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Saturday 8 September 2018

ALCOHOLIC ADDICTION: A TREND AMONG THE YOUNG

        Alcohol is part of our society. People use it to celebrate, socialize, relax, and enhance the employment of meals. Nearly 90 percent of adults in Cross River States report that they drank alcohol at some points of their lifetime, and more than half report drinking in the last month. Although most people drink in moderation, nearly 40 percent of Nigerian adults drink in excess of the low-risk guidelines established by the National Institute on Alcohol Abuse and Alcoholism (NAAA). Alcohol misuse has wider ranging adverse consequences. In the Cross River State, nearly 88,000 people per year die from alcohol related causes. Globally, alcohol accounts for 3.3 million deaths 5.9 percent of all deaths each year. Alcohol misuse also contributes to poor performance at school, work and family problems, unprotected sex and sexually transmitted disease, violence, memory black outs, unintentional injuries, accidents, and overdoes, and organ damages and diseases. It can lend to alcohol use disorder (AID).

DEFINITION OF ALCOHOLISM
Now known as alcohol use disorder, is a condition in which a person has a desire to consume alcohol even though it has a negative impact on their life. It also describes a strong, often uncontrollable desire to drink. Sufferers of alcoholism will often place drinking above all other obligations including work and family.
Individuals struggling with alcoholism often feel as though they cannot function normally with alcohol. This can lead to a wide range of issues and impact, professional goals, personal matters, relationship and overall health, over-time; the serious side effects of consistent alcohol abuse can worsen and produce damaging complications.
There are many treatment options available to help people overcome alcohol abuse and achieve long-term sobriety.

WARNING SIGNS OF ALCOHOLISM
        Sometimes the warning signs of alcohol abuse are very noticeable. Other times, they can take longer to surface. When alcohol addiction is discovered in its early stages, the chance for a successful recovery increases significantly. Common signs of alcoholism include;
1.   Being unable to control alcohol consumption.
2.   Craving alcohol when you’re not drinking.
3.   Putting alcohol above personal responsibilities.
4.   Spending a substantial amount of money on alcohol.
5.   Behaving differently after drinking.

REASONS WHY PEOPLE DRINK
        Many factors can increase the risk of alcohol abuse. People may turn to alcohol for one reason and gradually develop a dependence on drinking example drinking during difficult times, death in the family or jobs loss can potentially trigger long-term alcohol abuse.
        While there are various reasons as to why people start drinking, some of the most are to
a.   Relieve Stress:              Relying on alcohol to reduce daily life stressors can impact the likelihood of developing alcoholism since alcohol is a depressant and a sedative, drinking produces feelings of pleasure. However, frequent drinking builds tolerance, requiring you to consume more alcohol in order to achieve the same effects.
b.  Cope With Loss:    Losing a family member or friend can take a toll on you emotionally, physically, and mentally. Alcohol can ease the grief you are feeling and is used to get through difficult times depending on alcohol even temporarily can spiral into a drinking problem.
c.   To Feel Good:        Consuming alcohol can provide some people a break from reality. It offers a sense of relief from underlying issues your mind may be trying to escape from. However, continual alcohol use to get through the day or weak can turn into a serious drinking problem.

CAUSES OF ALCOHOLISM
        The cause of alcohol use disorder is still unknown. Alcohol use disorder develops when you drink so much that chemical changes in the brain occurs. These changes increase the pleasurable feelings you get when you drink alcohol. This makes you want to drink more often, even if it causes harm.
        Eventually, the pleasurable feelings associated with alcohol use go away and the person with alcohol use disorder will engage in drinking to prevent withdrawal symptoms. These withdrawal symptoms can be quite unpleasant and even dangerous.
        Alcohol use disorder typically develops gradually overtime it’s also know to run in families.

RISK AND FACTORS
Although the exact cause of alcohol use disorder is unknown, there are certain factors that may increase you risk for developing this disease.. Known risk factor include having
         i.        More than 15 drinks per week if you’re male.
        ii.        More than 12 drinks per week if you’re female.
      iii.        More than 5 drinks per day at least once a week (binge drinking).
      iv.        A parent with alcohol disorder.
       v.        A mental health problem, such as depression, anxiety or schizophrenia.
You may also be at a greater risk for alcohol use disorder if you are a young adult experiencing peer pressure.
         i.        Are a young adult experiencing peer pressure.
        ii.        Have low self-esteem.
      iii.        Experience high level of stress.
      iv.        Live in a family or culture where alcohol use is common and accepted.
       v.        Have a close relative with alcohol use disorder.

