Alcohol-Related Dizziness and Health Risks: What to Do?

Drinking alcohol can cause dizziness, inability to stand, pale complexion, sweating, and tinnitus?

Due to my previous habit of drinking alcohol, I would experience facial flushing and an increased heart rate whenever I drank.
I often went out to sing and drink until about four or five years ago when I had a troubling experience.
After just one drink, I felt a stomach ache and the urge to use the restroom.
When I stood up, I became dizzy and rushed to the bathroom, where I quickly sat on the toilet.
After finishing, I stood up and fainted, hitting my head against the wall, and had to squat down to rest for a moment.
When I finally managed to wobble out of the bathroom, my friends saw me and immediately asked what was wrong, as my face was pale.
They helped me to the car to rest.
After a while, I tried to stand up again, but I felt dizzy once more.

Sometimes when I drink, this doesn't happen; it's sporadic.
Although I don't drink often, when I do, I tend to drink quickly and in large amounts.
However, in the last six months, every time I drink, this has occurred, which has frightened those around me.
Fortunately, I remain conscious, but I need to lie down to rest.
Just two days ago, my mom made chicken wine, and I drank a large bowl of soup.
My ears turned red (which is normal for me when I drink), but while sitting, I felt a bit dizzy.
When I stood up, I fainted again, but luckily I was able to grab something and didn’t hit my head.
I consulted a family medicine doctor, who suggested that my symptoms might be due to the way my heart distributes blood when I drink alcohol, possibly diverting it to areas it shouldn't.
She advised me to stop drinking altogether but did not conduct any tests.
I am unsure of the true cause of my symptoms and how I can improve my condition and prevent these issues from recurring.
I have already stopped drinking, but I didn’t expect this to happen with "chicken wine."
From my research, possible contributing factors could involve the central nervous system or the heart.
A nurse instructor suggested that I get my liver and kidneys checked to see if there is any alcohol-related damage.
Given the information I have gathered, I am truly concerned.
Which specialist should I see for my symptoms, and what tests should be conducted to determine the underlying issue? Thank you.

Ze, 20~29 year old female. Ask Date: 2010/10/22

Dr. Liao Yaopan reply Family Medicine

Hello, regarding your question, the substances produced after alcohol metabolism can have various effects on the body.
Each individual has different metabolic responses and physiological reactions, which need to be understood on a case-by-case basis.
It is advisable to consult a family medicine or toxicology specialist.
Of course, it is still recommended to drink alcohol in moderation.
Thank you for your inquiry, and we at Changhua Hospital care about your well-being.

Reply Date: 2010/10/22

More Info

Based on your description, it seems that you are experiencing episodes of dizziness and fainting after consuming alcohol, which can be concerning. This situation warrants a thorough evaluation to understand the underlying causes and to ensure your safety.

Understanding Your Symptoms
1. Alcohol Intolerance: The symptoms you describe, such as facial flushing, rapid heartbeat, and dizziness, may indicate an intolerance to alcohol. This can be due to a deficiency in enzymes that metabolize alcohol, leading to an accumulation of acetaldehyde, a toxic byproduct of alcohol metabolism. This can cause symptoms like flushing, nausea, and dizziness.

2. Dehydration and Electrolyte Imbalance: Alcohol is a diuretic, which means it can lead to dehydration. Dehydration can cause dizziness and fainting, especially if you are not consuming enough fluids. Additionally, alcohol can disrupt the balance of electrolytes in your body, which is crucial for maintaining normal physiological functions.

3. Blood Pressure Fluctuations: Alcohol can cause changes in blood pressure. It may lead to a drop in blood pressure upon standing (orthostatic hypotension), which can cause dizziness and fainting. This is particularly concerning if you have a history of episodes where you feel faint after drinking.

4. Central Nervous System Effects: Alcohol affects the central nervous system and can lead to various neurological symptoms, including dizziness and impaired coordination. If you have underlying neurological issues, alcohol could exacerbate these symptoms.

5. Cardiovascular Concerns: Your healthcare provider mentioned that your heart may be diverting blood flow inappropriately when you drink alcohol. This could be indicative of an underlying cardiovascular issue that needs to be evaluated.

Recommended Actions
1. Seek Medical Evaluation: It is crucial to consult with a healthcare professional, preferably a primary care physician or a specialist in internal medicine. They can perform a comprehensive evaluation, including a detailed history and physical examination.

2. Diagnostic Tests: Your doctor may recommend several tests, including:
- Blood Tests: To check liver function, kidney function, and electrolyte levels.

- Electrocardiogram (ECG): To assess your heart rhythm and rule out any cardiac issues.

- Echocardiogram: To evaluate the structure and function of your heart.

- Neurological Assessment: If necessary, a referral to a neurologist may be warranted to rule out any central nervous system disorders.

3. Lifestyle Modifications: Given your symptoms, it would be wise to avoid alcohol altogether, especially if it triggers these episodes. Staying hydrated and maintaining a balanced diet can also help mitigate some of the symptoms.

4. Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur, what you consumed, and any other relevant factors. This information can be invaluable for your healthcare provider in diagnosing the issue.

5. Education and Support: Consider seeking support from groups or counseling if you find it challenging to abstain from alcohol. Understanding the risks associated with alcohol consumption and learning coping strategies can be beneficial.

Conclusion
Your symptoms are concerning and should not be ignored. It is essential to seek a thorough medical evaluation to determine the underlying cause of your dizziness and fainting episodes related to alcohol consumption. By taking proactive steps and working closely with your healthcare provider, you can better understand your health and make informed decisions about your lifestyle and alcohol consumption.

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