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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.
  • Insomnia
  • Inability to concentrate.
  • Feeling of unreality.
  • In most severe cases trunkal atoxia.
  • Nausea.
  • Vomiting.
  • Diarrhoea.
  • 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.
  • Tachycardia.
  • 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.
Alcohol that mesmerizes people

Alcohol that mesmerizes people


  • Blood test.
  • Liver function test.
  • Pyruvate serum level test.
  • Pyruvate tolerance curve.


  • Vitamin B complex.
  • Complete diet re-evaluation.
  • Antiemetic.
  • Antacids.
  • Ataractics.
  • Sedatives.
  • Anti-convulsants.


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.

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