Tag Archives: Alcohol intoxication

Common signs and symptoms of alcohol abuse

Common signs and symptoms of alcohol abuse: The Identification mechanism of alcohol addiction

Common signs and symptoms of alcohol abuse

Common signs and symptoms of alcohol abuse are very necessary in the recovery process

It may not be very practical for anyone to candidly talk about alcohol abuse if the individual is not privy to the information about certain common signs and symptoms of alcohol abuse. It therefore means that you cannot purport to be dealing with the problem of alcohol abuse if you are not in the know of the signs and symptoms of the substance. This is what doctor Dalal Akoury is going to help us understand for a couple of minutes in this article and you don’t want to miss on the expertise of this great and experienced addiction professional of over two decades of offering lasting treatment solutions to her clients. You too can be part of her great team of fully recovered alcoholic and join in the long list of positive testimonies by scheduling for an appointment with her today for the commencement of your recovery journey. In the meantime let us get back to the subject of discussion. The following will be some of the indicators that you may be jumping into alcohol addiction at a very high speed:

  • If you have been repeatedly neglecting your responsibilities at home, work, or school because of your drinking. Like for instance, performing poorly at work, flunking classes, neglecting your kids, or skipping out on commitments because of your drinking hung over.
  • Using alcohol in situations where it’s both physically, socially, morally and psychologically dangerous like for example, drinking and driving, operating machinery while intoxicated, or mixing alcohol with prescription medication against doctor’s orders.
  • When you are ever experiencing repeated legal problems with the law enforcement agencies on account of your drinking. For example, being arrested for driving under the influence or for drunk and disorderly conduct.
  • Continuing to drink even though your alcohol use is causing problems in your relationships. Getting drunk with your buddies, for example, even though you know your wife will be very upset, or fighting with your family because they dislike how you act when you drink.
  • Drinking as a way to relax or de-stress. Many drinking problems start when people use alcohol to self-soothe and relieve stress. Getting drunk after every stressful day, for example, or reaching for a bottle every time you have an argument with your spouse or boss.

Common signs and symptoms of alcohol abuse: The path from alcohol abuse to alcoholism

Not all alcohol abusers become full-blown alcoholics, but it is a big risk factor. Sometimes alcoholism develops suddenly in response to a stressful change, such as a breakup, retirement, or another loss. Other times, it gradually creeps up on you as your tolerance to alcohol increases. If you’re a binge drinker or you drink every day, the risks of developing alcoholism are greater.

Common signs and symptoms of alcohol abuse: Signs and symptoms of alcoholism (alcohol dependence)

Alcoholism is the most severe form of problem drinking. Alcoholism involves all the symptoms of alcohol abuse, but it also involves another element: physical dependence on alcohol. If you rely on alcohol to function or feel physically compelled to drink, you’re an alcoholic.


Under normal circumstances, this is often the major warning sign of alcoholism. If your answer to these questions is yes, then tolerance is clearly observable. Do you have to drink a lot more than you used to in order to get buzzed or to feel relaxed? Can you drink more than other people without getting drunk? These are signs of tolerance, which can be an early warning sign of alcoholism. Tolerance means that, over time, you need more and more alcohol to feel the same effects.


After tolerance withdrawal comes in second as one of the major warning sign of alcoholism and a gain if your answer to these questions is yes then it is easy to conclude that alcoholism is knocking on your door. Do you need a drink to steady the shakes in the morning? Drinking to relieve or avoid withdrawal symptoms is a sign of alcoholism and a huge red flag. When you drink heavily, your body gets used to the alcohol and experiences withdrawal symptoms if it’s taken away. These include:

  • Anxiety or jumpiness
  • Shakiness or trembling
  • Sweating
  • Depression
  • Headache
  • Insomnia
  • Irritability
  • Nausea and vomiting
  • Loss of appetite
  • Fatigue

Doctor Akoury notes it is important to take into account that in severe cases, withdrawal from alcohol can also involve hallucinations, confusion, seizures, fever, and agitation. It is therefore very important that as soon as these symptoms are identified, timely action must be taken because they can be dangerous; therefore schedule for an appointment with doctor Akoury and let treatment begins without any further delays.

