Alcohol depresses your central nervous system. In some people, the initial reaction may be stimulation. But as you continue to drink, you become sedated. Alcohol lowers your inhibitions and affects your thoughts, emotions and judgment.
Too much alcohol affects your speech, muscle coordination and vital centers of your brain. A heavy drinking binge may even cause a life-threatening coma or death.
If you have problems with alcohol, you're more likely to also have problems with other substances.
Excessive drinking can reduce your judgment skills and lower inhibitions, leading to poor choices and dangerous situations or behaviors, such as:
- Motor vehicle accidents and other types of accidents
- Domestic problems
- Poor performance at work or school
- Increased likelihood of committing violent crimes
Health problems caused by excessive drinking can include:
- Liver disease. Heavy drinking can cause alcoholic hepatitis — an inflammation of the liver. After years of heavy drinking, hepatitis may lead to irreversible destruction and scarring of liver tissue (cirrhosis).
- Digestive problems. Heavy drinking can result in inflammation of the stomach lining (gastritis), as well as stomach and esophageal ulcers. It also can interfere with absorption of B vitamins and other nutrients. Heavy drinking can damage your pancreas — which produces hormones that regulate your metabolism and enzymes that help digestion — and lead to inflammation of the pancreas (pancreatitis).
- Heart problems. Excessive drinking can lead to high blood pressure and increases your risk of an enlarged heart, heart failure or stroke.
- Diabetes complications. Alcohol interferes with the release of glucose from your liver and can increase the risk of low blood sugar (hypoglycemia). This is dangerous if you have diabetes and are already taking insulin to lower your blood sugar level.
- Sexual function and menstruation. Excessive drinking can cause erectile dysfunction in men. In women, it can interrupt menstruation.
- Eye problems. Over time, heavy drinking can cause involuntary rapid eye movement (nystagmus) as well as weakness and paralysis of your eye muscles due to a deficiency of vitamin B-1 (thiamine).
- Birth defects. Alcohol use during pregnancy may cause fetal alcohol syndrome, resulting in giving birth to a child who has physical and developmental problems that last a lifetime.
- Bone loss. Alcohol may interfere with the production of new bone. This can lead to thinning bones (osteoporosis) and an increased risk of fractures.
- Neurological complications. Excessive drinking can affect your nervous system, causing numbness and pain in your hands and feet, disordered thinking, dementia and short-term memory loss.
- Weakened immune system. Excessive alcohol use can make it harder for your body to resist disease, making you more susceptible to illnesses.
- Increased risk of cancer. Long-term excessive alcohol use has been linked to a higher risk of many cancers, including mouth, throat, liver, colon and breast cancer. Even moderate drinking can increase the risk of breast cancer.
Alcohol use leads to serious consequences for many teens and young adults. In this age group:
Dec. 05, 2014
- Alcohol-related motor vehicle accidents are a major cause of deaths.
- Alcohol is often a cause in other deaths, including drowning, suicides and homicides.
- Drinking makes it more likely they'll become sexually active, have sex more frequently, engage in risky, unprotected sex, and become victims of sexual abuse or date rape compared with those who don't drink.
- Alcohol use can lead to accidental injury, assault and property damage.
- Saitz R, et al. Screening for unhealthy use of alcohol and other drugs. http://www.uptodate.com/ index. Accessed June 2, 2012.
- Hoffman RS, et al. Management of moderate and severe alcohol withdrawal syndromes. http://www.uptodate.com/index. Accessed June 2, 2012.
- Alcohol and public health: Frequently asked questions. Centers for Disease Control and Prevention. http://www.cdc.gov/alcohol/faqs.htm. Accessed March 29, 2010.
- Gold MS, et al. Psychosocial treatment of alcohol abuse and dependence. http://www.uptodate.com/index. Accessed June 2, 2012.
- Esser MB, et al. Binge drinking intensity. American Journal of Preventive Medicine. 2012;42:625.
- Johnson BA, et al. Pharmacotherapy for alcohol abuse and dependence. http://www.uptodate.com/index. Accessed June 2, 20127.
- Substance-related disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed June 2, 2012.
- Harmful interactions: Mixing alcohol with medicines. National Institute on Alcohol Abuse and Alcoholism. http://www.niaaa.nih.gov/publications/brochures-and-fact-sheets. Accessed June 3, 2012.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. June 14, 2012.
- Overview of alcohol consumption. National Institute on Alcohol Abuse and Alcoholism. http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption. Accessed June 2, 2012.
- Underage drinking. National Institute on Alcohol Abuse and Alcoholism. http://www.niaaa.nih.gov/alcohol-health/special-populations-co-occurring-disorders/underage-drinking. Accessed June 2, 2012.
- Alcohol use disorders. National Institute on Alcohol Abuse and Alcoholism. http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-use-disorders. Accessed June 2, 2012.
- Fetal alcohol exposure. National Institute on Alcohol Abuse and Alcoholism. http://www.niaaa.nih.gov/alcohol-health/fetal-alcohol-exposure. Accessed June 2, 2012.
- Beyond hangovers: Understanding alcohol's impact on your health. http://pubs.niaaa.nih.gov/publications/Hangovers/beyondHangovers.pdf. Accessed June 2, 2012.
- College drinking. National Institute on Alcohol Abuse and Alcoholism. Accessed http://www.niaaa.nih.gov/alcohol-health/special-populations-co-occurring-disorders/college-drinking. June 2, 2012.
- Breast cancer. American Cancer Society. http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-risk-factors. Accessed June 12, 2012.
- Public policy statement on the definition of alcoholism. American Society of Addiction Medicine. http://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2011/12/15/the-definition-of-alcoholism-(ncadd-asam). Accessed June 25, 2012.
- Schneekloth TD (expert opinion). Mayo Clinic, Rochester, Minn. June 23, 2012.
- Thiamin. The Merck Manual for Health Care Professionals. http://www.merckmanuals.com/professional/nutritional_disorders/vitamin_deficiency_dependency_and_toxicity/thiamin.html. Accessed August 1, 2012.