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Medical Forum / General / General / January 2004

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Anyone have a physiological explanation for alcohol hangover?

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Archimedes Plutonium - 22 Jan 2004 05:39 GMT
Title is pretty much the gist of this post. I recently took a bit more
alcohol with chocolates for sometimes I like to enhance a chocolate
candy bar with a tiny sip of Grand Mariner or Vodka just to give the
chocolate a zing. But apparently I took more than a little sip because
the next day it felt like a knot just behind my throat in my head. I
guess it was a mild form of a hangover.

So I am wondering what a hangover is physiologically? Is it the death
of brain cells in back of the throat and taking a 12 hours to clear
out those dead brain cells? What is it??

Archimedes Plutonium
whole entire Universe is just one big atom where dots
of the electron-dot-cloud are galaxies
N:dlzc D:aol T:com \(dlzc\) - 22 Jan 2004 05:52 GMT
Dear Archimedes Plutonium:

> So I am wondering what a hangover is physiologically? Is it the death
> of brain cells in back of the throat and taking a 12 hours to clear
> out those dead brain cells? What is it??

255 hits on altavista advanced with "hangover and physiology and
headache"...
http://ist-socrates.berkeley.edu/~jmp/LO2-HCG.html
http://www.niaaa.nih.gov/publications/arh22-1/54-60.pdf
http://www.neurologychannel.com/NeurologyWorld/hangover.shtml
... but no clear answers.  Alcohol is a vasodilator, but why this might
induce pain after the alcohol was gone...

David A. Smith
hanson - 22 Jan 2004 06:51 GMT
"N:dlzc D:aol T:com (dlzc)" <N: dlzc1 D:cox T:net@nospam.com>
wrote in message news:hyJPb.7957$bg1.293@fed1read05...
> Dear Archimedes Plutonium:
>
[quoted text clipped - 10 lines]
> induce pain after the alcohol was gone...
> David A. Smith

[hanson]
The problem is ancient and well researched, with lot of documentations.
Pure Alcohol, EtOH, Ethanol's pharmacology oxidizes via Acetaldehyde
CH3-CH2OH + O (from Oxy hemoglobin) --> CH3-CHO + H2O,
which does produce Schiff-bases with the Aminoacids of the proteins.
HOOC-R-NH2 + CH3CHO --> HOOC-R-CH-N=CH-CH3,
that are insoluble and hence, like sand in the engine, literally produce
"friction" in the tissue on the molecular level, conveying to the nerves the
signal "pain" until these (un)natural decomposition products are flushed out.

Then there are the *congeners*. Google for  -- congeners -- 51900 hits.
Congeners are toxic substances created during the alcohol fermentation
process. ... Lower levels of congeners may mean a kinder, gentler hangover.
Congeners include esters, acids, aldehydes and higher alcohols. Strictly
speaking they are impurities that give the booze its characteristic flavor.
The congeners chemistry is essentially the same as the above EtOH, only
worse, meaning more effective in its production of hangover pains.
However, if you aint no boozer, then you won't have to worry about
all this in the first place.
ahaahhahaha.......ahahahahanson
memer69@hotmail.com - 22 Jan 2004 10:57 GMT
I'm no doctor, this is just my opinion.

I think it has to do with bodily dehydration. Alcohol being a
diuretic, causes one to eliminate (pee) more water than one would
normally. I notice again and again that if I drink plenty of water
before, during and after alcohol consumption, any hangover effects are
minimized and even absent. If I wait until the next day after I wake
up to drink that plenty of water it takes hours to work.

Don't just accept or dismiss my opinion: Try it. It's cheap and easy.
Just drink as much water as you can stand, before, during, and after
drinking alcohol. N P Freely!

Cheers!
Memer
Eppendorf - 22 Jan 2004 14:03 GMT
I agree with the dehydration diagnosis.  I, too, use the water trick when I
do any serious drinking.  It really works!

> I'm no doctor, this is just my opinion.
>
[quoted text clipped - 11 lines]
> Cheers!
> Memer
Bruce Sinclair - 26 Jan 2004 00:48 GMT
>Dear Archimedes Plutonium:
>
[quoted text clipped - 9 lines]
>.... but no clear answers.  Alcohol is a vasodilator, but why this might
>induce pain after the alcohol was gone...

IIRC the alcohol aint the problem ... it's the breakdown products
(mostly aldehyde ... again IIRC).

Bruce

-----------------------------------------------------------------------
It was so much easier to blame it on Them. It was bleakly depressing to
think that They were Us. If it was Them, then nothing was anyone?s fault.
If it was Us, what did that make Me ? After all, I?m one of Us. I must be.
I?ve certainly never thought of myself as one of Them. No-one ever thinks
of themselves as one of Them. We?re always one of Us. It?s Them that do
the bad things.        <=> Terry Pratchett. Jingo.
bob - 26 Jan 2004 20:43 GMT
> >Dear Archimedes Plutonium:
> >
[quoted text clipped - 12 lines]
> IIRC the alcohol aint the problem ... it's the breakdown products
> (mostly aldehyde ... again IIRC).

All hail Stewart Adams!!!
Bruce Sinclair - 26 Jan 2004 22:58 GMT
>> In article <hyJPb.7957$bg1.293@fed1read05>, "N:dlzc D:aol T:com \(dlzc\)" <N:
> dlzc1 D:cox T:net@nospam.com> wrote:
[quoted text clipped - 16 lines]
>
>All hail Stewart Adams!!!

Who ?

