Post-Drinking Body Aches and Urinary Changes - Family Medicine

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Experiencing body aches the day after drinking alcohol?


1.
Why do I feel sore all over my body the day after drinking alcohol? In the past, alcohol made me very diuretic, but now it seems to have the opposite effect.
I have a history of urinary stones; could that be related?
2.
Can urinary stones cause increased diuresis? I often find myself needing to urinate shortly after drinking water.
3.
Why do I sometimes wake up with a sore throat and nose after sleeping in winter, even when it’s not extremely cold? Occasionally, I notice slight bleeding from my nostrils.
I also have symptoms of enlarged and inflamed tonsils.
Could this be related? I often catch colds when my nasal passages are too clear.

Niming, 20~29 year old female. Ask Date: 2017/02/24

Dr. Chen Taicheng reply Family Medicine


- The components of alcohol can still have a diuretic effect, which varies depending on the concentration and brand.
Urinary stones do not inhibit diuresis when drinking water.

- Urinary stones themselves do not have a diuretic effect, but they may irritate the urinary system, potentially causing symptoms such as frequent urination, urgency, hematuria, or infections that lead to burning sensations, fever, and lower back pain.

- It is advisable to use a humidifier indoors, as low humidity (such as from dehumidifiers or heating) can cause dryness of the throat or nasal mucosa, which may result in blood-tinged mucus.
Reducing the use of dehumidifiers or heating can help alleviate this issue.
Enlarged tonsils may lead to obstructed airways during sleep, causing unconscious mouth breathing, which can also contribute to mucosal dryness and bleeding.

- It is recommended to consult an otolaryngologist for further evaluation, especially if there is persistent blood in nasal mucus.
Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital, Family Medicine Department, cares about you.

Reply Date: 2017/02/24

More Info


Understanding the relationship between post-drinking body aches, urinary changes, and other health symptoms can be complex. Let's break down your questions and concerns systematically.

1. Post-Drinking Body Aches: Experiencing body aches after drinking alcohol can be attributed to several factors. Alcohol is a diuretic, meaning it increases urine production, which can lead to dehydration. Dehydration can cause muscle cramps and aches, as well as fatigue. If you previously experienced significant diuresis (increased urination) after drinking but now find that you are less diuretic, it could be due to changes in your body's tolerance to alcohol or hydration status. Additionally, if you have a history of urinary stones, dehydration can exacerbate the risk of stone formation, which may lead to discomfort or pain.
Furthermore, alcohol can also cause inflammation in the body, which may contribute to muscle soreness. If you are consuming alcohol in larger quantities or more frequently than before, your body may react differently, leading to these aches. It's also worth noting that if you are not drinking enough water alongside alcohol, this could lead to a more pronounced hangover effect, including body aches.

2. Urinary Changes and Kidney Health: Regarding urinary changes, urinary stones typically do not cause increased urination. However, they can lead to symptoms such as frequent urination, urgency, and pain during urination if they irritate the urinary tract. If you find that you are urinating frequently after drinking water, this could be a sign of your body adjusting to a higher fluid intake after a period of dehydration or low fluid intake.
If you have a history of urinary stones, it is crucial to maintain adequate hydration to help prevent new stones from forming. Drinking water helps dilute the substances in urine that can lead to stone formation. If you are experiencing changes in urination patterns, it may be beneficial to consult a healthcare provider to rule out any underlying issues.

3. Throat and Nasal Symptoms: The symptoms you describe, such as a sore throat, nasal bleeding, and swollen tonsils, could be related to several factors. Dry air, especially in winter, can lead to nasal and throat irritation. If you are sleeping in a heated environment, the air can become dry, leading to dryness in the nasal passages and throat, which can cause discomfort and even minor bleeding.
Additionally, if you have enlarged tonsils, they may become inflamed, especially during colder months or if you are exposed to respiratory infections. The fact that you often feel congested and prone to colds suggests that your immune system may be reacting to environmental changes or allergens.
It is advisable to maintain humidity in your living space, especially during winter, to alleviate some of these symptoms. If your symptoms persist or worsen, it would be prudent to consult an ear, nose, and throat specialist for a thorough evaluation.

In summary, your symptoms of body aches after drinking, changes in urination, and throat issues may be interconnected and influenced by hydration status, environmental factors, and your medical history. It is essential to stay well-hydrated, especially if you consume alcohol, and to monitor any persistent symptoms that could indicate underlying health issues. If you have ongoing concerns, seeking medical advice is always a good step to ensure your health and well-being.

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