Alcohol and Health

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2024-10-17 9:00
Alcohol and Health
Exploring Alcohol's Impact on Cellular Aging
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Alcohol damages our cells, leading to premature aging and age-related health issues. Check out our latest blog to learn how alcohol impacts cellular regeneration.

17 min read

Live a Long and Healthy Life 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  →

Maybe you’ve had a long night (or a couple) out with friends and you knock out at night hoping to sleep the effects off and bounce back the morning after. But when you wake up the next morning and catch your reflection in the mirror, your skin is looking a little more tired and dull than usual. The pounding headache and unsettling nausea may have subsided, but the signs of aging don’t appear to be going away. Yes, maybe it’s the years catching up. But what if it’s something deeper? What if every innocent drink is silently fast-forwarding the aging process inside our body?

While we may shrug off the short-term effects of alcohol, the reality is that alcohol’s impact goes far beyond the surface (no pun intended). It damages our health on a cellular level. Let’s take a closer look at how alcohol influences cellular aging, one sip at a time.

What Is Cellular Aging?

Cellular aging is essentially how our cells change as time passes and we weather life’s storms. Our cells lose the ability to function properly as we get older, and since they’re the building blocks of our organs and body systems, cellular aging affects how well our body works over time. Back hurts all the time? Or starting to forget things more easily? These changes can stem from cellular aging.

When our cells age, they can’t perform their jobs as efficiently (just like an old car or phone that’s running out of juice). Cells might divide more slowly, delaying the process of making new cells. They might also not be able to repair damage as quickly and can even stop functioning altogether. This contributes to our body’s overall aging process, leading to signs such as wrinkles, low energy, and a weakened immune system.

This damage builds up over time due to different factors like stress, pollution, or unhealthy lifestyle choices. You might be wondering what alcohol’s role is in this, and that’s what we’re here to find out.

Alcohol and Cellular Aging: The Impact of Alcohol on Cells

Alcohol contributes to aging by damaging our cells. It’s like clicking the fast-forward button on aging. Here’s how:

  • It lets toxins in. Alcohol is like leading toxins into our body by increasing the production of free radicals. These are unstable molecules that damage our cells. When our cells are under attack, they might not function properly. And when our cells don’t work properly, our normal bodily functions won’t be able to either, which is why everyday tasks can get harder as we get older. 
  • Our body goes on the defensive. Ever feel like your face is puffier or you’re more bloated the day after drinking? We have inflammation from alcohol to thank for that. Inflammation is our body’s natural defense response and when we drink, it registers alcohol as a toxin, sending cells to defend us. But instead of repairing our cells and tissues, chronic inflammation damages them, impairing normal functions and accelerating aging by making it harder for the body to repair itself.
  • It damages DNA (genetic information). Drinking is associated with DNA damage due to the toxic compounds the body produces when alcohol is processed in the liver. This explains alcohol’s role in telomere shortening. Telomeres are protein and DNA structures that are like caps on the ends of our chromosomes (structures that carry our genes) and keep them from damage. Telomeres are essential for cell division and get shorter each time a cell divides. Research shows that alcohol is associated with shorter telomeres, interfering with normal cell function and replication and accelerating the normal aging process. Alcohol and DNA damage can also lead to mutations and increase the risk of disease associated with aging.
  • Getting to the bottom of how alcohol causes damage on a cellular level helps us see the bigger picture of its impact on our overall health. But what about some visible signs to look out for?

Getting to the bottom of how alcohol causes damage on a cellular level helps us see the bigger picture of its impact on our overall health. But what about some visible signs to look out for?

Effects of Alcohol on Skin and Aging

Alcohol accelerates aging by damaging our cells, which we’re not able to see (at least not right away). Cell damage can become visible over time through our skin or other noticeable signs of aging. Some visible effects of alcohol’s damage to our cells include: 

  • Premature aging. Alcohol increases dehydration, reducing moisture and elasticity in our skin. This makes it more likely for fine lines and wrinkles to form. Alcohol also impairs the absorption of essential nutrients, which are crucial for not only maintaining healthy skin but also overall cell function. Damage to our cells is what ties together alcohol and premature aging, which not only affects our appearance but also our health in general. 
  • Increased risk of age-related diseases. We may be aware that aging is associated with an increased risk of disease, but it actually stems from damage to our cells and cellular aging. On our skin, we may be more likely to experience rosacea (chronic redness on the face) and spider veins (damaged blood vessels). Alcohol and natural aging can impair immune function, which also increases the risk of many types of cancer. Other age-related diseases that can be worsened by alcohol include cardiovascular disease, osteoporosis, liver disease, and cognitive decline. 
  • Reduced recovery. When our cells don’t function properly, cellular regeneration and repair are also impacted. This not only affects skin health but also the repair and maintenance of our organs, tissues, and immune system. It might take longer for our body to heal from a wound or illness, and we can be more susceptible to damage and disease.

Alcohol’s impact on our skin and overall aging is something we might see and feel the days following drinking, but what about in the long term?

How Alcohol Affects Aging in the Long Term

Alcohol hits fast forward on the aging process. And we don’t just see that from the dullness or fatigue that comes the day after drinking, but also in the long term. This is because of how alcohol affects cellular regeneration (replacing or restoring damaged cells). Our cells make up our organs and body systems. So, when cellular regeneration is impacted, our organ function and healing are as well. Have you ever noticed that even something as benign as a head cold seems to hit harder than it did when you were a teenager? Blame it on aging and decreased cellular regeneration. 

Drinking also causes dehydration and depletes essential nutrients, which both contribute to effective cell regeneration. Over time, alcohol can also weaken our immune system, making it harder to fend off illnesses and recover from injuries. 

Chronic drinking damages our cells and immune system, making us look and feel older both inside and out. We may see signs of premature aging and be at risk of alcohol and age-related illness. So, now that we know the significant role alcohol plays in accelerating aging, can we undo the damage?

Can You Reverse Cellular Damage From Alcohol Consumption? 

Damage to our cells from alcohol may be reversed to some degree. When we stop drinking, our body’s natural healing processes can begin to repair our cells and reduce oxidative stress and inflammation.

However, the extent of repair depends on many factors, including how long and how much alcohol we’ve consumed, how old we are, genetic disposition, and our overall health. Chronic alcohol consumption can lead to significant cellular and tissue damage — particularly in organs such as our liver and brain — which may not be reversible. Research is being done on repairing alcohol-induced DNA damage, but for now, the best way to repair your body is to quit the alcohol and develop healthy habits!

Alcohol isn’t the only culprit for premature aging, however. Our cells’ ability to repair themselves is impacted by many factors, including stress, pollution, and our lifestyle choices. So, by making conscious decisions to prevent and improve cellular aging, we might be able to see some improvements!

Tips To Prevent Cellular Aging

Completely reversing cellular damage might not be possible, but taking proactive steps to support our health can make a significant difference in slowing it down. Here are some things we can do:

  • Balance your plate. Nutrient-rich foods, especially those high in antioxidants, help protect our cells from damage. Focus on adding nutrients rather than being overly restrictive, which makes healthy eating more sustainable. 
  • Stay hydrated. Our cells require proper hydration for proper cell function and repair. Drinking plenty of water helps our body detoxify and stay energized. Try filling up your bottle the night before, supplement with some electrolytes or mix it up with sparkling water to increase hydration. 
  • Get regular exercise. Physical activity boosts circulation, improves metabolism, and reduces oxidative stress, which supports cellular health. Talk short walk breaks when you can and find movement you actually like doing to integrate more physical activity into your daily routine. 
  • Get enough rest. Sleep is when our cells regenerate and repair. Prioritizing adequate sleep ensures our body has time to heal. Aim for 7 to 9 hours a night and focus on quality, restorative sleep. 
  • Quit or cut back on alcohol. Eliminating toxins like alcohol helps our cells repair and function to the best of their ability. Track consumption to get a better picture of what your drinking habits look like and set effective goals using the SMART framework. For additional support, try coaching with Reframe!

By integrating these practices, we can improve our health and potentially mitigate some of the effects of cellular damage, helping us live a longer and healthier life.

Tips To Prevent Cellular Aging

Turning Back Time

As we can see, alcohol’s effects on cellular aging go far beyond a dull complexion or a longer recovery time after drinking. The damage goes deeper, affecting our body’s ability to repair and regenerate our cells. While we may not be able to entirely reverse the toll that alcohol takes on our cells, we can take charge of preventing aging moving forward. By making mindful choices such as quitting or cutting back on alcohol, we can slow down the aging process and support our cells in functioning at their best. Here’s to making choices that nourish both our cells and well-being!

Maybe you’ve had a long night (or a couple) out with friends and you knock out at night hoping to sleep the effects off and bounce back the morning after. But when you wake up the next morning and catch your reflection in the mirror, your skin is looking a little more tired and dull than usual. The pounding headache and unsettling nausea may have subsided, but the signs of aging don’t appear to be going away. Yes, maybe it’s the years catching up. But what if it’s something deeper? What if every innocent drink is silently fast-forwarding the aging process inside our body?

While we may shrug off the short-term effects of alcohol, the reality is that alcohol’s impact goes far beyond the surface (no pun intended). It damages our health on a cellular level. Let’s take a closer look at how alcohol influences cellular aging, one sip at a time.

What Is Cellular Aging?

Cellular aging is essentially how our cells change as time passes and we weather life’s storms. Our cells lose the ability to function properly as we get older, and since they’re the building blocks of our organs and body systems, cellular aging affects how well our body works over time. Back hurts all the time? Or starting to forget things more easily? These changes can stem from cellular aging.

When our cells age, they can’t perform their jobs as efficiently (just like an old car or phone that’s running out of juice). Cells might divide more slowly, delaying the process of making new cells. They might also not be able to repair damage as quickly and can even stop functioning altogether. This contributes to our body’s overall aging process, leading to signs such as wrinkles, low energy, and a weakened immune system.

This damage builds up over time due to different factors like stress, pollution, or unhealthy lifestyle choices. You might be wondering what alcohol’s role is in this, and that’s what we’re here to find out.

Alcohol and Cellular Aging: The Impact of Alcohol on Cells

Alcohol contributes to aging by damaging our cells. It’s like clicking the fast-forward button on aging. Here’s how:

  • It lets toxins in. Alcohol is like leading toxins into our body by increasing the production of free radicals. These are unstable molecules that damage our cells. When our cells are under attack, they might not function properly. And when our cells don’t work properly, our normal bodily functions won’t be able to either, which is why everyday tasks can get harder as we get older. 
  • Our body goes on the defensive. Ever feel like your face is puffier or you’re more bloated the day after drinking? We have inflammation from alcohol to thank for that. Inflammation is our body’s natural defense response and when we drink, it registers alcohol as a toxin, sending cells to defend us. But instead of repairing our cells and tissues, chronic inflammation damages them, impairing normal functions and accelerating aging by making it harder for the body to repair itself.
  • It damages DNA (genetic information). Drinking is associated with DNA damage due to the toxic compounds the body produces when alcohol is processed in the liver. This explains alcohol’s role in telomere shortening. Telomeres are protein and DNA structures that are like caps on the ends of our chromosomes (structures that carry our genes) and keep them from damage. Telomeres are essential for cell division and get shorter each time a cell divides. Research shows that alcohol is associated with shorter telomeres, interfering with normal cell function and replication and accelerating the normal aging process. Alcohol and DNA damage can also lead to mutations and increase the risk of disease associated with aging.
  • Getting to the bottom of how alcohol causes damage on a cellular level helps us see the bigger picture of its impact on our overall health. But what about some visible signs to look out for?

Getting to the bottom of how alcohol causes damage on a cellular level helps us see the bigger picture of its impact on our overall health. But what about some visible signs to look out for?

Effects of Alcohol on Skin and Aging

Alcohol accelerates aging by damaging our cells, which we’re not able to see (at least not right away). Cell damage can become visible over time through our skin or other noticeable signs of aging. Some visible effects of alcohol’s damage to our cells include: 

  • Premature aging. Alcohol increases dehydration, reducing moisture and elasticity in our skin. This makes it more likely for fine lines and wrinkles to form. Alcohol also impairs the absorption of essential nutrients, which are crucial for not only maintaining healthy skin but also overall cell function. Damage to our cells is what ties together alcohol and premature aging, which not only affects our appearance but also our health in general. 
  • Increased risk of age-related diseases. We may be aware that aging is associated with an increased risk of disease, but it actually stems from damage to our cells and cellular aging. On our skin, we may be more likely to experience rosacea (chronic redness on the face) and spider veins (damaged blood vessels). Alcohol and natural aging can impair immune function, which also increases the risk of many types of cancer. Other age-related diseases that can be worsened by alcohol include cardiovascular disease, osteoporosis, liver disease, and cognitive decline. 
  • Reduced recovery. When our cells don’t function properly, cellular regeneration and repair are also impacted. This not only affects skin health but also the repair and maintenance of our organs, tissues, and immune system. It might take longer for our body to heal from a wound or illness, and we can be more susceptible to damage and disease.

Alcohol’s impact on our skin and overall aging is something we might see and feel the days following drinking, but what about in the long term?

How Alcohol Affects Aging in the Long Term

Alcohol hits fast forward on the aging process. And we don’t just see that from the dullness or fatigue that comes the day after drinking, but also in the long term. This is because of how alcohol affects cellular regeneration (replacing or restoring damaged cells). Our cells make up our organs and body systems. So, when cellular regeneration is impacted, our organ function and healing are as well. Have you ever noticed that even something as benign as a head cold seems to hit harder than it did when you were a teenager? Blame it on aging and decreased cellular regeneration. 

Drinking also causes dehydration and depletes essential nutrients, which both contribute to effective cell regeneration. Over time, alcohol can also weaken our immune system, making it harder to fend off illnesses and recover from injuries. 

Chronic drinking damages our cells and immune system, making us look and feel older both inside and out. We may see signs of premature aging and be at risk of alcohol and age-related illness. So, now that we know the significant role alcohol plays in accelerating aging, can we undo the damage?

Can You Reverse Cellular Damage From Alcohol Consumption? 

Damage to our cells from alcohol may be reversed to some degree. When we stop drinking, our body’s natural healing processes can begin to repair our cells and reduce oxidative stress and inflammation.

However, the extent of repair depends on many factors, including how long and how much alcohol we’ve consumed, how old we are, genetic disposition, and our overall health. Chronic alcohol consumption can lead to significant cellular and tissue damage — particularly in organs such as our liver and brain — which may not be reversible. Research is being done on repairing alcohol-induced DNA damage, but for now, the best way to repair your body is to quit the alcohol and develop healthy habits!

Alcohol isn’t the only culprit for premature aging, however. Our cells’ ability to repair themselves is impacted by many factors, including stress, pollution, and our lifestyle choices. So, by making conscious decisions to prevent and improve cellular aging, we might be able to see some improvements!

Tips To Prevent Cellular Aging

Completely reversing cellular damage might not be possible, but taking proactive steps to support our health can make a significant difference in slowing it down. Here are some things we can do:

  • Balance your plate. Nutrient-rich foods, especially those high in antioxidants, help protect our cells from damage. Focus on adding nutrients rather than being overly restrictive, which makes healthy eating more sustainable. 
  • Stay hydrated. Our cells require proper hydration for proper cell function and repair. Drinking plenty of water helps our body detoxify and stay energized. Try filling up your bottle the night before, supplement with some electrolytes or mix it up with sparkling water to increase hydration. 
  • Get regular exercise. Physical activity boosts circulation, improves metabolism, and reduces oxidative stress, which supports cellular health. Talk short walk breaks when you can and find movement you actually like doing to integrate more physical activity into your daily routine. 
  • Get enough rest. Sleep is when our cells regenerate and repair. Prioritizing adequate sleep ensures our body has time to heal. Aim for 7 to 9 hours a night and focus on quality, restorative sleep. 
  • Quit or cut back on alcohol. Eliminating toxins like alcohol helps our cells repair and function to the best of their ability. Track consumption to get a better picture of what your drinking habits look like and set effective goals using the SMART framework. For additional support, try coaching with Reframe!

By integrating these practices, we can improve our health and potentially mitigate some of the effects of cellular damage, helping us live a longer and healthier life.

Tips To Prevent Cellular Aging

Turning Back Time

As we can see, alcohol’s effects on cellular aging go far beyond a dull complexion or a longer recovery time after drinking. The damage goes deeper, affecting our body’s ability to repair and regenerate our cells. While we may not be able to entirely reverse the toll that alcohol takes on our cells, we can take charge of preventing aging moving forward. By making mindful choices such as quitting or cutting back on alcohol, we can slow down the aging process and support our cells in functioning at their best. Here’s to making choices that nourish both our cells and well-being!

Alcohol and Health
2024-10-17 9:00
Alcohol and Health
How Alcohol Slows Down the Body’s Healing Process
This is some text inside of a div block.

Alcohol slows our body’s natural healing process through inflammation and by suppressing immune function. Check out our latest blog to learn the science behind healing.

15 min read

Prioritize Recovery 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 twist your ankle during a morning run, and, after a long day at work, you unwind with a couple of drinks, hoping that’ll help you relax. But a few days later, your ankle still feels sore, and you wonder why it's taking so long to heal. Could those drinks be a part of the problem?

While it might seem harmless, alcohol can slow down the body’s natural healing process in different ways. Whether it’s a minor injury, muscle recovery, or surgery, alcohol has a bigger impact on our recovery than we might think. Let’s understand how alcohol interferes with our body’s ability to heal and what this means for our overall health.

Does Alcohol Slow Healing?

In short, alcohol does slow healing, and it affects the body’s ability to recover in multiple ways:

1. A Damper on Immune Function

A woman is seated in a yoga position

Alcohol impairs our innate and adaptive immune functions, which are two key mechanisms that keep us healthy. Our innate immune system is our body’s first line of defense. It responds quickly to invaders such as bacteria and viruses. Alcohol slows down our innate immune response, leaving us vulnerable to infections. 

It also disrupts our adaptive immune response, which is our long-term system of defense responsible for creating antibodies (proteins that identify and fight germs) and for adapting to fight off future threats. In fact, our body registers alcohol as a threat! So, alcohol's impact on our immune system can lead to a weakened defense against illness, slower recovery times, and increased risk of complications.

2. Increased Inflammation

Alcohol is a toxin that irritates our tissues, causing an inflammatory response. Inflammation is a natural response to injury or infection. It sends a signal to our brain that there’s a problem requiring repair. 

Inflammation is a normal response to injury, as it helps us heal and recover. However, when alcohol is involved, this natural response can go into overdrive. It can cause persistent inflammation, damaging tissues rather than helping them heal. Chronic inflammation can slow down the healing of wounds, injuries, and illnesses.

3. Not Enough Nutrients

Another way alcohol slows down healing is by interfering with our body’s ability to absorb essential nutrients. We might be eating a healthy diet, but our body can’t absorb the nutrients properly. Because alcohol irritates the lining of our stomach and intestines, our body has a more difficult time breaking down and absorbing nutrients from the food we eat. This disruption can lead to nutrient deficiencies and impact our body’s ability to heal. 

Nutrient deficiency affects healing because we might be low in nutrients that play significant roles in cell repair, immune function, and tissue regeneration. For example, alcohol can impact the absorption of vitamin C, which is essential for collagen production. Impaired collagen production, in turn, slows down wound recovery. Alcohol consumption can also impair absorption of zinc, which supports immune function and tissue repair. When nutrients like these aren’t absorbed properly, healing can be delayed. 

4. (No) Rest and Recovery

Last but not least, alcohol impedes recovery by disrupting our sleep. Sleep is a time when our body heals and recovers, and when we drink, our sleep gets thrown off. 

