Even moderate drinking can be
risky. More than moderate can lead to serious health problems. This web
page explains some of the problems that can be caused by drinking that
you may not have considered.
If you are like many Americans,
you may drink Alcohol occasionally. Or, like others, you may drink
moderate amounts of alcohol on a more regular basis. If you are a woman
or someone over the age of 65, this means you have no more than one
drink per day; if you are a man, this means you have no more than two
drinks per day.
You
may have heard that drinking at these levels usually is not associated with
health risks and may help prevent certain forms of heart disease. While
this may be true, there have long been more effective means of accomplishing
this without all the negative effects that are associated with drinking alcohol. (1)
But did you know that even moderate drinking, under certain
circumstances, can be risky? If you drink at more than moderate
levels, you may be putting yourself at risk for serious problems with
your health as well as problems with family, friends, and coworkers.
What is a Drink?
A standard drink is:
One 12-ounce bottle of beer* or wine cooler
One 5-ounce glass of wine
1.5 ounces of 80-proof distilled spirits.
*Different beers have different alcohol content. Malt liquor has a higher alcohol content than most other brewed beverages.
Drinking and Driving
It may surprise you to learn that you don’t need to drink much alcohol
before your driving ability is affected. For example, certain driving
skills can be impaired by blood alcohol concentrations (BACs) as low as
0.02 percent. (The BAC refers to the amount of alcohol in the blood.) A
160-pound man will have a BAC of about 0.04 percent 1 hour after
drinking two 12-ounce beers or two other standard drinks on an empty
stomach (see the box, “What Is a Drink?”). And the more alcohol you
drink, the more impaired your driving skills will be. Although most
States set the BAC limit for adults who drive after drinking at 0.08
percent, driving skills are affected at much lower levels.
Interactions With Medications
Drinking alcohol while taking certain medications can cause problems.
In fact, there are more than 150 medications that should not be mixed
with alcohol. For example, if you are taking antihistamines for a cold
or allergy and drink alcohol, the alcohol will increase the drowsiness
that the medicine alone can cause, making driving or operating
machinery even more dangerous. And if you are taking large doses of the
painkiller acetaminophen (Tylenol) and drinking alcohol, you are
risking serious liver damage. Check with your doctor or pharmacist
before drinking any amount of alcohol if you are taking any
over-the-counter or prescription medicines.
Social and Legal Problems
The more heavily you drink, the greater the potential for problems at
home, at work, with friends, and even with strangers. These problems
may include:
Arguments with or separation from your spouse and other family members;
Strained relationships with coworkers;
Absence from or lateness to work with increasing frequency;
Loss of employment due to decreased productivity; and
Committing or being the victim of violence.
Alcohol-Related Birth Defects
If you are pregnant or trying to get pregnant, you should not drink
alcohol. Drinking alcohol while you are pregnant can cause a range of
birth defects, and children exposed to alcohol before birth can have
lifelong learning and behavioral problems. The most serious problem
that can be caused by drinking during pregnancy is fetal alcohol
syndrome (FAS). Children born with FAS have severe physical, mental,
and behavioral problems. Because scientists do not know exactly how
much alcohol it takes to cause alcohol-related birth defects, it is
best not to drink any alcohol during this time.
Long-Term Health Problems
Some problems, like those mentioned above, can occur after drinking
over a relatively short period of time. But other problems—such as
liver disease, heart disease, certain forms of cancer, and
pancreatitis—often develop more gradually and may become evident only
after many years of heavy drinking. Women may develop alcohol-related
health problems sooner than men, and from drinking less alcohol than
men. Because alcohol affects nearly every organ in the body, long-term
heavy drinking increases the risk for many serious health problems,
some of which are described below.
Alcohol-related liver disease.
More than 2 million Americans suffer from alcohol-related liver
disease. Some drinkers develop alcoholic Hepatitis, or inflammation of
the liver, as a result of heavy drinking over a long period of time.
Its symptoms include fever, jaundice (abnormal yellowing of the skin,
eyeballs, and urine), and abdominal pain. Alcoholic hepatitis can cause
death if drinking continues. If drinking stops, the condition may be
reversible. About 10 to 20 percent of heavy drinkers develop alcoholic
cirrhosis, or scarring of the liver. People with cirrhosis should not
drink alcohol. Although treatment for the complications of cirrhosis is
available, a liver transplant may be needed for someone with
life-threatening cirrhosis. Alcoholic cirrhosis can cause death if
drinking continues. Cirrhosis is not reversible, but if a person with
cirrhosis stops drinking, the chances of survival improve considerably.
People with cirrhosis often feel better, and liver function may
improve, after they stop drinking. About 4 million Americans are
infected with hepatitis C virus (HCV), which can cause liver cirrhosis
and liver cancer. Some heavy drinkers also have HCV infection. As a
result, their livers may be damaged not only by alcohol but by
HCV-related problems as well. People with HCV infection are more
susceptible to alcohol-related liver damage and should think carefully
about the risks when considering whether to drink alcohol.
Heart disease. Heavy drinking over a long period of time increases
the risk for heart disease, high blood pressure, and some kinds of
stroke.
Cancer.
Long-term heavy drinking increases the risk of certain forms of cancer,
especially cancer of the esophagus, mouth, throat, and larynx (voice
box). Research suggests that, in some women, as little as one drink per
day can slightly raise the risk of breast cancer. Drinking may also
increase the risk for developing cancer of the colon and rectum.
Pancreatitis.
The pancreas helps regulate the body’s blood sugar levels by producing
insulin. The pancreas also has a role in digesting the food we eat.
Long-term heavy drinking can lead to pancreatitis, or inflammation of
the pancreas. Acute pancreatitis can cause severe abdominal pain and
can be fatal. Chronic pancreatitis is associated with chronic pain,
diarrhea, and weight loss.
If you or someone you know has
been drinking heavily, there is a risk of developing serious health
problems. Because some of these health problems can be treated, it is
important to see a doctor for help. Your doctor will be able to advise
you about your health and your drinking.
Strong physiological, emotional and/or psychological dependence on a substance such as alcohol or drugs that has progressed beyond voluntary control. For more on addiction see the section Addiction Information in this website.
Alcohol
Refers to ethyl alcohol or ethanol.
Chronic
Refers to a disease or condition that persists over a long period of time. Also a slang term for a particularly potent strain of marijuana.