Chronic Alcoholism
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Alcoholism has four stages. Each stage is
characterized by more severe physical, psychological, health, and
social manifestations than the previous stage. Chronic
alcoholism (also known as severe alcoholism) is essentially the
fourth stage of alcoholism and is typified by the worst and the
most life threatening consequences of this disease.
The Fourth and Final Stage of
Alcoholism
If the alcoholic
lives long enough, eventually he or she will reach the fourth stage
of alcoholism. Also known as chronic alcoholism, "long-term
alcoholism," or severe alcoholism, the fourth stage of alcoholism
is characterized by a chronic loss of control.
For example, in the earlier stages of the disease,
the individual may have been successful in maintaining
employment. In the fourth stage of alcoholism, conversely,
due to the fact that drinking usually starts earlier in the day and
often continues throughout the day, very few, if any alcoholics can
sustain full-time employment given their out-of-control drinking
behavior.
Furthermore, in the last stage of alcoholism,
unlike the three earlier stages, alcoholics no longer have a
choice: they must drink in order to function.
Also during this stage, the alcoholic frequently
displays a distain for almost everything, even "essentials" such as
family interaction, employment, shelter, food, and water.
Benders: Flights Into
Oblivion
Benders are also typical in chronic or severe
alcoholism. More to the point, during the fourth or
chronic stage of alcoholism, the alcoholic gets helplessly drunk
and may remain in this condition for a number of
days. Ironically, the goal for the alcoholic while
involved in his or her bender is to experience the "buzz" or the
"euphoria" they once felt.
Regrettably, this goal is
unattainable. Interestingly, these occasional "flights
into oblivion" are perhaps best characterized as drinking to get
away from the problems caused by drinking.
| A strong family history of
alcoholism is a warning that you are at increased risk of becoming
an alcoholic. Increased awareness of such a risk may help modify
your attitude toward alcohol consumption and may help you avoid the
dangers inherent in chronic alcoholism. |
In the fourth and final stage of alcoholism, having
an easily accessible supply of alcohol close at hand (to avoid "the
shakes") becomes the most important thing in the life of the
alcoholic.

What is more, during this stage, the alcoholic will
do almost anything to obtain the alcohol he or she
needs. Once the alcohol is secured, alcoholics will
typically hide their bottles so that they can get a drink whenever
they need it, which commonly means any hour of the day or the
night.
| Alcoholism is best treated by
professionals trained in addiction medicine. This is
especially the case when discussing chronic
alcoholism. |
In the second or third stages of alcoholism the
person's hands may have trembled slightly whenever the alcoholic
awoke. When individuals reach the stage of chronic
alcoholism, however, they get "the shakes" whenever they attempt or
are forced to quit drinking. The shakes are symptomatic of a
critical nervous disorder that when experienced, affects the entire
body.
| Not everyone is the same and
what alcoholism rehab approach "works" for one person may not work
for someone else. This is especially the case when discussing
chronic alcoholism. |
When "the shakes" are combined with hallucinations,
moreover, the outcome is known as "the DTs" or delirium
tremens. The DTs can be a deadly kind of alcohol withdrawal
that will become fatal unless the alcoholic receives prompt medical
assistance. After an attack of the DTs, many alcoholics
promise to never drink again. Regrettably, nevertheless, most
alcoholics cannot fulfill their promise. As a result, they
ultimately return to drinking and the alcoholic cycle of negative
and addictive behavior starts all over again.
| About 43% of U.S. adults -- 76
million people -- have been exposed to alcoholism in their
family. They either grew up with or married an alcoholic
or a problem drinker or had a blood relative who was an alcoholic
or problem drinker. Sadly, many of the alcoholics manifested
signs of chronic alcoholism. |
Typical Alcoholic Behaviors in the 4th
Stage of Alcoholism
The following represents some of the classic
alcoholic behaviors in the chronic alcoholism stage:
- Auditory and visual hallucinations
- Vague spiritual desires
- Unreasonable resentments and hostility toward others
- Nameless fears and anxieties such as feelings of impending doom
or destruction
- Moral deterioration
- The possibility of alcoholic psychosis
- Persistent remorse
- Benders, or lengthy intoxications
- Impaired thinking
- Loss of tolerance for alcohol
- "The shakes"
- The realization of being out of control
- The "DTs"
- The collapse of the alibi system
- An obsession with drinking
- Indefinable fears
- Devaluation of personal relationships
- Continual loss of control
| One study indicated that
intensive care patients with a history of alcohol abuse have a
significantly higher risk for developing acute respiratory distress
syndrome (ARDS) during hospitalization. ARDS can be caused by many
of the medical conditions common in chronic alcoholism, including
trauma, blood transfusions, pneumonia, severe infection, and other
serious lung conditions. |
The Results of Chronic
Alcoholism
The results of chronic, long-term alcoholism are
not only serious, but in many cases, deadly. In fact,
chronic alcoholism can directly or indirectly cause certain types
of cancer, such as cancer of the esophagus, throat, rectum, liver,
larynx, and the kidneys. Finally, chronic, long-term
alcoholism often leads to brain damage, cirrhosis of the liver, and
problems with the immune system.
In a word, the following represent the consequences
of chronic alcoholism: destroyed lives, illness, failed
health, and premature death.
| Chronic alcoholism is strongly
associated with very serious pneumonia. One study on laboratory
animals suggests that alcohol specifically damages the
bacteria-fighting capability of lung cells. Chronic, severe
alcoholism also causes changes in the immune
system. |
Chronic
Alcoholism: Conclusion
Chronic and Severe
Alcoholism. From the information presented above, it
can be determined that long-term, chronic alcoholism is an
unfortunate and painful way to experience
life. Regrettably, learning about the destructive
results and the debilitating nature of alcoholism may not make a
much of an impact on most of those who are already chronically
alcohol dependent.
It is hoped, therefore, that by exposing the
"realities" about alcoholism, including the behaviors that are
typical in the stages of alcoholism, to youth before they start
drinking in an irresponsible, excessive, and abusive manner, that
many adolescents will avoid the painful and damaging consequences
that are so often related to chronic alcoholism.

| One study of emergency room
patients found that having had more than one drink doubled the risk
of injury, and more than four drinks increased the risk eleven
times. Another study reported that among emergency room patients
who were admitted for injuries, 47% tested positive for alcohol and
35% were intoxicated. Of those who were intoxicated, 75% showed
evidence of chronic alcoholism. |
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| Chronic alcoholism (also known
as severe alcoholism) can lead to chronic brain disease.
Medical research has revealed that since the early 1990s,
sophisticated brain-imaging technologies have revealed that
repetitive and excessive drinking substantially changes the
structure of the brain in ways that can continue for months or
perhaps for years. The result of these brain changes is
chronic brain disease. Armed with this information, research
scientists are trying to develop drugs and medications that can
restore the brain to its pre-drinking
condition. |
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