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Alcoholism – Causes and Treatments
The term alcohol comes from the Arabic ‘al kuhl’, meaning fine powder of antimony or other distilled substance. Its overuse can lead to extreme impairment of physical, social and occupational functioning. Disorders associated with its chronic abuse include cirrhosis, fatty liver, alcoholic hepatitis and liver failure.
Malnutrition may become apparent as sufferers forget to eat in their quest for more drink, and as alcohol robs the body of important micronutrients, including vitamins B, C and E, nutritional status is impaired. B vitamins are particularly important for the nervous system, which is often negatively affected. On top of this, the amount of psychological, emotional and social problems resulting from this disturbing condition can lead to untold harm to the individual and those they share close relationships with. Admittedly, if alcohol is used sensibly, it is unlikely to become a problem. If controlled, it is a pleasant social activity. If can promote a sense of well-being and help in the interaction between friends and colleagues in an informal environment. It can prove useful over a drink, to make new acquaintances at a formal party where you may be excited or on a date, especially if your personality is not outgoing.
There’s a problem, because if your confidence is boosted by alcohol, you might assume that a little more often can have a better impact on your social life. The downside to this stance is that if you succumb, you will find yourself in the phase known as “functional mode”. At this point, you will be able to do your job well, and this has actually been noted by Dr. Martin Bland, Director of the Alcohol Research Project at the University of Edinburgh, that these drinkers are often focused on ensuring that their drinking does not affect their work.
The Medical Council on Alcoholism defines alcohol dependence as dependence on alcohol intake, such that its withdrawal leads to physiological discomfort and/or physical ailments. In the stage of functional alcoholism, the individual does not yet suffer from withdrawal symptoms. They would definitely find it difficult to go to a party and not drink, as drink for them is their normal social lubrication and they don’t drink during exercise. They do, according to Dr. Andrew McNeil, co-director of the Institute of Alcoholic Studies – when you’re on a binge, you need to drink more than usual to feel drunk. This is called the tolerance effect – as you drink your body gets used to it, since you need more to get drunk, they achieve this by either drinking more than everyone else or by taking double precautions. The interval between the functional state and the addiction stage can be recognized by the clear change in habit. Even personality, which is usually noticed by others, rather than the person concerned, especially in the early stage of the transition. Domestic arguments may become more serious and frequent. They can get into arguments, even a fight and don’t care about drink driving – “I’m fine”. He will swallow his drink, he will begin to underperform at work and may be reprimanded. It may appear to work, the worse wear. If this change of behavior pattern indicates, he is now entering a future phase, which is his grim and ultimately alcoholic addiction.
We have remained in the UK, only too aware of the creeping problem of alcohol abuse. The statistics are almost unbelievable. Over the past 20 years, admissions to alcohol treatment units in psychiatric hospitals have increased 25-fold. Approximately 1 in 5 male admissions to emergency medical departments are directly or indirectly attributed to alcohol abuse. These statistics are serious enough, but the impact on medical staff and other patients in some wards has also been recognised. The physical abuse has reached such a peak that it is now being considered that police positions should be created within the hospitals. Alcohol dependence or abuse leads to serious complications. After a period of 10 years of drinking, damage will have occurred to all body functions, and these changes are seen earlier in women than in men.
Damage is caused by alcohol’s effects on nutrition and direct tissue toxicity. Cardiovascular toxic effects on the heart are cardiopathy (heart enlargement and arrhythmias), which means that the heartbeat becomes irregular in time and force. Neurological Directly due to toxicity – protaxia (in coordination of muscular movements), falls cause head injury and internal bleeding, epilepsy (ATS, dementia (loss of mental abilities). A specific syndrome karsakoff’s syndrome – has been identified. This occurs due to vitamin B deficiency (Thyomin), the clinical features of which are multiple – confusion, ataxia (sponging) nystagmus (irregular eye movements or nerve impulses) Untreated, the patient becomes drowsy, slips into a coma and dies.
Treatment is given with vitamin injections, although the diagnosis is only considered. Gastrointestinal liver damage: Inflammation of the pancreas, inflammation of the esophagus (gut) and there is a chance of developing cancer in that area. Haematology: Blood system – anemia Physical psychiatric: Depression, serious possibility of suicide. Social, marital and sexual problems – impotence. Employment problems, financial problems, eventual homelessness and definitive problems.
Dietary and lifestyle factors
As far as possible, a balanced diet should aim to provide good sources of protein and complex carbohydrates for slow burning of energy, including whole grains, legumes such as lentils and beans, pasta and rice. Fresh fruit and vegetables also ensure good supplies of vitamins, minerals and fibre. Perhaps most importantly, make sure you get enough water on a daily basis, aiming for at least 2.5 liters a day.
These above mentioned complications are terrible and must be avoided at all costs. They can be avoided if alcohol is used sensibly and will of course never occur if they are not taken in the first place. The mainstay of treatment for alcoholism is abstinence. This may be easier said than done, but medications are available to make withdrawals less difficult. Non-profit groups and associations, such as Alcoholics Anonymous, offer support and help people stay on the bandwagon.
People who drink moderately should stay within the Ministry of Health’s recommendations. It is recommended that alcohol consumption should not exceed 14 units per week (women) and 21 units per week (men). A unit of alcohol means, and is equal to, a measure of spirits (a glass of sherry, single vodka, whiskey or gin) a glass of wine, half a pint of standard beer or lager. A bottle of wine is considered to be nine units!
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