In order to diagnose ALN, usually, several tests are needed to be performed to provide a complete and reliable diagnosis. Electromyography and nerve conduction tests are performed in order to reveal signs of ALN. Sensory functions and reflexes can be tested during a neurological examination. But when the damage is too severe, especially to the liver, patients may need a liver transplant. In cases such as these, the transplant will provide the body with a healthy environment to begin healing from the toxic environment it had prior to the transplant.
Malnutrition and Micronutrients Deficiency
The problems that alcoholic neuropathy causes with muscle weakness, balance, and coordination can make a person more at risk for falling down and getting injured. Not being able to tell when things are too hot because of the way the nerve damage interferes with the ability to sense temperature changes can make one more susceptible to burns. In the same manner, numbness and lowered ability to feel pain sensations can make people more apt to cut themselves or otherwise damage the skin. Often, individuals may not even realize that they are burned or cut because they just don’t feel it, which can elevate the risk for infection. Alcohol is 1 of the most commonly used substances in the world. Among patients with chronic alcohol use disorder, neuropathy is the most common harmful is alcoholic neuropathy dangerous sequelae.
Alcoholic Neuropathy Symptoms
While not specifically approved for the treatment of alcoholic neuropathy, antidepressant medications are often prescribed to help control the pain. Anti-seizure medications are sometimes prescribed as a way to manage pain. Constant pain in the hands or feet is one of the most bothersome aspects of alcoholic neuropathy. The pain can feel like burning, throbbing, or sharp pins and needles. As the condition progresses, the pain may vary in intensity, sometimes diminishing for months before worsening again.
What Causes Alcoholic Polyneuropathy?
These supplements can give a person’s body the resources that it needs to repair damage to nerves. Since alcohol prevents the body from absorbing certain nutrients, this can only work if someone stops drinking. Sometimes this takes the form of over-the-counter pain medication. But doctors can also prescribe creams, anticonvulsants, gabapentin, and tramadol for pain. One of the most common issues for people with alcoholic neuropathy is issues with muscle control and balance.
Symptoms
Lettsom has observed that paralysis and hypoesthesia related to ALN presented a higher prevalence rate in lower limbs compared to upper limbs 60. In an inpatient facility, you will cut off the alcohol consumption and allow the body to recover properly. These are the results you need when you want to manage neuropathy. Some people can drink for a very long time and never develop this condition. At the same time, others will start seeing the symptoms just a couple of years after developing a drinking habit. As a result, patients struggling with alcohol abuse are also at risk of undernourishment.
- If you notice you are developing signs of alcoholic neuropathy (such as numbness after drinking alcohol), in addition to seeing a physician, try to stay away from alcohol altogether.
- People who struggle with alcoholism should try to eat a healthy and balanced diet, even if they don’t feel hungry.
- Constant pain in the hands or feet is one of the most bothersome aspects of alcoholic neuropathy.
However, it is most common among people with a history of heavy, long-term alcohol use. Unfortunately, using just vitamin supplements is not enough to curb the symptoms of alcohol-dependent individuals. That’s why it is essential to focus on the multiple pathways that have led to the development of the condition.
ALN and Gender
Koike et al. (2003) compared clinical and histological differences between ALN with and without thiamine deficiency 65. Also, the results of the group of 32 patients with non-alcoholic thiamine deficiency neuropathy were considered. Thiamine deficiency resulted in the progression of sensory dysfunctions; further, histological examination of the sural nerves revealed the loss of small nerve fibers and segmental demyelination. Patients with non-alcoholic thiamine deficiency neuropathy showed more abrupt onset of symptoms, mainly in a form of motor dysfunctions; biopsy showed damage to greater fibers with subperineurial edema. ALN with thiamine deficiency was manifested as a variable mixture of these symptoms.