Showing posts with label alcohol addiction. Show all posts
Showing posts with label alcohol addiction. Show all posts

Tuesday, November 22, 2016

Women and Alcoholism: The Hidden Killer



Men drink more than women, so alcohol abuse is a man’s problem. Right?
Well, if you are talking about men and women born around 1900, you would be right. According to the Huffington Post, “Men born between 1891 and 1910 were three times more likely to have an alcohol use problem compared to women born at the same time.” That perception has survived the last 100 years.
But that’s not the case anymore. When it comes to binge drinking and alcoholism, women are, sadly, closing the gap….especially young women. Women born between 1991 and 2000 drink nearly as much as men. Today, males drink only 10% more than women. An alarming trend among women is the number that engage in binge drinking. Binge drinking is defined as drinking 4 or more alcoholic beverages in quick succession. This type of drinking among women jumped 30% between 1979 and 2006. Women are drinking dangerous quantities as well. According to the Wall Street Journal, “Between 1999 and 2008, the number of young women who showed up in emergency rooms for being dangerously intoxicated rose by 52%. The rate for young men, though higher, rose just 9%.”

So, is alcoholism really a problem among women?



As women continually break down barriers in society, one would think these statistics shouldn’t be cause for alarm. But they would be wrong. The plain fact is that women metabolize liquor differently. According to the NIAAA, women have more fat and less water in their bodies. Women also lack some of the enzyme levels that men have to break down alcohol. Therefore, women are affected by alcohol more quickly. The effects of alcohol linger in the woman’s body longer as well. Because of this, even moderate drinking among women can cause a variety of health risks. A lower amount of body water and different enzyme makeup means alcohol-related problems occur at lower drinking levels in women.

Women who drink are more likely than men to develop the health risks of alcoholism, and much more quickly.

  • Liver damage: Women are more likely to develop liver diseases such as hepatitis and cirrhosis. Some believe estrogen accelerates this process.
  • Brain damage: Certain regions of the female brain have been shown to shrink after prolonged alcohol abuse. Alcohol-induced brain damage occurs far less in men.
  • Heart disease: Women are just as likely as men to get heart disease, even though they consume only 60% as much liquor in their lifetimes.
  • Breast cancer: Heavy drinking among women drastically increases the risk of breast cancer.
  • Violent injury: Alcoholic women are more likely to be physically assaulted than alcoholic men. Also, among heavy drinkers, a higher proportion of women are involved in fatal car crashes than men.
  • Death: A recent study in Germany has found that alcoholic fatality is twice as likely among women.

Adding to the problem, the healthcare industry hasn’t yet caught up to the trend. The early symptoms of liver damage and heart disease can be overlooked by professionals because they don’t usually suspect heavy drinking among women.

So, what options are available for a woman with a drinking problem? Certainly the same that are available to men, but there are perceived obstacles there as well. Women are less likely to reach out for help for a number of reasons. A lack of social support and the stigma of alcoholism in women can make many keep their drinking a secret. Childcare and obligations at work and home make treatment at a facility seem impossible. Fortunately, there are ways around these obstacles. Time taken away from the normal schedule for treatment and healing should be encouraged in the family. The lives of these women and their families hang in the balance.

Many would agree that these facts are chilling. We have wrongly assumed that men are far more likely to become alcoholics when the truth is quite the contrary. Women are drinking more than ever and suffering the negative health effects of alcohol abuse far more quickly. The stigma of alcoholism is keeping women from asking for help and getting the treatment they need and the number of alcoholic women continues to grow. 5.3 million American women drink in quantities that threaten their health and safety. Four million of them are dependent on alcohol and cannot quit. Yes, times have definitely changed. Likewise, society needs to make changes in our attitudes and healthcare protocol to save the lives of our mothers, wives, daughters and sisters.

Reference:


Thursday, September 15, 2016


Dr Silkworth's Alcoholic Allergy: Fact or Fiction?