Alcohol disrupts our REM sleep, which is a critical phase of restorative sleep. During this phase, our brain and body undergo essential repair processes, including muscle recovery and repair. When we don’t get enough REM sleep, our healing might take longer.

Alcohol also affects our sleep quality. We might pass out faster due to alcohol’s depressant effects, but once the alcohol is metabolized, we might experience what’s known as the rebound effect. When we drink, we experience a drop in glutamine levels, a neurotransmitter critical for learning and attention. Once alcohol is metabolized, however, our glutamine can spike, waking us up before we get enough restful sleep. Alcohol also interferes with our normal circadian rhythm or natural sleep cycle, causing us to wake up frequently throughout the night. 

Additionally, alcohol acts as a diuretic, causing increased urination and dehydration. When we’re not properly hydrated, our cells can’t work properly, impeding repair and recovery. 

As we can see, alcohol puts a damper on healing and recovery in more ways than one. It negatively affects our immune system, causes inflammation, and impairs nutrient absorption. This makes alcohol and wound healing a tough combo, as well as alcohol and bone healing. Plus, it makes it harder for us to fend off bacteria and viruses, and recover from any illness for that matter. Let’s take a closer look at what this means for our health in the long run. 

Looking at the Big Picture: Long-Term Effects of Alcohol on Recovery

The impact of alcohol can extend far beyond the immediate aftermath of injury or illness. In terms of healing and recovery, the effects can be significant.

  • Damage to our immune system. Over the long term, alcohol weakens our immune system. Regular, excessive alcohol consumption suppresses our immune function, making it harder to fight off infections, recover from illnesses, and heal wounds. Luckily, if we abstain from alcohol, our immune system has a chance to bounce back!
  • Chronic inflammation. Persistent inflammation damages healthy cells, tissues, and organs, and it depletes our immune system’s resources, making it harder to fight off new infections and repair tissue damage. Chronic inflammation also contributes to the development of chronic diseases, such as cardiovascular disease, liver disease, and certain cancers, as it damages our organs and tissues at a cellular level. 
  • Nutritional deficiencies. Alcohol impairs nutrient absorption, leading to deficiencies in nutrients that are needed for our body’s healing processes and overall health. These deficiencies don’t impair just short-term healing. Impaired nutrient absorption can lead to fatigue, bone health issues, cognitive decline, muscle weakness, digestive problems, and more. 
  • Cognitive decline. Chronic drinking leads to changes in brain function by damaging our neural pathways, which control how we think and act. This damage impairs cognitive functions such as memory, attention, and processing of information. It can also shrink parts of our brain such as the prefrontal cortex, which is responsible for decision-making and impulse control. All of this damage negatively impacts healing, making it difficult to follow through on recovery plans and make good choices about our health.
  • Increased risk of chronic diseases. Regular alcohol consumption increases the risk of developing chronic conditions such as liver disease, cardiovascular issues, and certain cancers, which can complicate healing and recovery. 

Alcohol’s long-term effects on healing and recovery also affect our overall health. Our body’s natural healing process ensures we’re equipped to fight off infections and recover from wounds and illness. Let’s see how we can better support this process.

Tips for Boosting Healing and Recovery 

While we might not be able to prevent all illnesses or recover immediately after injury, boosting our body’s natural healing process can make a significant difference. Here are some steps we can take:

  • Eat a balanced diet. A balanced diet ensures our body gets the nutrients it needs to repair cell damage and support immune function. Try to implement a balanced, anti-inflammatory diet full of whole grains, lean meats, fruits and vegetables, and healthy fats. 
  • Stay hydrated. Hydration is crucial for proper cell function. The US National Academies recommend at least 11.5 cups a day for women and 15.5 cups a day for men. 
  • Participate in regular exercise. Physical activity increases blood flow, reduces inflammation, and boosts immune function, all of which contribute to improved healing and recovery. Find types of movement you enjoy, and before you know it, exercise will become a lifestyle rather than a chore!
  • Prioritize sleep. Sleep is essential for healing and recovery. Aim for at least 7 – 9 hours of sleep a night. Try a quick meditation or switch out scrolling on social media for a book to improve your sleep quality.
  • Manage stress. Stress increases inflammation and impacts our immune function. Integrate stress-reducing activities into your routine, such as meditation, gentle exercise, journaling, and more. 
  • Quit or cut back on alcohol. Alcohol negatively impacts healing in different ways. Quit or cut back by tracking alcohol consumption, setting limits, and seeking professional help if needed. 

By incorporating these practices into our daily life, we can enhance our body’s ability to heal and recover, setting ourselves up for a healthier future.

Healing Ahead

Alcohol doesn’t impact just short-term recovery; but it can also have significant effects on our body’s overall natural healing process. By impairing immune function, reducing nutrient absorption, and prolonging inflammation, it slows down healing and leaves the body more vulnerable to illness. Quitting or cutting back on alcohol can improve our immune function and speed up recovery. Say goodbye to sluggish days and hello to quicker healing and more vitality!

You twist your ankle during a morning run, and, after a long day at work, you unwind with a couple of drinks, hoping that’ll help you relax. But a few days later, your ankle still feels sore, and you wonder why it's taking so long to heal. Could those drinks be a part of the problem?

While it might seem harmless, alcohol can slow down the body’s natural healing process in different ways. Whether it’s a minor injury, muscle recovery, or surgery, alcohol has a bigger impact on our recovery than we might think. Let’s understand how alcohol interferes with our body’s ability to heal and what this means for our overall health.

Does Alcohol Slow Healing?

In short, alcohol does slow healing, and it affects the body’s ability to recover in multiple ways:

1. A Damper on Immune Function

A woman is seated in a yoga position

Alcohol impairs our innate and adaptive immune functions, which are two key mechanisms that keep us healthy. Our innate immune system is our body’s first line of defense. It responds quickly to invaders such as bacteria and viruses. Alcohol slows down our innate immune response, leaving us vulnerable to infections. 

It also disrupts our adaptive immune response, which is our long-term system of defense responsible for creating antibodies (proteins that identify and fight germs) and for adapting to fight off future threats. In fact, our body registers alcohol as a threat! So, alcohol's impact on our immune system can lead to a weakened defense against illness, slower recovery times, and increased risk of complications.

2. Increased Inflammation

Alcohol is a toxin that irritates our tissues, causing an inflammatory response. Inflammation is a natural response to injury or infection. It sends a signal to our brain that there’s a problem requiring repair. 

Inflammation is a normal response to injury, as it helps us heal and recover. However, when alcohol is involved, this natural response can go into overdrive. It can cause persistent inflammation, damaging tissues rather than helping them heal. Chronic inflammation can slow down the healing of wounds, injuries, and illnesses.

3. Not Enough Nutrients

Another way alcohol slows down healing is by interfering with our body’s ability to absorb essential nutrients. We might be eating a healthy diet, but our body can’t absorb the nutrients properly. Because alcohol irritates the lining of our stomach and intestines, our body has a more difficult time breaking down and absorbing nutrients from the food we eat. This disruption can lead to nutrient deficiencies and impact our body’s ability to heal. 

Nutrient deficiency affects healing because we might be low in nutrients that play significant roles in cell repair, immune function, and tissue regeneration. For example, alcohol can impact the absorption of vitamin C, which is essential for collagen production. Impaired collagen production, in turn, slows down wound recovery. Alcohol consumption can also impair absorption of zinc, which supports immune function and tissue repair. When nutrients like these aren’t absorbed properly, healing can be delayed. 

4. (No) Rest and Recovery

Last but not least, alcohol impedes recovery by disrupting our sleep. Sleep is a time when our body heals and recovers, and when we drink, our sleep gets thrown off. 

Alcohol disrupts our REM sleep, which is a critical phase of restorative sleep. During this phase, our brain and body undergo essential repair processes, including muscle recovery and repair. When we don’t get enough REM sleep, our healing might take longer.

Alcohol also affects our sleep quality. We might pass out faster due to alcohol’s depressant effects, but once the alcohol is metabolized, we might experience what’s known as the rebound effect. When we drink, we experience a drop in glutamine levels, a neurotransmitter critical for learning and attention. Once alcohol is metabolized, however, our glutamine can spike, waking us up before we get enough restful sleep. Alcohol also interferes with our normal circadian rhythm or natural sleep cycle, causing us to wake up frequently throughout the night. 

Additionally, alcohol acts as a diuretic, causing increased urination and dehydration. When we’re not properly hydrated, our cells can’t work properly, impeding repair and recovery. 

As we can see, alcohol puts a damper on healing and recovery in more ways than one. It negatively affects our immune system, causes inflammation, and impairs nutrient absorption. This makes alcohol and wound healing a tough combo, as well as alcohol and bone healing. Plus, it makes it harder for us to fend off bacteria and viruses, and recover from any illness for that matter. Let’s take a closer look at what this means for our health in the long run. 

Looking at the Big Picture: Long-Term Effects of Alcohol on Recovery

The impact of alcohol can extend far beyond the immediate aftermath of injury or illness. In terms of healing and recovery, the effects can be significant.

  • Damage to our immune system. Over the long term, alcohol weakens our immune system. Regular, excessive alcohol consumption suppresses our immune function, making it harder to fight off infections, recover from illnesses, and heal wounds. Luckily, if we abstain from alcohol, our immune system has a chance to bounce back!
  • Chronic inflammation. Persistent inflammation damages healthy cells, tissues, and organs, and it depletes our immune system’s resources, making it harder to fight off new infections and repair tissue damage. Chronic inflammation also contributes to the development of chronic diseases, such as cardiovascular disease, liver disease, and certain cancers, as it damages our organs and tissues at a cellular level. 
  • Nutritional deficiencies. Alcohol impairs nutrient absorption, leading to deficiencies in nutrients that are needed for our body’s healing processes and overall health. These deficiencies don’t impair just short-term healing. Impaired nutrient absorption can lead to fatigue, bone health issues, cognitive decline, muscle weakness, digestive problems, and more. 
  • Cognitive decline. Chronic drinking leads to changes in brain function by damaging our neural pathways, which control how we think and act. This damage impairs cognitive functions such as memory, attention, and processing of information. It can also shrink parts of our brain such as the prefrontal cortex, which is responsible for decision-making and impulse control. All of this damage negatively impacts healing, making it difficult to follow through on recovery plans and make good choices about our health.
  • Increased risk of chronic diseases. Regular alcohol consumption increases the risk of developing chronic conditions such as liver disease, cardiovascular issues, and certain cancers, which can complicate healing and recovery. 

Alcohol’s long-term effects on healing and recovery also affect our overall health. Our body’s natural healing process ensures we’re equipped to fight off infections and recover from wounds and illness. Let’s see how we can better support this process.

Tips for Boosting Healing and Recovery 

While we might not be able to prevent all illnesses or recover immediately after injury, boosting our body’s natural healing process can make a significant difference. Here are some steps we can take:

  • Eat a balanced diet. A balanced diet ensures our body gets the nutrients it needs to repair cell damage and support immune function. Try to implement a balanced, anti-inflammatory diet full of whole grains, lean meats, fruits and vegetables, and healthy fats. 
  • Stay hydrated. Hydration is crucial for proper cell function. The US National Academies recommend at least 11.5 cups a day for women and 15.5 cups a day for men. 
  • Participate in regular exercise. Physical activity increases blood flow, reduces inflammation, and boosts immune function, all of which contribute to improved healing and recovery. Find types of movement you enjoy, and before you know it, exercise will become a lifestyle rather than a chore!
  • Prioritize sleep. Sleep is essential for healing and recovery. Aim for at least 7 – 9 hours of sleep a night. Try a quick meditation or switch out scrolling on social media for a book to improve your sleep quality.
  • Manage stress. Stress increases inflammation and impacts our immune function. Integrate stress-reducing activities into your routine, such as meditation, gentle exercise, journaling, and more. 
  • Quit or cut back on alcohol. Alcohol negatively impacts healing in different ways. Quit or cut back by tracking alcohol consumption, setting limits, and seeking professional help if needed. 

By incorporating these practices into our daily life, we can enhance our body’s ability to heal and recover, setting ourselves up for a healthier future.

Healing Ahead

Alcohol doesn’t impact just short-term recovery; but it can also have significant effects on our body’s overall natural healing process. By impairing immune function, reducing nutrient absorption, and prolonging inflammation, it slows down healing and leaves the body more vulnerable to illness. Quitting or cutting back on alcohol can improve our immune function and speed up recovery. Say goodbye to sluggish days and hello to quicker healing and more vitality!

Alcohol and Health
2024-10-17 9:00
Alcohol and Health
How Alcohol Affects Your Skin While Tanning
This is some text inside of a div block.

Drinking in the sun increases the risk of skin damage and long-term issues. Check out our latest blog for more info on why alcohol and sun tanning aren’t a good duo.

11 min read

Care for All Aspects of Your Health With Reframe!

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

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

You’ll meet 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 lounging by the pool, the sun beating down, and maybe you have a drink in hand. It seems like a perfect summer day, but while you’re busy relaxing, alcohol might be doing more than just giving you a buzz: it could be sabotaging your skin.

From dehydration to increased sensitivity, alcohol’s effects can turn your tanning session into a recipe for damage. Let’s explore how quitting or cutting back on alcohol can lead to better skin and a healthier glow.

The Science Behind Tanning

A woman in a swimsuit relaxes on a tanning bed

Tanning is our body’s natural response to ultraviolet (UV) exposure. UV rays from the sun penetrate the outer layers of our skin, triggering cells called melanocytes. 

Melanocytes produce melanin, which is the pigment responsible for giving our skin its color. So, we might think we’re just getting a sun-kissed glow from tanning, but it’s actually our body’s way of protecting itself from further damage.

Excessive exposure to UV rays damages skin cells, accelerates aging, and increases the risk of skin cancer. So, although we might be seeking that golden glow or that sun-kissed radiance that says “I just came back from vacation,” it’s important that we understand the long-term effect tanning can have on our skin’s health. 

Alcohol and Suntanning: A Sun-Kissed Hazard

Alcohol and suntanning can be a dangerous combo. This is because of the different ways alcohol affects our skin:

  • It increases UV sensitivity. UV rays damage our skin to begin with, and alcohol only makes it worse. One study showed that alcohol consumption and UV exposure together resulted in greater skin damage, impaired melanin response (the response that the skin uses to protect against UV rays), fewer antioxidants, immune system impairment, and DNA damage. Adding alcohol to our tanning routine makes our skin more susceptible to sunburn, premature aging, and even skin cancer.
  • It dries out our skin. Alcohol is a diuretic, which means it promotes excess water loss, leading to dehydration. This sucks the moisture out of our skin, leading to dry, flaky skin that’s more prone to sunburn and damage from UV rays. The combination of dehydration and a weakened immune response makes our skin more sensitive to UV rays.
  • It impairs our judgment. Drinking dulls our sense of caution and awareness, making us less likely to use or reapply sunscreen, seek shade, or limit our time in the sun, increasing our risk of overexposure to harmful UV radiation. 
  • It impairs recovery. Alcohol interferes with our body’s natural healing processes. This means that if we do get sunburned, our skin takes longer to recover and repair itself, prolonging discomfort. 

Drinking in the sun amplifies the risks of sun damage, leading to long-term skin issues that go far beyond a temporary tan. But there’s even more!

Other Risks of Drinking In the Sun

Beyond the increased risk of skin damage, drinking in the sun can lead to a host of other complications. Be mindful of these risks:

  • Increased dehydration. As we’ve discussed, alcohol exacerbates dehydration, which affects more than just our skin. Dehydration can leave us feeling weak and lightheaded, impacting our comfort and safety. 
  • Risk of heat exhaustion. Alcohol can disrupt our body’s ability to regulate temperature properly. When combined with sun exposure, the risk of heat exhaustion, which causes symptoms such as nausea, dizziness, and a rapid heartbeat, is heightened.
  • Reduced physical coordination. Drinking impairs coordination, which can be further compromised by the sun’s effects. This increases the risk of falls and accidents, especially when we’re engaging in outdoor activities. 
  • Greater fatigue. Alcohol and sun exposure are a recipe for heightened fatigue. Drinking can disrupt our sleep patterns and hydration levels, while the sun’s heat can drain our energy, leaving us feeling even more tired and sluggish.
  • More severe sunburns. Alcohol and sunburns don’t mix well. Alcohol actually increases the risk of sunburns because it decreases the protective effects of the skin’s antioxidant network, which helps neutralize free radicals from UV exposure.

By recognizing the potential dangers and taking proactive steps, we can enjoy our time outdoors while minimizing these health hazards.

Prioritize Health While Having Fun in the Sun

Prioritize Health While Having Fun in the Sun

To keep us feeling our best and minimize the risks associated with alcohol and sun exposure, it’s essential to implement mindful habits. Here are some things we can do:

  • Stay hydrated. Drink plenty of water before, during, and after a day in the sun. This helps counteract dehydration caused by both alcohol and the sun. 
  • Use a broad-spectrum sunscreen. A broad-spectrum sunscreen helps protect us against harmful UVA and UVB rays. Go for sunscreen with a high SPF and reapply every two hours. 
  • Cover up. Wear a hat, sunglasses, or light clothing to shield your skin and eyes from direct sunlight.
  • Seek shade during peak hours. Try to limit direct sun exposure during peak sun hours between 10 a.m. and 4 p.m. Opt for an umbrella or stay covered up with clothing.
  • Avoid alcohol. Opt for alcohol-free alternatives or hydrating beverages to curb dehydration, help prevent heat exhaustion, and lower risk of skin damage. 
  • Stay moisturized. Applying moisturizer after sun exposure helps replenish hydration in our skin. 

We can still enjoy time in the sun by taking these precautions to maintain our health and well-being. 

A Healthier Glow

As we chase that sun-kissed glow, it’s clear that alcohol and suntanning are a risky combination. The mix of dehydration, increased UV sensitivity, and impaired recovery creates a perfect storm for skin damage and long-term health issues. Instead of risking our skin for a fleeting tan, stay hydrated, use sunscreen, and steer clear of alcohol to enjoy a healthier, more radiant glow. Let’s raise a glass (of water or a refreshing mocktail) to keep our fun in the sun risk-free!

You’re lounging by the pool, the sun beating down, and maybe you have a drink in hand. It seems like a perfect summer day, but while you’re busy relaxing, alcohol might be doing more than just giving you a buzz: it could be sabotaging your skin.

From dehydration to increased sensitivity, alcohol’s effects can turn your tanning session into a recipe for damage. Let’s explore how quitting or cutting back on alcohol can lead to better skin and a healthier glow.

The Science Behind Tanning

A woman in a swimsuit relaxes on a tanning bed

Tanning is our body’s natural response to ultraviolet (UV) exposure. UV rays from the sun penetrate the outer layers of our skin, triggering cells called melanocytes. 

Melanocytes produce melanin, which is the pigment responsible for giving our skin its color. So, we might think we’re just getting a sun-kissed glow from tanning, but it’s actually our body’s way of protecting itself from further damage.

Excessive exposure to UV rays damages skin cells, accelerates aging, and increases the risk of skin cancer. So, although we might be seeking that golden glow or that sun-kissed radiance that says “I just came back from vacation,” it’s important that we understand the long-term effect tanning can have on our skin’s health. 

