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Alcohol Intolerance: Causes, Symptoms, Diagnosis & Treatment

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Many East Asians experience a reaction known as “Asian flush” or “Asian glow” because their bodies cannot process alcohol efficiently. It is important to prioritize your health and comfort and make choices that align with your personal limits. If you think you might have developed an alcohol intolerance, it’s important to find out for sure so you’re in a better position to manage your health. A food intolerance test is a fast and reliable way to find out in just 3 days. Individuals may also explore alternative alcoholic beverages or nonalcoholic options that they can tolerate. They may also find that eating certain foods, taking supplements, or exercising may help with their reaction.

What are the Treatment Options for Alcohol Intolerance?

signs of alcohol intolerance

Interestingly, some medications like disulfiram (used to treat alcohol dependence) work by inhibiting ALDH2, intentionally triggering intolerance symptoms to deter drinking. If you’re taking medications, check for interactions that could exacerbate intolerance—antibiotics, antifungals, and even certain diabetes drugs can heighten sensitivity to alcohol. Alcohol allergy is very rare but allergic reactions can be strong, leading in some cases to anaphylaxis which can be fatal. The symptoms of alcohol allergy can be very similar to alcohol intolerance.

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Of these symptoms, facial flushing is the most common and will almost always be present. With alcohol intolerance, these symptoms will begin almost immediately after exposure to alcohol. While drinking alcohol is the most common trigger, other actions, like using cough syrup containing alcohol or alcohol-based hand sanitizer, may also trigger these symptoms. Sudden onset alcohol intolerance can be perplexing and concerning when it develops. Genetic alcohol intolerance will be present during your entire life, so if it suddenly starts, it is typically due to another reason. The most common cause is starting a new medication that inhibits the enzymes needed to metabolize alcohol, leading to new intolerance symptoms.

Food Intolerance Tests

Dr Fox explains that the science behind this is that dangerous levels of enzymes are accumulating in the cells of your body when you drink Alcohol Intolerance alcohol, and they cannot be broken down. As a result, liver tissue can become inflamed, leading to fibrosis, and ultimately cirrhosis and liver failure. There is also an increased risk of liver cancer if you continue to drink while intolerant.

  • The only way to manage it is by avoiding or limiting alcohol consumption.
  • When ALDH2 levels are low, a toxic substance builds up, causing flushing, a faster heartbeat, and headaches.
  • They often have a gene that is affected that is passed down in the family.
  • When metabolism already runs slowly, the same pattern may carry even more strain.

As much as 85% of people in East Asian countries experience symptoms after drinking alcohol. In Western countries, it isn’t quite as common; an American study found that 7% of adults have an alcohol intolerance, with 9% of women experiencing symptoms compared to 5% of men. You may not need to see a doctor if you have a mild intolerance to alcohol or something else in alcoholic beverages. You may simply need to avoid alcohol, limit how much you drink, or avoid certain types of alcoholic beverages. However, if you have a serious reaction or severe pain, see your doctor. Also, if your symptoms seem to be linked to an allergy or a medication you’re taking, see your doctor.

If you’re seeking options that are less likely to cause unwanted reactions, consider adding alcohol-free selections to your drink choices. Non-alcoholic beverages—like mocktails, alcohol-free beers, and wines—offer a similar social experience without the risk of negative effects. Mocktails, crafted from fresh juices and aromatic herbs, can be just as enjoyable as their alcoholic counterparts. Congeners are integral to the flavour and character of these darker spirits, adding to the complex aromas and tastes that each drink offers. They contribute to the unique profiles we enjoy, but there’s a catch—studies suggest that congeners can amplify the symptoms of alcohol intolerance, making hangovers more severe.

How can individuals manage alcohol intolerance effectively?

People who have a true alcohol allergy should avoid drinking alcohol entirely. It usually targets ingredients such as grain proteins, grapes, or additives. Symptoms can include hives, swelling of the lips or tongue, wheezing, or severe stomach cramps. It can be surprising to suddenly develop intolerance to alcohol, especially if you’ve enjoyed it without issues before. Common reactions may include skin issues like hives and swelling (also known as angioedema), which can be uncomfortable and distressing. Symptoms may include difficulty breathing, tightness in the throat, a racing heart, and even stomach issues.

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Alcohol intolerances are usually genetic but may also occur without a known cause. In addition, older adults also experience a change in their renal function and balance of water and sodium, which raises their risk of dehydration. This suggests that if they drink alcohol, they may become dehydrated quicker and feel the effects more. Alcohol intolerance occurs when the body does not have the correct enzymes to break down the toxins in alcohol.

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