Historically, alcoholics have been viewed as weak, simply lacking the willpower to curb their drinking and live a normal life. Alcoholics were considered  “maladjusted to life, ...in full flight from reality, or ...outright mental defectives.(1)” Luckily, with the release of  The “Big Book” of Alcoholics Anonymous in 1939, our perception of alcoholism started to change. “Doctor’s Opinion” is a pivotal chapter in Alcoholics Anonymous in which Dr. William Silkworth proposed that “The body of the alcoholic is quite as abnormal as his mind.”(2) . After treating countless alcoholics in his career, Dr. Silkworth observed that alcoholics physically reacted differently to alcohol than normal people. He said We believe...that the action of alcohol on these chronic alcoholics is a manifestation of an allergy; that the phenomenon of craving is limited to this class and never occurs in the average temperate drinker.”(3)This theory, that alcoholics were physically different than their fellows, has survived since those early days in 1939.


While the mental aspects of alcoholism are widely accepted, the “allergy” theory has been debated for decades. An allergy is defined as an abnormal immune response to a foreign substance. Many say there is no physical evidence of an allergy in alcoholics. The telltale signs like rashes, inflammation, or even anaphylaxis are missing. Many say the alcoholic allergy theory is illogical, inconsistent with what is known about allergies, and completely lacks any scientific supporting evidence.”(4) But what if the actual craving for alcohol is the allergic response? Or, perhaps more importantly, should we focus more on the alcoholic’s unique physiological response to alcohol rather than what this response is called?



In recent years, research has shown that the body of an alcoholic truly responds to alcohol differently than that of a normal person. According to the National Institute On Alcohol Abuse and Alcoholism, alcohol use and alcohol-related problems are influenced by individual variations in alcohol metabolism, or the way in which alcohol is broken down and eliminated by the body.(5) When alcohol enters the system, it is broken down by enzymes from the pancreas and the liver so the body can process it. First, the enzymes break the alcohol down into acetaldehyde. More enzymes turn the acetaldehyde into diacetic acid. From there, more enzymes turn diacetic acid into acetate. One theory postulates that It is at this phase that the normal person differs from the alcoholic.


Acetate has been proven to produce cravings for more acetate, especially in alcoholics. One study states that the glucose metabolism levels in the brain are lower in a heavy drinker while the acetate uptake is higher. The alcoholic “brain may rely on acetate as an alternate energy source during alcoholic intoxication and...a history of heavy alcohol consumption may facilitate this switch to acetate use.” (6) In short, consistent heavy drinking may change the way the brain processes energy. Thus, the brain craves more acetate to sustain itself.


The time span that acetate lingers in the system is the critical difference between the alcoholic and the temperate drinker. In a normal person, acetate is converted to sugar, water and carbohydrates at a rate of about an ounce an hour. Once this conversion occurs, the effects of acetate are neutralized. The normal drinker can stop after one or two drinks because the acetate has metabolized and causes no craving. In an alcoholic, this process is much slower. The acetate is metabolized three to ten times more slowly. So if a normal person breaks down one ounce of acetate in an hour, the alcoholic body could take 3-10 hours to metabolize the same amount. The acetate lingering in the system triggers cravings for more acetate (from alcohol) and each drink intensifies the effect. This makes it impossible for the alcoholic to stop drinking after the first or second drink.


In light of these facts, we can safely conclude that Dr. Silkworth was correct. While the use of the term “allergy” has been refuted, the scientific evidence that there is definitely a unique physiological response in alcoholics remains the same. The alcoholic is truly mentally and physically different than normal, temperate drinkers. As scientists have stated, the process by which the body filters alcohol renders the alcoholic helpless against the cravings begun with that first drink. And, as there is no medical cure, the only way for an alcoholic to combat the ruthless cycle of craving and addiction is to abstain completely from alcohol. As Dr. Silkworth put it, “These allergic types can never safely use alcohol in any form at all(7)” In other words, an alcoholic can never take that first drink if he or she wants to recover.
(1)(Alcoholics Anonymous, 2001, p. xxvi)
(2)(Alcoholics Anonymous, 2001, p. xxvi)
(3)(Alcoholics Anonymous, 2001, p. xxviii)
(4)Hanson, Ph.D. Prof. David J. "Is Alcoholism an Allergy to Alcohol?" Is Alcoholism an Allergy to Alcohol? N.p., n.d. Web. 08 Sept. 2016.
(7)(Alcoholics Anonymous, 2001, p. xxviii)