Alcohol and Suntanning: A Sun-Kissed Hazard

Alcohol and suntanning can be a dangerous combo. This is because of the different ways alcohol affects our skin:

  • It increases UV sensitivity. UV rays damage our skin to begin with, and alcohol only makes it worse. One study showed that alcohol consumption and UV exposure together resulted in greater skin damage, impaired melanin response (the response that the skin uses to protect against UV rays), fewer antioxidants, immune system impairment, and DNA damage. Adding alcohol to our tanning routine makes our skin more susceptible to sunburn, premature aging, and even skin cancer.
  • It dries out our skin. Alcohol is a diuretic, which means it promotes excess water loss, leading to dehydration. This sucks the moisture out of our skin, leading to dry, flaky skin that’s more prone to sunburn and damage from UV rays. The combination of dehydration and a weakened immune response makes our skin more sensitive to UV rays.
  • It impairs our judgment. Drinking dulls our sense of caution and awareness, making us less likely to use or reapply sunscreen, seek shade, or limit our time in the sun, increasing our risk of overexposure to harmful UV radiation. 
  • It impairs recovery. Alcohol interferes with our body’s natural healing processes. This means that if we do get sunburned, our skin takes longer to recover and repair itself, prolonging discomfort. 

Drinking in the sun amplifies the risks of sun damage, leading to long-term skin issues that go far beyond a temporary tan. But there’s even more!

Other Risks of Drinking In the Sun

Beyond the increased risk of skin damage, drinking in the sun can lead to a host of other complications. Be mindful of these risks:

  • Increased dehydration. As we’ve discussed, alcohol exacerbates dehydration, which affects more than just our skin. Dehydration can leave us feeling weak and lightheaded, impacting our comfort and safety. 
  • Risk of heat exhaustion. Alcohol can disrupt our body’s ability to regulate temperature properly. When combined with sun exposure, the risk of heat exhaustion, which causes symptoms such as nausea, dizziness, and a rapid heartbeat, is heightened.
  • Reduced physical coordination. Drinking impairs coordination, which can be further compromised by the sun’s effects. This increases the risk of falls and accidents, especially when we’re engaging in outdoor activities. 
  • Greater fatigue. Alcohol and sun exposure are a recipe for heightened fatigue. Drinking can disrupt our sleep patterns and hydration levels, while the sun’s heat can drain our energy, leaving us feeling even more tired and sluggish.
  • More severe sunburns. Alcohol and sunburns don’t mix well. Alcohol actually increases the risk of sunburns because it decreases the protective effects of the skin’s antioxidant network, which helps neutralize free radicals from UV exposure.

By recognizing the potential dangers and taking proactive steps, we can enjoy our time outdoors while minimizing these health hazards.

Prioritize Health While Having Fun in the Sun

Prioritize Health While Having Fun in the Sun

To keep us feeling our best and minimize the risks associated with alcohol and sun exposure, it’s essential to implement mindful habits. Here are some things we can do:

  • Stay hydrated. Drink plenty of water before, during, and after a day in the sun. This helps counteract dehydration caused by both alcohol and the sun. 
  • Use a broad-spectrum sunscreen. A broad-spectrum sunscreen helps protect us against harmful UVA and UVB rays. Go for sunscreen with a high SPF and reapply every two hours. 
  • Cover up. Wear a hat, sunglasses, or light clothing to shield your skin and eyes from direct sunlight.
  • Seek shade during peak hours. Try to limit direct sun exposure during peak sun hours between 10 a.m. and 4 p.m. Opt for an umbrella or stay covered up with clothing.
  • Avoid alcohol. Opt for alcohol-free alternatives or hydrating beverages to curb dehydration, help prevent heat exhaustion, and lower risk of skin damage. 
  • Stay moisturized. Applying moisturizer after sun exposure helps replenish hydration in our skin. 

We can still enjoy time in the sun by taking these precautions to maintain our health and well-being. 

A Healthier Glow

As we chase that sun-kissed glow, it’s clear that alcohol and suntanning are a risky combination. The mix of dehydration, increased UV sensitivity, and impaired recovery creates a perfect storm for skin damage and long-term health issues. Instead of risking our skin for a fleeting tan, stay hydrated, use sunscreen, and steer clear of alcohol to enjoy a healthier, more radiant glow. Let’s raise a glass (of water or a refreshing mocktail) to keep our fun in the sun risk-free!

Alcohol and Health
2024-10-10 9:00
Alcohol and Health
Is Alcohol a Macronutrient? How Do You Track It?
This is some text inside of a div block.

Alcohol is its own macronutrient but has no nutritional value. Check out our latest blog for more info on what type of nutrient alcohol is and how to keep track of it.

18 min read

Learn To Track Alcohol Intake 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 TV show, Friends, where the gang is gathered at Central Perk. Monica is introducing her latest health-conscious recipe while Joey is just trying to figure out if beer counts as a carb. It’s a humorous moment, but it gets you thinking — how does alcohol fit into your diet?

Alcohol is considered a macronutrient, but it doesn’t fall into the category of carbohydrate, protein, or fat. So, how do we track when we’re counting our “macros” to reach our nutrition goals? Let’s dive into the science behind alcohol and its place in nutrition. Whether you’re a fitness enthusiast or trying to understand more about the effects of alcohol on your health, we’ll help you make sense of it all. 

Understanding Macronutrients

A woman in an orange sweater is holding a calendar

Macronutrients, also commonly referred to as macros, are the building blocks of our nutrition. They are the primary source of energy that we get from food, which includes three main categories: carbohydrates, proteins, and fats. The other main component of our nutrition is micronutrients. Micronutrients are smaller nutritional categories that include vitamins and minerals. Think of the zinc, magnesium, and potassium in a steak rather than the protein, which is the macronutrient. Micronutrients are no less important, but just needed in smaller amounts. 

The three main macronutrients are essential to our nutrition, as they have different functions. A balanced diet consists of all three:

  • Carbohydrates are our main source of energy. 
  • Protein helps build strong bones and muscles.
  • Fats are essential to cell function and protection of our organs. 

A general breakdown of macronutrients in a balanced diet consists of around 20%-35% of calories from fat, 10-35% from protein, and 45%-65% from carbohydrates. Keep in mind, individual dietary requirements may differ, but this is just a general guideline. We can also adjust our macronutrients based on our goals. For example, if we want to build more muscle, we can increase our protein intake. If our goal is weight loss, we can focus on lowering our carbohydrate intake. Keeping track of our macros helps us reach various health goals. But where does alcohol fit in?

Is Alcohol a Macronutrient?

Alcohol is considered the fourth macronutrient since it’s not a protein, carbohydrate, or fat, but still contains calories that the body burns off. But just because macronutrients are the building blocks of our nutrition, doesn’t mean alcohol should be part of our diet. Unlike the other macronutrients, alcohol has no nutritional value and is not essential to our survival. In fact, alcohol is harmful to our health and is associated with long-term conditions that can even be life-threatening.

So, despite the misleading label of alcohol as a nutrient, specifically a macronutrient, alcohol and nutrition don’t go hand in hand. In fact, research shows that high alcohol intake is associated with poor eating habits and differences in body composition. 

Understanding how to properly track alcohol intake is beneficial to our health. But sometimes when we buy alcohol, nutrition labels aren’t on it, and even if they are, they can be misleading. Let’s learn how to properly track our macros when drinking. 

How Do You Track the Macros of Alcohol?

While alcohol is its own macronutrient, it can be counted as a carbohydrate, fat, or a combination of both depending on the type. This is because carbs provide around 4 calories per gram, and fat provides around 9. From an energy lens, alcohol has 7 calories per gram, which sits in between a gram of carbohydrate and fat. While protein also contains 4 calories per gram, nutritionally, alcohol is closer to carbohydrates or fats. 

Determining the carbohydrates or fats in an alcoholic drink is simple when we know the calories. To track alcohol as a carbohydrate, divide the total calories by 4 (since there’s 4 cal/g of carbs). To track it as a fat, divide the calories by 9. To track alcohol as both a carb and fat, split the calories in half and divide one half by 4 and the other by 9.

When we don’t know the calories, that’s when it gets (just slightly) more complicated. Since alcohol is regulated by the Alcohol and Tobacco Tax and Trade Bureau (TTB) rather than the FDA (like other food and drinks), nutritional labeling isn’t required. Luckily, we can use the alcohol by volume — ABV — to calculate the macros. Let’s walk through the steps and look at an example:

There are 28.409 grams in 1 ounce. We can take 28.409 grams and multiply it by the number of ounces of alcohol in our drink to get the number of grams of alcohol. The recommended dietary allowance for protein is 0.8 grams per kilogram of body weight. We then multiply that by 7 calories in a gram (which is how much alcohol has). Multiply that by the alcohol by volume to get total calories, then split it in half and divide one half by 9 and the other by 4 like we mentioned earlier. Here’s the equation for reference:


  • 28.409 g/oz x ___ oz = ___ g
  • ___ g x 0.8g = ___
  • ___ x 7 cal/g = ____ total cal
  • ___ %ABV x ___ total cal = ___ cal per ___ oz
  • Convert calories into macros

To get a better idea of how it works, let’s use 1.5 oz of 40%-ABV vodka as an example:

  • 28.409 g/oz x 1.5 oz = 42.61 g
  • 42.61 g x 0.8g = 34.09 g
  • 34.09 x 7 cal/g = 238.62 total cal
  • 0.04ABV x 238.62 total cal = 96 cal per 1.5 oz
  • 96/4 = 24g of carbs; 96/9 = 10.6g of fat


It may not be practical to whip out an equation each time we drink, but there are plenty of online calculator tools to help us determine the macros in our drink. If you’re in a pinch or there’s no nutrition label, check out our cheat sheet for a guesstimate.

Macronutrients in Common Types of Liquor

Now, why bother doing all this, you may ask? Well, there are benefits to tracking the macronutrients and calories we get from alcohol. Let’s take a look at what those are.

Benefits of Tracking Alcohol and Calories

The fitness industry commonly uses the term “calories in, calories out.” When it comes to weight loss, tracking calories can be effective. But there’s more to the story. Tracking macros helps us reach other health goals and has additional benefits: 

  • Quality over quantity. Not all calories are created equally. When we focus on the macronutrient breakdown, we take into account the quality of our nutrition rather than just the calories. For example, a cup of plain Greek yogurt with granola may have the same number of calories as a Pop-Tart, but the former has a much more balanced breakdown of macros (protein, complex carbs, healthy fats), whereas the Pop-Tart is not a balanced meal and is mostly fat and carbohydrates (not to mention sugar). Tracking the macros and calories in alcohol helps us gain insight into not only how many calories we’re actually consuming, but also where those calories are coming from.



    Tip: Check out Reframe’s handy alcohol calorie calculator to easily track how many calories you’re getting from alcohol.
  • A tool for different health goals. Whether we’re looking to build muscle, improve our metabolism, lose weight, or ensure we’re eating a balanced diet, counting macros can help us reach certain health goals. 
  • Less restriction. Tracking macros can be less restrictive for some of us. It doesn’t restrict certain food groups like some diets and helps promote the message that all foods can fit into a healthy diet. Since alcohol has calories, it’s important to account for it when tracking macros and calories. 
  • Greater insight. Tracking our macros, like tracking our alcohol intake, gives us greater insight into how our diet affects us. This helps us adjust our nutrition and use it to boost our overall well-being.

Understanding the benefits of tracking macros can influence our choices. Let’s dive into some drink options that may be more aligned with our goals. 

Macro-Friendly Drink Options

At the end of the day, all alcohol is empty calories, but if we do decide to have a drink, we can be mindful of our nutrition by going for more macro-friendly options. Keep these tips in mind the next time you’re choosing a drink:

  • Opt for lower alcohol content. The higher the alcohol content, the more calories a drink has. Go for lower alcohol options such as beer or hard seltzers rather than liquor.
  • Use no/low cal mixers. Mixers such as artificial fruit juices, soda, and syrups can add to the calories in alcohol. Opt for no or low-calorie options such as sparkling water or tomato juice.
  • Go for light beers. Light beers often use fewer grains and additives such as corn or rice to lower the alcohol content and calories.
  • Ask for “skinny” versions of cocktails. A “skinny” version of a cocktail is a lower-sugar or lower-calorie version. The sugar can be replaced with Stevia, sugary mixers may be replaced with soda water, or the alcohol can be replaced with lower-alcohol spirits.
  • Try low-calorie wines. Like light beers, low-calorie wines are made using modifications of the ingredients and fermentation process. The lower sugar and alcohol levels leads to a more macro-friendly wine.

Now that we’re equipped with macro-friendly drink options, let’s explore some practical tips to further manage our alcohol intake and nutrition. 

Tips for Managing Alcohol and Nutrition

Our health consists of many aspects, and what we consume is among the most important. Managing our nutrition and alcohol intake using these tips helps us work towards a healthier lifestyle:

  • Keep track. Tracking, whether it’s our macros for nutrition or our alcohol intake, helps us get a clearer picture of our habits. By gathering this important information, we can develop goals to improve our overall health and well-being.
  • Be intentional. Choose more nutrient-dense dietary options such as whole foods and lots of veggies (with an occasional treat here and there for balance!). When it comes to drinking, set limits, choose low-alcohol options, or better yet, opt for alcohol-free alternatives
  • Avoid empty calories. Empty calories have no nutritional value and increase the chances of weight gain. Quitting or cutting back on alcohol reduces intake of these empty calories. 
  • Stay active. Participating in daily movement has benefits to our physical health, such as improving cardiovascular health and preventing excess fat. It also has positive effects on our mental health such as increasing our confidence and boosting our mood.
  • Develop a support system. Having others we can rely on is important for our mental and social health. Especially during challenging times such as developing a healthier relationship with alcohol or managing our nutrition, social support can serve as motivation and encourage us to continue striving for better. 

Managing our nutrition through tracking alcohol intake is the first step to a healthier lifestyle. We can continue to set ourselves up for success by developing positive skills such as mindfulness, coping mechanisms, and gratitude.

Sipping Wisely

As we can see, understanding where alcohol fits into our nutrition goals isn’t just for fitness enthusiasts. It’s valuable for any one of us looking to make more informed choices. Whether we’re looking to quit or cut back on alcohol or simply aiming to have a more balanced diet, knowing how to track alcohol as part of our macros is a game-changer. So, the next time we’re enjoying a drink, we’ll know exactly how it fits into our plan, making our journey to a healthier, happier lifestyle more manageable. Cheers to more informed choices!

You’re watching an episode of your favorite TV show, Friends, where the gang is gathered at Central Perk. Monica is introducing her latest health-conscious recipe while Joey is just trying to figure out if beer counts as a carb. It’s a humorous moment, but it gets you thinking — how does alcohol fit into your diet?

Alcohol is considered a macronutrient, but it doesn’t fall into the category of carbohydrate, protein, or fat. So, how do we track when we’re counting our “macros” to reach our nutrition goals? Let’s dive into the science behind alcohol and its place in nutrition. Whether you’re a fitness enthusiast or trying to understand more about the effects of alcohol on your health, we’ll help you make sense of it all. 

Understanding Macronutrients

A woman in an orange sweater is holding a calendar

Macronutrients, also commonly referred to as macros, are the building blocks of our nutrition. They are the primary source of energy that we get from food, which includes three main categories: carbohydrates, proteins, and fats. The other main component of our nutrition is micronutrients. Micronutrients are smaller nutritional categories that include vitamins and minerals. Think of the zinc, magnesium, and potassium in a steak rather than the protein, which is the macronutrient. Micronutrients are no less important, but just needed in smaller amounts. 

The three main macronutrients are essential to our nutrition, as they have different functions. A balanced diet consists of all three:

  • Carbohydrates are our main source of energy. 
  • Protein helps build strong bones and muscles.
  • Fats are essential to cell function and protection of our organs. 

A general breakdown of macronutrients in a balanced diet consists of around 20%-35% of calories from fat, 10-35% from protein, and 45%-65% from carbohydrates. Keep in mind, individual dietary requirements may differ, but this is just a general guideline. We can also adjust our macronutrients based on our goals. For example, if we want to build more muscle, we can increase our protein intake. If our goal is weight loss, we can focus on lowering our carbohydrate intake. Keeping track of our macros helps us reach various health goals. But where does alcohol fit in?

Is Alcohol a Macronutrient?

Alcohol is considered the fourth macronutrient since it’s not a protein, carbohydrate, or fat, but still contains calories that the body burns off. But just because macronutrients are the building blocks of our nutrition, doesn’t mean alcohol should be part of our diet. Unlike the other macronutrients, alcohol has no nutritional value and is not essential to our survival. In fact, alcohol is harmful to our health and is associated with long-term conditions that can even be life-threatening.

So, despite the misleading label of alcohol as a nutrient, specifically a macronutrient, alcohol and nutrition don’t go hand in hand. In fact, research shows that high alcohol intake is associated with poor eating habits and differences in body composition. 

Understanding how to properly track alcohol intake is beneficial to our health. But sometimes when we buy alcohol, nutrition labels aren’t on it, and even if they are, they can be misleading. Let’s learn how to properly track our macros when drinking. 

How Do You Track the Macros of Alcohol?

While alcohol is its own macronutrient, it can be counted as a carbohydrate, fat, or a combination of both depending on the type. This is because carbs provide around 4 calories per gram, and fat provides around 9. From an energy lens, alcohol has 7 calories per gram, which sits in between a gram of carbohydrate and fat. While protein also contains 4 calories per gram, nutritionally, alcohol is closer to carbohydrates or fats. 

Determining the carbohydrates or fats in an alcoholic drink is simple when we know the calories. To track alcohol as a carbohydrate, divide the total calories by 4 (since there’s 4 cal/g of carbs). To track it as a fat, divide the calories by 9. To track alcohol as both a carb and fat, split the calories in half and divide one half by 4 and the other by 9.

When we don’t know the calories, that’s when it gets (just slightly) more complicated. Since alcohol is regulated by the Alcohol and Tobacco Tax and Trade Bureau (TTB) rather than the FDA (like other food and drinks), nutritional labeling isn’t required. Luckily, we can use the alcohol by volume — ABV — to calculate the macros. Let’s walk through the steps and look at an example:

There are 28.409 grams in 1 ounce. We can take 28.409 grams and multiply it by the number of ounces of alcohol in our drink to get the number of grams of alcohol. The recommended dietary allowance for protein is 0.8 grams per kilogram of body weight. We then multiply that by 7 calories in a gram (which is how much alcohol has). Multiply that by the alcohol by volume to get total calories, then split it in half and divide one half by 9 and the other by 4 like we mentioned earlier. Here’s the equation for reference:


  • 28.409 g/oz x ___ oz = ___ g
  • ___ g x 0.8g = ___
  • ___ x 7 cal/g = ____ total cal
  • ___ %ABV x ___ total cal = ___ cal per ___ oz
  • Convert calories into macros

To get a better idea of how it works, let’s use 1.5 oz of 40%-ABV vodka as an example:

  • 28.409 g/oz x 1.5 oz = 42.61 g
  • 42.61 g x 0.8g = 34.09 g
  • 34.09 x 7 cal/g = 238.62 total cal
  • 0.04ABV x 238.62 total cal = 96 cal per 1.5 oz
  • 96/4 = 24g of carbs; 96/9 = 10.6g of fat


It may not be practical to whip out an equation each time we drink, but there are plenty of online calculator tools to help us determine the macros in our drink. If you’re in a pinch or there’s no nutrition label, check out our cheat sheet for a guesstimate.

Macronutrients in Common Types of Liquor

Now, why bother doing all this, you may ask? Well, there are benefits to tracking the macronutrients and calories we get from alcohol. Let’s take a look at what those are.

