Hazardous drinking is defined as a quantity or pattern of alcohol consumption that places patients at risk for adverse health events, while harmful drinking is defined as alcohol consumption that results in adverse events (eg, physical or psychological harm).
Harmful drinking (high-risk drinking) is defined as a pattern of alcohol consumption causing health problems directly related to alcohol. This could include psychological problems such as depression, alcohol-related accidents or physical illness such as acute pancreatitis.
Generally, people drink to either increase positive emotions or decrease negative ones. This results in all drinking motives falling into one of four categories: enhancement (because it's exciting), coping (to forget about my worries), social (to celebrate), and conformity (to fit in).
There are four types of drinkers, each with different motivations, which include the social drinker, conformity drinker, enhancement drinker, and coping drinker. People consume alcohol for many different reasons.
Heavy Alcohol Use:
NIAAA defines heavy drinking as follows: For men, consuming more than 4 drinks on any day or more than 14 drinks per week. For women, consuming more than 3 drinks on any day or more than 7 drinks per week.
Drinking a bottle of wine a day may rapidly increase the likelihood of physical and chemical alcohol addiction developing. Drinking a bottle per day equates to approximately 9 units per day or 63 units per week, far in excess of UK NHS recommended guidelines (14 units per week)[1].
Impaired control over alcohol use
This might mean not being able to control how long a drinking session is, how much alcohol you consume when you do drink, how frequently you drink, being unable to stop drinking once you start, or drinking on inappropriate occasions or at inappropriate places.
It is estimated that alcohol-related fatty liver disease develops in 90% of people who drink more than 40g of alcohol (or four units) per day. That's roughly the equivalent of two medium (175ml) glasses of 12% ABV wine, or less than two pints of regular strength (4% ABV) beer.
Should I be concerned? ANSWER: Occasional beer or wine with dinner, or a drink in the evening, is not a health problem for most people. When drinking becomes a daily activity, though, it may represent progression of your consumption and place you at increased health risks.
Drinking a bottle of wine a night would certainly count as problem drinking simply because of the volumes of alcohol involved, but unless that consumption comes with a reliance on alcohol – the physical or psychological need to drink – it cannot be assumed that the individual is an alcoholic.
Problem drinking is using alcohol in a way that can negatively impact your health and your life, but the body is not physically dependent on the substance. Alcoholism, on the other hand, most likely includes the physical addiction to alcohol in addition to the problems it may cause your health and your life.
Over time, excessive alcohol use can lead to the development of chronic diseases and other serious problems including: High blood pressure, heart disease, stroke, liver disease, and digestive problems. Cancer of the breast, mouth, throat, esophagus, voice box, liver, colon, and rectum.
If you feel that you need a drink every night or to get through a social event, stressful situation or personal struggle, and you have a compulsion to drink or constantly crave alcohol, maybe even daily, this could be a sign of psychological dependency.
Myth: I don't drink every day OR I only drink wine or beer, so I can't be an alcoholic. Fact: Alcoholism is NOT defined by what you drink, when you drink it, or even how much you drink. It's the EFFECTS of your drinking that define a problem.
Generally, symptoms of alcoholic liver disease include abdominal pain and tenderness, dry mouth and increased thirst, fatigue, jaundice (which is yellowing of the skin), loss of appetite, and nausea. Your skin may look abnormally dark or light. Your feet or hands may look red.
Some of the most common symptoms of alcohol abuse are: Experiencing temporary blackouts or short-term memory loss. Exhibiting signs of irritability and extreme mood swings. Making excuses for drinking such as to relax, deal with stress or feel normal.