What Are Some Symptoms of Alcoholism?

Unmasking the signs of alcoholism: Learn the common symptoms and seek help for a healthier tomorrow.

Leora B.H. Staff

May 2, 2024

Understanding Alcoholism

Alcoholism, also known as alcohol use disorder (AUD), is a chronic condition characterized by an individual's inability to control or stop their alcohol consumption despite negative consequences. It is essential to have a clear understanding of alcoholism to recognize its signs and seek appropriate help.

Definition and Overview

Alcoholism is a complex disorder that affects individuals both physically and mentally. It is marked by an intense craving for alcohol, an inability to limit drinking, and the development of a tolerance to its effects. Over time, alcoholism can have a detrimental impact on various aspects of a person's life, including their health, relationships, and overall well-being.

People with alcoholism may experience withdrawal symptoms when attempting to stop or reduce their alcohol intake. These symptoms can range from mild discomfort to severe complications, highlighting the physical dependence that develops with prolonged alcohol abuse. Seeking professional help is crucial for individuals struggling with alcoholism to safely manage withdrawal symptoms and achieve long-term recovery.

Prevalence of Alcohol Use Disorder

Alcohol use disorder is a prevalent issue worldwide, with significant impacts on individuals, families, and society as a whole. In the United States alone, nearly 15 million adults are affected by alcohol use disorder. This accounts for approximately 13.9% of the population meeting the criteria for alcoholism or alcohol use disorder [2].

Excessive alcohol use is a leading cause of death in the United States, resulting in approximately 88,000 deaths each year. The social and economic consequences of alcoholism are also significant, impacting relationships, productivity, and overall quality of life.

Recognizing the prevalence of alcohol use disorder underscores the importance of raising awareness, reducing stigma, and promoting access to effective treatment options. With proper understanding and support, individuals struggling with alcoholism can find the help they need to overcome their addiction and lead healthier lives.

In the following sections, we will explore the common symptoms of alcoholism, the impact it can have on health, relationships, and finances, as well as the importance of seeking help for this condition.

Symptoms of Alcoholism

Recognizing the symptoms of alcoholism is crucial in identifying and addressing alcohol use disorder. Alcoholism, also known as alcohol use disorder, is a chronic disease characterized by the excessive consumption of alcohol and the inability to control or stop drinking. It can manifest through various physical, behavioral, and psychological signs.

Physical Signs of Alcoholism

Alcoholism can have numerous physical signs that indicate a person's struggle with alcohol use disorder. Some of these physical signs include:

Yellowing of the skin (jaundice)
Liver problems (fatty liver, hepatitis, cirrhosis)
Numbness and tingling in the extremities (alcoholic neuropathy)
Unexplained bruises and scrapes
Reduced clotting and increased risk of stroke

Yellowing of the skin, known as jaundice, can be a physical sign of liver problems in individuals with alcoholism. The yellowish-brown tone of the skin is caused by high levels of bilirubin Priory Group.

Liver problems, including fatty liver, hepatitis, and cirrhosis, are common among individuals with alcohol use disorder. Fatty liver occurs when fat builds up in liver cells, which can progress to alcohol hepatitis (inflammation of the liver) and eventually lead to cirrhosis where normal liver tissue is replaced by scar tissue.

Alcoholic neuropathy, a condition where peripheral nerves in the limbs are damaged by alcohol, can cause numbness and tingling in the feet or hands.

Reduced platelet counts and other clotting factors in alcoholics can result in unexplained bruises and scrapes. This can also increase the risk of stroke due to reduced clotting ability.

Behavioral Signs of Alcoholism

Behavioral signs can provide insights into the presence of alcohol use disorder. Some common behavioral signs of alcoholism include:

Frequent cravings for alcohol
Drinking in larger quantities or for a longer period than intended
Persistent desire to cut down or stop drinking but being unable to do so
Spending a significant amount of time obtaining, using, or recovering from alcohol consumption
Neglecting or reducing participation in important activities due to alcohol use
Continuing to drink despite experiencing interpersonal or social problems as a result
Giving up or reducing social, occupational, or recreational activities due to alcohol use
Engaging in risky behaviors while under the influence of alcohol

These behavioral signs can indicate the presence of alcohol use disorder and should not be ignored.