Benefits of Tracking Alcohol and Calories

The fitness industry commonly uses the term “calories in, calories out.” When it comes to weight loss, tracking calories can be effective. But there’s more to the story. Tracking macros helps us reach other health goals and has additional benefits: 

  • Quality over quantity. Not all calories are created equally. When we focus on the macronutrient breakdown, we take into account the quality of our nutrition rather than just the calories. For example, a cup of plain Greek yogurt with granola may have the same number of calories as a Pop-Tart, but the former has a much more balanced breakdown of macros (protein, complex carbs, healthy fats), whereas the Pop-Tart is not a balanced meal and is mostly fat and carbohydrates (not to mention sugar). Tracking the macros and calories in alcohol helps us gain insight into not only how many calories we’re actually consuming, but also where those calories are coming from.



    Tip: Check out Reframe’s handy alcohol calorie calculator to easily track how many calories you’re getting from alcohol.
  • A tool for different health goals. Whether we’re looking to build muscle, improve our metabolism, lose weight, or ensure we’re eating a balanced diet, counting macros can help us reach certain health goals. 
  • Less restriction. Tracking macros can be less restrictive for some of us. It doesn’t restrict certain food groups like some diets and helps promote the message that all foods can fit into a healthy diet. Since alcohol has calories, it’s important to account for it when tracking macros and calories. 
  • Greater insight. Tracking our macros, like tracking our alcohol intake, gives us greater insight into how our diet affects us. This helps us adjust our nutrition and use it to boost our overall well-being.

Understanding the benefits of tracking macros can influence our choices. Let’s dive into some drink options that may be more aligned with our goals. 

Macro-Friendly Drink Options

At the end of the day, all alcohol is empty calories, but if we do decide to have a drink, we can be mindful of our nutrition by going for more macro-friendly options. Keep these tips in mind the next time you’re choosing a drink:

  • Opt for lower alcohol content. The higher the alcohol content, the more calories a drink has. Go for lower alcohol options such as beer or hard seltzers rather than liquor.
  • Use no/low cal mixers. Mixers such as artificial fruit juices, soda, and syrups can add to the calories in alcohol. Opt for no or low-calorie options such as sparkling water or tomato juice.
  • Go for light beers. Light beers often use fewer grains and additives such as corn or rice to lower the alcohol content and calories.
  • Ask for “skinny” versions of cocktails. A “skinny” version of a cocktail is a lower-sugar or lower-calorie version. The sugar can be replaced with Stevia, sugary mixers may be replaced with soda water, or the alcohol can be replaced with lower-alcohol spirits.
  • Try low-calorie wines. Like light beers, low-calorie wines are made using modifications of the ingredients and fermentation process. The lower sugar and alcohol levels leads to a more macro-friendly wine.

Now that we’re equipped with macro-friendly drink options, let’s explore some practical tips to further manage our alcohol intake and nutrition. 

Tips for Managing Alcohol and Nutrition

Our health consists of many aspects, and what we consume is among the most important. Managing our nutrition and alcohol intake using these tips helps us work towards a healthier lifestyle:

  • Keep track. Tracking, whether it’s our macros for nutrition or our alcohol intake, helps us get a clearer picture of our habits. By gathering this important information, we can develop goals to improve our overall health and well-being.
  • Be intentional. Choose more nutrient-dense dietary options such as whole foods and lots of veggies (with an occasional treat here and there for balance!). When it comes to drinking, set limits, choose low-alcohol options, or better yet, opt for alcohol-free alternatives
  • Avoid empty calories. Empty calories have no nutritional value and increase the chances of weight gain. Quitting or cutting back on alcohol reduces intake of these empty calories. 
  • Stay active. Participating in daily movement has benefits to our physical health, such as improving cardiovascular health and preventing excess fat. It also has positive effects on our mental health such as increasing our confidence and boosting our mood.
  • Develop a support system. Having others we can rely on is important for our mental and social health. Especially during challenging times such as developing a healthier relationship with alcohol or managing our nutrition, social support can serve as motivation and encourage us to continue striving for better. 

Managing our nutrition through tracking alcohol intake is the first step to a healthier lifestyle. We can continue to set ourselves up for success by developing positive skills such as mindfulness, coping mechanisms, and gratitude.

Sipping Wisely

As we can see, understanding where alcohol fits into our nutrition goals isn’t just for fitness enthusiasts. It’s valuable for any one of us looking to make more informed choices. Whether we’re looking to quit or cut back on alcohol or simply aiming to have a more balanced diet, knowing how to track alcohol as part of our macros is a game-changer. So, the next time we’re enjoying a drink, we’ll know exactly how it fits into our plan, making our journey to a healthier, happier lifestyle more manageable. Cheers to more informed choices!

Alcohol and Health
2024-10-10 9:00
Alcohol and Health
What Is Alcohol Withdrawal Delirium?
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Delirium tremens during alcohol withdrawal can be life-threatening. Check out our latest blog for more info on treating and preventing this critical condition.

18 min read

Prioritize Safety 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  →

Imagine waking up in a whirlwind of disorientation where reality blurs and shadows dance in your periphery. You get up but your room warps into a puzzling landscape, familiar faces morph into strangers, and even the simplest actions become daunting. You’re hoping to snap out of it, but this isn't a scene from a nightmare. It’s the stark reality of alcohol withdrawal delirium, also referred to as delirium tremens (DTs).

DTs is a severe and potentially life-threatening condition that can arise after abruptly stopping heavy alcohol consumption. This form of alcohol withdrawal can plunge us into a state of intense confusion, vivid hallucinations, and erratic physical symptoms. For those looking to quit or cut back on alcohol, understanding DTs is crucial in managing safe detox and recovery. Let's dive into all things DTs to equip you with the tools to confront this challenging aspect of alcohol withdrawal.

Delirium Tremens (DTs): Alcohol Withdrawal’s Most Severe Form

Delirium tremens (DTs), also known as alcohol withdrawal delirium (AWD), is the most extreme form of alcohol withdrawal. It causes severe problems in our brain and nervous system that can be potentially fatal. In those with alcohol use disorder (AUD), about 50% of people experience withdrawal symptoms, and out of those people, 3% to 5% percent experience severe symptoms of delirium tremens. How can we tell DTs from general alcohol withdrawal?

Recognizing Delirium Tremens Symptoms

Symptoms of alcohol withdrawal appear between 6 to 24 hours after drinking, but symptoms of DTs often occur a bit later. They typically appear within three days to a week or more after stopping drinking. Symptoms of DTs include general symptoms of alcohol withdrawal:

  • Agitation and anxiety
  • Fatigue
  • Fever and excessive sweating
  • Nausea and stomach pain
  • Chest pain
  • Sensitivity to light/sound
  • Increased heart or breathing rate

Symptoms more indicative of DTs (and not regular withdrawal) include the following:

  • Delirium (severe confusion and disorientation)
  • Delusions (irrational thoughts)
  • Uncontrolled eye and muscle movements
  • Hallucinations
  • Sensitive startle reflex
  • Seizures
  • Sudden mood changes

If experiencing any severe symptoms, consult a physician and call 9-1-1 for emergency medical treatment. Now that we’ve learned to identify DTs, let’s examine why we experience withdrawal when we quit drinking.

Symptoms of Alcohol Withdrawal Delirium

Causes and Risk Factors for Delirium Tremens

To understand the risk factors for DTs, let’s first take a look at why alcohol withdrawal occurs. When we drink, alcohol excites and aggravates our nervous system, and our body becomes dependent on it over time.

The two main culprits? Gamma-aminobutyric acid (GABA) and glutamate — two neurotransmitters or chemical messengers in our brain. GABA decreases nerve cell signaling (producing a calming effect) and glutamate increases cell signaling (optimizing brain function for learning and memory). When we drink, alcohol increases GABA and suppresses glutamate, producing the calm, pleasurable feeling we may experience from alcohol. When we stop drinking, GABA levels drop and glutamate is no longer suppressed — prompting our brain to go into a state of overexcitement, causing withdrawal symptoms. 

Since DTs is the most severe form of alcohol withdrawal, it only affects those of us with a history of heavy and prolonged alcohol use. We may develop DTs when we stop drinking or reduce our alcohol consumption too quickly. Certain risk factors can increase our risk of developing DTs, for example if we:

  • Have co-occurring psychiatric conditions
  • Have poor overall health
  • Have a family history of DTs
  • Are older in age
  • Have a head injury
  • Experienced previous withdrawal episodes

While these factors may increase our risk of developing DTs, all heavy, long-term drinkers are at risk. According to the CDC, heavy drinking refers to having 15 or more drinks in a week for men and 8 or more drinks in a week for women. But that’s not all! The CDC also classifies binge drinking as excessive drinking, and it’s actually the most common form of heavy drinking. Binge drinking means having 5 or more drinks in one sitting for men and 4 or more drinks in one sitting for women. 

So, if we do develop delirium tremens, can it be treated? 

Types of Delirium Tremens Treatments 

DTs can be dangerous and even fatal. In most cases, hospitalization is recommended to ensure our safety and manage any complications. Treatment for DTs requires an extensive approach that involves the following methods:

  • Pharmacological treatments. There are no specific delirium tremens medications, but some types of drugs, including sedatives, anticonvulsants, and antipsychotics, are used to treat common symptoms of DTs.
  • Intravenous fluids. This can help ensure hydration during alcohol detox and provide nutritional support. 
  • Treatment for other alcohol-related conditions. Excessive drinking is associated with many health conditions. These include liver disease, cardiovascular disease, GI issues, diabetes, cancer, and more. While DTs is being treated, other alcohol-related conditions may also require management. 
  • Long-term care. DTs occurs after prolonged, excessive drinking, which may indicate alcohol dependence or AUD. Aside from medical stabilization, long-term care including rehabilitation programs and psychological support may be recommended.

There are effective treatments for DTs, but what about complications that may arise?

Transitioning From Active Addiction to Active Recovery

Active addiction, more aptly referred to as alcohol use disorder (AUD), is actively drinking and not being able to quit or cut back despite negative consequences. It differs from active recovery because recovery refers to taking steps to improve our relationship with alcohol even though we may not be sober or completely abstinent. The transition from active addiction to active recovery through these strategies is the first step in developing a healthier relationship with alcohol:

  • Practice self-honesty. The first hurdle is recognizing that we have negative drinking habits. To get a clearer picture, we can track our alcohol consumption and practice self-honesty to make that first step towards change.
  • Find your purpose. One of the main aspects of active recovery is having the mindset to back up our actions. Determining our purpose for recovery can help motivate us to start and maintain recovery.
  • Set realistic goals. Quitting alcohol cold turkey may not be effective and can even be dangerous. Setting small realistic milestones helps make reaching our goals to quit or cut back seem less daunting and more attainable. 
  • Seek support. Recovery isn’t all sunshine and rainbows like sobriety promises to be. However, we don’t have to do it alone. There are many treatment options including behavioral therapies, rehab programs, and peer support groups that we can explore if we need extra support.
  • Actively participate. While we can passively attend treatment programs and support groups, we’ll get the most out of them by actively participating. Ask questions, connect with others, and take initiative for your own recovery! 
  • Build a support network. Professional treatment is beneficial, but so is social support. Reach out to close family and friends and join communities like Reframe to receive and share support from like-minded individuals. 

If we notice that we’re taking more of a passive approach, we can use these same strategies to transition from passive to active recovery.

Complications and Outlook of Delirium Tremens 

Since DTs is caused by heavy alcohol consumption, other complications that are associated with excessive drinking can also occur. Additional conditions that may co-occur and require treatment include the following:

  • Increased risk of falling or injury. DTs manifests in dangerous symptoms such as seizures, hallucinations, and delirium. This greatly increases our risk of falling or injury.
  • Alcoholic cardiomyopathy. This type of heart disease known as alcoholic cardiomyopathy occurs when prolonged alcohol use weakens the heart muscles, affecting their ability to pump blood. It can lead to an irregular pulse, shortness of breath, and disruption of major bodily functions, leading to heart failure and other serious health issues.
  • Alcohol-related liver disease. This is one of the most common conditions associated with excessive alcohol consumption, since our liver is in charge of breaking down and eliminating the toxins from alcohol. Alcohol causes scarring and damage (cirrhosis), which can lead to liver failure and cancer.
  • Alcoholic neuropathy. Prolonged drinking can cause permanent damage to our nerves known as alcoholic neuropathy. Symptoms can include tingling, pain, numbness, and muscle impairments.
  • Wernicke-Korsakoff syndrome. This disorder is linked to AUD and involves damage to certain parts of the brain. Symptoms include memory impairments, behavioral changes, disorientation, and mobility challenges. 

These additional risks and co-occurring conditions make navigating DTs even more challenging. While DTs can be fatal, luckily there’s a low mortality rate with timely intervention and early medical treatment. 

DTs can be treated, but some symptoms can linger far beyond medical stabilization. Symptoms such as fatigue, insomnia, and mood swings can remain for up to a year or more, a condition known as post-acute withdrawal syndrome. Going through alcohol withdrawal or DTs is no easy feat, to say the least. So, how can we better prevent it from happening?

Tips for Preventing Delirium Tremens and Alcohol Withdrawal

We’ve already completed the first step in preventing DTs — learning about what it is. We can further increase our health and safety by implementing these strategies: 

  • Learn more. Understanding what causes alcohol withdrawal and signs to look out for increases our chances of early intervention. This prevents continued excessive drinking, which can lead to DTs. 
  • Quit or cut back before it becomes heavy drinking. It may go without saying but alcohol withdrawal occurs due to excessive drinking. Quitting or cutting back on alcohol before it becomes heavy drinking not only helps prevent alcohol withdrawal and DTs down the road but also other detrimental health and social effects. 
  • Avoid quitting cold turkey. Suddenly quitting or significantly cutting back can be dangerous. Consult a healthcare provider to find the best course of treatment. It may be a more gradual approach to quitting!
  • Explore supported alcohol detox. Alcohol detox can be done at home (when appropriate and done correctly) but monitored alcohol detox (done in a rehab facility) can more effectively ensure our safety. We’ll receive support with detoxing slowly, be monitored for any complications, and receive other supporting treatments as needed.
  • Seek treatment. We don’t have to wait until we experience withdrawal symptoms to seek support. If we’re concerned about our drinking habits or simply want to develop a healthier relationship with alcohol, there are treatment options that help us intervene early and prevent the dangers of alcohol withdrawal and DTs. 

Early intervention and timely medical treatment are key when it comes to managing and preventing DTs. Developing a better relationship with alcohol can be challenging, but we don’t have to do it alone. Join Reframe’s welcoming community to connect with others who may be going through a similar experience.

Staying on Top of It

Symptoms of delirium tremens can seem like a scene taken right out of a nightmare, but it’s a real occurrence that is caused by stopping alcohol consumption after prolonged, excessive use. Learning to identify symptoms of DTs can ensure we obtain timely medical treatment, greatly increasing our chances of successful recovery. To further improve our health and safety, we can quit or cut back on alcohol. With this knowledge of DTs, we’re better equipped to tackle it!

Imagine waking up in a whirlwind of disorientation where reality blurs and shadows dance in your periphery. You get up but your room warps into a puzzling landscape, familiar faces morph into strangers, and even the simplest actions become daunting. You’re hoping to snap out of it, but this isn't a scene from a nightmare. It’s the stark reality of alcohol withdrawal delirium, also referred to as delirium tremens (DTs).

DTs is a severe and potentially life-threatening condition that can arise after abruptly stopping heavy alcohol consumption. This form of alcohol withdrawal can plunge us into a state of intense confusion, vivid hallucinations, and erratic physical symptoms. For those looking to quit or cut back on alcohol, understanding DTs is crucial in managing safe detox and recovery. Let's dive into all things DTs to equip you with the tools to confront this challenging aspect of alcohol withdrawal.

Delirium Tremens (DTs): Alcohol Withdrawal’s Most Severe Form

Delirium tremens (DTs), also known as alcohol withdrawal delirium (AWD), is the most extreme form of alcohol withdrawal. It causes severe problems in our brain and nervous system that can be potentially fatal. In those with alcohol use disorder (AUD), about 50% of people experience withdrawal symptoms, and out of those people, 3% to 5% percent experience severe symptoms of delirium tremens. How can we tell DTs from general alcohol withdrawal?

Recognizing Delirium Tremens Symptoms

Symptoms of alcohol withdrawal appear between 6 to 24 hours after drinking, but symptoms of DTs often occur a bit later. They typically appear within three days to a week or more after stopping drinking. Symptoms of DTs include general symptoms of alcohol withdrawal:

  • Agitation and anxiety
  • Fatigue
  • Fever and excessive sweating
  • Nausea and stomach pain
  • Chest pain
  • Sensitivity to light/sound
  • Increased heart or breathing rate

Symptoms more indicative of DTs (and not regular withdrawal) include the following:

  • Delirium (severe confusion and disorientation)
  • Delusions (irrational thoughts)
  • Uncontrolled eye and muscle movements
  • Hallucinations
  • Sensitive startle reflex
  • Seizures
  • Sudden mood changes

If experiencing any severe symptoms, consult a physician and call 9-1-1 for emergency medical treatment. Now that we’ve learned to identify DTs, let’s examine why we experience withdrawal when we quit drinking.

Symptoms of Alcohol Withdrawal Delirium

Causes and Risk Factors for Delirium Tremens

To understand the risk factors for DTs, let’s first take a look at why alcohol withdrawal occurs. When we drink, alcohol excites and aggravates our nervous system, and our body becomes dependent on it over time.

The two main culprits? Gamma-aminobutyric acid (GABA) and glutamate — two neurotransmitters or chemical messengers in our brain. GABA decreases nerve cell signaling (producing a calming effect) and glutamate increases cell signaling (optimizing brain function for learning and memory). When we drink, alcohol increases GABA and suppresses glutamate, producing the calm, pleasurable feeling we may experience from alcohol. When we stop drinking, GABA levels drop and glutamate is no longer suppressed — prompting our brain to go into a state of overexcitement, causing withdrawal symptoms. 

Since DTs is the most severe form of alcohol withdrawal, it only affects those of us with a history of heavy and prolonged alcohol use. We may develop DTs when we stop drinking or reduce our alcohol consumption too quickly. Certain risk factors can increase our risk of developing DTs, for example if we:

  • Have co-occurring psychiatric conditions
  • Have poor overall health
  • Have a family history of DTs
  • Are older in age
  • Have a head injury
  • Experienced previous withdrawal episodes

While these factors may increase our risk of developing DTs, all heavy, long-term drinkers are at risk. According to the CDC, heavy drinking refers to having 15 or more drinks in a week for men and 8 or more drinks in a week for women. But that’s not all! The CDC also classifies binge drinking as excessive drinking, and it’s actually the most common form of heavy drinking. Binge drinking means having 5 or more drinks in one sitting for men and 4 or more drinks in one sitting for women. 

So, if we do develop delirium tremens, can it be treated? 

Types of Delirium Tremens Treatments 

DTs can be dangerous and even fatal. In most cases, hospitalization is recommended to ensure our safety and manage any complications. Treatment for DTs requires an extensive approach that involves the following methods:

  • Pharmacological treatments. There are no specific delirium tremens medications, but some types of drugs, including sedatives, anticonvulsants, and antipsychotics, are used to treat common symptoms of DTs.
  • Intravenous fluids. This can help ensure hydration during alcohol detox and provide nutritional support. 
  • Treatment for other alcohol-related conditions. Excessive drinking is associated with many health conditions. These include liver disease, cardiovascular disease, GI issues, diabetes, cancer, and more. While DTs is being treated, other alcohol-related conditions may also require management. 
  • Long-term care. DTs occurs after prolonged, excessive drinking, which may indicate alcohol dependence or AUD. Aside from medical stabilization, long-term care including rehabilitation programs and psychological support may be recommended.

There are effective treatments for DTs, but what about complications that may arise?

