19043 Health Library | Health and Wellness | Wellmont Health System
  • Symptoms of Alcohol Abuse and Alcoholism

    Denial that an alcohol problem exists is common. Alcoholism is characterized by an extremely strong craving for alcohol, a loss of control over drinking, or a physical dependence on alcohol. In contrast, alcohol abuse is defined as a pattern of drinking that results in one or more of the following situations within a 12-month period:
    • Repeated problems at work, school, or home due to drinking
    • Risking physical safety by drinking in situations that are dangerous, such as driving or operating machinery
    • Recurring trouble with the law, such as being arrested for driving under the influence of alcohol or for physically hurting someone while drunk
    • Continuing to drink despite alcohol-related difficulties
    Alcohol abuse often progresses to alcohol dependence or alcoholism. Alcoholism involves a powerful “craving,” or uncontrollable need for alcohol. This craving overrides the ability to stop drinking. This need can be as strong as the need for food or water. Symptoms of alcohol dependence include:
    • Craving a drink of alcohol
    • Inability to stop or limit drinking of alcohol
    • Needing greater amounts of alcohol to feel the same effect
    • Withdrawal symptoms if alcohol is stopped, including:
      • Nausea
      • Sweating
      • Shaking
      • Anxiety
      • Increased blood pressure
      • Seizures
    • Giving up activities in order to drink or recover from the effects of alcohol
    • Drinking that continues even when it causes or worsens health problems
    • Being unable to stop or reduce drinking despite a desire to do so
    Alcoholism may also lead to physical symptoms that are due to the destructive effects of alcohol on the body, and may include:
    • High blood pressure
    • Yellowing of the whites of the eyes and/or skin ( jaundice )
    • Red palms, flushed face
    • Spidery veins showing through the skin around the umbilicus and on the face
    • Enlarged liver
    • Nausea, bloating, dyspepsia , and ulcers
    • Pancreatitis
    • Easy bruising and/or bleeding
    • Shakiness, tremor
    • Weakness of the wrists, ankles
    • Numbness and tingling
    • Impaired memory
    • Fast heart rate
    • Shrunken testicles
    • Erectile dysfunction
    • Increased susceptibility to infections and cancer


    American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision. Washington, DC: American Psychiatric Association; 2000.

    Helping patients who drink too much: a clinician’s guide. National Institute on Alcohol Abuse and Alcoholism website. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/clinicians%5Fguide.htm . Accessed April 14, 2007

    National Institute on Alcohol Abuse and Alcoholism website. Available at: http://www.niaaa.nih.gov/ .

    National Institute on Alcohol Abuse and Alcoholism website. Available at: http://www.niaaa.nih.gov/ .

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.