Alcohol Withdrawal Symptoms: Duration, Risks, & Treatment Options

Understanding Alcohol Withdrawal Symptoms

What Are the Symptoms of Alcohol Withdrawal?

Symptoms of alcohol withdrawal can range from mild tremors, anxiety, insomnia, and vomiting to severe and life-threatening seizures. 

The severity of alcohol withdrawal symptoms depends on the amount of daily drinking and the length of alcohol addiction.

What Happens to the Body When You Stop Drinking Alcohol?

When you have alcohol use disorder, and you stop drinking alcohol, your body begins the detoxification process.

Long-term alcohol abuse causes your body and brain to become dependent on alcohol. When you stop drinking, your body begins the process of detox, and you begin to feel the symptoms of withdrawal.

How Common Is Alcohol Withdrawal?

Alcohol withdrawal is relatively common, and according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), alcohol use disorder (AUD) impacts 28 million people a year, or 1 in 10 people. 

While alcohol withdrawal does not always cause severe symptoms, it is common for individuals recovering from AUD.

 

Onset of Symptoms & Duration

When Do Alcohol Withdrawal Symptoms Start?

Alcohol withdrawal symptoms start within 6-24 hours of the last drink. 

The peak of symptoms occurs 24-72 hours after the last drink.

How Long Will Alcohol Withdrawal Symptoms Last?

Withdrawal symptoms commonly last 72 hours to 7 days. 

Every individual’s withdrawal experience is unique, and some symptoms can last beyond a week.

How Long After Stopping Drinking Do You Feel Better?

For most people, symptoms of withdrawal resolve within 72 hours to a week. 

However, some individuals experience prolonged symptoms that last several weeks.

 

Mild Symptoms of Alcohol Withdrawal

What Are the Early Symptoms of Alcohol Withdrawal?

Early symptoms of alcohol withdrawal include anxiety, mild tremors, headaches, insomnia, sweating, and gastrointestinal issues. 

Every individual’s experience of early symptoms differs depending on alcohol intake and alcohol-related mental disorders.

Does Detoxing From Alcohol Feel Like the Flu?

Yes, alcohol detox, especially early symptoms, can feel like the flu. 

Working with a healthcare professional in a treatment center ensures your safety throughout the detox process.

Is Diarrhea a Symptom of Alcohol Withdrawal?

Yes. Diarrhea and other gastrointestinal issues are symptoms of alcohol withdrawal.

Gastrointestinal issues are caused by the body adjusting to the absence of alcohol and are especially present for individuals with a history of heavy drinking.

Do Alcohol Withdrawal Symptoms Affect Blood Pressure and Heart Rate?

Yes. Increased blood pressure and heart rate are common symptoms of alcohol withdrawal.

Changes in blood pressure and heart rate during detox are related to changes in the nervous system as the body attempts to regulate itself without the presence of alcohol. These changes contribute to the general disorientation that is common during detox.

 

Severe Alcohol Withdrawal Symptoms

What Are the Symptoms of Severe Alcohol Withdrawal?

Severe symptoms of alcohol withdrawal include delirium tremens (DTs), disorientation, hallucinations, and seizures. 

Hyperactivity, tremors, and agitation are also common with severe alcohol withdrawal.

Can Alcohol Withdrawal Be Life-Threatening?

Yes. Unmanaged alcohol withdrawal can cause severe health risks and be life-threatening. 

Working with a clinician in medical detox ensures that severe symptoms can be treated when they arise.

What Is Delirium Tremens (DTs)?

Delirium tremens (DTs) is characterized by confusion, disorientation, fear, and agitation.

DTs commonly have a rapid onset and are a severe form of alcohol withdrawal symptoms.

What Are the Signs of Delirium Tremens?

Signs of DTs include any rapid onset changes in mental health or the nervous system.

Mental or nervous system changes cause confusion, irritation, and anxiety.

These withdrawal symptoms are severe and warrant seeking treatment options immediately.

Are Alcohol Withdrawal Seizures Possible?

Yes, alcohol withdrawal seizures are possible and common.

Seizures are a severe symptom of alcohol withdrawal syndrome. They pose a high health risk and require immediate medical attention.

When Does Alcohol Withdrawal Become a Medical Emergency?

Alcohol withdrawal becomes a medical emergency when severe symptoms occur. 

Symptoms such as seizures, trembling, hallucinations, or confusion are a sign that you should seek medical attention immediately.

 

Risk Factors for Severe Alcohol Withdrawal

Who Is Most at Risk for Severe Alcohol Withdrawal?

Individuals with a history of substance abuse, heavy alcohol consumption, or DTs are at the highest risk of alcohol withdrawal. 

Additionally, older adults or individuals with other health issues are at a higher risk of experiencing severe symptoms of alcohol withdrawal.

Does the Amount of Alcohol Someone Consumes Affect Withdrawal?

Yes, heavy drinkers are more likely to experience a higher level of severity of withdrawal symptoms. 