Transitioning From Active Addiction to Active Recovery

Active addiction, more aptly referred to as alcohol use disorder (AUD), is actively drinking and not being able to quit or cut back despite negative consequences. It differs from active recovery because recovery refers to taking steps to improve our relationship with alcohol even though we may not be sober or completely abstinent. The transition from active addiction to active recovery through these strategies is the first step in developing a healthier relationship with alcohol:

  • Practice self-honesty. The first hurdle is recognizing that we have negative drinking habits. To get a clearer picture, we can track our alcohol consumption and practice self-honesty to make that first step towards change.
  • Find your purpose. One of the main aspects of active recovery is having the mindset to back up our actions. Determining our purpose for recovery can help motivate us to start and maintain recovery.
  • Set realistic goals. Quitting alcohol cold turkey may not be effective and can even be dangerous. Setting small realistic milestones helps make reaching our goals to quit or cut back seem less daunting and more attainable. 
  • Seek support. Recovery isn’t all sunshine and rainbows like sobriety promises to be. However, we don’t have to do it alone. There are many treatment options including behavioral therapies, rehab programs, and peer support groups that we can explore if we need extra support.
  • Actively participate. While we can passively attend treatment programs and support groups, we’ll get the most out of them by actively participating. Ask questions, connect with others, and take initiative for your own recovery! 
  • Build a support network. Professional treatment is beneficial, but so is social support. Reach out to close family and friends and join communities like Reframe to receive and share support from like-minded individuals. 

If we notice that we’re taking more of a passive approach, we can use these same strategies to transition from passive to active recovery.

Complications and Outlook of Delirium Tremens 

Since DTs is caused by heavy alcohol consumption, other complications that are associated with excessive drinking can also occur. Additional conditions that may co-occur and require treatment include the following:

  • Increased risk of falling or injury. DTs manifests in dangerous symptoms such as seizures, hallucinations, and delirium. This greatly increases our risk of falling or injury.
  • Alcoholic cardiomyopathy. This type of heart disease known as alcoholic cardiomyopathy occurs when prolonged alcohol use weakens the heart muscles, affecting their ability to pump blood. It can lead to an irregular pulse, shortness of breath, and disruption of major bodily functions, leading to heart failure and other serious health issues.
  • Alcohol-related liver disease. This is one of the most common conditions associated with excessive alcohol consumption, since our liver is in charge of breaking down and eliminating the toxins from alcohol. Alcohol causes scarring and damage (cirrhosis), which can lead to liver failure and cancer.
  • Alcoholic neuropathy. Prolonged drinking can cause permanent damage to our nerves known as alcoholic neuropathy. Symptoms can include tingling, pain, numbness, and muscle impairments.
  • Wernicke-Korsakoff syndrome. This disorder is linked to AUD and involves damage to certain parts of the brain. Symptoms include memory impairments, behavioral changes, disorientation, and mobility challenges. 

These additional risks and co-occurring conditions make navigating DTs even more challenging. While DTs can be fatal, luckily there’s a low mortality rate with timely intervention and early medical treatment. 

DTs can be treated, but some symptoms can linger far beyond medical stabilization. Symptoms such as fatigue, insomnia, and mood swings can remain for up to a year or more, a condition known as post-acute withdrawal syndrome. Going through alcohol withdrawal or DTs is no easy feat, to say the least. So, how can we better prevent it from happening?

Tips for Preventing Delirium Tremens and Alcohol Withdrawal

We’ve already completed the first step in preventing DTs — learning about what it is. We can further increase our health and safety by implementing these strategies: 

  • Learn more. Understanding what causes alcohol withdrawal and signs to look out for increases our chances of early intervention. This prevents continued excessive drinking, which can lead to DTs. 
  • Quit or cut back before it becomes heavy drinking. It may go without saying but alcohol withdrawal occurs due to excessive drinking. Quitting or cutting back on alcohol before it becomes heavy drinking not only helps prevent alcohol withdrawal and DTs down the road but also other detrimental health and social effects. 
  • Avoid quitting cold turkey. Suddenly quitting or significantly cutting back can be dangerous. Consult a healthcare provider to find the best course of treatment. It may be a more gradual approach to quitting!
  • Explore supported alcohol detox. Alcohol detox can be done at home (when appropriate and done correctly) but monitored alcohol detox (done in a rehab facility) can more effectively ensure our safety. We’ll receive support with detoxing slowly, be monitored for any complications, and receive other supporting treatments as needed.
  • Seek treatment. We don’t have to wait until we experience withdrawal symptoms to seek support. If we’re concerned about our drinking habits or simply want to develop a healthier relationship with alcohol, there are treatment options that help us intervene early and prevent the dangers of alcohol withdrawal and DTs. 

Early intervention and timely medical treatment are key when it comes to managing and preventing DTs. Developing a better relationship with alcohol can be challenging, but we don’t have to do it alone. Join Reframe’s welcoming community to connect with others who may be going through a similar experience.

Staying on Top of It

Symptoms of delirium tremens can seem like a scene taken right out of a nightmare, but it’s a real occurrence that is caused by stopping alcohol consumption after prolonged, excessive use. Learning to identify symptoms of DTs can ensure we obtain timely medical treatment, greatly increasing our chances of successful recovery. To further improve our health and safety, we can quit or cut back on alcohol. With this knowledge of DTs, we’re better equipped to tackle it!

Alcohol and Health
2024-10-08 9:00
Alcohol and Health
Understanding the Maddrey Score
This is some text inside of a div block.

Our Maddrey score is a helpful tool that determines the severity of alcohol-related liver disease. Check out our latest blog for more info on how it’s calculated and why it matters.

18 min read

Maintain Proper Liver Function 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  →

Imagine you’re sitting in the doctor’s office after deciding to take charge of your liver health. You’re determined, hopeful, and ready for the changes ahead, but then your doctor mentions something about the “Maddrey score.” Suddenly, you find yourself confused, a little anxious, and unsure what this number means for your future and your path to better health.

A diverse group of individuals engaged in conversation around a table

While the Maddrey score can seem intimidating, it actually provides valuable insight into our liver health. It’s a helpful guide in determining the appropriate treatment and lifestyle changes we should make to improve our liver health. Let’s unpack what the Maddrey score is and how to calculate it to help start our journey to healing our liver.

What Is the Maddrey Score?

The Maddrey score or Maddrey discriminant function is a tool used to determine the severity of alcoholic hepatitis (a form of alcohol-related liver disease). It uses scores from different blood tests, which gives us insight into the functioning of our liver. Think of it as a report card for our liver health. 

Our doctor uses the Maddrey score to get a better idea of the outlook of our condition and help develop an appropriate treatment plan. This insight is particularly important to help us navigate the complexities of alcoholic hepatitis and work towards achieving a better prognosis. (To learn whether your current drinking habits are causing liver damage and warrant Maddrey score evaluation, check out “How Much Alcohol Causes Liver Damage?”) 

Now that we’re familiar with the Maddrey score’s role in assessing our liver health, let’s dive deeper into the specifics of alcoholic hepatitis and how it impacts our liver.

The Basics of Alcoholic Hepatitis

Alcoholic hepatitis is acute liver inflammation due to excessive alcohol consumption. Since our liver is in charge of breaking down the toxins in alcohol, too much alcohol overloads the liver and damages the tissues. 

Over time, inflammation can lead to liver scarring and cirrhosis (permanent scarring that impairs liver function). Alcoholic hepatitis can range from mild to severe and symptoms include fatigue, weight loss, changes in appetite, pain or swelling in the abdomen, and jaundice. The condition is associated with a high mortality rate, and treatment usually depends on the severity of the condition. This is where the Maddrey score comes in handy.

Components of the Maddrey Discriminant Function (MDF) Score

The MDF score is made up of two main components. The first is how long it takes for our blood to clot (prothrombin time). Prothrombin is a protein made by the liver that helps our blood clot. A high prothrombin time means it takes longer for our blood to clot, which happens when our liver isn’t producing an adequate amount of blood-clotting proteins. 

The second part of the MDF score is our serum bilirubin level. Bilirubin is a substance our body produces to break down old red blood cells. A healthy liver is able to get rid of bilirubin, but for those with liver problems, bilirubin can build up to abnormal levels, leading to symptoms such as dark-colored urine and yellowing of the skin and eyes (jaundice).

We can calculate our Maddrey score using the discrimination function:

Bilirubin (mg/dL) + 4.6 x (prothrombin time - control time)

Or, there are also online Maddrey score calculators that do the work for us (assuming we have all the data from a doctor after having our tests done — don’t try to test your own blood at home!). Now that we’ve figured out our Maddrey score, what does it mean? 

Reading the Maddrey Score

If our Maddrey score is less than 32, we have mild to moderate hepatitis. While it’s named “mild to moderate,” alcoholic hepatitis is a serious condition even at a less severe level. A study found that moderate alcoholic hepatitis has a 6% mortality rate at 28 days and 13% at the one-year mark. While mild to moderate alcoholic hepatitis is miles more favorable than its severe form, it should be taken seriously. 

If our Maddrey score is over 32, this means that we have severe alcoholic hepatitis. Severe alcohol hepatitis means that the damage to our liver can quickly lead to permanent liver damage and failure that can be life-threatening. Severe alcoholic hepatitis has a 6-month mortality rate of about 40% after the onset of the condition. However, aggressive management of the condition and younger age may improve our outlook. 

So, although the Maddrey score is just a number, it helps us get a clearer picture of the severity of liver damage from alcohol and guides us toward the best treatment options to improve our liver health.

Understanding the Maddrey Score and Supporting Treatments

Treating Alcoholic Hepatitis: Application of the Maddrey Score

The type of treatment depends on individual factors, but more so on the severity of the condition. For mild to moderate alcoholic hepatitis, liver damage can often be reversed, and treatment includes more lifestyle changes. 

  • Nutritional support. Malnutrition is common with alcoholic hepatitis due to impaired nutrient absorption, and is also associated with increased mortality rate. Nutritional support for those with alcohol hepatitis typically includes consuming 1.5 grams of protein per kg of body weight and around 30-40 calories per kg of body weight per day. Supplementation of micronutrients such as zinc, folate, thiamine, pyridoxine, and vitamins B, A, D, and E help replenish deficiencies caused by alcohol. 
  • Abstinence from alcohol. Avoiding alcohol is crucial in preventing further damage to our liver. Abstinence also gives the liver a break and a chance to heal. To get a better idea of how long this may take, check out “How Long Does It Take for the Liver to Heal From Alcohol Misuse?”.
  • Supportive treatments. Heavy drinking is associated with many health issues that can impact our liver health. Supportive treatments for conditions such as diabetes, obesity, and other complications may also be treated. 

The Maddrey score is especially helpful in determining whether extensive treatment is needed. Severe alcoholic hepatitis is frequently treated with medications that reduce inflammation and immune system activity (corticosteroids) or medications used to increase blood flow through the blood vessels (pentoxifylline). While corticosteroids can help treat severe liver damage, they can be unsafe for people in the following categories or with the following conditions:

  • Are over 50 years old 
  • Have uncontrolled diabetes
  • Have previous kidney injury
  • Have persistent high levels of bilirubin
  • Choose to continue to drink alcohol 
  • Experience upper GI bleeding
  • Have pancreatitis
  • Have signs of hepatic encephalopathy (loss of brain function from damaged liver)

Your doctor will utilize the Maddrey score as well as other individual factors to decide if corticosteroid therapy is the best plan of action. Along with pharmacological treatments, quitting alcohol is critical to ensuring severe alcoholic hepatitis doesn’t progress, and to increase our chances of survival. Doctors may also order other tests to better distinguish between different liver disorders and to get a clearer picture of our liver function and health.

Other Tests for Liver Function

While the Maddrey score is a great diagnostic and prognostic tool for alcoholic hepatitis, other liver function tests give us a clearer picture of our liver health and further guide our plan of treatment. The more we know, the more informed the choices we can make! Liver function panels usually include a range of tests: 

  • Mitochondrial antibodies test. This test looks for antibodies that are commonly produced if we have primary biliary cirrhosis (bile buildup that leads to liver scarring), chronic active hepatitis, and other autoimmune disorders
  • Alanine transaminase (ALT) test. This enzyme is found predominantly in the liver and is released into the bloodstream after acute liver damage. If ALT is high, it’s a good indicator of liver damage.
  • Aspartate transaminase (AST) test. AST is an enzyme that exists in our liver. When liver cells are damaged, AST can leak into our bloodstream, causing abnormally high levels. With other tests, AST can be an indicator of liver damage and other health issues.
  • Gamma-glutamyl transpeptidase (GGT) test. GGT is often administered with other tests to distinguish between liver and bone disease. Since ALT can be elevated due to bone disease, GGT can be an illuminating factor. The enzyme is usually elevated when there’s an obstruction to our bile ducts that carry bile from the liver to our intestines. 
  • Lactic dehydrogenase (LDH) test. LDH is a type of protein that’s released when our tissues are damaged. There are five types of LDH enzymes known as isoenzymes. LDH-5 is the isoenzyme found mainly in our liver and skeletal muscle, helping us specifically detect liver damage.

After using the Maddrey score and other liver function tests, our doctor may recommend pharmacological treatments, nutritional support, and the cornerstone of alcoholic hepatitis treatment — lifestyle changes to improve our liver health and function.

Beyond Maddrey’s Discriminant Function: Maintaining a Healthy Liver 

As we’ve learned, alcoholic hepatitis is a serious condition that can be life-threatening. Taking these steps to maintain a healthy liver can reduce the risk of alcoholic hepatitis or reverse liver damage: 

  • Look out for signs of liver dysfunction. Signs of liver dysfunction including pain, jaundice, fatigue, and unexplained weight loss are not always apparent in the early stages. However, alcohol withdrawal symptoms are common in those of us with alcoholic hepatitis and can be a warning sign to check liver function even if no other signs are present. 
  • Take liver function tests. Signs of liver dysfunction aren’t always apparent until the later stages. If we’re concerned about our liver health, we can talk to our doctor about regular liver function tests, and there are even options to take liver function tests at home.
  • Avoid toxic substances. Our liver is in charge of getting rid of toxic substances in our body. Avoid toxic substances such as alcohol, medications, and other drugs
  • Maintain a healthy diet. Eating a balanced liver-healthy diet low in processed foods and added sugars helps us maintain a healthy weight and prevent excess fat buildup in our liver. On top of that, give your liver another health boost by trying liver detox drinks.
  • Get adequate exercise. Staying active improves blood flow to the liver, decreases inflammation, and prevents excess fat buildup which can impair normal liver functioning. 
  • Seek support. Quitting or cutting back on alcohol is crucial in preventing alcoholic hepatitis and maintaining a healthy liver, but it's not always easy. We can explore different treatment options to help us through the journey and regain control of our liver health and relationship with alcohol. 

These strategies not only help us prevent alcoholic hepatitis by maintaining a healthy liver, but also help us take intentional steps to improve our liver health after our Maddrey score raises a red flag. 

A Clearer Picture

The Maddrey score is just a number, but this number is critical in helping us understand how much liver damage we have from alcohol. It not only helps our doctor determine the best treatment options for us but also gives us an idea of what our outlook may be. Alcoholic hepatitis is a severe form of alcohol-related liver disease that can be life-threatening. While alcoholic hepatitis can be treated to a certain extent, the most effective way to prevent and stop liver damage is to quit alcohol, a substance that is undoubtedly toxic to our liver. 

Imagine you’re sitting in the doctor’s office after deciding to take charge of your liver health. You’re determined, hopeful, and ready for the changes ahead, but then your doctor mentions something about the “Maddrey score.” Suddenly, you find yourself confused, a little anxious, and unsure what this number means for your future and your path to better health.

A diverse group of individuals engaged in conversation around a table

While the Maddrey score can seem intimidating, it actually provides valuable insight into our liver health. It’s a helpful guide in determining the appropriate treatment and lifestyle changes we should make to improve our liver health. Let’s unpack what the Maddrey score is and how to calculate it to help start our journey to healing our liver.

What Is the Maddrey Score?

The Maddrey score or Maddrey discriminant function is a tool used to determine the severity of alcoholic hepatitis (a form of alcohol-related liver disease). It uses scores from different blood tests, which gives us insight into the functioning of our liver. Think of it as a report card for our liver health. 

Our doctor uses the Maddrey score to get a better idea of the outlook of our condition and help develop an appropriate treatment plan. This insight is particularly important to help us navigate the complexities of alcoholic hepatitis and work towards achieving a better prognosis. (To learn whether your current drinking habits are causing liver damage and warrant Maddrey score evaluation, check out “How Much Alcohol Causes Liver Damage?”) 

Now that we’re familiar with the Maddrey score’s role in assessing our liver health, let’s dive deeper into the specifics of alcoholic hepatitis and how it impacts our liver.

The Basics of Alcoholic Hepatitis

Alcoholic hepatitis is acute liver inflammation due to excessive alcohol consumption. Since our liver is in charge of breaking down the toxins in alcohol, too much alcohol overloads the liver and damages the tissues. 

Over time, inflammation can lead to liver scarring and cirrhosis (permanent scarring that impairs liver function). Alcoholic hepatitis can range from mild to severe and symptoms include fatigue, weight loss, changes in appetite, pain or swelling in the abdomen, and jaundice. The condition is associated with a high mortality rate, and treatment usually depends on the severity of the condition. This is where the Maddrey score comes in handy.

Components of the Maddrey Discriminant Function (MDF) Score

The MDF score is made up of two main components. The first is how long it takes for our blood to clot (prothrombin time). Prothrombin is a protein made by the liver that helps our blood clot. A high prothrombin time means it takes longer for our blood to clot, which happens when our liver isn’t producing an adequate amount of blood-clotting proteins. 

The second part of the MDF score is our serum bilirubin level. Bilirubin is a substance our body produces to break down old red blood cells. A healthy liver is able to get rid of bilirubin, but for those with liver problems, bilirubin can build up to abnormal levels, leading to symptoms such as dark-colored urine and yellowing of the skin and eyes (jaundice).

We can calculate our Maddrey score using the discrimination function:

Bilirubin (mg/dL) + 4.6 x (prothrombin time - control time)

Or, there are also online Maddrey score calculators that do the work for us (assuming we have all the data from a doctor after having our tests done — don’t try to test your own blood at home!). Now that we’ve figured out our Maddrey score, what does it mean? 

Reading the Maddrey Score

If our Maddrey score is less than 32, we have mild to moderate hepatitis. While it’s named “mild to moderate,” alcoholic hepatitis is a serious condition even at a less severe level. A study found that moderate alcoholic hepatitis has a 6% mortality rate at 28 days and 13% at the one-year mark. While mild to moderate alcoholic hepatitis is miles more favorable than its severe form, it should be taken seriously. 

If our Maddrey score is over 32, this means that we have severe alcoholic hepatitis. Severe alcohol hepatitis means that the damage to our liver can quickly lead to permanent liver damage and failure that can be life-threatening. Severe alcoholic hepatitis has a 6-month mortality rate of about 40% after the onset of the condition. However, aggressive management of the condition and younger age may improve our outlook. 

So, although the Maddrey score is just a number, it helps us get a clearer picture of the severity of liver damage from alcohol and guides us toward the best treatment options to improve our liver health.

Understanding the Maddrey Score and Supporting Treatments

Treating Alcoholic Hepatitis: Application of the Maddrey Score

The type of treatment depends on individual factors, but more so on the severity of the condition. For mild to moderate alcoholic hepatitis, liver damage can often be reversed, and treatment includes more lifestyle changes. 