Other signs and symptoms of alcoholism (alcohol dependence)

  • You’ve lost control over your drinking. You often drink more alcohol than you wanted to, for longer than you intended, or despite telling yourself you wouldn’t.
  • You want to quit drinking, but something is just pulling you back making you to embrace the fact that you can’t. You have a persistent desire to cut down or stop your alcohol use, but your efforts to quit have been unsuccessful.
  • You have given up other activities because of alcohol. You’re spending less time on activities that used to be important to you (hanging out with family and friends, going to the gym, pursuing your hobbies) because of your alcohol use.
  • Alcohol takes up a great deal of your energy and focus. You spend a lot of time drinking, thinking about it, or recovering from its effects. You have few if any interests or social involvements that don’t revolve around drinking.
  • You drink even though you know it’s causing problems. For example, you recognize that your alcohol use is damaging your marriage, making your depression worse, or causing health problems, but you continue to drink anyway.

Common signs and symptoms of alcohol abuse: Drinking problems and denial

Finally doctor Akoury says that denial is one of the biggest obstacles to getting help for alcohol abuse and alcoholism. The desire to drink is so strong that the mind finds many ways to justifying drinking, even when the consequences are obvious. Therefore if you find yourself justifying your drinking habits by lying about them or refusing to discuss the subject, take a moment to consider why you’re so defensive. If you truly believe you don’t have a problem, there should be no reason for you to cover up your drinking or make excuses.

Common signs and symptoms of alcohol abuse: The Identification mechanism of alcohol addiction





Topamax and Alcoholism Treatment

Role of Topamax in Alcoholism Treatment

TopamaxAlcoholism is serious problem that many people are still battling with today. After consuming alcohol for a long time, the brain chemistry becomes altered and there the brain becomes dependent on alcohol to function properly. Any person who is trapped in alcoholism may find it very hard to creep out of it, courtesy of cravings. for a person to be treated effectively of alcoholism he needs to have these cravings brought down without which all the possible positive outcomes during the treatment will all be in vain as very few people will be able to resist the craving for alcohol. Today almost a third of Americans who drink wine, spirits, beer and other alcoholic beverages are considered problem drinkers, meaning that they are at risk of becoming alcohol dependent, according to a 2005 study in the American Family Physician journal. Alcoholism is the final stage of alcohol addiction and it affects about 12 percent of the population. However alcoholism is not a problem of the Americans alone, it is a problem of the world, even in Middle East which was once considered an alcohol free territory has alcohol addicts.

Some of symptoms of alcoholism include;

  • Intense craving for alcohol
  • Inability to stop taking alcohol
  • Binge drinking
  • Other symptoms include; Nausea, sweating, shakiness, restlessness, or anxiety after drinking has stopped

The need for alcoholism treatment has led to rise of certain drugs that have been in use for some time. Alcohol dependence is a serious problem and FDA approved certain drugs like disulfiram (Antabuse and generic), naltrexone (ReVia, Vivitrol, and generic), and acamprosate (Campral). However these drugs haven’t been very successful in treating alcoholism as most of them had to be effective only when the patient has abstained from alcohol. This is surely a problem for alcohol cravings can never allow an addict to abstain before the problem is addressed. Therefore the need for a drug that could work even when the patient is still drinking rose. Topamax is the drug that was found to be effective in treatment of alcoholism as it could work without the need of the addict stopping the use of alcohol; Topamax was found to be very successful in treating volunteers who were still drinking heavily, according to a new analysis by the American Society of Health-Systems Pharmacists. However effective it is, topiramate is not approved by the FDA to treat alcohol dependence.

The drug is approved for treatment of certain types of seizures and as remedy for some conditions like migraine headaches. topiramate is also used as an off-label to combat alcoholism because it does not only not only quell other effects of alcohol but also appears to correct the brain chemistry imbalance caused by chronic drinking which includes a decrease in rewarding effects in the brain from continued alcohol consumption.

Speaking about the effectiveness of topiramate in treatment of alcoholism, Henry R. Kranzler, M.D., associate scientific director of the Alcohol Research Center at the University of Connecticut had this to say, “The advantages of topiramate are that it works well and can be used in people who are actively drinking,” however Kranzler emphasized the negative effects of using the drug to treat alcoholism, “But it causes troublesome side effects, especially memory and thinking problems and sedation. To minimize them, the dosage must be increased slowly over as long as eight weeks, which requires multiple doctor visits and means patients, may not achieve results as quickly as they would with another medication.” therefore it must be administered by a qualified doctor who’ll know the right dosage.

How effective is topiramate in treatment of alcoholism?

There have been some researchers that have been done to show the effectiveness of topiramate in treating alcoholism. In two double-blind, randomized, placebo-controlled trials, topiramate was found effective as it did not only decrease drinking but also increased abstinence in alcohol-dependent adults. The craving for alcohol was also decreased in one of the two studies and it also improved the quality of life of the addicts. Other problems that are always associated with excessive drinking like blood pressure issues, liver enzyme and increasing cholesterol levels were also remedied. However these two studies were only conducted for 12 to 14 weeks, therefore the long-term effectiveness of the drug could not be determined. Another reason that made these results doubtable was the fact that Topamax manufacturers partly or fully funded these trials.

TopamaxIn another study that was not blinded, Spanish researchers randomly assigned alcohol-dependent patients to treatment with either topiramate or naltrexone for six months. The patients knew that they were taking the medication and which drug they took. In this study topiramate was found to be very effective in reducing the cravings for alcohol. In another observational study in Spain it was found that topiramate was effective in treating alcoholics who had failed to respond to other standard treatments for alcoholism. It helped reduce craving and drinking in these patients.

The results of these researches are very positive on the use of topiramate in treatment of alcoholism however there is still need to come up with other long term research to help determine whether the use of topiramate for treatment of alcoholism can be beneficial, also the need for accurate dosing should be looked into to minimize chances of the patients suffering gross side effects.

Alcoholism is a menace that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. It does not matter what kind of addiction you are wrestling with right now, just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Role of Topamax in Alcoholism Treatment



It’s A Doctor’s Responsibility: Addiction Treatment

Life Time Risk of Imprisonment If Not Treated

The very existence of the medicine profession is to help find solution to patients who are suffering from various diseases. However in most situations the patients will have to pay for the services offered by the doctor. This is no crime; every profession exists so that those who specialize in those professions can make a living after offering their service. With this said it is good to note that there are times when a patient may need an emergent medical attention but may not be able to pay. During these times the patient should be able to be treated even if the doctor knows that he won’t pay. It is a responsibility of every doctor to tend his services to a patient who needs emergency care even without pay failure to which he will be imprisoned for failing to save a life that would have been saved had he offered his services to the patient on the right time.  Doctors know this and so they strive to give help when these situations pop up.

In medical laws any patient who needs an emergency response has a right to be treated and even a drug addict who is at the verge of losing his life as a result of addiction, withdrawal effects or drug overdose is termed an emergency case and so should be treated just like any other person who might have required a medical emergency from any unfortunate happening like road accident. Any person has a right to treatment at the times of emergency since without treatment the person may become disabled or may die.

Addiction treatment

Both public and private hospitals have a duty to administer medical care to a person experiencing an emergency. It is therefore in every doctor’s domain to treat a patient that needs emergency response failure to which he shall be legally responsible for the death of the patient.

If a hospital hasemergency facilities, it is legally required to provide appropriate treatment to a person experiencing an emergency. If the hospital is unableto provide emergency services, it must provide a referral for approriate treatment. Hospitals cannot refuse to treat prospective patient’s onthe basis of race, religion, or national origin, or refuse to treat someone with HIV or AIDS.

