Wednesday, 31 August 2011

Alcoholic Neuropathy

Unfortunately, many HIV patients have taken to drinking over the years and given the pressures of having HIV plus maybe other health problems, it's perhaps understandable. No judgements here! However, one of the results of heavy drinking can be neuropathy and as we all know, once it becomes established it's difficult to turn back the clock, both for the alcohol addiction and the neuropathy itself. In fact, neuropathy may make the drinking more attractive as people try to escape the symptoms! This article, written by a doctor Neill Neill Phd in answer to a patient's question(see link below) throws some light on the subject but the fact remains, once alcohol abuse has brought on the nerve damage, the story is the same as for most neuropathy patients. HIV patients should try to avoid heavy drinking if at all possible - they already run a big enough risk of getting neuropathy through the medication or the virus itself.

Alcoholic Neuropathy: Symptoms

Excessive drinking, usually over years, can lead to nerve damage. The first sign of nerve damage may be in numbness or tingling in the hands, legs and feet. Ulcers or sores may develop on the legs and feet. There may be pain or burning sensations in the feet, or cramps in the calf muscles. The leg muscles may waste, leading to leg weakness and frail ankles. Alcoholic neuropathy often shows up first as clumsiness and uncoordinated movement.

Furthermore, there may be confusion, memory loss, speech slurring or incoherence, even when sober.

Nerve damage can be anywhere in the body. It may lead to incontinence or male impotence. In some cases, there is damage to the autonomic nervous system, which, among other things, affects heart rate and breathing.

If he or she is a heavy drinker, it is irrelevant whether he is a functioning alcoholic or a skid-row alcoholic. Symptoms of alcoholic neuropathy in a heavy drinker are also signs and symptoms of advanced alcoholism.

Caution

Diabetic neuropathy has some of the same symptoms as alcoholic neuropathy. Furthermore, alcoholics have an increased risk of diabetes. Only your medical doctor has the knowledge and skills to make the differential diagnosis and make a referral to a specialist for a neurological exam. Your doctor may detect signs of neuropathy, which the patient cannot.

Alcoholic Neuropathy: Treatment

Abstaining from alcohol and eating a balanced diet may alleviate some of the symptoms, if the damage is not too extensive. There are prescription meds that can further reduce neuropathic pain.

One can only hope that most alcohol abusers will recognize they have a problem and deal with it long before it reaches the stage of alcoholic neuropathy.
http://www.neillneill.com/alcoholic-neuropathy

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