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- $Unique_ID{BRK01243}
- $Pretitle{}
- $Title{Can a Seizure Develop in an Alcoholic While They Are Actually Drinking?}
- $Subject{alcohol withdrawal shakes community social seizure alcoholic drinking
- drink delirium tremens dts dt withdrawing alcoholism shake behavior behaviors
- lifestyle lifestyles alcoholics seizures mental emotional}
- $Volume{E-23,Q-23}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Can a Seizure Develop in an Alcoholic While They Are Actually Drinking?
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- QUESTION: Can a seizure by a chronic alcoholic develop while they are
- actually drinking? We are faced with an emergency room diagnosis that claims
- this is so, but always thought that the shakes were prevented by drinking in
- the alcoholic. Could you please explain?
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-
- ANSWER: It's an unfortunate truth that an alcoholic can become accustomed to
- very high levels of alcohol. Withdrawal sets in when the alcoholic gets less
- to drink than their usual intake. Symptoms of alcoholic withdrawal are
- seizures, hallucinations, elevated temperature, agitation, impaired
- coordination, and/or tachycardia (racing heartbeat). The "shakes" we call
- "Delirium Tremens" (DTs) usually begin within 24 to 48 hours of lessened
- alcohol intake and usually subside within 72 hours.
- Pity the poor emergency room physician who receives a patient in alcohol
- withdrawal! He has a great deal of sleuthing to do. He must rule out head
- injury, epilepsy, hypoglycemia, psychiatric disorders and intoxication, all of
- which can mimic some of the symptoms of alcohol withdrawal. In the hospital,
- the withdrawing alcoholic can expect to be given intravenous glucose,
- acetaminophen if temperature is elevated, a sedative or tranquilizer if
- agitation is acute, and a blood alcohol test. Later, the doctor may
- administer thiamine and folic acid, since these are often deficient in chronic
- drinkers.
- This emergency medicine is also preventive medicine. The idea is to head
- off the potentially fatal DTs. I can give you no better reason for getting
- the withdrawing alcoholic to a hospital right away. Remember: Alcoholism is
- a disease, and the people who suffer it have the right to the best medical
- care we can give them.
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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