Emergency Medical Treatment and Active Labor Act 

In 1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) (42 U.S.C.A. § 1395dd), which establishedcriteria for emergency services and criteria for safe transfer of patients between hospitals. This statute was designed to prevent transferring an undesirable patient to another facility.The law applies to all hospitals receiving federal funds, such asMedicare. The law requires hospitals to provide a screening exam to determine if an emergency condition exists, providestabilizing treatment to any emergency patient or to any woman in active labor before transfer, and continue treatment until a patient can bedischarged or transferred without harm. It also delineates strict guidelines for the transfer of a patient who cannot be stabilized. A hospitalthat negligently or knowingly and willfully violates any of these provisions can be terminated or suspended from Medicare.The physician,the hospital, or both can also be penalized up to $50,000 for each knowing violation of thelaw.

Addiction TreatmentAny patient who needs emergency attention should receive it since if it is delayed there might be a loss of life. Therefore if a doctor is asked to attend to a medical emergency as defined in this statement, he must respond. This is both an ethical and legal obligation and therefore every doctor should abide. However rare there will be times when attending a medical emergency is impossible or unsafe for the doctor or patient. If a doctor chooses not to attend he or she may be required to defend that decision in the event of a charge of professional misconduct or criminal prosecution. The patient who needs medical attention is therefore catered for and should not be ignored.

A doctor is at risk of being professionally or criminally responsible of the death of a patient if he or she fails to render prompt and appropriate medical care to any person whether the patient is a current patient has just came in, in a medical emergency. A doctor who chooses not to attend must have good reason and be able to defend this position at a later time otherwise he will be charged in a court of law for medical negligence.

However there are situations when a doctor, may or should not attend a medical emergency. These scenarios may include;

  • if he or she is already attending another emergency
  • if it is more appropriate for an emergency service to attend (i.e. ambulance or rescue helicopter);
  • the geographical location of the doctor is such that another doctor or medical service can attend more promptly;
  • if he or she is off duty at the time of the call and has been drinking alcohol or taken medication or other substances to a level that may adversely influence the doctor’s level of competence;
  • If attending the emergency places the personal safety of the doctor at risk.
  • The doctor may also not attend to the patient if he is not in the right state of health himself or when he knows he is not competent enough to help the patient.

However a doctor should be able to take good care of the patient even if he is not able to offer any reasonable help to the patient. He should be able to assist the patient to access another health center where he can be helped. If a doctor fails to attend to emergency because of matters of inconvenience he will be charged and prosecuted.

Addicts just like anyone else have rights to emergency attention that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to patients by availing the needed information and offering them a place to call home. Just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Life Time Risk of Imprisonment If Not Treated



Alcohol Abuse Escalates Liver Cancer Risk

Alcohol Abuse and Liver Cancer

Liver cancerLiver cancer is a problem that has affected many people and lots is being done to help alleviate its effects on the world’s population. According to the American cancer society about 24,550 people (17,030 men and 7,520 women) will die of liver cancer. The number of people dying of liver cancer has increased greatly over the past decades. However, this disease has been found to affect men more than it affects women. On average a man’s lifetime risk of getting liver or intrahepatic bile duct cancer is about 1 in 81, while an average woman’s risk is about 1 in 196. On average people who are diagnosed with liver cancer are aged 63 with most of them being 45 years of age or older, the statistics state that more than 95 percent of those affected are aged 45 and above. About 3% are between 35 and 44 years of age and about 2% are younger than 35.

Liver cancer can affects anybody anywhere but researchers have found that it is more common in countries in sub-Saharan Africa and Southeast Asia than in the US. In fact in most of the countries in these regions it has become the most common type of cancer. In the entire world it is reported that more than 700,000 people are diagnosed with liver cancer each year throughout the world. Liver cancer is also a leading cause of cancer deaths worldwide, accounting for more than 600,000 deaths each year.

Basing on the statistics above, it is therefore safe to say that liver cancer is a cause for alarm, with the risk of liver cancer growing everyday bearing on the toxins that are present in our environments, it is important to eliminate all the possible risk factors to liver cancer. Alcohol drinking has been linked to liver cancer. It is therefore reasonable to reduce the rate of alcohol you take or better quit it completely, of course you will need professional help to quit it but all the effort will be worth it.

