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Symptoms of Alcohol Withdrawal

Withdrawals Can Be Mild, Moderate or Severe

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Updated February 26, 2014

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Dealing with withdrawals

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Alcohol withdrawal refers to a group of symptoms that may occur from suddenly stopping the use of alcohol after chronic or prolonged ingestion.

Not everyone who stops drinking experiences withdrawal symptoms, but most people who have been drinking for a long period of time, or drinking frequently, or drink heavily when they do drink, will experience some form of withdrawal symptoms if they stop drinking suddenly. Take the Alcohol Withdrawal Symptoms Quiz.

There is no way to predict how any individual will respond to quitting. If you plan to stop drinking and you have been drinking for years, or if you drink heavily when you do drink, or even if you drink moderately but frequently, you should consult a medical professional before going "cold turkey."

For more information about withdrawals, see Alcohol Withdrawal.

Withdrawal Symptoms:

Mild to moderate psychological symptoms:

  • Feeling of jumpiness or nervousness
  • Feeling of shakiness
  • Anxiety
  • Irritability or easily excited
  • Emotional volatility, rapid emotional changes
  • Depression
  • Fatigue
  • Difficulty with thinking clearly
  • Bad dreams

Mild to moderate physical symptoms:

  • Headache - general, pulsating
  • Sweating, especially the palms of the hands or the face
  • Nausea and Vomiting
  • Loss of appetite
  • Insomnia, sleeping difficulty
  • Paleness
  • Rapid heart rate (palpitations)
  • Eyes, pupils different size (enlarged, dilated pupils)
  • Skin, clammy
  • Abnormal movements
  • Tremor of the hands
  • Involuntary, abnormal movements of the eyelids

Severe symptoms:

  • A state of confusion and hallucinations (visual) -- known as delirium tremens
  • Agitation
  • Fever
  • Convulsions
  • "Black outs" -- when the person forgets what happened during the drinking episode

Getting Help and Support

With the proper medical care, alcohol withdrawal symptoms can be greatly reduced or even eliminated. There are specific treatments available for anyone who wants to stop drinking, even after long-term, chronic alcohol abuse.

If your withdrawal symptoms are mild and you are trying to quit on your own, you might benefit from the encouragement and support that you can find at a support group meeting or even online in our Alcoholism / Substance Abuse Forum at About.com.

Source: National Institutes of Health

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