Psychological Signs of Alcoholism

Psychological signs of alcoholism can affect a person's emotional well-being and mental health. Some psychological signs of alcoholism include:

Increased irritability, agitation, or anxiety when alcohol is not available
Mood swings or changes in personality
Difficulty concentrating or experiencing memory lapses
Denial or avoidance of the negative consequences of alcohol use
Experiencing alcohol cravings as a coping mechanism for stress or emotional distress
Developing a tolerance to alcohol, requiring larger amounts to achieve the desired effects

The psychological signs of alcoholism can have a profound impact on an individual's overall mental health and quality of life.

Recognizing the physical, behavioral, and psychological signs of alcoholism is the first step towards seeking help and support. If you or someone you know is exhibiting these symptoms, it is important to reach out to healthcare professionals or support groups specialized in alcohol addiction for guidance and assistance.

Impact of Alcoholism

Alcoholism has significant consequences on both the individual's health and various aspects of their life. Understanding the health consequences and social and financial effects can shed light on the gravity of alcoholism.

Health Consequences

Excessive alcohol use poses severe health risks and is a leading cause of preventable death worldwide. In the United States alone, it is the third leading cause of death, responsible for approximately 88,000 deaths per year. Globally, alcohol-attributable diseases and injuries account for about 4% of mortality and disability-adjusted life-years (DALYs).

The health consequences of alcoholism can vary and may include:

Liver disease, including alcoholic hepatitis, cirrhosis, and liver cancer
Cardiovascular problems, such as high blood pressure, heart disease, and stroke
Increased risk of certain cancers, including breast, liver, mouth, throat, and esophageal cancer
Neurological disorders, such as dementia and peripheral neuropathy
Gastrointestinal issues, including gastritis, pancreatitis, and ulcers
Weakened immune system, leading to increased susceptibility to infections
Nutritional deficiencies, as alcohol can interfere with nutrient absorption and metabolism

It is important to note that the health consequences of alcoholism can be both acute and chronic, and the severity may vary based on the duration and intensity of alcohol consumption.

Social and Financial Effects

Alcoholism not only impacts an individual's health but also has far-reaching social and financial effects. The costs associated with excessive alcohol use in the United States were estimated at $223.5 billion in 2006, averaging $746 per person. These costs include healthcare expenses, loss of productivity, and legal and criminal justice system costs.

The social effects of alcoholism can include:

Relationship problems, including domestic violence and strained interpersonal relationships
Impaired job performance, absenteeism, and reduced earning potential
Increased risk of accidents, injuries, and fatalities due to impaired coordination and judgment
Higher likelihood of involvement in legal issues, such as DUI offenses and criminal activities
Negative impact on family dynamics and development of alcohol-related problems in children exposed to alcoholism

Alcoholism also contributes significantly to binge drinking, with approximately 77% of the cost of alcohol abuse in the United States attributed to binge drinking [2]. Binge drinking is defined as consuming a large amount of alcohol in a short period, leading to numerous health and safety risks.

The social and financial effects of alcoholism can be devastating not only for the individual but also for their loved ones and society as a whole. It is crucial to seek help and support to address alcoholism and mitigate its impact on various aspects of life.

In the next section, we will explore the symptoms of alcohol withdrawal, the risks and complications associated with it, as well as co-occurring disorders that can accompany alcoholism.

Alcohol Withdrawal

When an individual with alcohol use disorder abruptly stops or significantly reduces their alcohol consumption, they may experience alcohol withdrawal symptoms. These symptoms can range from mild to severe, depending on the duration and amount of alcohol consumed. It's important to note that alcohol withdrawal can be dangerous and, in some cases, life-threatening. Seeking medical attention is crucial for a safe withdrawal process.