Despite these statistics that have shown that liver cancer is a serious disease that ought to be fought at all costs, there has been controversy on the subject of liver cancer being linked to alcohol use. Past researchers established that drinking alcohol moderately has very many health benefits. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines moderate drinking as consumption of 14 drinks per week for men and 7 drinks per week for women. Exceeding these limits increases your risk to other diseases, liver cancer included.

There has been controversy on this topic and this may be because of the fact that alcohol itself doesn’t cause liver cancer but when consumed beyond healthy limits and hence abused for many years it will cause liver cirrhosis. Liver cirrhosis is a major cause of liver cancer and so if alcohol abuse causes liver cirrhosis then it will cause cancer in the long run.

Liver Cirrhosis to Liver cancer

Usually, a person who is addicted to alcohol will drink up to a point that he gets to suffer liver cirrhosis after stopping drinking he will develop liver cancer. Researchers opine that it is somewhat unusual for an actively drinking alcoholic to develop liver cancer. What happens is that when the drinking is stopped, the liver cells try to heal by regenerating. It is during this active regeneration that a cancer-producing genetic change (gene mutation) can occur, which explains the occurrence of liver cancer after the drinking has been stopped.

Alcohol abuse has far more ways to contribute to cancer however its links to liver cancer can majorly be apportioned to development from liver cirrhosis. The fact that alcohol is converted into a toxic chemical called acetaldehyde in our bodies may be considered though it hasn’t been linked specifically to liver cancer. Acetaldehyde can cause cancer by damaging DNA and stopping our cells from repairing this damage. The International Agency for Research on Cancer have classified acetaldehyde formed as a result of drinking alcohol as being a cause of cancer, along with alcohol itself. It also causes liver cells to grow faster than normal. These regenerating cells are more likely to pick up changes in their genes that could lead to cancer.

Liver CancerAlcohol is made up of other carcinogens and these carcinogens interacts with the liver, the liver being a vital filter organ through which every pint of alcohol consumed passes through. When these toxins overburden the liver, it becomes easier for infections that may later escalate into liver cancer to be initiated.

Drug addiction is a vice that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. We offer NER Treatment and Amino acid therapy that are the most effective approaches to addiction treatment and recovery. You call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Alcohol Abuse and Liver Cancer


Mixing alcohol with other drugs

Mixing alcohol with other drugs – Long term effects of heavy drinking


Mixing alcohol with other drugs is not an option, it is complicated and life threatening. Seek for help immediately.

Whichever way you look at alcohol consumption you will be rest assured that up to 98% will be all negative effects – and in fact of the said benefits three quarters are concoction benefits with do not last for instance being talkative or gaining some level of confidence while under the influence of alcohol may be seen as a benefit but as soon as time lapses and sobriety resurface you lose the benefit instantly. I believe that from this introduction we can confess that alcohol is dangerous on its own and what about if the consumer mixes alcohol with other drugs? We are getting into that shortly but in the meantime let us look at some of the effects of alcohol alone without other drugs. People who drink heavily for a long time may experience the following:

  • Brain and nerve damage
  • High blood pressure and strokes
  • Liver disease
  • Damage to the fetus, for pregnant women
  • Diseases of the stomach, digestive system and pancreas
  • Breast cancer and throat cancer
  • Low sex hormone levels
  • Alcohol dependence

These are not experiences you would want to be associated with in life because they are not only bad but also life threatening. I will tell you without a second thought that if you’re taking alcohol then the best thing you can do for your dear life is to stop and seek help from the experts like doctor Dalal Akoury of AWAREmed Health and Wellness Resource Center for an expert opinion.
You may have not known but it is said that there are some limited benefits of alcohol consumption particularly to the people age 45 and above, this should not motivate you into drinking if you’re not. You must not start drinking to try getting some of these health benefits instead you should keep off drinking because you’re better off eating a healthy diet, exercising regularly and avoiding smoking.

