Alcohol withdrawal can vary in severity, ranging from mild symptoms to a severe condition known as delirium tremens (DTs). The severity of symptoms often correlates with the amount and duration of prior alcohol consumption, as well as the frequency of drinking. Here are common signs and symptoms of alcohol withdrawal: ### Mild to Moderate Symptoms - Anxiety: Feelings of nervousness or being tense. - Tremors (shakes): Especially noticeable in the hands. - Sweating: Especially in the palms or face. - Nausea and Vomiting: Can occur as the body reacts to the absence of alcohol. - Headache: Often general and persistent. - Insomnia: Difficulty falling asleep or staying asleep. - Palpitations: Heart racing or pounding unexpectedly. - **Increased or irregular heart rate. - Loss of appetite. - Irritability and mood swings. ### Severe Symptoms - Delirium Tremens (DTs):** This is the most severe form of alcohol withdrawal, characterized by sudden and severe changes in mental and nervous system functioning. It can include confusion, severe agitation, fever, tactile hallucinations (such as itching, burning, or numbness that isn't actually occurring), auditory and visual hallucinations. - Seizures: Can occur in more severe cases and can be life-threatening. ### Timeline of Alcohol Withdrawal - 6-12 hours post last drink: Symptoms like anxiety, headache, shaking, and nausea start to appear. - 12-24 hours post last drink: This period can include hallucinations. - 48 hours post last drink: Seizures may occur. - 72+ hours post last drink: This is typically when delirium tremens may develop if they're going to occur. Symptoms may continue to worsen and last for several days. ### Importance of Medical Supervision Alcohol withdrawal can potentially be life-threatening, especially in cases involving seizures, delirium tremens, or extreme dehydration. It is therefore highly recommended that alcohol withdrawal be managed under medical supervision. Treatment may involve the use of benzodiazepines to manage symptoms and prevent complications, along with supportive care including fluids, vitamins (especially B1, or thiamine), and monitoring for any complications. If you or someone you know is showing signs of alcohol withdrawal, it is important to seek medical assistance immediately to safely manage the condition and reduce the risk of severe complications.