Symptoms of Alcohol Withdrawal

Alcohol withdrawal symptoms typically begin within 8 hours after the last drink, although they can occur days later. The symptoms peak between 24 to 72 hours but may persist for weeks. Common symptoms include:

Insomnia
Increased heart rate
Excessive sweating
Irritability
Tremors (shakes)
Anxiety
Vivid dreams

More severe symptoms can emerge, such as hallucinations, confusion, fever, and seizures, which are associated with a condition called delirium tremens. Delirium tremens usually occurs in individuals with severe alcohol use disorders and typically starts 48 to 72 hours after stopping alcohol consumption.

Risks and Complications

Alcohol withdrawal can be a challenging process, and there are potential risks and complications involved. Delirium tremens, in particular, is a severe form of alcohol withdrawal that can be life-threatening. Symptoms of delirium tremens include agitation, confusion, hallucinations, fever, and seizures. Individuals with severe alcohol use disorders are at higher risk of developing this condition.

While most people who undergo alcohol withdrawal make a full recovery, it's important to note that death is possible, especially in cases of delirium tremens. The severity of symptoms and prognosis depend on the amount of organ damage and an individual's ability to stop drinking. It's crucial for individuals experiencing alcohol withdrawal symptoms to seek medical attention promptly to ensure their safety and receive appropriate care [4].

Treatment for alcohol withdrawal often involves total and lifelong avoidance of alcohol (abstinence). Supportive measures, such as medications to manage symptoms and psychological support, may be provided to aid in the withdrawal process. It's important to note that even after the acute withdrawal phase, symptoms such as sleep changes, rapid mood changes, and fatigue may persist for months. Continued heavy drinking can lead to the development of various health problems, including liver, heart, and nervous system diseases.

If you or someone you know is experiencing alcohol withdrawal symptoms, it's crucial to seek professional help immediately. Medical professionals can provide the necessary support and guidance to ensure a safe and effective withdrawal process.

Co-occurring Disorders

Mental Health Disorders

Alcohol use disorder (AUD) often co-occurs with various mental health disorders. It is important to recognize and address these comorbid conditions during treatment. Some of the most common mental health disorders that co-occur with AUD include:

Depressive Disorders: Major depressive disorder and bipolar disorder are frequently seen alongside AUD. Among people with major depressive disorder, the co-occurrence of AUD ranges from 27% to 40%. For individuals with bipolar disorder, the prevalence of AUD is estimated at 42%. The interplay between AUD and mood disorders can exacerbate symptoms through shared neurobiological substrates, genetic vulnerability, and environmental stressors.
Anxiety Disorders: Anxiety disorders are the most prevalent psychiatric disorders in the United States, and the prevalence of AUD among individuals treated for anxiety disorders ranges from 20% to 40%. Alcohol is commonly used as a coping mechanism for anxiety, but heavy drinking and repeated withdrawal can escalate both anxiety symptoms and maladaptive drinking patterns.
Trauma- and Stress-Related Disorders: Among those with AUD, approximately 15-30% overall have co-occurring post-traumatic stress disorder (PTSD). Military personnel and veterans have even higher rates, with co-occurrence ranging from 50% to 60%. Alcohol is frequently used as a means of coping with PTSD symptoms, and AUD may increase the likelihood of developing PTSD.
Other Substance Use Disorders: Individuals with AUD may also struggle with other substance use disorders, such as illicit drug addiction. The co-occurrence of AUD and other substance use disorders is a significant challenge requiring comprehensive treatment approaches.
Sleep Disorders: Sleep-related disturbances are commonly reported by people with AUD, and the co-occurrence of AUD and sleep disorders is prevalent. The prevalence of sleep disorders among individuals with AUD ranges from 36% to 91%. Heavy alcohol use can disrupt sleep patterns and compromise sleep quality.

