) than the group that wasn’t. The study also found that more than 70% of the mice that weren’t given Alda-1 developed atrial fibrillation (Afib) compared to none in the group given Alda-1. 

Although this animal study may not be able to account for the complexities of binge drinking in humans, it does reaffirm the direct link between alcohol and Afib, and paves the way for additional research on using Alda-1 to protect us from alcohol-related heart issues. 

2. The Female Hormone: Estrogen

Another recent study looked at the potential link between estrogen and alcohol-related heart issues. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that alcohol consumption disproportionately affects heart health in women. Could estrogen be the reason?

To answer this question, researchers used female rats with their ovaries removed, which simulates menopause (when the ovaries produce little to no estrogen). All of the mice were exposed to alcohol, but some were given an estrogen replacement. 

They found that the group given the estrogen replacement had more weight gain and fat mass as well as higher blood pressure and heart rate — all factors that impact heart health. This group also saw a greater impact on the heart’s ability to pump oxygen-rich blood to the rest of the body and greater disruption to the circadian clock proteins (which regulate heart function and other bodily processes). 

These findings show that estrogen is a significant factor in increased heart-related issues from alcohol in women. This fact serves as a reminder that women may need to take greater precautions, but it also leaves room for additional research on the prevention of alcohol-related heart problems for women and men. 

Both studies were aimed at examining specific protective factors against alcohol-related heart issues (that weren’t quitting or cutting back on alcohol), The studies acknowledged that quitting or cutting back has significant positive impacts on heart health. Let’s explore other ways we can maintain a healthy heart.

Boosting Heart Health 

Boosting Heart Health 

Positive habits may not be able to completely prevent heart disease, but they can make a big difference in boosting our overall heart health. Here are some practices we can implement:

  • Maintain a healthy weight. Avoid empty calories from alcohol and stay active to maintain a healthy weight. This puts less stress on our heart, which helps prevent disease and dysfunction. 
  • Eat a healthy diet. A balanced plate with healthy fats, whole grains, lots of fruits and vegetables, and lean proteins helps us keep our cholesterol and blood pressure down, helping our heart function optimally. Limit highly processed foods that are high in sugar, fat, or sodium.
  • Eliminate toxic substances. Toxic substances such as alcohol, nicotine, other drugs, and even synthetic fragrances can directly impact heart health and function. Quit or cut back on alcohol and other drugs and reach out for support to start working towards a healthier future.
  • Manage stress. Stress can cause inflammation, high blood pressure, and a heightened heart rate — all impacting proper heart function. Try stress-reducing activities such as gentle movement, spending time in nature, meditating, or journaling. 
  • Get enough sleep. When we don’t get enough sleep, our hormones can get out of whack, we can be more stressed, and our blood pressure may rise, impacting heart function. To get more restorative sleep check out these tips on “Healthy Sleep Hygiene Habits for More Restful Nights.”

While research on using Alda-1 and knowledge on estrogen to treat alcohol-related heart issues is still in its early stages, these tips can help us maintain a healthy heart based on what we know now. As the anonymous saying goes, “The road to a healthy heart is paved with good intentions and positive choices.” And with every new day, we have a chance to make those positive choices!

The Heart of the Matter

Alcohol and heart disease have a direct link, but recent research found promising results in terms of possibly preventing alcohol’s detrimental effects on our cardiovascular health. But, at the end of the day, nothing is as effective as limiting or eliminating the substance that’s causing the issue. Let’s do our part in caring for our heart by quitting or cutting back on alcohol! 

Have you heard that a glass of wine can be good for your heart health? This is (somewhat) true due to the antioxidants that are found in red wine, but the negative effects of the alcohol itself counteract any benefit. Antioxidants are also in fruits, vegetables, nuts, and even chocolate, and those aren’t toxic to our body! Research has since debunked the common misconception that wine is good for heart health, and found that even minimal amounts of alcohol can be bad for our heart. 

So, what are the new studies on alcohol and heart health all about? In two recent studies, researchers looked into two compounds (which we’ll get into later) to see how they impact alcohol-related heart issues. But first, let’s examine what we already know.

What We Know: Alcohol and Heart Health

A glass of whiskey beside a heart-shaped stethoscope

Our heart is the core of our body function. After all, it keeps us alive! But alcohol, which is so normalized in our social culture, is directly linked to many heart issues:

  • High blood pressure. Regular drinking increases blood pressure, which in turn increases the risk of heart attack and stroke.
  • Atrial fibrillation (AFib). Alcohol impacts electrolyte balance and heart rate. Long-term alcohol use can also cause structural changes such as thickening and scarring of the heart muscle, increasing the risk of irregular heartbeat, known as AFib.
  • Cardiomyopathy. Regular drinking can damage the heart muscle over time. The damage makes it difficult for our heart to pump blood, and when it can’t do this efficiently, the heart can start to expand, thinning and weakening the heart, causing a condition called cardiomyopathy. Cardiomyopathy can lead to heart dysfunction and even heart failure. 
  • Tachycardia. Alcohol may be a depressant, but for multiple reasons it can cause a rapid heartbeat known as tachycardia. It dilates our blood vessels, slows down breathing, and impacts the signals that tell our heart to contract, making our heart work harder to circulate blood.
  • Stroke. AFib increases the risk of blood clots in the heart. If the clot moves up to the brain, it can lead to stroke. Research shows that people with AFib are five times more likely to have a stroke.

