ALCOHOL

Alcohol and it’s consumption, for a variety of reasons, in a variety of settings, for a variety of occasions, and in many forms, have been around for thousands of years.

Alcohol use (even mild to moderate regular use) may be a source of, or may worsen:

low mood,

anxiety,

marital problems,

irritability and anger,

motivation problems,

headaches,

malaise and fatigue,

erectile dysfunction,

weight gain,

insomnia (frequent awakenings or early awakening),

heart burn,

high blood pressure,

snoring,

sleep apnea,

atrial fibrillation (irregular heartbeat leading to risk for stroke),

elevated blood glucose (pre-diabetes or diabetes),

elevated triglycerides,

elevated liver numbers (fatty liver, hepatitis, cirrhosis),

pancreatitis (acute and chronic),

peripheral neuropathy (ie. feet feel numb/burn/tingle),

vitamin deficiencies,

coexisting addictions,

adverse effects with medications,

cancers (oral, pharyngeal, laryngeal, esophageal, liver, colorectal and breast),

imbalance,

intracranial bleeds,

brain atrophy,

heart enlargement,

falling,

memory issues,

dementia

Being able to “handle” alcohol without FEELING drunk (but, it is obvious to those who are not drinking, that this person is impaired) implies that: 1. the person drinking either has tolerance to alcohol from long or heavy use (often, blood alcohol level is still detectable the next day), or, 2. one no longer has an “off switch”. One can still stay awake, drinking, to the point of blacking out (when a person can recklessly and dangerously keep walking, talking, driving, swimming, texting, or having sex) while having no memory of their actions or behaviors.

Often, a healthcare professional will not make the connection between a consumer’s alcohol use and the consumption’s effects on health, or the healthcare professional will only make a passing mention of alcohol consumption as a potential cause of the observed health issues.  Occasionally, a healthcare professional will avoid broaching the topic of alcohol consumption and that consumer’s health due to that professional’s 1) lack of knowledge, 2) wanting to avoid a long conversation which would derail their office schedule, 3) thinking that it will be a futile conversation, or, 4) wanting to avoid conflict and confrontation.

Cancer Risks Increase With Alcohol Use, Leading To Over 740,000 Cases Last Year : Goats and Soda https://www.npr.org/sections/goatsandsoda/2021/07/16/1016586837/new-study-says-nearly-3-4-million-cancers-a-year-linked-to-alcohol-use

Charles Tadros, M.D.

July 14, 2021

Saint Louis, Missouri

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