Alcohol misuse - Risks 

Risks of alcohol misuse 

Alcohol risks for over-60s

An expert explains alcohol's effects on the body and the risks of high alcohol consumption for older people.

Alcohol poisoning

The symptoms of alcohol poisoning include:

  • confusion
  • vomiting
  • seizures (fits)
  • slow breathing
  • pale or bluish skin
  • cold and clammy skin
  • unconsciousness

If you suspect alcohol poisoning and you are worried, call 999 and ask for an ambulance.

While you are waiting for the ambulance:

  • Don't try to make the person vomit because they could choke on it.
  • Turn the person onto their side and place a cushion under their head to help prevent choking.

If someone loses consciousness after drinking alcohol, don't leave them alone to "sleep it off", even if they appear to be okay. The levels of alcohol in the blood can continue rising for up to 30 to 40 minutes after the last drink, which can suddenly worsen symptoms.

Alcohol is a powerful chemical that can have a wide range of effects on almost every part of your body, including your brain, bones and heart.

Alcohol and its associated risks can have both short-term and long-term effects. In 2009-10, there were around 1 million hospital admissions due to an alcohol-related injury or condition.

Short-term effects of alcohol

The short-term effects of alcohol are described below. This information is based on the assumption that you have a normal tolerance to alcohol. Dependent drinkers with a higher tolerance to alcohol can often drink much more without experiencing any noticeable effects.

1-2 units

After drinking 1-2 units of alcohol, your heart rate speeds up and your blood vessels expand, giving you the warm, sociable and talkative feeling that is associated with moderate drinking.

4-6 units

After drinking 4-6 units of alcohol, your brain and nervous system starts to be affected. It will start to affect the part of your brain that is associated with decision-making and judgement, making you more reckless and uninhibited.

The alcohol will also impair the cells in your nervous system, making you feel light-headed while also adversely affecting your reaction time and co-ordination.

8-9 units

After drinking 8-9 units of alcohol, your reaction times are much slower, your speech will begin to slur and your vision will begin to lose focus. Your liver, which filters alcohol out of your body, will be unable to remove all of the alcohol overnight, so it is likely you will wake with a hangover.

10-12 units

After drinking 10-12 units of alcohol, your co-ordination is highly impaired, placing you at serious risk of having an accident. The high level of alcohol has a depressant effect on both your mind and body which makes you drowsy.

This amount of alcohol will begin to reach toxic (poisonous) levels. Your body will attempt to quickly pass out the alcohol with your urine. This will leave you feeling badly dehydrated in the morning, which may cause a severe headache.

The excess amount of alcohol in your system can also upset your digestive system, leading to symptoms of nausea, vomiting, diarrhoea and indigestion.

More than 12 units

Drinking more than 12 units of alcohol places you at a high risk of developing alcohol poisoning, particularly if you are drinking lots of units in a short space of time. It usually takes the liver about one hour to remove one unit of alcohol from the body.

Alcohol poisoning occurs when excessive amounts of alcohol begin to interfere with the automatic functions of your body, such as:

  • your breathing
  • your heart rate
  • your gag reflex – which prevents you from choking

Alcohol poisoning can result in a person falling into a coma and could lead to their death.

Short-term risks of alcohol misuse

The short-term risks of alcohol misuse include:

  • accidents and injury: it is estimated that 70% of all visits to accident and emergency (A&E) departments at peak times are due to alcohol misuse
  • violence and antisocial behaviour:   each year, in England, around 1.2 million violent incidents are linked to alcohol misuse
  • unsafe sex: this can lead to unplanned pregnancies and sexually transmitted infections (STIs)
  • loss of personal possessions: many people lose personal possessions, such as their wallet or phone, when they are drunk
  • unscheduled time off work or college: this could put your job or education, at risk

Long-term effects of alcohol misuse

If you drink hazardous amounts of alcohol for many years, it will take its toll on many of your body’s organs and may cause organ damage.

The organs that are known to be damaged by long-term alcohol misuse include the brain and nervous system, heart, liver and pancreas. Heavy drinking can also increase your blood pressure and your blood cholesterol levels, both major risk factors for heart attacks and strokes.

Long-term alcohol misuse can weaken your immune system, making you more vulnerable to serious infection. It can also weaken your bones, placing you at greater risk of fracturing or breaking them.

Long-term risks of alcohol misuse

There are many long-term health risks associated with alcohol misuse. They include:

As well as having a significant impact on your health, alcohol misuse can also have long-term social implications. For example, it can lead to:

  • divorce
  • family break-up
  • domestic abuse
  • unemployment
  • homelessness
  • financial problems

Last reviewed: 27/09/2011

Next review due: 27/09/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

hi5 said on 29 September 2012

with so may people falling into the trap of drinking, why is there no remedy, this curse affect the lives of the drinker their family and the future generation, so why are we putting up with, with off licences round every corner surly opening times should be short more restrictions, i am so sick of the drinking in my house, it is killing me. my son easily drinks over a bottle of vodka a day, and my daughter goes missing days on end, but they didn't start drinking till they left school. i feel like such a failed mum, i am supossed to be on blood pressure tablets but whats the point if i have to live to watch my kids waste their life.

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