Alcohol Addiction

Overview

Alcohol addiction or also known as alcoholism, which many realizes that it is a disease-causing harm to their health while some are just accepting it as a habit of theirs. There are a number of common presentations that oblige the doctor to enquire carefully about the possibility of alcohol addiction. These are most readily grouped into medical (e.g. falla, fits, head injuries, hematemesis or jaundice), psychiatric (e.g. panic attacks, confusion state and deliberate self harm) and social (e.g. road traffic accidents, crime and domestic violence). A pattern of unhealthy or dangerous drinking habits, clinically known as an alcohol use disorder, can range in severity. Over time, it can affect the brain and lead to compulsive alcohol use and dependency, or alcoholism.

Sign and Symptoms

Consuming alcohol longer or more than intended, Wanting to stop taking alcohol but unable to, Spending a lot of time getting, drinking and recovering from alcohol intake, Experience craving and strong urge to take alcohol, Unable to focus or do things you are suppose to do at workplace, home or school due to alcohol use, Continue taking alcohol despite experiencing physical or psychological harm it caused to the body, Need larger amount of alcohol to get drunk, Developed withdrawal symptoms and relieved by taking more alcohol

Treatment and Prevention

Detoxification, Rehabilitation to learn coping skills and behavioral, Counselling, Support groups, Medical treatments for health problems related to alcohol abuse, Medication to help control addiction

Complications

Psychological problems: Alcoholic hallucinosis(individuals experience auditory hallucination in clear consciousness), alcoholic withdrawal(can be severe till causing seizure, also known as ‘rums fits'), Delirium tremens(form of delirium associated with severe alcohol withdrawal and has significance mortality and morbidity) Effects on the brain: ataxia, slurred speech, aggression, emotional incontinence, periods of amnesia, global cognitive impairment resembling Alzheimer's disease, encephalopahy and Wernicke-Korsakoff syndrome(rare) Effects on liver: fatty changes, hepatitis, cirrhosis, carcinoma changes Effects on gastrointestinal: oesophagitis, gastritis, pancreatitis, Mallory-Weiss syndrome, malabsorption Effects on respiratory: aspiration pneumonia, pulmonary TB Effects on heart: cardiomyopathy, hypertension Effects on Musculoskeletal: myopathy, fractures Effects on endocrine: pseudo-Cushing's syndrome, hyoglycemia, gout Effects on reproductive: hypogonadism, fetal alcohol syndrome, infertility

Common Risk Factors

Genetic, Parent with alcohol use disorder, Mental health problem, Peer pressure, Have low self esteem, Living in a culture where alcohol use is common

Common Causes

Availability of alcohol, Social pattern of use

Investigations

Full blood count, Liver function test

Active Ingrediants Accosiated

Written by , MD (Universiti Hasanuddin, Indonesia)

Reviewed by Dr Nur Syuhada binti Zulkifli, MD, Universiti Kebangsaan Malaysia (UKM).