cover of episode What people get wrong about hangovers

What people get wrong about hangovers

2024/11/26
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Life Kit

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Marielle
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Ryan Marino医生:酒精是一种毒素,对身体细胞有害。宿醉的根本原因是酒精及其代谢产物乙醛对身体的毒性作用。目前没有科学证据表明任何补充剂可以预防或治疗宿醉,减少饮酒量是减轻宿醉的唯一方法,彻底避免宿醉的唯一方法是戒酒。饮酒顺序不会影响宿醉的发生或恢复。睡前服用止痛药可能会增加胃肠道出血的风险,饮酒时服用含有对乙酰氨基酚的药物可能导致肝损伤。如果出现酒精中毒症状(例如:呕吐不止、意识模糊等),应立即拨打911。 Nzinga Harrison医生:讨论宿醉问题不会让酗酒问题消失,反而有助于人们了解风险和益处。宿醉后焦虑是一种常见现象,因为酒精会影响大脑中的GABA受体,导致酒精代谢后出现反弹效应,引发焦虑。即使少量饮酒也可能导致宿醉焦虑。预防宿醉焦虑的唯一方法是避免饮酒。良好的身心状态可以减轻宿醉焦虑的严重程度。温暖的沐浴、芳香疗法、正念冥想等方法可以缓解宿醉焦虑。寻求他人帮助可以减轻戒酒的难度。大多数酒精依赖症患者可以恢复到可控饮酒状态。应该改变对酒精的文化观念,对戒酒者表示支持。 Marielle:酒精可以暂时缓解焦虑、压力和失眠,但最终会成为问题。美国卫生与公众服务部建议女性每日饮酒量不超过一杯,男性不超过两杯。每个人的饮酒体验和宿醉体验都不同,受多种因素影响,宿醉的严重程度因人而异。宿醉的原因复杂,目前尚无明确答案。酒精会影响睡眠质量,导致睡眠不足,加剧宿醉症状。酒精会影响身体对糖分的代谢,导致低血糖,引发一系列宿醉症状。含糖量高的鸡尾酒会加剧宿醉症状。补水可以缓解宿醉症状,但不能完全治愈。深色烈酒中的杂醇油含量较高,可能加剧宿醉症状。红酒可能导致头痛,这可能是由亚硫酸盐或组胺引起的。部分人群饮酒后会出现面部潮红,这是一种基因突变导致的。饮酒前吃饱饭可以帮助避免低血糖,但不能吸收酒精。油腻食物不能缓解宿醉症状,建议食用清淡易消化的食物。“宿醉酒”不能缓解宿醉症状,只会暂时掩盖症状。CAGE问卷可以帮助评估个体与酒精的关系,回答“是”的题目超过两道,则表明存在饮酒风险。即使少量减少饮酒,也能对健康有益。

Deep Dive

Key Insights

Why is alcohol considered a toxin even in small amounts?

Alcohol is directly toxic to almost every cell in the body, and there is no safe amount of consumption.

What are the leading health risks associated with alcohol consumption?

Alcohol is linked to several cancers, cardiovascular disease, and driving fatalities, making it a leading cause of preventable death in the U.S.

Why do people continue to drink despite knowing the health risks?

Alcohol is effective in loosening up at parties, aiding sleep, reducing anxiety, and de-stressing, which makes it appealing despite the risks.

What is the medical term for a hangover?

The medical term for a hangover is 'visalgia,' which combines Greek and Norwegian words meaning pain and uneasiness following debauchery.

What is the U.S. Department of Health and Human Services' definition of safe drinking?

Safe drinking is defined as one drink a day or less for women and two drinks a day or less for men, with one drink being equivalent to one shot or a four-ounce glass of wine.

What factors contribute to the variance in hangover experiences?

Factors include age, weight, gender, ethnicity, family history, nutritional status, smoking, mood, health conditions, and medications.

What is the role of acetaldehyde in causing hangovers?

Acetaldehyde, a metabolite of alcohol, is responsible for the feelings of pain and discomfort associated with hangovers.

How does alcohol affect sleep quality?

Alcohol disrupts sleep by reducing REM sleep, leading to lower-quality sleep even if it makes you drowsy.

What is the effect of alcohol on blood sugar levels?

Alcohol can cause hypoglycemia by prioritizing the processing of alcohol over maintaining blood glucose levels, leading to symptoms like shakes, sweats, and lightheadedness.

Are there any evidence-based hangover cures?

No, the only way to prevent a hangover is to drink less alcohol. Supplements and hydration packets are not proven to prevent hangovers.

Does the order of drinking alcohol (beer vs. liquor) affect hangovers?

No, the type of alcohol consumed does not significantly impact hangovers. It's the quantity that matters most.

What is 'Asian glow' and why does it occur?

'Asian glow' is a reaction caused by a genetic mutation that makes it harder for the body to process acetaldehyde, leading to facial flushing in about 8% of the global population.

Why might red wine be more likely to cause headaches?

Red wine may contain sulfites or histamines that trigger headaches, particularly in people prone to migraines.

What role do congeners play in hangovers?

Congeners, chemicals produced during fermentation, can make hangovers worse. Darker liquors like bourbon and brandy have higher levels of congeners, contributing to more severe hangovers.

Is it safe to take painkillers with alcohol?

No, combining alcohol with non-steroidal anti-inflammatory drugs (NSAIDs) like Advil or Motrin increases the risk of gastrointestinal bleeding by about 37%. Acetaminophen (Tylenol) can also cause liver damage when mixed with alcohol.

What is the 'CAGE' questionnaire and why is it useful?

The 'CAGE' questionnaire is a tool with four questions (Cutting back, Annoyed, Guilt, Eye-opener) to assess potential alcohol misuse. Answering yes to two or more questions indicates a need to reconsider drinking habits.

How can you support someone who might be struggling with alcohol use?

Lead with compassion by offering a supportive ear and sharing information about tools like the 'CAGE' questionnaire without being judgmental.

Chapters
This chapter explores the definition of a hangover, its variability among individuals, and the factors influencing this variation. It highlights that while hangovers are a universal experience, their intensity and symptoms differ significantly from person to person, even among those drinking the same amount. The duration of hangovers is also discussed, with the peak typically occurring when blood alcohol concentration returns to zero.
  • The medical term for a hangover is visalgia.
  • Hangovers affect everyone differently.
  • Hangovers are not just about dehydration.
  • About 25% of people who drink to intoxication don't experience hangovers.
  • Most hangovers last 8-24 hours and peak when blood alcohol concentration is zero.

Shownotes Transcript

Do you feel anxious after a night drinking? Two doctors weigh in on how to treat hangover symptoms especially 'hangxiety' after drinking too much. Plus the science of alcohol's affect on your body and tips for reassessing your relationship to alcohol.Learn more about sponsor message choices: podcastchoices.com/adchoices)NPR Privacy Policy)