Continued from page 1
So what if alcohol is suddenly removed from
picture? In that case,
brain's GABA has fewer locations on which it can act to put on
brakes. As a consequence,
brain's cells become unmanageably over-active, and
symptoms of delirium tremens ensue.
DTs are a medical emergency requiring hospitalization, generally in an intensive care unit. The patient needs intravenous fluids, vitamins, nutrition, and correction of salt-and-water imbalances in
bloodstream. Drugs known as benzodiazepines are usually administered to relieve
over-excitation of brain cells. The medical team searches for complications, like infections or irregular heartbeats, that require other treatments. Medical personnel monitor
patient frequently. Family and friends provide valuable assistance by keeping
patient calm.
But in delirium tremens
old adage applies—an ounce of prevention is worth a pound of cure. The best case is
one that doesn't happen. Of course, this doesn't mean that a patient with alcohol dependence should continue drinking. Rather, it means that professional help should be enlisted in order to withdraw from alcohol safely.
This begs
question of who has alcohol dependence in
first place. More than one set of yardsticks exist, but
"CAGE" questionnaire provides a simple and effective screen in which
letters of
word correspond to each of four questions:
C – Have you ever felt you should CUT down on your drinking?
A – Have people ANNOYED you by criticizing your drinking?
G – Have you ever felt bad or GUILTY about your drinking?
E – Have you ever had a drink first thing in
morning to steady your nerves or get rid of a hangover (EYE-opener)?
A "yes" answer to one of
four questions raises
possibility of alcohol dependence. A "yes" answer to two of
questions makes alcohol dependence likely, and help should be requested.
(C) 2005 by Gary Cordingley

Gary Cordingley, MD, PhD, is a clinical neurologist, teacher and researcher who works in Athens, Ohio. For more health-related articles see his website at: http://www.cordingleyneurology.com