  • Nutritional support. Malnutrition is common with alcoholic hepatitis due to impaired nutrient absorption, and is also associated with increased mortality rate. Nutritional support for those with alcohol hepatitis typically includes consuming 1.5 grams of protein per kg of body weight and around 30-40 calories per kg of body weight per day. Supplementation of micronutrients such as zinc, folate, thiamine, pyridoxine, and vitamins B, A, D, and E help replenish deficiencies caused by alcohol. 
  • Abstinence from alcohol. Avoiding alcohol is crucial in preventing further damage to our liver. Abstinence also gives the liver a break and a chance to heal. To get a better idea of how long this may take, check out “How Long Does It Take for the Liver to Heal From Alcohol Misuse?”.
  • Supportive treatments. Heavy drinking is associated with many health issues that can impact our liver health. Supportive treatments for conditions such as diabetes, obesity, and other complications may also be treated. 

The Maddrey score is especially helpful in determining whether extensive treatment is needed. Severe alcoholic hepatitis is frequently treated with medications that reduce inflammation and immune system activity (corticosteroids) or medications used to increase blood flow through the blood vessels (pentoxifylline). While corticosteroids can help treat severe liver damage, they can be unsafe for people in the following categories or with the following conditions:

  • Are over 50 years old 
  • Have uncontrolled diabetes
  • Have previous kidney injury
  • Have persistent high levels of bilirubin
  • Choose to continue to drink alcohol 
  • Experience upper GI bleeding
  • Have pancreatitis
  • Have signs of hepatic encephalopathy (loss of brain function from damaged liver)

Your doctor will utilize the Maddrey score as well as other individual factors to decide if corticosteroid therapy is the best plan of action. Along with pharmacological treatments, quitting alcohol is critical to ensuring severe alcoholic hepatitis doesn’t progress, and to increase our chances of survival. Doctors may also order other tests to better distinguish between different liver disorders and to get a clearer picture of our liver function and health.

Other Tests for Liver Function

While the Maddrey score is a great diagnostic and prognostic tool for alcoholic hepatitis, other liver function tests give us a clearer picture of our liver health and further guide our plan of treatment. The more we know, the more informed the choices we can make! Liver function panels usually include a range of tests: 

  • Mitochondrial antibodies test. This test looks for antibodies that are commonly produced if we have primary biliary cirrhosis (bile buildup that leads to liver scarring), chronic active hepatitis, and other autoimmune disorders
  • Alanine transaminase (ALT) test. This enzyme is found predominantly in the liver and is released into the bloodstream after acute liver damage. If ALT is high, it’s a good indicator of liver damage.
  • Aspartate transaminase (AST) test. AST is an enzyme that exists in our liver. When liver cells are damaged, AST can leak into our bloodstream, causing abnormally high levels. With other tests, AST can be an indicator of liver damage and other health issues.
  • Gamma-glutamyl transpeptidase (GGT) test. GGT is often administered with other tests to distinguish between liver and bone disease. Since ALT can be elevated due to bone disease, GGT can be an illuminating factor. The enzyme is usually elevated when there’s an obstruction to our bile ducts that carry bile from the liver to our intestines. 
  • Lactic dehydrogenase (LDH) test. LDH is a type of protein that’s released when our tissues are damaged. There are five types of LDH enzymes known as isoenzymes. LDH-5 is the isoenzyme found mainly in our liver and skeletal muscle, helping us specifically detect liver damage.

After using the Maddrey score and other liver function tests, our doctor may recommend pharmacological treatments, nutritional support, and the cornerstone of alcoholic hepatitis treatment — lifestyle changes to improve our liver health and function.

Beyond Maddrey’s Discriminant Function: Maintaining a Healthy Liver 

As we’ve learned, alcoholic hepatitis is a serious condition that can be life-threatening. Taking these steps to maintain a healthy liver can reduce the risk of alcoholic hepatitis or reverse liver damage: 

  • Look out for signs of liver dysfunction. Signs of liver dysfunction including pain, jaundice, fatigue, and unexplained weight loss are not always apparent in the early stages. However, alcohol withdrawal symptoms are common in those of us with alcoholic hepatitis and can be a warning sign to check liver function even if no other signs are present. 
  • Take liver function tests. Signs of liver dysfunction aren’t always apparent until the later stages. If we’re concerned about our liver health, we can talk to our doctor about regular liver function tests, and there are even options to take liver function tests at home.
  • Avoid toxic substances. Our liver is in charge of getting rid of toxic substances in our body. Avoid toxic substances such as alcohol, medications, and other drugs
  • Maintain a healthy diet. Eating a balanced liver-healthy diet low in processed foods and added sugars helps us maintain a healthy weight and prevent excess fat buildup in our liver. On top of that, give your liver another health boost by trying liver detox drinks.
  • Get adequate exercise. Staying active improves blood flow to the liver, decreases inflammation, and prevents excess fat buildup which can impair normal liver functioning. 
  • Seek support. Quitting or cutting back on alcohol is crucial in preventing alcoholic hepatitis and maintaining a healthy liver, but it's not always easy. We can explore different treatment options to help us through the journey and regain control of our liver health and relationship with alcohol. 

These strategies not only help us prevent alcoholic hepatitis by maintaining a healthy liver, but also help us take intentional steps to improve our liver health after our Maddrey score raises a red flag. 

A Clearer Picture

The Maddrey score is just a number, but this number is critical in helping us understand how much liver damage we have from alcohol. It not only helps our doctor determine the best treatment options for us but also gives us an idea of what our outlook may be. Alcoholic hepatitis is a severe form of alcohol-related liver disease that can be life-threatening. While alcoholic hepatitis can be treated to a certain extent, the most effective way to prevent and stop liver damage is to quit alcohol, a substance that is undoubtedly toxic to our liver. 

Alcohol and Health
2024-10-08 9:00
Alcohol and Health
Alcohol’s Effects on Your Bowel Movements
This is some text inside of a div block.

From loose stools to more frequent trips to the restroom, day-after-drinking poops can be unpleasant. Check out our latest blog for more info on how alcohol affects our bowel movements.

17 min read

Manage Your Gut Health With Reframe!

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

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

You’ll meet 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 enjoying a night out with friends, cocktail in hand when suddenly the joy of the evening takes a sharp turn. You find yourself sprinting to the bathroom. Sound familiar? Alcohol can make us feel good in the moment, but it often leaves our digestive system in a state of turmoil. 

Let’s follow alcohol’s journey through our digestive system from the second it touches our lips through the egress of our intestines, which sometimes ends in an expedited or delayed release. Whether we’re looking to avoid the dreaded “alcohol poops” or aiming to improve our gut health, understanding how alcohol affects our digestive system can help keep our bathroom sprints at bay. Let’s dive into a less talked about side of alcohol — its effects on our bowel movements.

Understanding the Interaction: Alcohol Metabolism and Your Digestive System

A man holding his stomach

Alcohol, unlike the food and drinks we consume, is absorbed in the bloodstream, causing intoxication when our blood alcohol concentration rises. Although it’s absorbed into our bloodstream, each part of the digestive process is still involved in absorbing, processing, and breaking down alcohol (metabolization). Let’s follow the path of the digestive process to see how alcohol affects each stage.

1. Mouth and Throat

Although we associate our stomach and intestines with digestion, the process begins as soon as food or drink enters our mouth. When we drink alcohol, small amounts are absorbed through the lining of our mouth and throat. 

As the rest travels through the rest of the digestive tract, the alcohol that is absorbed into the blood begins to break down into a toxic compound known as acetaldehyde. 

Since alcohol is absorbed into our bloodstream, acetaldehyde not only damages our cells within our digestive system but also other parts of our body — explaining the many health conditions associated with drinking. But this is just the first step — let’s keep going!

2. Esophagus

The esophagus is like a muscular tube that connects our throat to our stomach. It contracts to help food move to the stomach. As the toxins in alcohol flow down our esophagus, it can irritate and damage the lining — impacting proper digestion. 

It also relaxes the lower esophageal sphincter (a valve that separates the stomach from the esophagus) which makes it easier for stomach acid to flow back up, causing acid reflux and impaired movement of food and liquid to our stomach.

3. Stomach

Once alcohol reaches our stomach, about 20% is absorbed through our stomach lining. This means that any food we have in our stomach can slow down alcohol absorption. That’s why we commonly hear the recommendation to avoid drinking on an empty stomach

Like in other parts of the digestive tract, the toxins in alcohol irritate cells in our stomach lining, causing inflammation. Alcohol also increases stomach acid production, further increasing gut irritation and inflammation.

Our gut microbiome is full of healthy bacteria, which aids digestion and prevents overgrowth of harmful bacteria. However, alcohol destroys harmful bacteria, affecting not only digestion, but opening the door to certain bowel diseases such as IBD (inflammatory bowel disease).

4. Intestines

The majority of alcohol absorption happens in our small intestine due to the large surface area (roughly the size of a tennis court!). When our intestines are occupied with absorbing alcohol, focus is shifted away from their normal functions which include breaking down food, absorbing nutrients, extracting water, and moving the waste along to be eliminated.

Alcohol’s effects on our intestines impact intestinal motility (movement) and nutrient absorption, which is apparent in our post-drinking poops.

5. Liver

Our liver is tasked with breaking down a majority of the toxins in alcohol. It helps break down acetaldehyde into a less active compound, acetate, then water and carbon dioxide to be eliminated. 

However, we can only metabolize alcohol at a certain rate (roughly 1 standard drink per hour). When we drink more or faster than our liver can metabolize it, acetaldehyde builds up in our bloodstream, giving it more time to cause damage to our cells and organs.

Now that we understand how alcohol is metabolized and impacts each step of the digestive process, let’s zoom in on its effects on our bowel movements.

Alcohol’s Effects on Your Bowel Movements

Since alcohol affects every step of our digestive process, it can affect our “number two” in different ways. Here are some common experiences: 

1. Liquid Lament

Alcohol can lead to watery stools for several reasons. As we’ve discussed, alcohol impacts the function of our intestines. As it agitates our intestines, the muscles in our colon contract more frequently, pushing out our waste faster than normal. Since the process is sped up, our intestines don’t have time to digest properly, leading to diarrhea

Additionally, our large intestine typically expels water from our stool, which gives us solid poops that are easy to eliminate. When the function of our large intestine is impaired, water doesn’t get pulled out and again leaves us with watery stools. But alcohol can also have the opposite effect!

2. The “Slow-Go”

While some of us may find ourselves running to the toilet after drinking, others may find themselves sitting for longer than usual, due to constipation

Alcohol suppresses the secretion of vasopressin, which is the hormone that regulates water retention. This causes us to urinate more frequently, leading to dehydration. When we’re dehydrated, our intestines try to preserve water by absorbing fluids within our intestines. This leads to dry and hard stools that are difficult to pass.

Remember when we disclosed that alcohol can speed up motility in our intestines? Well, drinks with a higher alcohol content can actually slow down motility, leading to constipation. 

3. Excessive Trips to the Toilet 

As if that’s not enough, alcohol doesn’t just affect our poops, but also how often we go. Diarrhea and constipation can lead to excessive trips to the toilet.

Expedited digestion not only leads to watery stool, but can cause us to go more frequently. On the other hand, constipation can make it difficult for us to pass stool, causing several trips to the toilet in order for us to get it out.

4. Long-term Tummy Turmoil

Alcohol not only affects our stool right after drinking and the day after, while our body works to eliminate alcohol, but it can also cause damage to our digestive tract. It damages cells within our GI system and disrupts our gut microbiome. 

When there’s an overgrowth of harmful bacteria in our gut, we may experience negative effects such as constipation, bloating, and discomfort. Since our stomach lining is damaged, it’s also more permeable, allowing harmful bacteria to travel to different parts of our body in what’s known as leaky gut syndrome. 

Constant exposure to toxins can also lead to chronic digestive disorders such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD).

As we can see, “alcohol poops” vary widely. So what leads to these different experiences?

Alcohol’s Effects on Your Bowel Movements

What Influences Alcohol’s Effects on Your Bowel Movements?

To better avoid gut-wrenching bowel movements after drinking, let’s first dive into the factors that can influence it. It may go without saying that the amount of alcohol we drink matters. More alcohol means greater disruptions to our digestive system. But actually, the type of alcohol also plays a role. Research shows that alcoholic beverages with lower alcohol content more commonly cause watery stools whereas higher alcohol drinks more frequently cause constipation.

Individual differences impact the way we respond to alcohol. Genetic factors such as activity of the enzymes that break down alcohol (ADH and ALDH) can affect absorption and therefore breakdown and digestion. Other factors such as gut microbiome composition and pre-existing digestive conditions can put us at greater risk of bowel disruptions and developing bowel diseases.

Last but not least, food and water can also play a role. Having food in our stomach prior to drinking can slow down absorption and moderate alcohol’s effects. While eating before drinking alcohol is generally a good idea, specific foods such as spicy foods, caffeine, and refined sugars can exacerbate GI discomfort. Along with the food we eat, staying hydrated helps combat the dehydrating effects of alcohol and its effects on our bowel movements.

Managing and Preventing “Alcohol Poops”

“Alcohol poops” are unpleasant, to say the least. Now that we’ve dissected how alcohol impacts our digestive system and affects our number two, we can more effectively prevent and manage post-drinking bowel battles. Here are some effective strategies: 

  • Choose alternatives. Opt for non-alcoholic beverages to avoid alcohol’s harmful effects on our digestive tract. Better yet, choose digestion-friendly options such as kombucha, aloe vera juice, and kefir.
  • Follow moderation guidelines. If choosing to drink, stick to moderate drinking guidelines which is 2 drinks or less in a day for men and 1 drink or less in a day for women.
  • Avoid mixing alcohol and caffeine. Mixing alcohol and caffeine can be a recipe for disaster. Caffeine can further irritate our stomach and speed up our digestion, amplifying the negative effects of alcohol on our bowel movements. 
  • Stay hydrated. Drinking plenty of water helps things move smoothly through the digestive tract and helps prevent constipation.
  • Eat beforehand. Having food in our stomach helps slow down alcohol absorption and puts a barrier between the alcohol and our stomach lining. Eat a balanced meal with complex carbs, fiber, and protein for a smoother go the next day.
  • Maintain gut health. Managing our overall gut health through eating a healthy diet, managing stress, getting adequate sleep, and supplementing with pre- and probiotics helps mitigate some of the damage from alcohol. 
  • Seek support. If we’re concerned about our drinking habits or notice that alcohol is taking a toll on our gut health, we can reach out for support from others. Early intervention is the most effective way to prevent further damage from alcohol. Reach out to family and friends, join peer support groups, and explore treatment options.

“Alcohol poops” are just one way that alcohol’s detrimental effects on our health are visible. Quitting or cutting back on alcohol will be beneficial not only for our bowel health but also for our overall well-being. And don’t forget, Reframe is here to support you along the way!

Balancing Booze and Bowel Bliss

Some of us may have been aware that alcohol makes us pee more often, but alcohol can also affect our bowel movements, and not in a good way. It can cause effects on opposite sides of the spectrum from diarrhea to constipation. This is because of the toxic effects of alcohol on our digestive system. Not only can drinking cause short-term changes to our stool, but it can also lead to bowel diseases in the long term. Quitting or cutting back on alcohol helps us avoid throwing our bowel movements out of whack! 

You’re enjoying a night out with friends, cocktail in hand when suddenly the joy of the evening takes a sharp turn. You find yourself sprinting to the bathroom. Sound familiar? Alcohol can make us feel good in the moment, but it often leaves our digestive system in a state of turmoil. 

Let’s follow alcohol’s journey through our digestive system from the second it touches our lips through the egress of our intestines, which sometimes ends in an expedited or delayed release. Whether we’re looking to avoid the dreaded “alcohol poops” or aiming to improve our gut health, understanding how alcohol affects our digestive system can help keep our bathroom sprints at bay. Let’s dive into a less talked about side of alcohol — its effects on our bowel movements.

Understanding the Interaction: Alcohol Metabolism and Your Digestive System

A man holding his stomach

Alcohol, unlike the food and drinks we consume, is absorbed in the bloodstream, causing intoxication when our blood alcohol concentration rises. Although it’s absorbed into our bloodstream, each part of the digestive process is still involved in absorbing, processing, and breaking down alcohol (metabolization). Let’s follow the path of the digestive process to see how alcohol affects each stage.

1. Mouth and Throat

Although we associate our stomach and intestines with digestion, the process begins as soon as food or drink enters our mouth. When we drink alcohol, small amounts are absorbed through the lining of our mouth and throat. 

As the rest travels through the rest of the digestive tract, the alcohol that is absorbed into the blood begins to break down into a toxic compound known as acetaldehyde. 

Since alcohol is absorbed into our bloodstream, acetaldehyde not only damages our cells within our digestive system but also other parts of our body — explaining the many health conditions associated with drinking. But this is just the first step — let’s keep going!

2. Esophagus

The esophagus is like a muscular tube that connects our throat to our stomach. It contracts to help food move to the stomach. As the toxins in alcohol flow down our esophagus, it can irritate and damage the lining — impacting proper digestion. 

It also relaxes the lower esophageal sphincter (a valve that separates the stomach from the esophagus) which makes it easier for stomach acid to flow back up, causing acid reflux and impaired movement of food and liquid to our stomach.

3. Stomach

Once alcohol reaches our stomach, about 20% is absorbed through our stomach lining. This means that any food we have in our stomach can slow down alcohol absorption. That’s why we commonly hear the recommendation to avoid drinking on an empty stomach

Like in other parts of the digestive tract, the toxins in alcohol irritate cells in our stomach lining, causing inflammation. Alcohol also increases stomach acid production, further increasing gut irritation and inflammation.

Our gut microbiome is full of healthy bacteria, which aids digestion and prevents overgrowth of harmful bacteria. However, alcohol destroys harmful bacteria, affecting not only digestion, but opening the door to certain bowel diseases such as IBD (inflammatory bowel disease).

4. Intestines

The majority of alcohol absorption happens in our small intestine due to the large surface area (roughly the size of a tennis court!). When our intestines are occupied with absorbing alcohol, focus is shifted away from their normal functions which include breaking down food, absorbing nutrients, extracting water, and moving the waste along to be eliminated.

Alcohol’s effects on our intestines impact intestinal motility (movement) and nutrient absorption, which is apparent in our post-drinking poops.

5. Liver

Our liver is tasked with breaking down a majority of the toxins in alcohol. It helps break down acetaldehyde into a less active compound, acetate, then water and carbon dioxide to be eliminated. 

However, we can only metabolize alcohol at a certain rate (roughly 1 standard drink per hour). When we drink more or faster than our liver can metabolize it, acetaldehyde builds up in our bloodstream, giving it more time to cause damage to our cells and organs.

Now that we understand how alcohol is metabolized and impacts each step of the digestive process, let’s zoom in on its effects on our bowel movements.

Alcohol’s Effects on Your Bowel Movements

Since alcohol affects every step of our digestive process, it can affect our “number two” in different ways. Here are some common experiences: 

1. Liquid Lament

Alcohol can lead to watery stools for several reasons. As we’ve discussed, alcohol impacts the function of our intestines. As it agitates our intestines, the muscles in our colon contract more frequently, pushing out our waste faster than normal. Since the process is sped up, our intestines don’t have time to digest properly, leading to diarrhea

Additionally, our large intestine typically expels water from our stool, which gives us solid poops that are easy to eliminate. When the function of our large intestine is impaired, water doesn’t get pulled out and again leaves us with watery stools. But alcohol can also have the opposite effect!

2. The “Slow-Go”

While some of us may find ourselves running to the toilet after drinking, others may find themselves sitting for longer than usual, due to constipation

Alcohol suppresses the secretion of vasopressin, which is the hormone that regulates water retention. This causes us to urinate more frequently, leading to dehydration. When we’re dehydrated, our intestines try to preserve water by absorbing fluids within our intestines. This leads to dry and hard stools that are difficult to pass.

