alcohol poisoning

How to deal with alcohol poisoning in the elderly?


Alcohol poisoning is very common in life. Some elderly people do not know how to control their drinking, which can easily lead to alcohol poisoning. For the elderly, the ability to hangover is worse than that of young people, so alcohol poisoning is more likely to occur in the wine table entertainment. So what to do about alcohol poisoning in the elderly? The following is a brief introduction for everyone.

What are the dangers of alcohol poisoning in the elderly

 Damage to the central nervous system

  Alcohol acts on the central nervous system causing a range of symptoms. Paralysis of the cerebellum leads to unsteady walking and drunken gait; alcohol inhibits the brain and nerves, which can easily lead to trance, fatigue, auditory hallucinations, visual hallucinations, memory loss, and mental decline.

 Liver damage

  Alcohol can cause fatty liver and alcoholic hepatitis through liver decomposition and detoxification; alcohol can cause liver cell degeneration, necrosis, fibrous tissue hyperplasia and cause alcoholic liver cirrhosis, or induce liver cancer.

 Kidney damage

  After drinking alcohol, the kidneys will transport water directly to the bladder without reabsorption, and the loss of water is equivalent to four times the intake of water. It also reduces the function of the kidneys and causes the accumulation of toxins, causing oliguria, and even nephritis, kidney stones, and uremia.

 Gastrointestinal damage

  Alcohol enters the stomach and accumulates on the stomach wall after being absorbed, causing continuous damage to the stomach. If you drink a lot of alcohol at one time, it may cause acute gastritis, gastric ulcer, erosion or bleeding. Nausea and vomiting usually occur after drunkenness, and pyloric spasm is one of the reasons due to the high concentration of ethanol in the stomach.

 Cardiovascular damage

  Drinkers produce excess glutamate in the body, leading to excitement, tremors, anxiety and increased blood pressure, secondary to coronary heart disease, angina pectoris or myocardial infarction. Drinking alcohol will speed up blood circulation, dilate blood vessels, cerebral hemorrhage and stroke. Headaches can be caused by dehydration, when the brain contracts and pulls on the diaphragm that connects the brain to the skull, causing pain.

How to deal with alcohol poisoning in the elderly

  1. Sophora flavescens is bitter in taste and dryness, and has the effect of expelling wind, killing insects, and diuretic. Sophora flavescens 10 ~ 12 grams of decoction drink, useful for sobering up.
  2. Rhizoma Imperatae is sweet and cold in nature, cools blood and stops bleeding, clears heat and diuresis. Take 15 to 30 grams of Rhizoma Imperatae and simmer in water to relieve alcoholism.
  3. Mulberry is sweet and slightly cold in nature, and has the functions of nourishing yin, nourishing blood, and moistening the intestines. When hangover, drink 150 grams of fresh mulberry juice.
  4. Bamboo Ru is sweet and slightly cold in nature, and has the effect of clearing away heat, resolving phlegm and relieving vomiting. Bamboo Ru 10-15 grams of water, decoction and drink, can cure headache, vomiting and other symptoms after drinking.
  5. The senile liver protection and hangover amino acid drink contains 8 kinds of essential amino acids, of which leucine can reduce the symptoms of biochemical reaction disorders caused by alcohol and help control alcoholism; threonine and methionine can play a role in the liver. It has a good protective effect and prevents the accumulation of fat in the liver; it can also protect the cerebellum to restore tissue nerves.
  6. Galangal is pungent and hot in nature and has the functions of relieving vomiting, dispelling cold and relieving pain. Galangal 10 to 15 grams, simmered in water, can cure excessive drinking, body cold and vomiting.
  7. Gehua is the unopened flower bud of kudzu vine, which is sweet and flat in nature, good at relieving alcohol and poison, refreshing the spleen and stomach and quenching thirst. 10-15 grams of Gehua decocted in water can treat headache, dizziness, polydipsia, and fullness of the chest and diaphragm caused by excessive drinking.
  8. Schisandra chinensis is sour, sweet and warm in nature. It has the functions of astringing the lungs and nourishing the kidneys, producing body fluid and astringing sweat, and astringent essence and stopping diarrhea. 10 to 12 grams of Schisandra schisandra can be decocted in water to relieve hangover.
  9. Nutmeg is pungent and warm, has astringent and antidiarrheal properties, and has the effect of promoting qi in the temperature and digestion. Take 10-12 grams of nutmeg and drink it in decoction to treat abdominal fullness and vomiting after drunkenness.
  10. Black plum is sour, astringent, and flat, and has the effects of astringing the lungs, astringent the intestines, and promoting body fluids. Take 30 grams of ebony and simmer in water to relieve polydipsia after drunkenness.
  11. White cardamom is pungent and warm in nature, and has the functions of dispelling dampness and strengthening the stomach, relieving vomiting in the middle of the temperature, and expelling qi and full of energy. Take 10 to 12 grams of white cardamom, decocted in water, and drink to remove vomiting caused by drunkenness.

