Alcohol units explained

The more alcohol you drink the greater your risk of damaging your body.

Click here for a video explaining alcohol units.

Because of this, the NHS gives advice on sensible drinking based on the known risks.

There is no guaranteed safe level of drinking, but if you drink below a certain level the risks of harm are reduced.

The risk levels of drinking are classified as:

  • Lower risk drinkers: men who don't regularly drink more than three to four units and women who don't regularly drink more than two to three units of alcohol a day.
  • Increasing risk drinkers: men who regularly drink more than three to four units and women who regularly drink more than two to three units of alcohol a day.
  • Higher risk drinkers: men who regularly drink more than eight units a day or 50 units a week and women who regularly drink more than six units a day or 35 units a week.

Liver problems, depression, reduced fertility, high blood pressure, increased risk of various cancers and forgetfulness are some of the effects of long-term excessive drinking.

Brain

Drinking guidelines

  • If you're a man, don't regularly drink more than three to four units a day.
  • If you're a woman don't regularly drink more than two to three units a day.
  • Don't drink alcohol for 48 hours after a heavy drinking session.
  • Avoid alcohol completely if you're pregnant or trying to conceive. If you do drink, drink no more than one to two units once or twice a week.

Addiction

If you feel a regular need to drink, or you drink every day, you may be addicted to alcohol or likely to become addicted. People with high alcohol tolerance are especially vulnerable to alcohol dependency.

Depression

Drinking might cheer you up for a few hours but in the long term it's more likely to make you feel depressed. Alcohol changes the chemistry of the brain, increasing the risk of depression or making depression worse.

Memory

You may not normally drink enough to have a complete memory blackout, but alcohol, even in smaller amounts, can affect your day-to-day memory. And the more you drink, the more you forget.

Inside your body

Mouth and throat

Regularly drinking more than the recommended amount increases your risk of mouth and throat cancers between two- and fivefold. If you also smoke the risk of mouth cancer is even greater. Stopping drinking will reduce these risks.

Heart

Drinking more than the recommended levels can lead to high blood pressure and serious heart problems. For example, drinking at higher risk levels increases the chances of suffering high blood pressure two- to fourfold.

Liver

Fatty liver is the first stage of liver damage, but it is reversible. More serious conditions include alcoholic hepatitis and liver cirrhosis. In those drinking above lower risk levels the risk of liver cirrhosis is increased between two- and 13-fold (the latter figure is the risk for higher risk drinkers).

Stomach

Gastritis is a condition where the stomach lining is inflamed. The symptoms are similar to the sick, nauseated feeling and stomach pains you get from a hangover.

Fertility

Alcohol can lead to loss of erection during sex and to reduced sexual performance. Intoxication can increase the risk of an unwanted pregnancy or contracting a sexually transmitted disease. Excessive drinking also affects female fertility. Among other effects, it upsets vital hormones that affect reproductive function.

Bowel

Drinking increases your chance of developing bowel cancer.

On the outside

Skin

As alcohol is a diuretic it dehydrates your body. It can also permanently enlarge blood vessels in your skin, leading to a permanent flush, and it aggravates conditions such as rosacea and psoriasis.

Breasts

Alcohol is not the main cause of breast cancer, but drinking does increase your risk of developing it. For those drinking above lower risk levels, the risk increases 1.2- to 1.6-fold.

Waist

If you have a healthy appetite and drink above recommended lower risk levels, you’re likely to become overweight because of the extra calories in the alcohol.

Alcohol units: men

If men regularly exceed three to four units a day, it could add up to a serious health problem. Watch this video to find out how many units are in your drink.

Alcohol units: women

If women regularly exceed two to three units a day, it could add up to a serious health problem. Watch this video to find out how many units are in your drink.

Last reviewed: 15/08/2008

Next review due: 15/08/2010

What are these?

roo24 said on 17 September 2009

my mum has been an alcoholic for nearly 35 years, thats 15 years before i was adopted by her and my father. life has been tough as anyone who has lived with an alcoholic will undoutably understand. mum had a massive bleed which caused her to vomit blood and she has been in hospital for nearly 4 months, they have now told us that there is nothing more they can do. she is young, 61, and i am now very scared as i dont want to lose my mum thru somethin she has done to herself. its so hard seeing her lying there so frail having umpteen units of blood given and knowing that there is nothing they can do to make her better. i have persuaded her with rehab but she never belived that she had a problem, now its clear that she did indeed have a very seroius problem

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beckyvx said on 12 September 2009

My mums just been diagnosed with liver chhrousis, found out yesterday when she kindly phoned my sister to tell us she actually delivered the crushing blow drunk. our mum has been an alchoholic for as long as I can remember its a way of life now. going to the hospital everytime she over doses or stabs herself. the sad thing is she is due to go into detox next week and then onto rehab but its come to late. love you mum miss you

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Irinia said on 03 September 2009

The NHS should seriously consider recommending that alcohol should not be consumed at all, and if it is consumed it should certainly not be consumed on a regular basis.There is not a single person, that I have met, who drinks alcohol on a regular basis, that I can describe as not having "the curse" - i.e. unknowingly being an alcoholic.

Anyone who has dealt with data using statistics knows very well that data can easily be misinterpreted. It is not difficult to imagine scientists, who may well drink themselves, being mislead into concluding that its 'ok' to drink some alcohol everyday - it is the nature of the beast. Regardless of any research, and speaking only from personal experience, I say that anyone who drinks alcohol on a regular basis (even if they never actually get drunk) will find themselves suffering from: depression, anxiety, obsessive compulsive behavior, short temper, selfishness, premature aging, inability to plan a trip without including time for consumption of alcohol, and a profound irritation at anyone mentioning that alcohol is bad for you. This assertion is made from very clearly seeing, in these people, the subtle symptoms, visible in appearance and behaviour, that I have learnt to recognize from the personal experience of dealing with a spouse who consumed some alcohol on a regular basis and stopped doing so.

This personal knowledge leads me to conclude that anyone who drinks alcohol on a regular basis (i.e. every day, rather than only moderately at the occasional party) is unknowingly an alcoholic to some degree and will suffer from the above physical and behavioral symptoms, and besides these others much more serious not externally visible health problems. Anyone who stops consuming alcohol will see their health, and consequently their life, change so dramatically for the better that looking back they will wonder how in the world they could possible have enjoyed any moment of it.

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