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Hangover

Synonyms

Also known as After-effect, Drunkenness, and Veisalgia

Overview

A hangover is a collection of symptoms that occur after drinking too much alcohol. Hangovers typically last around 24 hours. They can cause symptoms such as headaches, body pain, stomach problems, and reduced memory and concentration. The intensity and duration of a hangover depend on the type and the amount of alcohol consumed. Mixing alcohol and caffeine, smoking, stress, and consuming alcohol without eating can increase the chances of a hangover, amongst other factors. To prevent hangovers, it is recommended to stay hydrated, avoid mixing different types of alcohol, consume alcohol in moderation, and eat before consuming alcohol. Hangover symptoms typically go away within 8 to 24 hours, but in some cases, medications like antacids or NSAIDs may be recommended.

Key Facts

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Symptoms

Symptoms of a hangover typically begin several hours after drinking alcohol and can vary from person to person. Common symptoms of a hangover include:

  • Headache
  • Nausea
  • Vomiting
  • Sweating
  • Dehydration
  • Fatigue
  • Sensitivity to light and sound
  • Muscle aches
  • Cognitive impairment (decline in mental abilities such as memory, attention, and problem-solving)
  • Anxiety
  • Depression
  • Vertigo
  • Shakiness
  • Tremors
  • Rapid heart rate
  • Irritability

Cause

The primary cause of a hangover is the consumption of alcohol. The severity of hangover symptoms is influenced by various risk factors, which include:

  • Type of alcohol consumed
  • Amount of alcohol consumed
  • Dehydration
  • Individual tolerance levels
  • Presence of congeners in the beverage

These factors can contribute to the overall experience of a hangover.

RiskFactors

Several risk factors can increase the likelihood and severity of a hangover. They include:

  1. Amount and type of alcohol: People who consume more than 106 grams of alcohol per week experience more severe hangovers than those who drink less. Drinks with higher congeners, such as dark liquors like whiskey, brandy, and red wine, tend to produce more severe symptoms.
  2. Building up of acetaldehyde: Alcohol is converted into acetaldehyde, which contributes to several symptoms of a hangover.
  3. Increased urination: Alcohol increases urination, leading to dehydration and symptoms of a hangover.
  4. Electrolyte imbalance: Excessive alcohol intake can lead to deficiencies in essential minerals like potassium and magnesium, resulting in a hangover.
  5. Gastrointestinal irritation: Alcohol irritates the stomach lining, causing nausea, vomiting, and gastritis, which are symptoms of a hangover. This is usually observed when drinks with more than 15% alcohol are consumed.
  6. Vasodilation and vasoconstriction: Alcohol can cause blood vessels in the body to expand (vasodilation) and then contract (vasoconstriction) rapidly, contributing to a hangover.
  7. Blood sugar fluctuations: Alcohol can cause a spike in blood sugar, followed by a drop in levels, leading to symptoms associated with a hangover. People with diabetes are more prone to these fluctuations.
  8. Medications: The classes of prescription medications that can interact with alcohol include:
    • Antibiotics
    • Antidepressants
    • Antihistamines
    • Muscle relaxants
  9. Other factors:
    • Stress and anxiety
    • Smoking
    • Lack of sleep
    • Dehydration
    • Consuming alcohol on an empty stomach
    • Mixing alcohol with caffeine
    • Individuals with personality traits such as anger and defensiveness
    • Family history of alcoholism

Diagnosis

Diagnosing a hangover is typically straightforward and does not usually require medical intervention. It is primarily based on the presence of specific symptoms and a history of recent alcohol consumption. Doctors can diagnose a hangover by:

  1. Assessing symptoms

The most common method of diagnosing a hangover is by evaluating the symptoms reported by the individual. These symptoms often include:

  • Headache
  • Nausea
  • Fatigue
  • Sensitivity to light and sound
  • Dehydration
  • Cognitive impairment
  1. Clinical examination

Sometimes, your doctor may perform physical tests to rule out other medical conditions and evaluate the severity of symptoms. They may also ask about your:

  • Medical history
  • Health conditions
  • Use of medications
  • Amount of alcohol consumed
  • Type of alcohol consumed

Alcohol significantly impacts multiple body organs, and regular drinking can pose serious health issues. It affects the liver, kidneys, heart, and pancreas. Book our test that exclusively checks the impact of alcohol on these organs.

Prevention

Preventing hangovers is essentially a matter of responsible drinking and taking steps to reduce the adverse effects of alcohol on your body. Here are a few strategies that can significantly reduce its severity or even prevent it:

  1. Stay hydrated
    To help counteract electrolyte imbalances, drink an adequate amount of water and electrolytes, such as sports drinks, or consume foods rich in potassium and magnesium, like bananas or leafy greens.
  2. Choose your drink wisely
    Opt for drinks with lower alcohol content or lower congener content to avoid hangovers.
  3. Eat before drinking
    Have a substantial meal before drinking to slow down alcohol absorption and minimize irritation to the stomach lining.
  4. Take breaks
    Avoid rapid consumption of alcohol. Drink slowly and spread your drinks over a more extended period to give your body time to metabolize the alcohol.
  5. Avoid mixing
    Refrain from mixing different types of alcohol, as this can increase the risk of a hangover. Stick to one kind of drink on the go.
  6. Know your body
    Be aware of your tolerance level. If you find that you are more susceptible to hangovers, drink less and take steps to mitigate their effects.
  7. Get enough sleep
    Alcohol can disrupt sleep patterns, which can exacerbate hangover symptoms. Ensure you get adequate rest before and after drinking alcohol.

