- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- 26.1 General introduction
- 26.2 The psychiatric assessment of the medical patient
- 26.3 Common psychiatric presentations in medical patients
- 26.4 Psychiatric treatments in the medically ill
- 26.5 Specific psychiatric disorders
- 26.5.1 Delirium
- 26.5.2 Dementia
- 26.5.3 Organic psychoses
- 26.5.4 Alcohol misuse
- 26.5.5 Substance misuse
- 26.5.6 Depressive disorder
- 26.5.7 Bipolar disorder
- 26.5.8 Anxiety disorders
- 26.5.9 Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- 26.5.10 Eating disorders
- 26.5.11 Schizophrenia
- 26.5.12 Somatic symptom and related disorders
- 26.5.13 Personality disorders
- 26.6 Changing unhealthy behaviours
- 26.7 Psychiatry, liaison psychiatry, and psychological medicine
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
Alcohol misuse
- Chapter:
- Alcohol misuse
- Author(s):
Jonathan Wood
- DOI:
- 10.1093/med/9780198746690.003.0630
Excessive intake of alcohol is common and increases the risk of developing many medical conditions, as well as leading to psychological and social harm. Medical conditions commonly associated with harmful use include upper gastrointestinal and liver disease, hypertension, and accidents. The psychological state of alcohol dependency makes it more difficult to reduce intake and physical dependency may lead to a withdrawal syndrome after admission to hospital. Withdrawal symptoms range from mild to severe and will commonly require treatment to prevent complications of alcohol withdrawal such as seizures. Delirium tremens is a life-threatening consequence of alcohol withdrawal that requires immediate active management. The role of alcohol in the development of Wernicke–Korsakoff syndrome means patients will also need prophylaxis or treatment for this in the acute medical setting.
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- 26.1 General introduction
- 26.2 The psychiatric assessment of the medical patient
- 26.3 Common psychiatric presentations in medical patients
- 26.4 Psychiatric treatments in the medically ill
- 26.5 Specific psychiatric disorders
- 26.5.1 Delirium
- 26.5.2 Dementia
- 26.5.3 Organic psychoses
- 26.5.4 Alcohol misuse
- 26.5.5 Substance misuse
- 26.5.6 Depressive disorder
- 26.5.7 Bipolar disorder
- 26.5.8 Anxiety disorders
- 26.5.9 Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- 26.5.10 Eating disorders
- 26.5.11 Schizophrenia
- 26.5.12 Somatic symptom and related disorders
- 26.5.13 Personality disorders
- 26.6 Changing unhealthy behaviours
- 26.7 Psychiatry, liaison psychiatry, and psychological medicine
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine