Alcohol Problems
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It has been known for thousands of years that abusing alcohol and
excessive drinking lead to a number of social and personal
alcohol-related drinking problems.
Depending on the amount of alcohol that is
consumed and how quickly the alcohol is ingested, alcohol problems
can range from mild headaches and slight nausea at one extreme and
alcohol poisoning, traffic fatalities, coma, and death at the
other.
An Overview of Alcohol Problems and the
Human Body
Alcohol has a biphasic effect on the human body.
This means that the effects of
alcohol change over time. Initially, alcohol typically elicits
feelings of relaxation and cheer.
Increased
consumption, however can result in coordination problems,
dehydration, blurred vision, and a whole array of social, medical,
and health problems.
Quite obviously, higher quantities of alcohol can also lead to
intoxication or drunkenness. One of the consequences of
intoxication is the lowering of an individual's inhibitions.
Consequently, when people are intoxicated they frequently do things
they normally would not do while sober, often ignoring social,
legal, moral, and religious norms.
This, then, is a quick overview of some of the
alcohol-related drinking problems. What follows is a more
detailed analysis of how alcohol problems escalate and become
magnified as an individual suffers through the alcoholism
degenerative process.
Perhaps the most logical way to discuss alcohol
problems is to first address the classic alcoholic behaviors and
problems that appear in the four states of alcoholism. We will then
examine some of the social problems associated with alcoholism, and
finally, discuss the diseases, medical conditions, and health
problems that are caused directly or indirectly by alcohol
addiction.
Alcohol Problems During the First Stage of
Alcoholism
In the first stage of alcoholism, drinking is no longer social
but becomes a means of emotional escape from inhibitions, stress,
and problems.
Simply put,
early in the illness the individual starts to depend on the "mood
altering" capabilities of alcohol. Another characteristic in
the first stage of alcoholism is that a gradual increase in
tolerance develops, meaning that more and more alcohol is needed in
order to experience a "high" or a "buzz."
The following list features some of the classic alcoholic
behaviors and drinking problems in the first stage of
alcoholism:
- The use of alcohol as a way to forget problems or to "mellow
out"
- Boasting and a "big shot" complex
- A conscious effort to seek out more drinking opportunities
- Gross Drinking Behavior - more frequent drinking of greater
amounts
- An ability to drink great amounts of alcohol without any
apparent impairment
- Drinking is not social but a psychological escape from stress
and problems
- Increasing tolerance
- Lack of recognition by the person that he or she is in the
early stages of a progressive illness
| About 43% of U.S. adults -- 76
million people -- have been exposed to alcoholism in the family --
they grew up with or married an alcoholic or a problem drinker or
had a blood relative who was an alcoholic or problem
drinker. |
Alcohol Problems During the Second Stage of
Alcoholism
In the second stage of alcoholism, the need to drink becomes more
severe. During this stage, moreover, the individual
typically starts to drink earlier in the day. As tolerance
increases, however, the individual drinks not for emotional stress
relief but because of his or her dependence on alcohol.
During this stage, while the alcoholic's loss of control has not
yet become noticeable on a regular basis, it is, nonetheless,
sporadically observed by others such as family members, friends,
and coworkers. It is interesting to note that a key
aspect in this stage of the disease is that physical problems start
to become more frequent and intensified.
The following list typifies some of the classic alcoholic
behaviors and drinking problems in the second stage of
alcoholism:
- Sneaking extra drinks before social events
- Feelings of guilt and shame
- Drinking because of dependence rather than for stress
relief
- Increasing physical problems
- More frequent blackouts
- Blaming problems on others and on things external to
themselves
- Sporadic loss of control
- Unsuccessful attempts to stop drinking
- Chronic hangovers
- Increasing tolerance
- Denial
| Currently, nearly 14 million
Americans, 1 in every 13 adults-abuse alcohol or are alcoholic.
Several million more adults engage in risky drinking patterns that
could lead to alcoholism. |
Alcohol Problems During the Third Stage of
Alcoholism
In the third stage of alcoholism, the loss of control becomes more
prominent, meaning that the person is not able to drink in
accordance with his or her intentions. For instance, after
the person has had the first drink, he or she typically can no
longer control what will happen, even though the intention may have
been to have only one of two drinks.
During this stage of the disease, moreover, the individual
usually starts to encounter alcohol-related
employment, relationship, financial, and in many instances
legal problems (such as multiple DUIs or DWIs).
| The clinical assessment of
current and past alcohol use and alcohol-related disorders should
be considered a routine part of all psychiatric or medical
evaluations. |
Furthermore, during this stage of the illness the person starts
to avoid family and friends and exhibits a loss of interest in
things that used to be fun or important. "Eye-openers" are
also common during this stage. Eye-openers are drinks that
are taken whenever the individual awakens as a way to help lessen a
hangover, calm the nerves, or to extinguish the feelings of sorrow
the drinker experiences after going through a period of time
without consuming a drink.