So, it’s clear that alcohol and poor heart health are directly tied, but what does the latest research tell us? 

The Latest Findings on Alcohol and Heart Disease

While it’s been previously established that quitting or cutting back on alcohol improves heart health, the truth is that heart damage from alcohol consumption continues to be a public health issue. Two new animal studies looked at factors that could help protect against cardiovascular damage from alcohol, namely Alda-1 (a chemical activator) and estrogen (a hormone). Let’s take a closer look:

1. The Chemical Chaperone: Alda-1 

Previous research found that binge drinking increases a stress-related protein in the heart known as JNK2. This protein disrupts how our heart cells handle calcium (which is essential for helping our heart muscles contract), leading to irregular heart rhythm (arrhythmia).

This new study looked at how aldehyde dehydrogenase activator 1 (Alda-1) could prevent the activation of this stress protein. Alda-1 is a chemical compound that increases the activity of the ALDH2 enzyme (a main enzyme that helps break down alcohol). 

To test this, researchers separated mice into three groups. Two groups of mice were given every-other-day doses of alcohol to mimic binge drinking with only one group given Alda-1. The last group wasn’t exposed to alcohol or given Alda-1. They found that the mice exposed to alcohol had almost double the level of JNK2 (the stress-related protein) than the group that wasn’t. The study also found that more than 70% of the mice that weren’t given Alda-1 developed atrial fibrillation (Afib) compared to none in the group given Alda-1. 

Although this animal study may not be able to account for the complexities of binge drinking in humans, it does reaffirm the direct link between alcohol and Afib, and paves the way for additional research on using Alda-1 to protect us from alcohol-related heart issues. 

2. The Female Hormone: Estrogen

Another recent study looked at the potential link between estrogen and alcohol-related heart issues. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that alcohol consumption disproportionately affects heart health in women. Could estrogen be the reason?

To answer this question, researchers used female rats with their ovaries removed, which simulates menopause (when the ovaries produce little to no estrogen). All of the mice were exposed to alcohol, but some were given an estrogen replacement. 

They found that the group given the estrogen replacement had more weight gain and fat mass as well as higher blood pressure and heart rate — all factors that impact heart health. This group also saw a greater impact on the heart’s ability to pump oxygen-rich blood to the rest of the body and greater disruption to the circadian clock proteins (which regulate heart function and other bodily processes). 

These findings show that estrogen is a significant factor in increased heart-related issues from alcohol in women. This fact serves as a reminder that women may need to take greater precautions, but it also leaves room for additional research on the prevention of alcohol-related heart problems for women and men. 

Both studies were aimed at examining specific protective factors against alcohol-related heart issues (that weren’t quitting or cutting back on alcohol), The studies acknowledged that quitting or cutting back has significant positive impacts on heart health. Let’s explore other ways we can maintain a healthy heart.

Boosting Heart Health 

Boosting Heart Health 

Positive habits may not be able to completely prevent heart disease, but they can make a big difference in boosting our overall heart health. Here are some practices we can implement:

  • Maintain a healthy weight. Avoid empty calories from alcohol and stay active to maintain a healthy weight. This puts less stress on our heart, which helps prevent disease and dysfunction. 
  • Eat a healthy diet. A balanced plate with healthy fats, whole grains, lots of fruits and vegetables, and lean proteins helps us keep our cholesterol and blood pressure down, helping our heart function optimally. Limit highly processed foods that are high in sugar, fat, or sodium.
  • Eliminate toxic substances. Toxic substances such as alcohol, nicotine, other drugs, and even synthetic fragrances can directly impact heart health and function. Quit or cut back on alcohol and other drugs and reach out for support to start working towards a healthier future.
  • Manage stress. Stress can cause inflammation, high blood pressure, and a heightened heart rate — all impacting proper heart function. Try stress-reducing activities such as gentle movement, spending time in nature, meditating, or journaling. 
  • Get enough sleep. When we don’t get enough sleep, our hormones can get out of whack, we can be more stressed, and our blood pressure may rise, impacting heart function. To get more restorative sleep check out these tips on “Healthy Sleep Hygiene Habits for More Restful Nights.”

While research on using Alda-1 and knowledge on estrogen to treat alcohol-related heart issues is still in its early stages, these tips can help us maintain a healthy heart based on what we know now. As the anonymous saying goes, “The road to a healthy heart is paved with good intentions and positive choices.” And with every new day, we have a chance to make those positive choices!

The Heart of the Matter

Alcohol and heart disease have a direct link, but recent research found promising results in terms of possibly preventing alcohol’s detrimental effects on our cardiovascular health. But, at the end of the day, nothing is as effective as limiting or eliminating the substance that’s causing the issue. Let’s do our part in caring for our heart by quitting or cutting back on alcohol! 

Alcohol and Health