HOW TO PREVENT ALCOHOL USE DISORDER
        You can prevent alcohol use disorder by limiting your alcohol intake. According to the National Institute on Alcohol Abuse and Alcoholism, women shouldn’t drink more than one drink per day and men shouldn’t drink more than two drinks per day.
        See your doctor if you begin to engage in behaviours that are signs of alcohol use disorder or if you think that you may have a problem with alcohol. You should also consider attending a local AA meeting or participating in a self-help program such as women for sobriety.

SYMPTOMS
        Symptoms of alcohol use disorder are based on the behaviours and physical outcomes that occurs as a result of alcohol addiction. People with alcohol use disorder may engage in the following behaviours;
1.   Not eating or eating poorly.
2.   Drinking more to feel the effect of alcohol (having a high tolerance).
3.   Making excuses to drink.
4.   Giving up important social occupational, recreational activities because of alcohol use.
5.   Being unable to control alcohol intake.
a.   Experience the following physical symptoms
6.   Withdrawal symptoms when not drinking, including shaking, nause and vomiting.
7.   Alcohol craving.
8.   Lapses in memory (blacking out after a night of drinking).

HOW IT IS TREATED
        Treatment for alcohol use disorder varies, but each method is meant to help you stop drinking altogether. This is called abstinence. Treatment may occur in stages and can include the following;
a.   Medications to help control addiction.
b.   Counseling to address emotional problems that may cause you to drink.
c.   Medical treatment for health problems associated with alcohol use disorder.

OUTLOOK FOR A PERSON WITH ALCOHOL USE DISORDER
        Recovering from alcohol use disorder is difficult. Your outlook will depend on your ability to stop drinking. Many people who seek treatment are able to overcome the addiction. A strong support is helpful for making a complete recovery.
        Your outlook will also depend on the health complications that have developed as a result of drinking. Alcohol use disorder can severely damage a person liver. It can also lead to other health complications including;
         i.        Bleeding in the gastrointestinal (GI) tract.
        ii.        Depression/high blood pressure.
      iii.        Damage to brain cells.

THE EFFECTS OF ALCOHOL ON THE BODY
        Alcohol’s impact on your body starts from the moment you take your first sip. While an occasional glass of wine with dinner isn’t a cause for concern, the cumulative effects. A glass a day may cause little damage to your overall abnormal activation of digestive enzymes produced by the pancreas. Buildup of these enzymes can lead to inflammation known as Pancreatitis.
        Pancreatitis can become a long term condition and cause serious complications.

THE EFFECTS OF ALCOHOL IN INFLAMMATORY DAMAGE
        The liver is an organ which helps breakdown and remove harmful substances from your body, including alcohol. Long term alcohol use interferes with this process. It also increases your risk for chronic liver inflammation and liver disease. The scaring caused by this inflammation is known as Cirrhosis. The formation of scar tissue destroys the liver as the liver becomes increasingly damaged. It has a harder time removing toxic substance from your body.

THE EFFECTS OF ALCOHOL IN THE CENTRAL NERVOUS        SYSTEM
        One of the easiest ways to understand alcohol’s impact on your body is by understanding how it affects your central nervous system. Slurred speech is one of the first signs you’ve had too much to drink. Alcohol can reduce communication between your brain and body as alcohol causes more damage to your central nervous system you may experience numbness and tingling sensations in your feet and hands.
        Drinking also makes it difficult for your brain to create long-term memories.

THE EFFECTS OF ALCOHOL IN INDEPENCY
        Some people who drink heavily may develop a physical and emotional dependency on alcohol. Alcohol withdrawal can be difficult can life threatening. You often need professional help to break an alcohol addiction as a result, many people seek detoxification to get sober. It’s the safest way to ensure you break the physical addiction.

THE EFFECTS OF ALCOHOL IN THE DIGESTIVE SYSTEM
        The connection between alcohol consumption and your digestive system might not seem immediately clear. The side effects often only appear after there has been damage and the more you drink, the greater the damage will become. Drinking can damage the tissues in your digestive tract and prevent your intestines from digesting food and absorbing nutrients and vitamins. As a result, malnutrition may occur. People who consume too much alcohol may also be at risk for cancer. People who drink frequently are more likely to develop cancer in the mouth, throat, esophagus, colon or liver.