The following typifies some of the classic alcoholic behaviors
and drinking problems that occur during the third stage of
alcoholism:
- Loss of willpower
- The start of physical deterioration
- Problems with the law (such as DWIs)
- A decrease in alcohol tolerance
- Neglect of necessities such as water, shelter, and food
- Half-hearted attempts at seeking medical aid
- Changes in friendships, such as associating only with friends
who drink
- Loss of interest in activities that used to be important
- Aggressive and grandiose behavior
- Serious financial, relationship, and work-related problems
- The development of an alibi system - an elaborate system of
excuses for their drinking
- Frequent violent or destructive behavior
- An increase in failed promises and resolutions to one's self
and to others
- Unreasonable resentments
- Loss of control has become a pattern
- Eye-openers
- Diabetes
- Increasing tremors
- Avoidance of family and friends
| According to a 1995 Weekly
Reader survey, more than half (54%) of fourth through sixth graders
reported learning about the dangers of illicit drugs at school, but
fewer than a third (30%) learned about the dangers of drinking and
smoking at school. |
Alcohol Problems During the Fourth Stage of
Alcoholism
The fourth and final stage of alcoholism is typified by a
chronic loss of control. For instance, in the earlier
stages of the illness,
the person may have been able to maintain
employment. Now, however, due to the fact that drinking
starts earlier in the day and typically continues throughout the
day, few, if any, full-time work positions can be maintained once a
person reaches this state of affairs. In the earlier stages
of the illness, moreover, the alcoholic had a choice whether he or
she would take the first drink. After ingesting the
first drink, the alcoholic frequently lost all control and would
then continue drinking. In the last stage of alcoholism,
however, alcoholics no longer have a choice: they simply
need to drink in order to make it through the day.
The following list characterizes some of the
classic alcoholic behaviors and drinking problems that manifest
themselves in the fourth stage of alcoholism:
- The collapse of the alibi system
- "The shakes"
- Nameless fears and anxieties such as feelings of impending doom
or destruction
- Indefinable fears
- Devaluation of personal relationships
- Auditory and visual hallucinations
- Impaired thinking
- Loss of tolerance for alcohol
- Persistent remorse
- Vague spiritual desires
- The possibility of alcoholic psychosis
- Moral deterioration
- Continual loss of control
- Benders, or lengthy intoxications
- Unreasonable resentments and hostility toward others
- The realization of being out of control
- The "DTs"
- An obsession with drinking
| Alcohol withdrawal syndrome is a
group of symptoms manifested by individuals who stop drinking
alcohol after a pattern of continuous and excessive
consumption. These symptoms can range from mild to moderate
to severe and include both psychological and behavioral
aspects. |
Alcohol Problems and Social
Relationships
Alcoholism not only affects the alcoholic, but it
also negatively influences those who are closest to the alcoholic,
namely his family, friends, other relatives, coworkers, and
neighbors. The following list is a sample of the social
problems that result from alcoholism:
- Traffic fatalities or injuries on the highways
- Birth defects such as fetal alcohol syndrome
- Broken, dysfunctional homes
- Work-related injuries and accidents
- Destroyed relationships
- Wife battering
- Child abuse
- Codependent behavior in others
- Destroyed lives
| Do you drink and drive, operate
machinery or mix alcohol with over-the-counter or prescription
medicine? Are you pregnant or are trying to become pregnant
and drink? Do you drink alcohol while you are in charge of
the lives of small children? Do you fail to inform your
doctor that you are a regular drinker? If you answered “yes”
to any of these questions, you are taking risks with
alcohol. |
Alcohol Problems: Diseases and Medical
Conditions
Alcoholism directly or indirectly causes a number of medical
conditions, diseases, and health problems. We will focus
first on the various types of cancer associated with alcoholism and
then discuss the non-cancerous ailments and illnesses that are
related to this disease.
Alcohol Problems: Cancer
The following is a list of various types of cancer that are
directly or indirectly caused by alcohol addiction:
- Rectum
- Throat
- Stomach
- Colon
- Larynx
- Liver
- Esophagus
- Kidneys
Alcohol Problems: Non-Cancerous Medical
Conditions
The following is a list non-cancerous medical conditions,
diseases, and health problems caused directly or indirectly by
alcohol dependency:
- Cirrhosis of the liver
- Cardiovascular problems such as strokes, cardiomyopathy (damage
to the heart muscle), heart failure, and high blood pressure
- Sever thiamine deficiency
- Brain damage
- Kidney and urinary tract infections
- Impaired learning ability
- Pneumonia
- Ulcers from the perforation of the stomach and the
intestines
- Numbness of the feet and hands
- Alcohol withdrawal symptoms when the alcoholic stops
drinking
- Alcohol Poisoning
- Vitamin D deficiency (which can result in bone fractures)
- Gastritis (inflammation of the stomach)
- Organ and system malfunction
- Inflammation of the digestive system
- Memory loss
- Vitamin deficiencies (such as folate, selenium, riboflavin,
thiamin, and vitamin B6)
- Wernicke's disease (a memory disorder)
- Infections
- Coma
- Kidney failure
- Mental confusion
- Death (from alcohol poisoning, excessive intoxication, and
organ malfunction)
- Harm to the fetus while the mother is pregnant
- Korsakoff's syndrome (a memory disorder)
- Problems with the immune system
- Pancreatitis
- Nervous system damage
- Destruction of brain cells
- Sexual problems such as erectile dysfunction and impotence
in men
- Diabetes
- Dehydration
- Vitamin A deficiency (which can cause night blindness)
- Loss of intellectual abilities
| In the United States, roughly
50,000 cases of alcohol poisoning are reported each year, and
approximately once every week, someone dies from this preventable
condition. |
Alcohol Problems:
Conclusion
Drinking Problems. As one reflects on the
four stages of alcoholism, it becomes apparent that as the disease
progresses, not only does the alcoholic experience more frequent
and severe alcohol problems but the disease also negatively and
progressively affects family members, friends, relatives,
coworkers, and society in general. In short, the alcohol
problems that are the consequence of alcoholism are widespread,
extremely unhealthy, damaging, destructive, and in many instances,
fatal.
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| An alcoholic will negatively
impact the lives of 4 or 5 other Americans (such as associates,
family, and friends) while under the influence of
alcohol. |
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