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Alcoholic Neuropathy: Causes, Symptoms, & Treatments

Referrals to psychiatrists, enrollment in alcohol abstinence programs, and involvement in support groups have all been shown to help people recover from their alcohol misuse. Physical and occupational therapies can also be helpful as the person regains their ability to move and do everyday tasks. In addition to those listed, another useful test is Needle Electromyography (EMG). This test is often employed in cases of alcohol-related nerve disease and can reveal specific signs such as sharp pulse waves, rapid muscle twitching and complex repetitive discharges. Reframe supports you in reducing alcohol consumption and enhancing your well-being. If you or a loved one need help managing alcohol consumption, book an appointment with Curednation to start your recovery journey today.

alcohol neuropathy stages

Patient Education

Referral to a behavioral health addiction facility may be required to treat alcohol addiction. After detox has been completed, most people with progressed alcoholism move to rehab. This often takes place at an inpatient facility as well, which can offer a structured, supportive environment for therapy. Outpatient care is also possible—but different approaches work best for different people. That means late-stage alcoholism isn’t something anyone struggles with alone—it’s a medical crisis that pulls in friends and loved ones, often requiring professional intervention and long-term care. Alcoholism is a progressive condition—the longer it goes on, the worse it usually gets.

alcohol neuropathy stages

Does alcoholic neuropathy go away?

It has previously been considered in relationship to nutritional, especially thiamine, deficiencies seen in alcoholics. Thiamine deficiency is closely related to chronic alcoholism and can induce neuropathy in alcoholic patients. Ethanol diminishes thiamine absorption in the intestine, reduces hepatic stores of thiamine and affects the phosphorylation of thiamine, which converts it to its active form 12. These relationships make alcohol neuropathy stages chronic alcoholism a risk factor for thiamine deficiency. In addition to thiamine deficiency, recent studies indicate a direct neurotoxic effect of ethanol or its metabolites. Axonal degeneration has been documented in rats receiving ethanol while maintaining normal thiamine status 5.

  • There is no exact threshold, but heavy, prolonged alcohol use over many years significantly increases the risk of developing alcoholic peripheral neuropathy.
  • Symptoms include burning pain in the body, hyperalgesia (increased sensitivity to pain), and allodynia (a condition in which normal stimulus, like a soft touch, produces pain).
  • The prognosis for Alcohol Neuropathy is dependent on the stage at diagnosis and commitment to sobriety.
  • The data indicates that there is both small and large fibre loss in alcohol-related neuropathy, but that small fibre loss is generally predominant 3, 51, 53, 56, 59, 63, 86.

How Does Alcoholic Neuropathy Happen?

Early intervention significantly improves outcomes for alcoholic neuropathy. According to the Substance Abuse and Mental Health Services Administration, seeking help immediately can prevent permanent damage. Alcohol impairs the absorption of thiamine (vitamin B1), and other vitamins, in your intestine. Vitamin deficiencies, especially thiamine, have been linked to developing alcoholic polyneuropathy.

alcohol neuropathy stages

  • Nerves don’t have a resilient ability to regenerate if they are severely damaged.
  • The result of this type of neuropathy might be problems with bladder and bowel functions, and sexual dysfunction.
  • The content provided on this website is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment.
  • Alcoholic neuropathy affects people who consume excessive amounts of alcohol over a long period of time.

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