Alcohol Withdrawal Syndrome – Signs, Diagnosis and Treatment
- In chronic people when they attempt to stop drinking (most severe symptoms in patients who have been drinking for longest period), aggravation of tremulousness or “shakes" occurs.
- Severe anxiety.
- Inability to concentrate.
- Feeling of unreality.
- In most severe cases trunkal atoxia.
- Abdominal cramps.
- Hallucination within 24 to 25 days after alcohol withdrawal (25%).
- Patients remain able to describe hallucinations and communicate coherently.
- “Pum Fits" or grand mal seizures may be first symptoms.
- Delirium tremens is a combination of severe tremulousness and hallucination in severe form.
- Evidence of dehydration.
- Dilation of pupils.
- Profuse sweating.
- Increased temperature may be observed.
- Increased blood pressure.
- Alcohol withdrawal alone may precipitate syndrome.
- Thiamine deficiency and other nutritional deficiency occur in determining this syndrome.
- Blood test.
- Liver function test.
- Pyruvate serum level test.
- Pyruvate tolerance curve.
- Vitamin B complex.
- Complete diet re-evaluation.
Often limited to 3 to 7days. Delirium tremens mortality estimated between 2% and 12%. Repeated attacks following resumption and discontinuation or increasing or decreasing intake of alcohol. A delayed type of syndrome with milder symptoms is reported that may occur years after discontinuation of alcohol intake.