Mixing alcohol with other drugs is dangerous

Alcohol and other drugs don’t mix and attempting this can be very fatal. For instance if you were to mix marijuana or club drugs (e.g. ecstasy, ketamine, GHB) with alcohol it will certainly be very difficult to make informed  and smart decisions. You will be in consistent problems with the authorities because you’re not in control of yourself. You are likely to get into dangerous situations, to be injured or to injure someone else in the process. I plain language mixing alcohol with other substances is life threatening. Doing this may trigger your body to react violently causing you pain, headaches, cramps or vomiting. This is the last thing you would want to do. DON’T mix alcohol with any other drug.

Legality of alcohol

Unfortunately alcohol is legal in as much as we are revealing the dangerous effects of this substances (alcohol) it is among the many addictive drugs allowed for human usage. The usage is limited to certain age bracket is a legal drug if you are of meaning that you can only use or buy alcohol if you’re within the legally allowed age. Currently in many nations across the globe the recommended age for drinking is 18 year though in some countries this limit can be up to 19 years or even more.

The law about drinking and driving

Many lives are unnecessarily lost on the roads globally due to drink driving. Studies have also established that alcohol is the major cause of many of these deaths and because of these nearly all states across the globe are taking this seriously by enforcing stringent laws to protect and save lives. Drink driving has become a serious criminal offence and driving with blood alcohol content of 0.08 % and above will land you in the wrong books with the authorities. Other general illegalities and penalties include:

  • To drive while impaired even if your BAC is less than .08 per cent.
  • Declining to provide a breath sample when asked by the police is also illegal.
  • Suspension of your driver’s license on the spot for 90 days
  • Separate criminal charges to face in court.
  • Also, if you are learning to drive and have a Graduated Driver’s License, you are not allowed to drive after drinking ANY alcohol.

These are just but a few rules and penalties applicable in most countries in an effort to bringing order on our roads. The same penalties and more are also applicable where one mixes alcohol with other drugs. To demonstrate the seriousness of this problem the authorities in Ontario have made even much harsher penalties to offenders. For instance if you are convicted of impaired driving more than once the penalties is as follows:

  • First conviction – your driver’s license is suspended for one year and a further $600 fine.
  • Second conviction – your driver’s license is suspended for three years and 14 days in jail.
  • Third conviction – your license is suspended for 10 years or for life plus 90 days in jail
  • Fourth conviction: such offenders will never own a driver’s license in Ontario soil again and they will still be sentenced to jail for another 90 days.
Reducing risks and getting help

Matters relating to alcohol abuse and drug addiction are very complicated and needs proper plan in the presence and for the future to stay safe. You may want to consider the following as guide:

  • Have a back-up plan for getting home (have money and a phone number for a taxi, or call your parents or a friend whom you trust).
  • If you drink at all, it is best not to drive at all.
  • When relying on others for a ride, make sure you know how much the driver has drunk before deciding to get in the car (this includes rides with adults, too).
  • If you drink, pace your drinks, have some non-alcoholic drinks too, and eat before you drink and while you are drinking.
  • Plan ahead for overnight stays. Make sure you know how much your friends are drinking and how they are getting home.
  • Don’t mix alcohol with medicines or illegal drugs. Check with your pharmacist to be sure.

In conclusion in everything you do your safety should come fast. Why must you go to jail for things you can deal with locally? I know it easy to say that you can easily deal with addiction matters but when it comes to the action part it becomes difficult, Dr. Dalal Akoury is an expert in this discipline and has been of help to many addicted patients the world over. In her effort of reducing drug addiction from our societies, she founder of AWAREmed Health and Wellness Resource Center a facility in which all problems relating to alcohol abuse and drug addiction are professionally taken care of in the most natural ways. This is the place to be for all your addiction problems and doctor Akoury together with her team of experts will administer exclusive NER Recovery Treatment to you for prosperity. The facility also care for other physicians and health care professionals through training, clinical apprenticeships, webinars and seminars and in fact any qualified professional can now be a part of this truly successful and fast addiction recovery treatment.

Mixing alcohol with other drugs – Long term effects of heavy drinking