Alcoholism is an illness marked by drinking alcoholic beverages at a level that interferes with physical health, mental health, and social, family, or occupational responsibilities.
Alcoholism is divided into 2 categories: dependence and abuse.
People with alcohol dependence, the most severe alcohol disorder, usually experience tolerance and withdrawal. Tolerance is a need for markedly increased amounts of alcohol to achieve intoxication or the desired effect. Withdrawal occurs when alcohol is discontinued or intake is decreased. Alcohol dependents spend a great deal of time drinking alcohol, and obtaining it.
Alcohol abusers may have legal problems such as drinking and driving. They may also have problems with binge drinking (drinking 6 or more drinks at one sitting).
People who are dependent on or abuse alcohol continue to drink it despite evidence of physical or psychological problems. Those with dependence have more severe problems and a greater compulsion to drink.
Alternative Names
Alcohol dependence; Alcohol abuse
Causes, incidence, and risk factors
Alcoholism is a type of drug addiction. There is both physical and psychological dependence with this addiction. Physical dependence reveals itself by withdrawal symptoms when alcohol intake is interrupted, tolerance to the effects of alcohol, and evidence of alcohol-associated illnesses.
Alcohol affects the central nervous system as a depressant, resulting in a decrease of activity, anxiety, tension, and inhibitions. Even a few drinks can result in behavioral changes, a slowing in motor performance, and a decrease in the ability to think clearly.
Alcohol use(Doctor-Reviewed information)
Alcohol is produced by fermenting the starch or sugar in fruits and grains. Alcoholic drinks have different amounts of alcohol in them - beer is about 5% alcohol, wine is usually 12 - 15% alcohol, and hard liquor is about 45% alcohol. See also: Alcohol and diet; Alcoholism; Alcohol withdrawal state. Reviewer: Christos Ballas, M.D., Attending Psychiatrist, Hospital of the University ofPennsylvania, Philadelphia, PA. Review provided by VeriMed HealthcareNetwork.Date: 01/24/2006
Alcohol withdrawal(Doctor-Reviewed information)
Alcohol withdrawal refers to symptoms that may occur when a person who has been drinking too much alcohol every day suddenly stops drinking alcohol. Reviewer: Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine, Pediatrics and Psychiatry, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.Date: 05/18/2007
Alcoholic liver disease (2 images)
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(Doctor-Reviewed information)
Alcoholic liver disease involves an acute or chronic inflammation of the liver induced by alcohol abuse. See also cirrhosis. Reviewer: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.Date: 05/04/2006
Alcohol and diet(Doctor-Reviewed information)
Alcohol comes from fermenting starches and sugars. Alcohol has about 7 calories per gram. These are considered "empty" calories because alcohol contains no beneficial nutrients, such as vitamins and minerals. Reviewer: Caroline M. Apovian, M.D., FACN, Associate Professor of Medicine, Boston University School of Medicine and Director, Nutrition & Weight Management Center, Boston Medical Center, Boston, MA. Review provided by VeriMed Healthcare Network. Date: 10/17/2007
Fetal alcohol syndrome (2 images)(Doctor-Reviewed information)
Fetal alcohol syndrome refers to growth, mental, and physical problems that may occur in a baby when a mother drinks alcohol during pregnancy. Reviewer: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.Date: 08/15/2007
Alcoholic cardiomyopathy (1 image)(Doctor-Reviewed information)
Alcoholic cardiomyopathy is a disorder in which excessive, habitual use of alcohol weakens the heart muscle so that it cannot pump blood efficiently. Reviewer: Glenn Gandelman, MD, MPH, Assistant Clinical Professor of Medicine, New York Medical College, Valhalla, NY. Review provided by VeriMed Healthcare Network.Date: 11/06/2006
Alcoholic neuropathy (4 images)(Doctor-Reviewed information)
Alcoholic neuropathy is a disorder involving decreased nerve functioning caused by damage that results from excessive drinking of alcohol. Reviewer: Joseph V. Campellone, M.D., Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network.Date: 04/30/2007