Alcohol withdrawal delirium is severe symptoms after you stop drinking alcohol. This is also called also called delirium tremens (DTs). Delirium tremens can be life threatening. If you are dependent on alcohol, the DTs may start 24 to 72 hours after you stop or decrease your drinking, or as long as 10 days. Not everyone who is dependent on alcohol will go through the DTs when they stop drinking. However, there is no way to predict who will go through DTs. If you are dependent on alcohol, do not try to stop drinking without help.
If you must stay in a place where you cannot drink, such as in the hospital or in jail after an accident, let a healthcare provider know that you are a heavy drinker. If you are not treated for DTs, you may have severe problems that could result in death.
What is the cause?
Alcohol changes the way your body and brain work. When you drink regularly and drink a lot, there are changes in the nerve cells and blood flow in your brain. As a result, you think about alcohol all the time and you don’t feel good unless you drink more alcohol. When you stop drinking suddenly, there are changes in your brain, which cause the symptoms of alcohol withdrawal.
What are the symptoms?
Symptoms of the DTs include:
Not knowing who or where you are
Being very restless and not being able to sleep
Seeing, hearing, or feeling something that is not there
Believing things that are not true
Having a fever
Having seizures or going into a coma
How is it diagnosed?
Delirium tremens is a medical emergency. Your healthcare provider will ask how much and how often you drink. Be honest about your drinking. Your provider needs this information to give you the right treatment. He or she will also ask about your symptoms and medical history, and give you a physical exam. You may have blood and urine tests.
How is it treated?
If you have symptoms of the DTs, someone should take you to the emergency room right away.
Treatment for delirium tremens may include medicines, vitamins, and IV fluids. The symptoms of delirium tremens can last up to 10Â days.
How can I take care of myself?
You can help take care of yourself and prevent the DTs by doing these things:
Eat and drink healthy foods and fluids.
Follow your providerâ€™s advice about alcohol use.
Do not drink alcohol while you are taking medicine to help you quit drinking.
Follow your provider’s advice for treatment of any other medical problems.
If you think you are dependent on alcohol, get help. People and resources in your community that can help you include your healthcare providers, therapists, support groups, mental health centers, and alcohol or substance abuse treatment programs. You may want to contact:
Adult Advisor 2015.1 published by RelayHealth. Last modified: 2014-03-14 Last reviewed: 2014-03-14
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Alcohol Withdrawal Delirium: References
Clinical Textbook of Addictive Disorders, Third Edition /Â Edition 3byÂ Richard J. Frances,Â Sheldon Irvin Miller,Â Avram H. Mack
Safety and effectiveness of medications for the treatment of alcohol withdrawal syndrome
Amato L, Minozzi S, Davoli M Published Online:Â Cochrane Summaries June 15, 2011
Harrison’s Principles of Internal Medicine: Volumes 1 and 2, 18th Edition
Dan Longo,Â Anthony Fauci,Â Dennis Kasper,Â Stephen Hauser,Â J. Jameson,Â Joseph Loscalzo