Treatment

The best approach is prevention through avoiding alcohol altogether. Time is the most critical component in managing the condition, as most of the symptoms subside within 8 to 24 hours of drinking.

1. Conservative Management

  • Eating fruits, drinking fruit juices, or having fructose-containing foods can lessen the severity of hangovers.
  • Bland foods like toast or crackers with complex carbohydrates help counter low blood sugar levels and relieve nausea.
  • Your well-being is our priority. Ensure you get enough sleep to alleviate fatigue caused by sleep deprivation.
  • Drinking nonalcoholic beverages during and after alcohol consumption may reduce dehydration caused by alcohol.

2. Medications

  • Over-the-counter antacids can manage nausea, vomiting, or gastritis.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Aspirin, Ibuprofen, and Naproxen can help manage headache and muscle aches.
  • Antihypertensive medications such as Propranolol are recommended for high blood pressure.
  • Antiemetics like Ondansetron and tropisetron can control nausea and vomiting.

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HomeCare

Hangovers can be a hassle and disrupt your daily routine. Here are some tips on how to manage your day while dealing with a hangover:

  1. Avoid alcohol and caffeine: Refrain from consuming more alcohol, as it can worsen your condition. Additionally, avoid caffeine, as it can exacerbate dehydration and anxiety.
  2. Try gentle exercises: A short, gentle walk or light stretching can help improve blood circulation and reduce feelings of lethargy. Avoid strenuous exercise, as it can exacerbate dehydration.
  3. Do relaxation techniques: Relaxation techniques like deep breathing exercises, meditation, or taking a warm bath can help reduce stress and promote a sense of calm. Here are 5 relaxation techniques to fight stress and anxiety.
  4. Use sunglasses and dim lights: If you're sensitive to light and sound, wear sunglasses and keep the lights dim to reduce discomfort.
  5. Plan ahead: If you have responsibilities or commitments, consider rescheduling or delegating tasks. It's essential to prioritize your well-being while recovering from a hangover.
  6. Stay in a cool environment: Hangovers can sometimes cause feelings of heat or sweating. Keeping your environment cool and comfortable can help ease these sensations.
  7. Stay calm: Try not to become overly anxious or stressed about your hangover. Stress can exacerbate symptoms, so remaining as relaxed as possible is essential.

Here are some common home remedies that can help you recover from a hangover:

  1. Lemon (Nimbu): Lemons may help with hangover relief by providing hydration, vitamin C, liver support, and an electrolyte-balancing effect.

    How to consume it? Make lemonade with lemon juice, sugar, and salt to hydrate your body and replenish electrolytes.

  2. Coconut (Nariyal): It is an excellent option for replenishing electrolytes and restoring balance after becoming dehydrated from drinking alcohol.

    How to consume it? There's no specific recommended amount of coconut water for a hangover, but drink it in moderation alongside water.

  3. Ginger (Adrak): Raw ginger can relieve nausea, dizziness, and stomach discomfort caused by hangovers.

    How to consume it? Consume ginger for hangover relief through options like ginger tea, ale, supplements, raw ginger, or infused water.

  4. Peppermint (Pudina): It has carminative properties that can help relieve gas buildup in the stomach and intestines related to hangovers.

    How to consume it? Enjoy a cup of tea or chew the leaves. This simple step can help relax and soothe your digestive system, providing relief from hangover symptoms.

Everything seems upside down. Try these natural remedies for hangovers.

Complications

While hangovers are typically short-lived and self-limiting, they can lead to various complications and health risks, especially if they are severe or frequent. They include:

  • Cognitive impairment: Hangovers can lead to poor concentration, memory problems, and difficulty making decisions.
  • Accidents and injuries: Cognitive impairment can increase the risk of accidents and injuries, including motor vehicle accidents, falls, and other mishaps.
  • Impact on mental health: Hangovers can be accompanied by feelings of anxiety, depression, and irritability.
  • Interference with responsibilities: Severe hangovers can interfere with work, school, and personal responsibilities, potentially leading to job or academic problems, absenteeism, or strained relationships.
  • Alcohol dependence: Frequent hangovers may normalize excessive alcohol consumption, leading to alcohol dependence or addiction over time.

Note: The CDC recommends that women should have no more than one alcoholic drink per day, while men should have no more than two drinks per day.

AlternativeTherapies

Alternative therapies may relieve hangover symptoms, but individual responses vary, and their effectiveness is not universally proven. Some of these therapies include:

  • Chinese herbal medicine: Herbal remedies, known for their antioxidant properties, have demonstrated potential in alleviating hangover symptoms by countering alcohol's harmful effects. Chinese herbs and Asian ginseng have shown promising results in reducing alcohol levels, relieving hangover symptoms, and restoring liver function through antioxidant and anti-inflammatory actions.
  • Acupressure: This ancient practice may be beneficial for alleviating hangover-related headaches and nausea. Applying pressure to specific points on the body can help release tension and improve blood circulation.

References

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Frequently asked questions

A hangover is serious if your heart rate remains elevated for over 24 hours. Excessive alcohol consumption in a short time can result in alcohol poisoning, which requires immediate medical attention.
Hangovers can cause physical symptoms and emotional issues like anxiety, shame, guilt, and depression. Frequent hangovers may worsen these feelings and could lead to clinical depression or increase the risk of self-harm.
Congeners, substances produced during fermentation, affect the flavor and aroma of alcoholic drinks. Darker spirits like bourbon have more congeners than clear spirits, which may lead to more severe hangover symptoms for some individuals.
To alleviate hangover symptoms before work, consider eating toast, coffee, bacon and eggs, pizza, fresh fruit, juice, snacks, or drinking coconut water.