The main cause of alcoholism in the elderly

  Alcohol is present in various alcohols in different proportions, and it can act quickly in the human body, changing one’s mood and behavior. This is because alcohol does not need to be digested in the human body, it can diffuse directly into the bloodstream and be distributed throughout the body. The process of alcohol absorption may start in the mouth. When it reaches the stomach, a small amount of alcohol can be directly absorbed by the stomach wall. After reaching the small intestine, the small intestine will quickly absorb a large amount of alcohol. After alcohol is absorbed into the blood, it flows with the blood to various organs, mainly in the liver and brain.

  The metabolism of alcohol in the body is mainly carried out in the liver. After entering the human body, a small amount of alcohol can be excreted with the lungs or through the sweat glands immediately. Most of the alcohol first reacts with alcohol dehydrogenase in the liver to generate acetaldehyde. , acetaldehyde is harmful to the human body, but it will soon be converted into acetic acid under the action of acetaldehyde dehydrogenase. Acetic acid is the only substance with nutritional value produced after alcohol enters the human body, it can provide the heat required by the human body. There is a limit to the metabolic rate of alcohol in the human body. If you drink too much, alcohol will accumulate in the body organs, especially in the liver and brain. If the accumulation reaches a certain level, the symptoms of alcoholism will appear.

  1. Alcoholism due to relative differences in people’s adaptability to ethanol
  2. High-dose intake of alcohol (excessive drinking) causes blood ethanol to exceed human tolerance. 3. High concentrations of ethanol intake lead to temporary anesthesia of the respiratory center and the nerve center that controls the heartbeat, resulting in death due to the inability to take in oxygen or the inability of nutrients to reach the body.

Symptoms of alcoholism in older adults

  Alcoholism is commonly known as drunkenness. Drinking a large amount of alcohol (ethanol) at one time will first excite and then inhibit the central nervous system. Severe poisoning can cause breathing and heartbeat depression and death.

  1. Temporary dark vision or memory loss.
  2. Frequent arguments or fights with family members or friends.
  3. Continued drinking in order to relax, excite, fall asleep, cope with problems, or feel “normal”.
  4. Headache, anxiety, insomnia, nausea or other unpleasant symptoms occur when drinking alcohol is stopped.
  5. Skin flushing, broken capillaries on the face, hoarse voice, shaking hands, chronic diarrhea, and drinking alone in the morning or in the dark.

  Clinical grading criteria The clinical manifestations of alcoholism can vary due to differences in alcohol consumption and individual tolerance. Regardless of the amount of drinking and the length of time, the patients with acute alcoholism were divided into four grades according to their condition.

  Level 1: The blood alcohol concentration is over 3000mg/ml, the patient is in a coma, sleepiness, pale face, hypothermia, clammy skin, slightly cyanotic lips, deep coma in severe cases, Chen-Shi’s respiration, rapid heartbeat, 2 Fecal incontinence and death due to respiratory failure can occur at any time. This period is often accompanied by a clear history of trauma.

  Level 2: The patient has the above-mentioned clinical manifestations of the coma but no history of trauma.

  Level 3: Patients with ataxia with a blood alcohol level that reaches the clinical level may experience incoordination, staggering gait, incoherent speech, blurred vision, restlessness, nausea, vomiting, and drowsiness, with or without trauma.

  Level 4: The patient is in a state of excitement, blood alcohol content, dizziness, fatigue, loss of self-control, emotional instability, irritability, rudeness or aggressive behavior, facial flushing and pallor.

How to prevent alcohol poisoning in the elderly

  1. Carry out publicity and education against alcoholism, create alternative conditions, and strengthen cultural, recreational and sports activities.
  2. Follow the good habit of “drinking without getting drunk” when drinking. Don’t use alcohol as medicine to relieve worries, loneliness, depression and work pressure.
  3. When drinking alcohol, you should not disrupt your diet, and you must not “take wine as your meal” to avoid malnutrition.
  4. Once you become addicted, you should quit drinking quickly, take care of the withdrawal syndrome, and the severe cases must be hospitalized. Anti-drinking drugs, such as disulfiram and dithrin, can be used to stop drinking and cause aversion to alcohol. Apomorphine can also be injected subcutaneously when drinking to cause aversive conditioning and quit drinking.
  5. After alcoholism and mental illness patients have abstained from alcohol and their symptoms have improved significantly, they should be helped to solve interpersonal problems and allow them to achieve social rehabilitation.

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