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
and drinking problems can range from mild headaches and slight
nausea at one extreme and traffic
accidents, alcohol poisoning, alcohol related 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 problem drinker 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 experienced by problem drinkers 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

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 person with the
drinking problem typically starts to drink earlier in the
day. As tolerance increases, however, the problem drinker
consumes alcohol 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 the problem drinker's
physical problems start to become more frequent and
intensified.
The following list typifies some of the drinking problems and
classic alcoholic behaviors suffered by problem drinkers 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

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 with the drinking problem 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 with
the drinking problem 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 problem drinker 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 are experienced by problem drinkers
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 with the drinking problem 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,
problem drinkers who are 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 problem drinker,
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:
- Alcohol related traffic fatalities and 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 drinking problems that are the consequence of
alcoholism are widespread, extremely unhealthy, damaging,
destructive, and in many instances, fatal. Examples of the
latter include alcohol related traffic fatalities, cancer, heart
disease, cirrhosis of the liver, and alcohol poisoning.
| 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. |
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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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