Alcoholic Neuropathy: Symptoms, Causes, and Treatment

why does alcohol cause neuropathy

Izumi et al. 73 also demonstrated that a single day of ethanol exposure in rats on post natal day 7 results in significant apoptotic neuronal damage throughout the forebrain after 24 h of ethanol administration. Thus, it is quite possible that chronic alcohol consumption is responsible for inducing neuropathy by activation of the caspase cascade and may be an important target for the treatment of alcoholic neuropathy. Long-term excessive alcohol usage can result in a nerve condition known as alcoholic neuropathy. Reduced sensation, pain/hypersensitivity, muscle weakness, and autonomic symptoms are the four primary categories of alcoholic neuropathy’s effects, which are caused by nerve injury. The severity of the neuropathy and the person’s past alcohol use both have an impact on how long it takes to recover from alcoholic neuropathy, which varies greatly from person to person. If they stop drinking and get the right help right once, those with moderate neuropathic symptoms and a shorter history of alcohol misuse may recover more quickly and significantly.

  • Symptoms can develop just 5 hours after the last drink and persist for weeks.
  • Medical News Today publishes that medical procedures and therapies, medications, and adjunctive and alternative therapies are commonly used to treat alcoholic polyneuropathy.
  • You can seek treatment for AUD from a professional treatment center to reduce your symptoms by discontinuing alcohol use.
  • Even though alcoholic neuropathy may not go away, there are things you can do to cope with this condition.
  • ROS triggers second messengers involved in central sensitization of dorsal horn cells 41 or they activate spinal glial cells which in turn play an important role in chronic pain 42.
  • The most important thing you can do to treat alcohol-related neuropathy is to stop consuming alcohol.

General Health

  • The damage to nerves can be significant and in more severe cases, irreversible.
  • Since nutritional deficiencies are partly to blame for alcoholic neuropathy.
  • The bladder, stomach, and intestines are among the organs in the body whose activities are regulated by autonomic nerves.
  • Consuming too much, especially over months or years, can result in severe symptoms.
  • This condition is typically not life-threatening, but the nerve damage from alcoholic neuropathy is usually permanent.

The primary symptom of alcoholic neuropathy is pain, either with or without a burning feeling. Electrical nerve stimulation sends a small electrical current through the skin and nerves that can help with sensitivities and pain, making it an option for treatment. Alternative therapies like chiropractic care, body manipulation, acupuncture, meditation, and massage therapy can be helpful in managing pain and symptoms of alcoholic polyneuropathy. The main goal of a treatment program for alcoholic polyneuropathy is to improve quality of life and offer relief from symptoms. Peripheral neuropathy refers to damage or disease of the nerves that carry messages to and from the brain or spinal column and the rest of the body.

Muscle Weakness

But in most cases, the disorder can be managed with medications to decrease the symptoms as much as possible. Other tests that are used for diagnosis include Esophagogastroduodenoscopy, electromyography, nerve biopsy, nerve conduction test, neurological examination, and bowel series and tests. Autonomic nerves control the functions of organs such as bladder, or intestines. The result of this type of neuropathy might be problems with bladder and bowel functions, and sexual dysfunction.

Causes of Alcoholic Neuropathy

why does alcohol cause neuropathy

In an animal study, it has been found that chronic alcohol consumption in rats resulted in a significant depletion in thiamine diphosphate (TDP), the active coenzyme form of thiamine. Supplementation with benfotiamine significantly increased concentrations of TDP and total thiamine compared with supplementation with thiamine HCl 96. An 8 week, randomized, multicentre, placebo-controlled, double-blind study compared the effect of benfotiamine alone with a benfotiamine complex (Milgamma-N) or placebo in 84 alcoholic patients. Parameters measured included vibration perception in the great toe, ankle and tibia, neural pain intensity, motor function and paralysis, sensory function and overall neuropathy score and clinical assessment. Although benfotiamine therapy was superior to Milgamma-N or placebo for all parameters, results reached statistical significance only for motor function, paralysis and overall neuropathy score. The reason for better results in the benfotiamine alone group than in the Milgamma-N group, despite the fact that the benfotiamine dosage was equivalent, is not completely understood.

why does alcohol cause neuropathy

Recently, extended release gabapentin relieved symptoms of painful polyneuropathy 120. Valproate demonstrated varying effects in different studies of neuropathic pain, with three studies from one group reporting high efficacy 125–127 and others failing to alcohol neuropathy find an effect 128, 129. Tricyclic antidepressants (TCAs) are often the first line drugs to alleviate neuropathic pain symptoms.

why does alcohol cause neuropathy

Alcohol-related neurologic disease refers to a range of conditions caused by alcohol intake that affect the nerves and nervous system. Neurologic disorders can include fetal alcohol syndrome, dementia, and alcoholic neuropathy. A long history of excessive Drug rehabilitation alcohol consumption is common since alcoholic neuropathy typically takes years to develop.

Can alcohol cause pain in your feet?

why does alcohol cause neuropathy

Affected nerves include the peripheral nerves, primarily located in the arms and legs, and the autonomic nerves, which help regulate our internal body functions. About 46% of chronic alcohol users will eventually develop this condition. Alcoholic neuropathy is one of the most common adverse effects of chronic alcohol consumption.

why does alcohol cause neuropathy

  • Additionally, some persons may experience cramping in the affected muscles, while others report burning in their calf and feet.
  • Symptoms of alcohol-related neuropathy are similar to those of peripheral neuropathy.
  • Antiepileptic drugs, such as the gamma aminobutyric acid (GABA) analogue (gabapentin), have proven helpful in some cases of neuropathic pain.
  • Alcoholic neuropathy can impair sexual function as well as bladder and bowel function by weakening the autonomic nerves.

In more severe cases, they can cut themselves or endure more severe injuries. As they don’t feel the pain, they also don’t feel the need to protect their wounds. This disorder manifests itself in many different ways, and it can impair an individual’s ability to live normally. She has over a decade of direct patient care experience working as a registered nurse specializing in neurotrauma, stroke, and the emergency room. Physical therapy and orthopedic appliances (such as splints) may be needed to maintain muscle function and limb position.

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