Alcohol Misuse

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Alcohol Misuse
Introduction

Having a drink now and then does not harm your body. However, social drinking can, for some people, lead to heavier drinking which can cause serious health problems.It is often very difficult to tell the difference between alcoholism, alcohol abuse and alcohol problems. A person who has abused alcohol in the past does not necessarily have alcoholism, for example.

Facts

Research has shown that a very high percentage of adults in the UK (over 90% of men and 86% of women aged 16 years or over) drink alcohol. Sensible drinking limits are defined as no more than 21 units a week for adult males and 14 units a week for adult females. To reduce health risks from drinking, this should be spread over the week, 3-4 units per day for men and 2-3 units a day for women. A review in 1995 by the Royal College of Psychiatrists, Physicians and GP’s, recommended that these limits remain unchanged.

A unit is 8mg of pure alcohol. This is roughly equivalent to half a pint of beer, cider or lager, a 25ml (pub) measure of spirit such as vodka, whisky or gin, a 50ml (pub) measure of fortified wine such as port or sherry, or a small (125ml) glass of wine.

Women have a lower tolerance of alcohol than men. This is because they are often smaller and lighter, their bodies contain less water and their metabolisms are different.


Risks

Excessive drinking can affect your physical and mental health, and your work, social and personal relationships. You are also more likely to find yourself in dangerous situations if you have been drinking a lot, as alcohol affects your judgement and you may do things that you would not consider doing when sober. A recent report showed that a quarter of all young prisoners had been drinking when they committed their crime.

Health risks associated with heavy drinking include:

  • liver disease (cirrhosis of the liver),
  • alcohol-related anaemia and nutritional disease,
  • chronic calcifying pancreatitis,
  • heart muscle damage (cardiomyopathy), and
  • alcoholic dementia.

Heavy drinking also increases the risk of high blood pressure, cerebral haemorrhage (stroke), coronary heart disease and heartbeat irregularities.

People who drink large amounts of alcohol over long periods of time are also at much greater risk of liver damage. This may lead to alcoholic hepatitis and cirrhosis.

Psychiatric disorders are also more common in people who drink more than 10 units a day. They include:

  • depression,
  • suicide and attempted suicide,
  • personality deterioration,
  • sexual problems,
  • hallucinations without the other symptoms of delirium tremens,
  • memory loss, and
  • delirium tremens.

 

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