Withdrawal symptoms are a result of the body’s effort to find equilibrium after ceasing alcohol consumption. Heavier drinkers experience a larger change, as their bodies are more accustomed to high levels of alcohol in their bloodstream, resulting in increased withdrawal symptoms.

Can Mental Health Conditions Affect Alcohol Withdrawal?

Yes, mental health conditions increase the risk of more severe symptoms in alcohol withdrawal. 

Mental health disorders increase withdrawal symptoms, lengthen recovery time, and increase the risk of other complications.

Effective treatment addresses withdrawal symptoms, substance use disorders, and mental health challenges simultaneously.

 

Health Risks Associated With Alcohol Withdrawal

How Does Alcohol Withdrawal Affect the Central Nervous System?

Alcohol withdrawal causes high excitability in the central nervous system.

This is due to alcohol being a depressant in the nervous system, which causes a sedative impact.

Over time, the brain made adaptations to accommodate alcohol. Without alcohol, these changes cause hyperactivity in the central nervous system, which results in hallucinations, seizures, and other life-threatening symptoms.

Can Alcohol Withdrawal Cause High Blood Pressure or Heart Rate Changes?

Yes, alcohol withdrawal commonly causes high blood pressure and increased heart rate. 

High excitability in the central nervous system leads to the release of neurotransmitters that impact the body, causing heart rate and blood pressure to spike.

Can Alcohol Withdrawal Affect Mental Health?

Yes. Alcohol withdrawal greatly impacts mental health, immediately increasing anxiety. 

Withdrawal also causes depression, irritability, and confusion.

The impact on mental health varies depending on preexisting mental health challenges.

What Health Problems Can Occur During Withdrawal?

Withdrawal causes health problems that range from gastrointestinal irritation to seizures. 

Additional health issues include heavy sweating, insomnia, and fever.

The severity of health challenges that result from withdrawal varies depending on previously existing health problems and alcohol intake.

What Signs Indicate a Medical Emergency?

Signs of a medical emergency include tremors, severe gastrointestinal issues, rapid heart rate, fever, and rapidly occurring confusion. 

Alcohol detox can be life-threatening. Seeking help can mitigate the effects of a medical emergency.

 

Medical Detox for Alcohol Dependence

Why Is Medical Detox Recommended for Alcohol Withdrawal?

Medical detox is recommended as it offers 24/7 monitoring that reduces the risk of life-threatening symptoms. 

Detox offers withdrawal support through medical supervision that helps mitigate health issues, reducing the risk of a medical emergency.

What Happens During Alcohol Detoxification?

Alcohol detox is the process of the body adjusting to a lack of alcohol.

During alcohol detoxification, the nervous system adjusts in an effort to regulate without alcohol. Withdrawal symptoms occur throughout this process.

How Do Medical Professionals Monitor Alcohol Withdrawal?

Medical detox provides ongoing support and monitoring by medical professionals, which may include vital sign monitoring, CIWA scoring, ECGs as needed, and medication titration protocols. 

What Medications Are Commonly Used in Alcohol Withdrawal Treatment?

Commonly used medications in alcohol withdrawal treatment include benzodiazepines, chlordiazepoxide, lorazepam, and diazepam. 

• Benzodiazepines: Benzodiazepines are the gold standard of alcohol withdrawal treatment. They are used to treat seizures and DTs. Additionally, they help manage cravings. 
• Chlordiazepoxide: As a long-acting benzodiazepine, chlordiazepoxide helps reduce central nervous system hyperactivity, reducing the risk of seizure. It is commonly used in the initial phase of detoxification.  
• Lorazepam: Used to treat hyperactivity in the central nervous system, lorazepam is commonly used to treat older patients or patients with liver disease going through alcohol withdrawal. 
• Diazepam: Diazepam is used in the initial phase of alcohol withdrawal and helps reduce the risk of more severe complications in detoxification, such as seizures and DTs.  

What Other Medications May Be Used During Detox?

Other medications used in detox include thiamine, electrolyte support, beta-blockers, antipsychotics, and other FDA-approved options.

Medications are administered in medical detox by prescribers who understand the benefits and risks of each individual medication. Working with a clinician ensures medications are utilized safely and effectively.

Will I Need Medication for Alcohol Withdrawal?

While medication is commonly used to treat alcohol withdrawal, it is not always necessary. 

Medical detox and around-the-clock monitoring ensure that you have access to medication if necessary.

 

Managing Withdrawal Symptoms

How Can You Deal With Withdrawal Symptoms of Alcohol?

Managing withdrawal symptoms is difficult, and the best way to deal with them is to seek professional treatment in a medical detox center. 

In medical detox, withdrawal symptoms are addressed through medications and medical support.

How Can You Ease Alcohol Withdrawal Symptoms?

Alcohol withdrawal symptoms can be eased through medication and hydration. 

Additionally, eating regularly and managing stress can help reduce symptoms.

How Can You Combat Alcohol Withdrawal Symptoms?

Medications help combat alcohol withdrawal symptoms and reduce the risk of them developing into life-threatening issues. 

