Alcohol Withdrawal Seizures: Causes & Care

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The person’s face may turn bluish if they have trouble breathing during a prolonged seizure. As the seizure ends, the person may lose bowel or bladder control due to relaxation of the body. Awareness or consciousness return slowly after the alcohol withdrawal seizure ends. The person may appear confused, sleepy, irritable, embarrassed, or frightened afterwards. Treatment of alcohol withdrawal is usually based on the severity of withdrawal. A person may go to an outpatient setting for mild and moderate symptoms.

  • There is no definitive cutoff for what amount of alcohol you have to drink to experience withdrawal symptoms that increase the risk of seizures.
  • Addressing the psychological aspects of AUD is crucial for long-term recovery and seizure prevention.
  • They occur when someone who has been drinking heavily for an extended period suddenly stops or significantly reduces their alcohol intake.
  • When you go through the acute phases of detox at Clear Life Recovery, you will be under qualified medical supervision.
  • • It is characterized by being generalized tonic-clonic, and patients have a nonfocal neurologic examination.

What is the treatment for alcohol withdrawal?

An alcohol withdrawal seizure is frequently a generalized seizure from alcohol withdrawal tonic-clonic seizure. The person may cry or groan and fall to the floor as they lose consciousness. Additionally, they may bite their tongue which may cause the saliva to be blood-tinged. It is followed by the clonic phase in which the person’s limbs jerk rhythmically and rapidly with bending of the large joints such as the elbows and knees. Afterward an alcohol-related seizure, the person’s skin may appear dusky or slightly blue if the seizure lasted for a long time. The person may also soil themselves due to loss of bowel and bladder control when the body relaxes.

Medical Supervision and Medication

seizure from alcohol withdrawal

When he or she stops drinking, the nervous system becomes destabilized, which can potentially trigger seizures . Alcoholic seizures are caused by withdrawal and typically occur within 6 to 72 hours of the last drink. Alcohol withdrawal arises when someone with AUD drastically reduces their alcohol intake. This can cause a variety of symptoms, ranging from insomnia to an upset stomach.

Support Groups

Those on blood sugar medications are most at risk for this complication. The GABA receptors that alcohol over-stimulates decrease the likelihood of seizures. When alcohol is gone, however, these receptors go from over-stimulated to temporarily under-stimulated as they try to adjust to normal. While under-stimulated, they create a reverse effect, making seizures more likely to occur until they readjust to the absence of alcohol, leading to alcohol withdrawal seizures.

What to do if someone has a seizure from alcohol withdrawal?

This section answers some frequently asked questions about alcohol withdrawal. It is best to talk with a doctor if someone suspects they have an AUD. Although not immediately dangerous, like alcohol withdrawal, AUD is a serious condition.

  • This may involve one one-on-one sessions with a social worker or therapist to help you deal with mental health issues or past traumas.
  • Pregnant patients should be admitted to the inpatient setting if they require withdrawal management, and an obstetrician should be consulted (79).
  • They rarely happen after 72 hours unless the detox is complicated by other factors.
  • In that case, there is always a chance that you could experience some of the more severe or deadly withdrawal symptoms, including seizures or delirium tremens.

These symptoms can begin after 48 hours and last up to 7 days following the change in alcohol consumption. Now that we better understand how alcohol consumption and withdrawal are linked to seizures, let’s map out the steps we can take to prevent them and maintain our well-being. Long-term alcohol misuse can increase the risk of developing epilepsy. According to the Epilepsy Foundation, some studies have linked chronic alcohol misuse to the development of epilepsy. Heavy alcohol consumption is a common trigger for seizures in those who already have epilepsy.

This may involve one one-on-one sessions with a social worker or therapist to help you deal with mental health issues or past traumas. At some point, it may be helpful to include your partner or family, too. For two to seven days, doctors may manage your withdrawal with medications. For women, heavy drinking means four or more drinks on any day or eight or more drinks per week. Neurotransmitters are natural chemicals that play an important role in how the brain functions. The central nervous system (CNS) maintains a balance between excitatory and inhibitory neurotransmitters.

Alcohol withdrawal seizures can occur 6-48 hours after the last drink, sometimes even 2-7 days after you stop alcohol consumption. Seizures (convulsions) occur during alcohol withdrawal due to changes in brain chemistry. But the relationship between alcohol intake and seizures is not straightforward. Please continue reading to learn more about why alcohol seizures occur.

Risk Factors

seizure from alcohol withdrawal

Midazolam can be given intramuscularly (IM) at a dose of 2–4 mg if IV access has not been secured.4,37 The specific agent often varies by institution. Most importantly, the selected agent should be the most readily available. Patients who are found to be in status epilepticus require escalating pharmaceutical intervention that may include concomitant airway management. Most treatment algorithms progress from benzodiazepines to phenytoin or fosphenytoin and then on to phenobarbital, valproic acid, propofol and pentobarbital.

It occurs when someone with an AUD stops drinking entirely or significantly reduces their alcohol intake. Many symptoms may arise during the course of alcohol withdrawal, including high blood pressure, insomnia, and tremors. Treatment can lessen these symptoms and help prevent harmful outcomes.

Researchers do not currently know exactly how topiramate works in alcohol use disorder cases. Nevertheless, the medication may effectively reduce cravings in people who are dependent on alcohol. Studies suggest there may be a link between heroin addiction chronic alcohol abuse and epilepsy.

Alcohol withdrawal seizures are one of the most severe complications of alcohol withdrawal syndrome (AWS). They occur when someone who has been drinking heavily for an extended period suddenly stops or significantly reduces their alcohol intake. This condition requires immediate medical attention and professional treatment to ensure safety and prevent complications. In this article, we will explore what alcohol withdrawal seizures are, their causes, symptoms, and why they are considered dangerous.

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