Remember when we disclosed that alcohol can speed up motility in our intestines? Well, drinks with a higher alcohol content can actually slow down motility, leading to constipation. 

3. Excessive Trips to the Toilet 

As if that’s not enough, alcohol doesn’t just affect our poops, but also how often we go. Diarrhea and constipation can lead to excessive trips to the toilet.

Expedited digestion not only leads to watery stool, but can cause us to go more frequently. On the other hand, constipation can make it difficult for us to pass stool, causing several trips to the toilet in order for us to get it out.

4. Long-term Tummy Turmoil

Alcohol not only affects our stool right after drinking and the day after, while our body works to eliminate alcohol, but it can also cause damage to our digestive tract. It damages cells within our GI system and disrupts our gut microbiome. 

When there’s an overgrowth of harmful bacteria in our gut, we may experience negative effects such as constipation, bloating, and discomfort. Since our stomach lining is damaged, it’s also more permeable, allowing harmful bacteria to travel to different parts of our body in what’s known as leaky gut syndrome. 

Constant exposure to toxins can also lead to chronic digestive disorders such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD).

As we can see, “alcohol poops” vary widely. So what leads to these different experiences?

Alcohol’s Effects on Your Bowel Movements

What Influences Alcohol’s Effects on Your Bowel Movements?

To better avoid gut-wrenching bowel movements after drinking, let’s first dive into the factors that can influence it. It may go without saying that the amount of alcohol we drink matters. More alcohol means greater disruptions to our digestive system. But actually, the type of alcohol also plays a role. Research shows that alcoholic beverages with lower alcohol content more commonly cause watery stools whereas higher alcohol drinks more frequently cause constipation.

Individual differences impact the way we respond to alcohol. Genetic factors such as activity of the enzymes that break down alcohol (ADH and ALDH) can affect absorption and therefore breakdown and digestion. Other factors such as gut microbiome composition and pre-existing digestive conditions can put us at greater risk of bowel disruptions and developing bowel diseases.

Last but not least, food and water can also play a role. Having food in our stomach prior to drinking can slow down absorption and moderate alcohol’s effects. While eating before drinking alcohol is generally a good idea, specific foods such as spicy foods, caffeine, and refined sugars can exacerbate GI discomfort. Along with the food we eat, staying hydrated helps combat the dehydrating effects of alcohol and its effects on our bowel movements.

Managing and Preventing “Alcohol Poops”

“Alcohol poops” are unpleasant, to say the least. Now that we’ve dissected how alcohol impacts our digestive system and affects our number two, we can more effectively prevent and manage post-drinking bowel battles. Here are some effective strategies: 

  • Choose alternatives. Opt for non-alcoholic beverages to avoid alcohol’s harmful effects on our digestive tract. Better yet, choose digestion-friendly options such as kombucha, aloe vera juice, and kefir.
  • Follow moderation guidelines. If choosing to drink, stick to moderate drinking guidelines which is 2 drinks or less in a day for men and 1 drink or less in a day for women.
  • Avoid mixing alcohol and caffeine. Mixing alcohol and caffeine can be a recipe for disaster. Caffeine can further irritate our stomach and speed up our digestion, amplifying the negative effects of alcohol on our bowel movements. 
  • Stay hydrated. Drinking plenty of water helps things move smoothly through the digestive tract and helps prevent constipation.
  • Eat beforehand. Having food in our stomach helps slow down alcohol absorption and puts a barrier between the alcohol and our stomach lining. Eat a balanced meal with complex carbs, fiber, and protein for a smoother go the next day.
  • Maintain gut health. Managing our overall gut health through eating a healthy diet, managing stress, getting adequate sleep, and supplementing with pre- and probiotics helps mitigate some of the damage from alcohol. 
  • Seek support. If we’re concerned about our drinking habits or notice that alcohol is taking a toll on our gut health, we can reach out for support from others. Early intervention is the most effective way to prevent further damage from alcohol. Reach out to family and friends, join peer support groups, and explore treatment options.

“Alcohol poops” are just one way that alcohol’s detrimental effects on our health are visible. Quitting or cutting back on alcohol will be beneficial not only for our bowel health but also for our overall well-being. And don’t forget, Reframe is here to support you along the way!

Balancing Booze and Bowel Bliss

Some of us may have been aware that alcohol makes us pee more often, but alcohol can also affect our bowel movements, and not in a good way. It can cause effects on opposite sides of the spectrum from diarrhea to constipation. This is because of the toxic effects of alcohol on our digestive system. Not only can drinking cause short-term changes to our stool, but it can also lead to bowel diseases in the long term. Quitting or cutting back on alcohol helps us avoid throwing our bowel movements out of whack! 

Alcohol and Health
2024-10-08 9:00
Alcohol and Health
What Is Zieve's Syndrome?
This is some text inside of a div block.

Zieve’s syndrome is a rare condition, but can undoubtedly affect those who drink heavily. Check out our latest blog for more info on how this triple threat is linked to alcohol.

17 min read

Care for Your Liver Health With Reframe!

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

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

You’ll meet 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 wake up groggy one morning after yet another big night out. But today, it’s not just the usual headache and nausea that accompanies a night of heavy drinking. As you drag yourself to the bathroom to freshen up, you feel a pang in your stomach. When you catch your reflection in the mirror, you do a double take. Your skin and the whites of your eyes have taken on a yellowish hue as if there’s a filter on the image staring back at you. Confused and alarmed, you wonder, “What’s happening to me?”

Two individuals seated at a table, each with a beer bottle

Excessive drinking for an extended period of time doesn’t come without consequence. Meet Zieve’s syndrome, an often overlooked condition that occurs in those of us with a history of heavy drinking. Unlike typical liver disease, Zieve’s syndrome combines multiple complications, making it a unique and challenging condition to understand and manage. Let’s further explore what Zieve’s syndrome is to learn what we can do to prevent or address it. 

Understanding Zieve’s Syndrome: An Underreported Cause of Alcohol-Induced Anemia 

Zieve’s syndrome is a complication of alcohol-related liver injury that stems from excessive drinking. It was first described by Dr. Leslie Zieve in 1957 when he noticed that many patients with alcohol-related liver injury shared three common issues. The three signs of Zieve’s syndrome are yellowing of the skin and eyes (jaundice), abnormal breakdown of red blood cells (hemolytic anemia), and high levels of lipids such as cholesterol and triglycerides in the blood (hyperlipidemia). This trio causes a range of symptoms associated with Zieve’s syndrome.

Jaundice is one of the big three signs. We can identify jaundice in four ways:

  • Yellowing of skin, eyes, and other mucous membranes
  • Dark-colored urine
  • Pale stools
  • Itchy skin

Anemia is a condition that occurs when our blood doesn’t have enough healthy red blood cells or proteins (hemoglobin), which carry oxygen to the rest of the body. If our body doesn’t get enough oxygen, we may experience a range of symptoms: 

  • Weakness
  • Dizziness
  • Confusion 
  • Pale skin
  • Increased heart rate
  • Fever

Hyperlipidemia (or high levels of fat particles in the blood) isn’t associated with any specific symptoms. But when this condition combines with jaundice and anemia, the result may be:

  • Abdominal pain
  • Nausea
  • Vomiting
  • Fatigue
  • Low-grade fever 

Now that we understand what to look out for, let’s get to know why Zieve’s syndrome occurs.

What Causes Zieve’s Syndrome?

Zieve’s syndrome occurs due to liver injury from excessive drinking. Since our liver is the main organ that breaks down alcohol, it’s consistently exposed to toxins that destroy its cells. Over time, damage to our liver cells leads to inflammation, scarring, and liver dysfunction. While our liver is in charge of breaking down toxins, it also plays a key role in regulating the lipids in our blood. When our liver isn’t functioning properly, fat builds up, leading to hyperlipidemia. Our liver also struggles to remove bilirubin, a yellowing pigment that is a waste product of our blood, leading to jaundice. 

Jaundice can also be caused by hemolytic anemia, another component of Zieve’s syndrome. Hemolytic anemia is a disorder where red blood cells are destroyed faster than they can be produced. While we know hemolytic anemia in Zieve’s syndrome can contribute to jaundice, the cause of hemolytic anemia isn’t completely understood. 

Researchers believe that Zieve’s syndrome can be a combination of several different factors. First, elevated levels of lipids in our body can disrupt the red blood cell membrane and cause it to break down (hemolysis). Additionally, vitamin E, which plays a vital role in red blood cell metabolism, can be depleted by alcohol, contributing to hemolysis. Lastly, acetaldehyde, the toxic compound in alcohol, impairs red blood cell enzymes, which can make red blood cells more susceptible to injury. While it seems like Zieve’s syndrome can be caused by many different elements, the underlying factor is alcohol-related liver injury. In short, damage to our liver from excessive drinking can lead to Zieve’s syndrome. To fully grasp who is most vulnerable, let’s delve into the specific risk factors that increase the likelihood of its onset. 

Zieve’s Syndrome Risk Factors 

As we’ve learned, Zieve’s syndrome occurs due to alcohol-related liver damage, and the risk factor for alcohol-related liver damage is excessive drinking. According to the CDC, excessive drinking is outlined by the following criteria:

  • 14 standard drinks per week for men
  • 7 standard drinks per week for women 
  • 4 drinks in one sitting for men
  • 3 drinks in one sitting for women 

One standard drink refers to 14 grams of pure alcohol. This looks different depending on the type of alcoholic beverage. For example,14 grams of pure alcohol is found in roughly 12 oz of 5% beer or 1.5 oz of distilled spirits. When evaluating our drinking habits, it’s important to ensure we’re using standard drink measurements, as one drink we order at the bar can easily be two or three standard drinks. 

To understand the direct link between excessive drinking and liver damage, let’s take a look at some sobering facts. Research on alcoholic liver disease published by the National Library of Medicine outlines the following findings:

  • Consumption of 30-50 grams of alcohol per day or about 2-4 standard drinks a day for 5 years can lead to alcohol-related liver disease.
  • Cirrhosis or permanent liver scarring occurs in 30% of those with a history of heavy drinking (40 grams per day).
  • Steatosis (fatty liver disease) occurs in 90% of those who drink more than 60 grams of alcohol per day.
  • Quantity and duration of alcohol consumption are the highest risk factors for the development of liver disease.

Zieve’s syndrome, which is caused by alcohol-related liver damage, shares the same risk factors and helps us understand why it develops. While excessive drinking is the primary risk factor for Zieve’s syndrome, treating it isn’t as simple as not drinking excessively. 

Tips for Preventing Zieve’s Syndrome

Treatment for Zieve’s Syndrome

A core component of treating Zieve’s syndrome is avoiding alcohol. Research shows that patients with Zieve’s syndrome can recover 4 to 6 weeks after abstinence from alcohol. Continuing to drink, even below the criteria for excessive drinking, can lead to severe liver damage and cirrhosis. Cirrhosis is permanent liver scarring that leads to liver failure. Oftentimes, the only treatment for chronic liver failure is a liver transplant.

Aside from lifestyle changes, the other main treatments for Zieve’s syndrome are blood transfusions. Normal blood transfusions can increase our red blood cell count, combating jaundice and anemia. Plasmapheresis helps treat hyperlipidemia by removing the triglycerides (fatty acids) from the plasma in our blood. Together, these treatments address each component of Zieve’s syndrome and help us improve our liver health. By prioritizing liver health, we can more effectively prevent Zieve’s syndrome. Let’s talk strategy. 

Tips for Preventing Zieve’s Syndrome

Although Zieve’s syndrome manifests through a triad of conditions (and even more symptoms), preventing it is much less complicated. It’s centered around mindful drinking, which we can practice in the following ways: 

  • Set limits. Follow moderation guidelines or track your consumption, then develop attainable goals to cut back. 
  • Choose alternatives. Better yet, choose alcohol-free alternatives to avoid alcohol altogether. Since alcohol is toxic to our liver, avoiding alcohol is beneficial for it. 
  • Manage liver health. Aside from eliminating toxic substances like alcohol, eating a liver-healthy diet, getting adequate sleep, and participating in daily exercise help improve the function of our liver (more on this in the next section).
  • Catch it early. This goes for both negative drinking habits and alcohol-related liver damage. Early intervention helps prevent further damage from alcohol. Look out for early signs of alcohol misuse to stop it in its tracks to help prevent adverse health effects such as liver damage.
  • Get support for quitting or cutting back. The way alcohol hijacks our brain’s reward system can make quitting or cutting back not always as easy as it sounds. Luckily, we have a range of support options to explore including behavioral treatments, psychological therapy, and support groups like the Reframe community.

Improving and maintaining the health of our liver is a crucial aspect of preventing and treating Zieve’s syndrome. Let’s dive into more detail on ways we can boost the well-being of our liver.

Leveling Up Your Liver

To level up our health, it’s crucial to not only prevent conditions like Zieve’s syndrome, but also to enhance our liver function. The liver is in charge of many major functions in our body including detoxification, supporting metabolism, and more. We can prioritize our liver health by implementing these strategies:

  • Steer clear of toxins. In addition to alcohol, pesticides and other toxins can damage our liver. Take care when washing produce and read warning labels on chemicals before use. 
  • Check your supplements. Research shows that some herbal and dietary supplements account for 20% of liver injury in the US. Be sure to check if the supplements you’re taking are on the National Institutes of Health database of toxic substances or consult with your doctor for individual medical advice. 
  • Maintain a healthy weight. Having a sustainable exercise routine helps us stay active and avoid excess fat buildup in our liver which can lead to dysfunction. Find enjoyable ways to move your body such as going for a hike or taking a dance or exercise class. Eating a balanced diet can also help us maintain a healthy weight and liver. The American Liver Foundation recommends avoiding foods high in fat, sugar, and salt. 
  • Use medications properly. Taking too much or taking them for extended periods of time can be harmful to our liver. Make sure to follow directions for all prescribed medications. 
  • Prevent hepatitis A, B, and C. Hepatitis A and B are viral diseases and can be prevented through vaccinations. While the vaccinations are now recommended for children, some adults have not gotten them. Talk to your doctor to see if it’s recommended. For hepatitis C, there’s no vaccination. This virus is spread through blood and can lead to permanent liver damage if left untreated. Practice safe use and disposal of needles and look out for signs of hepatitis C including stomach pain, joint pain, dry mouth, fatigue, loss of appetite, and yellowing of the skin or eyes (jaundice).

Taking care of our liver health ultimately improves our overall health and well-being. 

From Awareness to Action

Zieve’s syndrome is a complication of alcohol-related liver damage that leads to a treacherous trio of jaundice, anemia, and hyperlipidemia. Now that we understand how it works and what causes it, we can better treat and prevent it by prioritizing our liver health! Quit or cut back on alcohol, load up liver-friendly foods, and steer clear of toxins to give your liver a reprieve and avoid Zieve’s!

You wake up groggy one morning after yet another big night out. But today, it’s not just the usual headache and nausea that accompanies a night of heavy drinking. As you drag yourself to the bathroom to freshen up, you feel a pang in your stomach. When you catch your reflection in the mirror, you do a double take. Your skin and the whites of your eyes have taken on a yellowish hue as if there’s a filter on the image staring back at you. Confused and alarmed, you wonder, “What’s happening to me?”

Two individuals seated at a table, each with a beer bottle

Excessive drinking for an extended period of time doesn’t come without consequence. Meet Zieve’s syndrome, an often overlooked condition that occurs in those of us with a history of heavy drinking. Unlike typical liver disease, Zieve’s syndrome combines multiple complications, making it a unique and challenging condition to understand and manage. Let’s further explore what Zieve’s syndrome is to learn what we can do to prevent or address it. 

Understanding Zieve’s Syndrome: An Underreported Cause of Alcohol-Induced Anemia 

Zieve’s syndrome is a complication of alcohol-related liver injury that stems from excessive drinking. It was first described by Dr. Leslie Zieve in 1957 when he noticed that many patients with alcohol-related liver injury shared three common issues. The three signs of Zieve’s syndrome are yellowing of the skin and eyes (jaundice), abnormal breakdown of red blood cells (hemolytic anemia), and high levels of lipids such as cholesterol and triglycerides in the blood (hyperlipidemia). This trio causes a range of symptoms associated with Zieve’s syndrome.

Jaundice is one of the big three signs. We can identify jaundice in four ways:

  • Yellowing of skin, eyes, and other mucous membranes
  • Dark-colored urine
  • Pale stools
  • Itchy skin

Anemia is a condition that occurs when our blood doesn’t have enough healthy red blood cells or proteins (hemoglobin), which carry oxygen to the rest of the body. If our body doesn’t get enough oxygen, we may experience a range of symptoms: 

  • Weakness
  • Dizziness
  • Confusion 
  • Pale skin
  • Increased heart rate
  • Fever

Hyperlipidemia (or high levels of fat particles in the blood) isn’t associated with any specific symptoms. But when this condition combines with jaundice and anemia, the result may be:

  • Abdominal pain
  • Nausea
  • Vomiting
  • Fatigue
  • Low-grade fever 

Now that we understand what to look out for, let’s get to know why Zieve’s syndrome occurs.

What Causes Zieve’s Syndrome?

Zieve’s syndrome occurs due to liver injury from excessive drinking. Since our liver is the main organ that breaks down alcohol, it’s consistently exposed to toxins that destroy its cells. Over time, damage to our liver cells leads to inflammation, scarring, and liver dysfunction. While our liver is in charge of breaking down toxins, it also plays a key role in regulating the lipids in our blood. When our liver isn’t functioning properly, fat builds up, leading to hyperlipidemia. Our liver also struggles to remove bilirubin, a yellowing pigment that is a waste product of our blood, leading to jaundice. 

Jaundice can also be caused by hemolytic anemia, another component of Zieve’s syndrome. Hemolytic anemia is a disorder where red blood cells are destroyed faster than they can be produced. While we know hemolytic anemia in Zieve’s syndrome can contribute to jaundice, the cause of hemolytic anemia isn’t completely understood. 

Researchers believe that Zieve’s syndrome can be a combination of several different factors. First, elevated levels of lipids in our body can disrupt the red blood cell membrane and cause it to break down (hemolysis). Additionally, vitamin E, which plays a vital role in red blood cell metabolism, can be depleted by alcohol, contributing to hemolysis. Lastly, acetaldehyde, the toxic compound in alcohol, impairs red blood cell enzymes, which can make red blood cells more susceptible to injury. While it seems like Zieve’s syndrome can be caused by many different elements, the underlying factor is alcohol-related liver injury. In short, damage to our liver from excessive drinking can lead to Zieve’s syndrome. To fully grasp who is most vulnerable, let’s delve into the specific risk factors that increase the likelihood of its onset. 

Zieve’s Syndrome Risk Factors 

As we’ve learned, Zieve’s syndrome occurs due to alcohol-related liver damage, and the risk factor for alcohol-related liver damage is excessive drinking. According to the CDC, excessive drinking is outlined by the following criteria:

  • 14 standard drinks per week for men
  • 7 standard drinks per week for women 
  • 4 drinks in one sitting for men
  • 3 drinks in one sitting for women 

One standard drink refers to 14 grams of pure alcohol. This looks different depending on the type of alcoholic beverage. For example,14 grams of pure alcohol is found in roughly 12 oz of 5% beer or 1.5 oz of distilled spirits. When evaluating our drinking habits, it’s important to ensure we’re using standard drink measurements, as one drink we order at the bar can easily be two or three standard drinks. 

To understand the direct link between excessive drinking and liver damage, let’s take a look at some sobering facts. Research on alcoholic liver disease published by the National Library of Medicine outlines the following findings:

  • Consumption of 30-50 grams of alcohol per day or about 2-4 standard drinks a day for 5 years can lead to alcohol-related liver disease.
  • Cirrhosis or permanent liver scarring occurs in 30% of those with a history of heavy drinking (40 grams per day).
  • Steatosis (fatty liver disease) occurs in 90% of those who drink more than 60 grams of alcohol per day.
  • Quantity and duration of alcohol consumption are the highest risk factors for the development of liver disease.

Zieve’s syndrome, which is caused by alcohol-related liver damage, shares the same risk factors and helps us understand why it develops. While excessive drinking is the primary risk factor for Zieve’s syndrome, treating it isn’t as simple as not drinking excessively. 

Tips for Preventing Zieve’s Syndrome

Treatment for Zieve’s Syndrome

A core component of treating Zieve’s syndrome is avoiding alcohol. Research shows that patients with Zieve’s syndrome can recover 4 to 6 weeks after abstinence from alcohol. Continuing to drink, even below the criteria for excessive drinking, can lead to severe liver damage and cirrhosis. Cirrhosis is permanent liver scarring that leads to liver failure. Oftentimes, the only treatment for chronic liver failure is a liver transplant.

Aside from lifestyle changes, the other main treatments for Zieve’s syndrome are blood transfusions. Normal blood transfusions can increase our red blood cell count, combating jaundice and anemia. Plasmapheresis helps treat hyperlipidemia by removing the triglycerides (fatty acids) from the plasma in our blood. Together, these treatments address each component of Zieve’s syndrome and help us improve our liver health. By prioritizing liver health, we can more effectively prevent Zieve’s syndrome. Let’s talk strategy. 

Tips for Preventing Zieve’s Syndrome

Although Zieve’s syndrome manifests through a triad of conditions (and even more symptoms), preventing it is much less complicated. It’s centered around mindful drinking, which we can practice in the following ways: 

  • Set limits. Follow moderation guidelines or track your consumption, then develop attainable goals to cut back. 
  • Choose alternatives. Better yet, choose alcohol-free alternatives to avoid alcohol altogether. Since alcohol is toxic to our liver, avoiding alcohol is beneficial for it. 
  • Manage liver health. Aside from eliminating toxic substances like alcohol, eating a liver-healthy diet, getting adequate sleep, and participating in daily exercise help improve the function of our liver (more on this in the next section).
  • Catch it early. This goes for both negative drinking habits and alcohol-related liver damage. Early intervention helps prevent further damage from alcohol. Look out for early signs of alcohol misuse to stop it in its tracks to help prevent adverse health effects such as liver damage.
  • Get support for quitting or cutting back. The way alcohol hijacks our brain’s reward system can make quitting or cutting back not always as easy as it sounds. Luckily, we have a range of support options to explore including behavioral treatments, psychological therapy, and support groups like the Reframe community.

Improving and maintaining the health of our liver is a crucial aspect of preventing and treating Zieve’s syndrome. Let’s dive into more detail on ways we can boost the well-being of our liver.

Leveling Up Your Liver

To level up our health, it’s crucial to not only prevent conditions like Zieve’s syndrome, but also to enhance our liver function. The liver is in charge of many major functions in our body including detoxification, supporting metabolism, and more. We can prioritize our liver health by implementing these strategies:

  • Steer clear of toxins. In addition to alcohol, pesticides and other toxins can damage our liver. Take care when washing produce and read warning labels on chemicals before use. 
  • Check your supplements. Research shows that some herbal and dietary supplements account for 20% of liver injury in the US. Be sure to check if the supplements you’re taking are on the National Institutes of Health database of toxic substances or consult with your doctor for individual medical advice. 
  • Maintain a healthy weight. Having a sustainable exercise routine helps us stay active and avoid excess fat buildup in our liver which can lead to dysfunction. Find enjoyable ways to move your body such as going for a hike or taking a dance or exercise class. Eating a balanced diet can also help us maintain a healthy weight and liver. The American Liver Foundation recommends avoiding foods high in fat, sugar, and salt. 
  • Use medications properly. Taking too much or taking them for extended periods of time can be harmful to our liver. Make sure to follow directions for all prescribed medications. 
  • Prevent hepatitis A, B, and C. Hepatitis A and B are viral diseases and can be prevented through vaccinations. While the vaccinations are now recommended for children, some adults have not gotten them. Talk to your doctor to see if it’s recommended. For hepatitis C, there’s no vaccination. This virus is spread through blood and can lead to permanent liver damage if left untreated. Practice safe use and disposal of needles and look out for signs of hepatitis C including stomach pain, joint pain, dry mouth, fatigue, loss of appetite, and yellowing of the skin or eyes (jaundice).

Taking care of our liver health ultimately improves our overall health and well-being. 

From Awareness to Action

Zieve’s syndrome is a complication of alcohol-related liver damage that leads to a treacherous trio of jaundice, anemia, and hyperlipidemia. Now that we understand how it works and what causes it, we can better treat and prevent it by prioritizing our liver health! Quit or cut back on alcohol, load up liver-friendly foods, and steer clear of toxins to give your liver a reprieve and avoid Zieve’s!

Alcohol and Health
2024-10-05 9:00
Alcohol and Health
Unique Risks of Drinking in the Air
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Alcohol and flying is a common but potentially risky combination. Check out our latest blog for more about the unique risks of drinking before and while in the air.

15 min read

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Having a drink on a flight to calm the nerves or kick off the start of some much-needed time off is a common occurrence. However, with a recent rise in in-cabin incidents dubbed “air rage,” could alcohol be to blame? 

As it turns out, drinking alcohol in the air can affect us differently than it does on the ground. Let’s explore the unique risks of drinking in the air to help us decide whether skipping the drink on our next flight is the best move.

The History of Drinking Alcohol on Planes

A man takes a sip from a glass of wine

In 1914, the first commercial airline, the St. Petersburg-Tampa Airboat Line was introduced. However, it wasn’t until after the 1940s when Prohibition died down that alcohol was served in-flight. 

From the 1950s through the 1970s, known as the Golden Era of Flying, commercial flying took off. Throughout this time until the late 90s alcohol was served in-flight free of charge, much like the little packets of peanuts and pretzels we get today. It became an integral part of the luxurious flying experience.

Aside from the temporary pause in in-flight drink services during the COVID-19 pandemic due to mask mandates, alcohol continues to be a major component of in-flight services. Although alcoholic beverages are no longer free, they remain popular and have become intertwined with the in-air experience. 

Can You Take Alcohol on a Plane?

Airlines have strict policies for carry-on and checked luggage. However, as long as alcohol meets these requirements, including size restrictions and alcohol by volume (ABV), it can be brought onto the plane. Alcohol can even be purchased at duty-free stores in the airport, and drinks are offered or sold at airline terminals and lounges. 

Although we can bring our own alcohol onto the plane, we’re not allowed to drink it there. This is to prevent excessive drinking in-flight. All alcohol consumed in the cabin must be served by a flight attendant. While there’s no limit to the number of drinks that can be purchased, flight attendants are allowed to refuse to serve alcohol if a passenger appears to be intoxicated. With the recent in-flight incidents, are those of us who drink becoming more intoxicated while flying? Is that because alcohol affects us differently in the air?

Does Alcohol Affect You Differently at High Altitudes?

Anecdotal reports claim that drinking on a plane affects us differently than if we were to drink the same amount at ground level. However, research shows that altitude does not directly affect our blood alcohol concentration (BAC). So why might we feel different?

As it turns out, the conditions of a plane cabin and the high altitude can play major roles. At high elevations, there is less oxygen available, which is essential for normal bodily function. Although the plane cabin is pressurized to allow us to breathe at high altitudes, the oxygen levels available are lower than at ground level. 

Do You Get Drunk Faster on a Plane?

Many people report getting drunk faster or getting more drunk on a plane. However, although it may feel like it, alcohol doesn’t increase our BAC faster or higher on a plane. 

The specific conditions of a plane environment can impact our experience. Lower oxygen availability can cause symptoms such as increased heart rate, confusion, and disorientation — adding to the effects of alcohol intoxication. 

Alcohol also impacts our vestibular system, which controls our balance and coordination. The added movement of being in flight can further throw off our balance and motor coordination. These factors create the feeling of being more tipsy or drunk when drinking on a plane than under regular conditions.

Does Drinking Affect Health Outcomes Differently?


Ever feel more exhausted after traveling even though you’ve been sitting most of the time? Although we may not be doing much while we’re on a flight, the environment is a big adjustment for our body. Adding alcohol, a toxin, to the equation can cause even more stress.

Added stress can also impact our metabolization. The slower metabolization of alcohol means that the toxins linger in our body longer. This can increase the risk of harm that alcohol has on our cells and organs. While one drink may not make a significant difference, one drink on every flight (especially if we’re frequent fliers) can lead to an increased risk of alcohol-related health conditions. Does this mean we should completely avoid it?

Should You Drink While In the Air?

While drinking on a flight is quite prevalent, it’s associated with greater risks than drinking at ground level (although there’s already an extensive list of risks associated with drinking regularly). 

There are plenty of alternatives to help us relax if we’re nervous fliers. And there are plenty of other activities and non-alcoholic beverages that can kick off a vacation. 

How Much Is Too Much?

Since alcohol affects us all differently, there’s no set amount of alcohol that is deemed “safe” or “ok” for in-flight consumption. If we do decide to drink, it’s best to follow moderate consumption guidelines. 

Moderate drinking guidelines suggest no more than two drinks in a day for men and no more than one drink in a day for women. Since drinking in-flight can be associated with even greater risks, even moderate consumption can be associated with greater consequences than drinking regularly. Let’s get a better idea of the unique risks of drinking while in the air.

Risks of Drinking While in the Air 

Due to the specific environment of a plane cabin, drinking has additional risks in comparison to drinking on ground level:

  • Increased dehydration. The low humidity of the cabin air and the diuretic properties of alcohol can cause increased dehydration. 
  • Sleep disruptions. Flights can be draining, especially if we’re on a red-eye flight, and sleep is crucial. Alcohol can cause further sleep disruptions to what’s an already uncomfortable sleeping experience.
  • Worse hangovers. Drinking on planes is associated with worse hangovers due to the cabin environment. Increased dehydration and slowed alcohol metabolism can lead to a more unpleasant aftermath.
  • Increased motion sickness. Alcohol disrupts our vestibular system, which controls our balance. For those of us who are sensitive to motion sickness, drinking in-flight could make our symptoms worse. 
  • Behavior issues. Drinking lowers our inhibitions and impedes our judgment. Alcohol can also increase negative emotions such as frustration and anger, which can be aggravated due to the stress of flying on an airplane. Drinking problems have led to increased in-flight incidents including fights and unruly behavior.
  • Safety concerns. Since drinking impacts our inhibitions and judgment, we are more likely to engage in risky behaviors. This can lead to low adherence to safety regulations, such as keeping our seatbelts on or following emergency protocols.

The environment of a plane cabin can heighten the risks of alcohol. If we choose to drink, we can minimize the risks by practicing mindful drinking.

Risks of Drinking in the Air

Responsible Drinking Tips for Your Next Flight

Practicing mindful consumption while flying can help us prioritize our health and well-being while avoiding an unpleasant aftermath. We can implement strategies to practice responsible drinking while flying:

  • Set limits. The ease of ordering drink after drink can quickly get out of hand. Stick to one drink when choosing to consume alcohol in-flight. 
  • Stay hydrated. Drinking plenty of water and replenishing hydration with electrolytes can help combat dehydration from alcohol and the low humidity of the cabin air.
  • Choose alternatives. Airlines offer plenty of non-alcoholic options. Try mixing cranberry juice and soda water together to make a quick mocktail. We can also keep busy by reading a book or watching a movie. 
  • Maintain nutrition. Depending on the airline and flight, sometimes only snacks are provided. Bringing a meal or eating beforehand helps us avoid drinking on an empty stomach.

Excessive drinking anywhere can be detrimental to our health. Implementing these mindful drinking strategies on and off the plane can help us develop a more positive relationship with alcohol.

Touching Down

Drinking while flying is often associated with “just taking the edge off” or “kicking off the party early,” but it does more harm than good. Although being in the air doesn’t affect the actual potency of alcohol, the unique environment of a plane cabin adds to the risks of alcohol. Put on your favorite show and mix up a fun mocktail to prevent the heightened risks of drinking in the air. Say goodbye to feeling unwell by avoiding alcohol when you fly!

Having a drink on a flight to calm the nerves or kick off the start of some much-needed time off is a common occurrence. However, with a recent rise in in-cabin incidents dubbed “air rage,” could alcohol be to blame? 

As it turns out, drinking alcohol in the air can affect us differently than it does on the ground. Let’s explore the unique risks of drinking in the air to help us decide whether skipping the drink on our next flight is the best move.

The History of Drinking Alcohol on Planes

A man takes a sip from a glass of wine

In 1914, the first commercial airline, the St. Petersburg-Tampa Airboat Line was introduced. However, it wasn’t until after the 1940s when Prohibition died down that alcohol was served in-flight. 

From the 1950s through the 1970s, known as the Golden Era of Flying, commercial flying took off. Throughout this time until the late 90s alcohol was served in-flight free of charge, much like the little packets of peanuts and pretzels we get today. It became an integral part of the luxurious flying experience.

Aside from the temporary pause in in-flight drink services during the COVID-19 pandemic due to mask mandates, alcohol continues to be a major component of in-flight services. Although alcoholic beverages are no longer free, they remain popular and have become intertwined with the in-air experience. 

Can You Take Alcohol on a Plane?

Airlines have strict policies for carry-on and checked luggage. However, as long as alcohol meets these requirements, including size restrictions and alcohol by volume (ABV), it can be brought onto the plane. Alcohol can even be purchased at duty-free stores in the airport, and drinks are offered or sold at airline terminals and lounges. 

Although we can bring our own alcohol onto the plane, we’re not allowed to drink it there. This is to prevent excessive drinking in-flight. All alcohol consumed in the cabin must be served by a flight attendant. While there’s no limit to the number of drinks that can be purchased, flight attendants are allowed to refuse to serve alcohol if a passenger appears to be intoxicated. With the recent in-flight incidents, are those of us who drink becoming more intoxicated while flying? Is that because alcohol affects us differently in the air?

Does Alcohol Affect You Differently at High Altitudes?

Anecdotal reports claim that drinking on a plane affects us differently than if we were to drink the same amount at ground level. However, research shows that altitude does not directly affect our blood alcohol concentration (BAC). So why might we feel different?

As it turns out, the conditions of a plane cabin and the high altitude can play major roles. At high elevations, there is less oxygen available, which is essential for normal bodily function. Although the plane cabin is pressurized to allow us to breathe at high altitudes, the oxygen levels available are lower than at ground level. 

Do You Get Drunk Faster on a Plane?

Many people report getting drunk faster or getting more drunk on a plane. However, although it may feel like it, alcohol doesn’t increase our BAC faster or higher on a plane. 

The specific conditions of a plane environment can impact our experience. Lower oxygen availability can cause symptoms such as increased heart rate, confusion, and disorientation — adding to the effects of alcohol intoxication. 

Alcohol also impacts our vestibular system, which controls our balance and coordination. The added movement of being in flight can further throw off our balance and motor coordination. These factors create the feeling of being more tipsy or drunk when drinking on a plane than under regular conditions.

Does Drinking Affect Health Outcomes Differently?


Ever feel more exhausted after traveling even though you’ve been sitting most of the time? Although we may not be doing much while we’re on a flight, the environment is a big adjustment for our body. Adding alcohol, a toxin, to the equation can cause even more stress.

Added stress can also impact our metabolization. The slower metabolization of alcohol means that the toxins linger in our body longer. This can increase the risk of harm that alcohol has on our cells and organs. While one drink may not make a significant difference, one drink on every flight (especially if we’re frequent fliers) can lead to an increased risk of alcohol-related health conditions. Does this mean we should completely avoid it?

Should You Drink While In the Air?

While drinking on a flight is quite prevalent, it’s associated with greater risks than drinking at ground level (although there’s already an extensive list of risks associated with drinking regularly). 

There are plenty of alternatives to help us relax if we’re nervous fliers. And there are plenty of other activities and non-alcoholic beverages that can kick off a vacation. 

How Much Is Too Much?

Since alcohol affects us all differently, there’s no set amount of alcohol that is deemed “safe” or “ok” for in-flight consumption. If we do decide to drink, it’s best to follow moderate consumption guidelines. 

Moderate drinking guidelines suggest no more than two drinks in a day for men and no more than one drink in a day for women. Since drinking in-flight can be associated with even greater risks, even moderate consumption can be associated with greater consequences than drinking regularly. Let’s get a better idea of the unique risks of drinking while in the air.

Risks of Drinking While in the Air 

Due to the specific environment of a plane cabin, drinking has additional risks in comparison to drinking on ground level:

  • Increased dehydration. The low humidity of the cabin air and the diuretic properties of alcohol can cause increased dehydration. 
  • Sleep disruptions. Flights can be draining, especially if we’re on a red-eye flight, and sleep is crucial. Alcohol can cause further sleep disruptions to what’s an already uncomfortable sleeping experience.
  • Worse hangovers. Drinking on planes is associated with worse hangovers due to the cabin environment. Increased dehydration and slowed alcohol metabolism can lead to a more unpleasant aftermath.
  • Increased motion sickness. Alcohol disrupts our vestibular system, which controls our balance. For those of us who are sensitive to motion sickness, drinking in-flight could make our symptoms worse. 
  • Behavior issues. Drinking lowers our inhibitions and impedes our judgment. Alcohol can also increase negative emotions such as frustration and anger, which can be aggravated due to the stress of flying on an airplane. Drinking problems have led to increased in-flight incidents including fights and unruly behavior.
  • Safety concerns. Since drinking impacts our inhibitions and judgment, we are more likely to engage in risky behaviors. This can lead to low adherence to safety regulations, such as keeping our seatbelts on or following emergency protocols.

The environment of a plane cabin can heighten the risks of alcohol. If we choose to drink, we can minimize the risks by practicing mindful drinking.

Risks of Drinking in the Air

Responsible Drinking Tips for Your Next Flight

Practicing mindful consumption while flying can help us prioritize our health and well-being while avoiding an unpleasant aftermath. We can implement strategies to practice responsible drinking while flying:

  • Set limits. The ease of ordering drink after drink can quickly get out of hand. Stick to one drink when choosing to consume alcohol in-flight. 
  • Stay hydrated. Drinking plenty of water and replenishing hydration with electrolytes can help combat dehydration from alcohol and the low humidity of the cabin air.
  • Choose alternatives. Airlines offer plenty of non-alcoholic options. Try mixing cranberry juice and soda water together to make a quick mocktail. We can also keep busy by reading a book or watching a movie. 
  • Maintain nutrition. Depending on the airline and flight, sometimes only snacks are provided. Bringing a meal or eating beforehand helps us avoid drinking on an empty stomach.

Excessive drinking anywhere can be detrimental to our health. Implementing these mindful drinking strategies on and off the plane can help us develop a more positive relationship with alcohol.

Touching Down

Drinking while flying is often associated with “just taking the edge off” or “kicking off the party early,” but it does more harm than good. Although being in the air doesn’t affect the actual potency of alcohol, the unique environment of a plane cabin adds to the risks of alcohol. Put on your favorite show and mix up a fun mocktail to prevent the heightened risks of drinking in the air. Say goodbye to feeling unwell by avoiding alcohol when you fly!

Alcohol and Health