Healthy practices such as stress reduction, hydration, and rest also help to combat symptoms.

 

Finding Treatment for Alcohol Use Disorder

Why Is Addiction Treatment Important After Detox?

Detox is only the first step to treatment for alcohol use disorder (AUD) – through an inpatient or outpatient continuing treatment program, you learn to address the root causes of your challenges with AUD.

Skill-building in a dedicated treatment program supports long-term recovery, allowing you to cultivate health and wellness in your newfound sober life.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), effective treatment for AUD includes individual or group therapy, support groups, and/or medication.

What Treatment Programs Are Available for Alcohol Addiction?

Treatment options for alcohol addiction include outpatient treatment and inpatient rehab. 

Effective treatment addresses your unique needs, helping you heal the root causes of addiction and build skills that support your long-term recovery.

What Level of Care Will I Need?

The level of care you need after detox will depend on your unique needs.

For example, you may need inpatient care for severe symptoms of addiction. Residential treatment offers a high level of structure and support through 24/7 care.

In inpatient care at Wellbridge, our program is designed with recovery in mind. This provides you with the tools you need to achieve lasting recovery.

On the other hand, outpatient programs are best if you are struggling with mild addiction. Outpatient care offers greater flexibility while still providing effective treatment.

While undergoing outpatient treatment, you can live at home. This is ideal if you do not need a high level of structure and support to be successful in treatment.

Do Evidence-Based Therapies Help In Alcohol Treatment?

Yes, evidence-based therapies are highly effective in alcohol treatment. 

At Wellbridge, we offer a variety of effective evidence-based therapies that help you address the root causes of your alcohol or drug abuse. We rely heavily on behavioral therapies that help you develop skills and patterns that support your long-term recovery.

When Should Someone Contact a Healthcare Provider About Withdrawal?

Withdrawal symptoms can rapidly become life-threatening, and contacting a healthcare provider is essential if withdrawal symptoms are becoming increasingly severe. 

 

Aftercare and Long-Term Support

How Do Support Groups Help With Alcohol Recovery?

Support groups provide a sense of community support in alcohol recovery. 

Addiction can often feel isolating, and support groups provide connections that support the recovery process.

Support groups also offer insight into challenges through peer connections. By sharing your own challenges and supporting others with theirs, you can learn from them.

What Is the Role of Alcoholics Anonymous in Recovery?

Alcoholics Anonymous (AA) is a peer support group that offers accountability and peer support in recovery. 

Offered around the world, AA support meetings are a place to provide and receive ongoing support that helps you stay on track through recovery. As an anonymous organization, it provides you with access to a community that supports your ongoing recovery efforts.

How Can Families Support a Loved One During Recovery?

Family support is integral in recovery and looks different for each individual. 

Through family therapy and family programs, families can learn how to best support the recovery process. Working with a treatment center helps families provide effective support throughout treatment and recovery.

How Can Aftercare and Community Programs Help With Harm Reduction?

Aftercare and community programs help you stay engaged in a community that fully supports your recovery. 

Staying engaged in a community supports you when you need it, helping you get through challenges without reaching for alcohol.

At Wellbridge, we offer ongoing programs that help you stay on track in your recovery journey.

 

Frequently Asked Questions (FAQs)

Will I experience cravings after stopping drinking?

Cravings are commonly experienced after you stop drinking. 

Every individual’s experience of alcohol withdrawal is unique, including cravings. The severity of cravings depends on your history of alcohol abuse, the amount of alcohol you used prior to stopping, and previously existing health challenges.

Cravings commonly occur within a few days of ceasing drinking, and subside as your brain and body regulate after detox. However, cravings can continue in certain settings.

In treatment for alcohol addiction, you learn how to address these cravings and prevent relapse.

Can alcohol withdrawal happen after short-term drinking?

Yes, alcohol withdrawal can occur after short-term drinking, especially short-term heavy drinking.  

The brain and central nervous system quickly adjust to a large amount of alcohol, which results in you experiencing the effects of alcohol. This results in changes that cause you to experience withdrawal symptoms as alcohol leaves your system.

Symptoms are typically mild, including insomnia, anxiety, or tremors.

Is it safe to detox from alcohol at home?

Alcohol detox can be life-threatening, and it is best to detox in a medical setting where you can be treated as needed.

Medical detox provides monitoring and ongoing support to address issues as they arise. Therefore, medical detox is the safest way to detox from alcohol, ensuring that you are protecting your long-term health.

Additionally, medical detox allows you access to treatment programs that help you address underlying issues related to alcohol addiction. Treatment programs help you build long-term skills that protect you from returning to using alcohol.

What happens if alcohol withdrawal is left untreated?

Alcohol withdrawal that is left untreated can increase in severity, causing a life-threatening medical emergency. 

If you are uncertain if you or a loved one needs help, seeking treatment is the best option.

At Wellbridge, we offer a full continuum of care that can help you or your loved one recover from alcohol addiction. Detox is the first step in treatment and can help you safely withdraw from alcohol under medical supervision.