AGING, ALCOHOL ABUSE, BINGE DRINKING AND ALCOHOLISM
by Emily Carton, LISW
Anyone at any age can develop or resume a drinking problem. Great Uncle George may have always been a heavy drinker -- his family may find that as he gets older, the problem gets worse. Grandma Betty may have been a teetotaler all her life, just taking a drink "to help her get to sleep" after her husband died -- now she needs a couple of drinks to get through the day. These are common stories. Drinking problems in older people are often neglected by families, doctors, and the public.
Physical Effects of Alcohol
Alcohol, itself a drug, is often harmful when mixed with prescription or over-the-counter medicines. This is a special problem for people over 65, because they are often heavy users of prescription and over-the-counter medications.
Mixing alcohol with other drugs such as tranquilizers, sleeping pills, pain killers, and antihistamines can be very dangerous, even fatal. For example, aspirin can cause bleeding in the stomach and intestines; when aspirin is combined with alcohol, the risk of bleeding is much higher. When alcohol is mixed with sleeping pills or barbiturates such as ativan, valium or librium, the combination can slow down the body's vital systems to the point of the person seemingly slips out of consciousness, but in reality, they have gone into cardiac or pulmonary arrest, and die.
As people age, the body's ability to absorb and dispose of alcohol and other drugs changes. Anyone who drinks should check with a doctor or pharmacist about possible problems with drug and alcohol interactions.
Who Becomes a Problem Drinker?
There are two types of problem drinkers -- chronic and situational. Chronic abusers have been heavy drinkers for many years. Although many chronic abusers die by middle age, some live well into old age. Most older problem drinkers are in this group.
Other people may develop a drinking problem late in life, often because of "situational" factors such as retirement, lowered income, failing health, loneliness, or the death of friends or loved ones. At first, having a drink brings relief, but later it can turn into a chronic companion or escape.
How to Recognize a Problem
Not everyone who drinks regularly has a drinking problem. Binge drinking, even just a few times a year, can be a signal that a problem exists. You might want to get help if you:
What is Binge Drinking?
Binge drinking is also referred to as 'heavy episodic drinking", has been defined in different ways at different times. Most people who binge drink are not alcohol dependent, or chronically alcoholic. It currently most often refers to heavy drinking over a short period of time, such as an evening. It often occurs with the intention of getting intoxicated, and is sometimes associated with social or physical harm. The National Institute of Alcohol Abuse and Alcoholism defines binge drinking as a pattern of drinking that brings a person’s blood alcohol concentration (BAC) to 0.08 grams percent or higher. This typically happens when the average size American male consumes 5 or more drinks, and when an American female consumes 4 or more drinks, in about 2 hours. In older people, binge drinking can be associated with these ehalth problems:
Older problem drinkers have a very good chance for recovery because once they decide to seek help, they usually stay with treatment programs. You can begin getting help by calling your family doctor or clergy member. Your local health department or social services agencies also can help.
Alcoholics Anonymous (AA) is a voluntary fellowship of alcoholics who help
themselves and each other get and stay sober. Check the phone book for a local chapter or write the national office at:
475 Riverside Drive, 11th Floor
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) provides information on alcohol abuse and alcoholism. Contact:
The National Council on Alcoholism and Drug Dependence, Inc., can refer you to treatment services in your area. Contact:
The National Institute on Aging
Alcohol Concern Factsheet 20: Binge drinking
Division of Adult and Community Health,National Center for Chronic Disease Prevention and Health Promotion
Eliminating high-risk drinking: reportGlobal Status Report on Alcohol 2004 by the WHO.
National Institute on Aging, U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health.
"Quick Stats: Binge Drinking." The Centers for Disease Control and Prevention. April 2008. http://www.cdc.gov/alcohol/quickstats/binge_drinking.htm.
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