THE EFFECTS OF ALCOHOL IN THE SEXUAL AND REPRODUCTIVE HEALTH
        You may think drinking alcohol can lower your inhabitations and help you have more fun in bed. But the reality is quite different. Men who drink too much are more likely to experience erectile dysfunction. Heavy drinking can also prevent sex hormone production and lower your libido.
        Women who drink too much may stop menstruating. That puts them at a greater risk of infertility. Women who drink heavily during pregnancy have a higher risk of premature delivery, miscarriage, or still birth. Women who drink alcohol while pregnant put their unborn child at risk like;
         i.        Learning difficulties.
        ii.        Physical development abnormalities.
      iii.        Increased emotional problems.

THE EFFECTS OF ALCOHOL ON THE IMMUNE SYSTEM
        Drinking heavily reduces your body’s natural immune system this makes it more difficult for your body to fight off invading germs and viruses. People who drink heavily over a long period of time are also more likely to develop pneumonia or tuberculosis than the general population. About 5 percent of all tuberculosis cases in Nigeria can be tied to alcohol consumption.
        Drinking also increases your risk for several types of cancer, including mouth, breast, etc.

THE EFFECTS OF ALCOHOL ON OUR TEETH
        People who have alcohol use disorder tend to have higher plaque levels on their teeth and are three times as likely to experience permanent tooth loss. Aside from the sugar content, dark colored soft drinks can stain or discolor the teeth. Remember to rinse your mouth with water between drinks.

THE EFFECTS OF ALCOHOL IN THE CIRCULATORY SYSTEM
        Alcohol can affect your heart and lungs. People who are chronic drinkers of alcohol have a higher risk of heart-related issues than people who do not drink. Women who drink are more likely to develop heart diseases than men who drink. Circulatory system complication include;
1.   High blood pressure.
2.   Irregular heartbeat.
3.   Difficulty pumping blood through the body, stroke, heart attack.

ALCOHOLIC LIVER CIRRHOSIS
        The liver is a large organ with an important job in your body. It filters the blood of toxins, break down proteins, and creates bile to help the absorb facts. When a person drinks alcohol heavily over the course of decades, the body starts to replace the liver’s healthy tissues with scar tissue. This is condition is called alcoholic liver cirrhosis. As the disease progress and more of your healthy liver tissues is replaced with scar tissues your liver will stop functioning properly between 10 and 20 percent of heavy drinkers will develop cirrhosis. Alcoholic liver cirrhosis is the most advanced form of liver disease.

CONCLUSION
        Admit drinking is causing the problems. People drink to forget about problems but alcohol has never resolved a single problem for anyone. If anything, drinking only makes problems worse you will feel good when you make changes, many, many people successfully change.
        Seek help and you are far, far more likely to succeed. If you are a heavy drinker who drinks every day, you need cut down before stopping, or you need to see your alcohol specialist about having a detox.
Otherwise, you will suffer withdrawal symptoms, which can be a dangerous shock to your body. Some people have fits, hallucinations, and experience extreme anxiety.
Look after yourself; eat as well and healthy as you can. So many are caused by poor diet.
Set clear and achievable goals, write them down, and use a drinking diary, keep busy so you do not think about drinking as much.

REFERENCE
Alcoholics Anonymous, New York: Alcoholics Anonymous World Services Inc., 1989.

Darkeford, John W., Integrity Therapy. Nashville Broadman Press, 1967.

Dinebell, Howard J., Understanding and Counseling the Alcoholic through Religion and Psychology. New York Abingdon Press, 1968.

Dunn Jerry G., God is for the Alcoholic. Chicago: Moody Press, 1965.

Williams, Roger J. Alcoholism: The Nutritional Approach. Austin University of Texas Press, 1961.

Mayo Clinic (2015). Alcohol Use Disorder, October 2016.

National Institute on Alcohol Abuse and Alcoholism, 2016 Alcohol facts and Statistic, November, 2016.

Mental health America, Alcohol Substance use and Depression, October, 2018.

Distance Learning Center for Addiction Studies. Chronic Physical Effects of Alcoholism, November 2016.

US National Library of Medicine (2015) Alcohol Withdrawal, October 2016.

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