Physical Health Conditions

Alcoholism can have detrimental effects on physical health, leading to various conditions and complications. Some physical health conditions commonly associated with alcoholism include:

Liver Problems: Alcohol abuse can cause liver damage, including fatty liver, hepatitis, and cirrhosis. Fatty liver occurs when fat accumulates in liver cells, which can progress to alcohol hepatitis, an inflammation of the liver, and eventually lead to cirrhosis, where normal liver tissue is replaced by scar tissue.
Alcoholic Neuropathy: Alcoholics may experience numbness and tingling in their feet or hands due to alcoholic neuropathy. This condition arises from damage to the peripheral nerves in the limbs caused by alcohol abuse. It can result in a tingling sensation in the hands and feet [6].
Platelet and Clotting Issues: Alcoholism can lead to reduced platelet counts and other clotting factors, increasing the risk of unexplained bruises, scrapes, and potentially strokes.

It is crucial to address the physical health consequences of alcoholism alongside the psychological aspects to ensure comprehensive care and recovery. Seeking appropriate treatment and support can help individuals manage both their mental health disorders and physical health conditions effectively.

Seeking Help for Alcoholism

When it comes to alcoholism, seeking help is an important step towards recovery and a healthier life. Treatment options and support are available to individuals struggling with alcoholism. It's important to remember that help is just a call away. The Substance Abuse and Mental Health Services Administration (SAMHSA) offers a National Helpline that provides information, support, and treatment referrals for individuals and their families affected by substance abuse, including alcoholism.

Treatment Options

There are various treatment options available for individuals seeking help for alcoholism. The choice of treatment depends on the severity of the alcohol use disorder and the individual's specific needs. Some common treatment options include:

Detoxification: This initial stage of treatment involves safely managing withdrawal symptoms during the discontinuation of alcohol use. It is typically conducted under medical supervision to ensure safety and comfort.
Inpatient Rehabilitation: Inpatient rehabilitation programs provide a structured and supportive environment for individuals to focus on their recovery. These programs often include individual counseling, group therapy, educational sessions, and other therapeutic activities.
Outpatient Rehabilitation: Outpatient programs allow individuals to receive treatment while living at home. They offer flexibility in terms of scheduling therapy sessions and are suitable for individuals with a stable and supportive home environment.
Medication-Assisted Treatment: Medications may be used to help manage withdrawal symptoms and reduce cravings. These medications, combined with counseling and behavioral therapies, can be effective in supporting long-term recovery.
Support Groups: Support groups, such as Alcoholics Anonymous (AA) or Smart Recovery, provide a supportive community of individuals who have faced or are facing similar challenges. These groups offer guidance, encouragement, and a platform for sharing experiences and coping strategies.

Support and Recovery

Recovery from alcoholism is a lifelong journey, and ongoing support is crucial. Here are some resources and strategies to aid in the recovery process:

Counseling and Therapy: Individual counseling or therapy sessions can help address the underlying factors contributing to alcoholism and develop coping mechanisms to prevent relapse.
Family Support: Involving family members or loved ones in the recovery process can provide a valuable support system. Family therapy can help mend relationships and educate family members about alcoholism and its effects.
Peer Support: Engaging in support groups, such as AA or Smart Recovery, can offer a sense of community and understanding. Sharing experiences, gaining insights from others, and receiving encouragement can be instrumental in maintaining sobriety.
Lifestyle Changes: Adopting a healthy lifestyle can aid in recovery. This includes engaging in regular exercise, practicing stress management techniques, and establishing a balanced routine.
Aftercare Planning: Developing a relapse prevention plan and identifying ongoing support after completing a treatment program is essential. This may involve continued therapy, support group attendance, and regular check-ins with healthcare professionals.

Remember, seeking help for alcoholism is a courageous step towards a healthier and happier life. There are resources, treatment options, and support available to help individuals overcome alcoholism and embark on the path to recovery.