-----------------------------------------------------------------------
It was so much easier to blame it on Them. It was bleakly depressing to
think that They were Us. If it was Them, then nothing was anyone?s fault.
If it was Us, what did that make Me ? After all, I?m one of Us. I must be.
I?ve certainly never thought of myself as one of Them. No-one ever thinks
of themselves as one of Them. We?re always one of Us. It?s Them that do
the bad things.        <=> Terry Pratchett. Jingo.
bob - 27 Jan 2004 14:39 GMT
> >> In article <hyJPb.7957$bg1.293@fed1read05>, "N:dlzc D:aol T:com \(dlzc\)" <N:
>  dlzc1 D:cox T:net@nospam.com> wrote:
[quoted text clipped - 18 lines]
>
> Who ?

http://www.ibuprofen-foundation.com/history.htm
merle@wnt.sas.com - 22 Jan 2004 16:34 GMT
>Title is pretty much the gist of this post. I recently took a bit more
>alcohol with chocolates for sometimes I like to enhance a chocolate
[quoted text clipped - 10 lines]
>whole entire Universe is just one big atom where dots
>of the electron-dot-cloud are galaxies

Dehydration. Drink water in an equal amount to your acohol consumption
and you should not get the hangover.
Mr. 4X - 22 Jan 2004 21:30 GMT
> Title is pretty much the gist of this post. I recently took a bit more
> alcohol with chocolates for sometimes I like to enhance a chocolate
[quoted text clipped - 10 lines]
> whole entire Universe is just one big atom where dots
> of the electron-dot-cloud are galaxies
 ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
No wonder that you have no idea - you're such an idiot.
doe - 23 Jan 2004 18:21 GMT
>Subject: Re: Anyone have a physiological explanation for alcohol hangover?

>> So I am wondering what a hangover is physiologically?

Alcohol robs the body of B vitamins ..

Dose UP on B complex the night of drinking ..

Who loves ya.
Tom
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DP - 24 Jan 2004 00:13 GMT
the exact physiological  mechanism for alcohol hangover is not known. the
robbing of the b-vitamins happens mostly in the chronic alcoholics, not that
much by the sporadic over-doses.
the most troubles are probably  due  to a severe dehydration since the
alcohol inhibits the adh hormone.
the dehydrated brain shrinks and falls onto the head base dragging the brain
vessels.
so, you get a terrible headache, nausea and so on...
thus, at the evening or in the night you must preventively drink a lot of
electrolyte rich liquids. the same in the morning after. or you can try to
expel the satan with the beelzebub taking a dose or two of a good beer ;-)
brdp
> >Subject: Re: Anyone have a physiological explanation for alcohol hangover?
>
[quoted text clipped - 9 lines]
> Man Is A Herbivore! http://pages.ivillage.com/ironjustice/manisaherbivore
> DEAD PEOPLE WALKING http://pages.ivillage.com/ironjustice/deadpeoplewalking
James Michael Howard - 24 Jan 2004 11:03 GMT
I suggest the hangover is due to excessive cortisol.

Clin Endocrinol (Oxf). 1995 Jan; 42(1): 65-71.    
The acute effects of oral ethanol on the hypothalamic-pituitary-adrenal axis in
normal human subjects.

Inder WJ, Joyce PR, Wells JE, Evans MJ, Ellis MJ, Mattioli L, Donald RA.

Department of Endocrinology, Christchurch Hospital, New Zealand.

OBJECTIVE: To evaluate the acute effects of oral ethanol on the
hypothalamic-pituitary-adrenal axis in normal human subjects and, in particular,
to examine the effect of background alcohol intake and gastrointestinal
side-effects on this response. DESIGN: Plasma ethanol, cortisol, ACTH,
corticotrophin-releasing hormone (CRH) and AVP were measured half-hourly for 4
hours following 1.1 ml/kg of 95% ethanol or placebo in a cross-over study. At
least one week elapsed between each procedure. SUBJECTS: Twelve healthy
non-alcoholic volunteers with a wide range of background alcohol intakes.
MEASUREMENTS: Peptide hormones were measured by radioimmunoassay, cortisol by
ELISA and blood ethanol by headspace gas chromatography. Results are expressed
as mean +/- SEM. RESULTS: Blood ethanol levels peaked at one hour post ethanol
ingestion. Three subjects developed significant gastrointestinal (GI)
side-effects, with two vomiting and one experiencing moderate to severe nausea.
There was no difference between peak blood ethanol levels in the groups with and
without GI side-effects (34.5 +/- 2.4 mmol/l vs 34.3 +/- 1.7 mmol/l
respectively). ACTH and cortisol rose in those subjects who experienced GI
side-effects (P < 0.0001 for each). The remaining subjects had a tendency for
ACTH and cortisol to be higher on the placebo day. The group with GI
side-effects following ethanol administration had a significant rise in AVP (P <
0.02) that was synchronous with ACTH and cortisol. No consistent alcohol related
changes were seen in peripheral CRH levels, although there was a significant
increase over time on both active and placebo days (P < 0.0001). In the group
with no GI side-effects, AVP did not significantly fall in the first half hour
following ethanol, while a significant fall did occur following placebo (P <
0.05). Plasma renin activity was, however, increased by ethanol (P < 0.05). The
background alcohol intake of the group with GI side-effects was significantly
lower than the group without (18 +/- 7 vs 235 +/- 51 g/week, P < 0.05), but no
hormonal response was seen in two subjects with a relatively low alcohol intake
(< 100 g/week) who did not experience GI side-effects. CONCLUSION: Intoxicating
levels of ethanol per se do not result in activation of the
hypothalamic-pituitary-adrenal axis in humans. However, gastrointestinal
side-effects induced by the ethanol do result in such activation, which appears
to be mediated by AVP as the dominant ACTH secretagogue. One of the factors
which influences the blood ethanol level at which GI side-effects occur appears
to be background alcohol intake.
 
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