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Alcohol Withdrawal Symptoms, Detox, Timeline, & Treatment

alcohol withdrawal stages

“It’s been really tough, constant inner voice trying to persuade me just the one-night drinking again would be OK. I have just had to surf the urges, keep busy, and use all my strength.” “When I was heaving my guts out, I knew something else was going on. I called my doctor, and she sent me to the ER for fluids and blood tests.” “Went from shaky to wanting to scream all day. I almost talked myself into ‘just one more’ several times, but somehow made it through.” “My worst symptoms so far seem to be lightheadedness, minor irritability, and insomnia.” For many, it’s very difficult to get past the third day of unrelenting shakes and sweats without picking up a drink. “Last night was horrible. I was soaking wet with sweat, I jumped a few times in my sleep, and I had very vivid dreams.”

Alcohol withdrawal seizures: 24–48 hours

If your symptoms are more severe, you may need to stay in the hospital. This is so your doctor can monitor your condition and manage any complications. You may need to get fluids intravenously, or through your veins, to prevent dehydration and medications to help ease your symptoms. If your home environment is not supportive for staying sober, talk with your doctor. Your doctor may be able to connect you with shelter programs for people recovering from alcohol addiction. A high fever, hallucinations, and heart disturbances are all reasons to seek immediate help.

Sleep Problems

So, giving up alcohol can help your skin to look more hydrated and glowing. However, when you stop drinking, your liver will begin to repair itself and the damage will start to reverse. Along with anxiety and irritability, you may also experience mood swings when you give up alcohol. Research shows that only a small portion of people with AWS require medical treatment. AWS is often accompanied by intense cravings to drink and may affect your emotional, cognitive, and physical well-being. It’s important to note that many rehabs have their own detox facilities while others recommend clients go to outpatient detox programs before returning to rehab for treatment.

  • The symptoms of alcohol withdrawal relate proportionately to the level of alcohol intake and the duration of the person’s recent drinking habit.
  • This means that when a person begins using a particular drug consistently over a certain period of time, the body will naturally adapt to that substance’s effects by changing its internal chemistry.
  • If you suddenly stop drinking or significantly reduce the amount of alcohol you drink, it can cause AWS.
  • Your doctor may also use a questionnaire like the Clinical Institute for Withdrawal Assessment for alcohol revised scale (CIWA-Ar) to determine the severity of your withdrawal symptoms.

Alcohol Withdrawal Timeline by Hour

alcohol withdrawal stages

Intense cravings and irritability are commonly reported after day 12. “The whites of my eyes are white again, my urine is starting to look normal, and my bowel movements are getting normal. My energy level and mental alertness are way up, and it’s only getting better.” “My worst withdrawal symptom is that my brain does not seem to work very well. Lots of spelling errors and poor fine-motor skills. I will not even go into the insomnia.” “Starting to feel a little better. If I had the money, I would have gone to a 30-day rehab. I am still having shakes now and again. My head is in a fog constantly.” “Feeling much better. Very slight discomfort in the chest occasionally. No sweating. Disturbed sleep? Yes. But I alcohol withdrawal guess in a few days, I should be fine.” “The more time that goes by, the clearer the picture becomes. I see my triggers, and I work through them. I’m always thirsty and drink a lot of water. I’m still not sleeping through the night.”

alcohol withdrawal stages

alcohol withdrawal stages

This tightness is normally side effects of heart damage from excessive alcohol use. If you stop drinking alcohol suddenly after years of alcohol use, the risk of hurting the heart increases. Alcohol withdrawal may cause uncomfortable chest symptoms that can damage the heart. The professional alcohol detox process is relatively short, so it will be crucial to connect patients to the next stages in the continuum of care. Inpatient or outpatient treatment programs are available depending on the needs, abilities and goals of the patient. Alcohol withdrawal is a set of distressing and dangerous symptoms that stem from the brain lacking alcohol’s influence in the system.

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