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    EFFECTS

    I've read, and worried myself, over the effects of long-term AL abuse. We worry over bloodwork, facing our doctors, being shown the facts of our abuse. I've heard the term 'wet brain' without truly understanding it. It sounded like a made-up condition, assigned to 'those people' who live under the freeways, stand in line at the soup kitchens. It's come home to me recently, though, through a friend I have cherished, laughed with, planned with, talked to almost daily. It is REAL, and can be one of the most horrific outcomes of our uncontrolled excess with AL. This doesn't sound like the party life we hate to give up, or the social drinking expected in our 'crowd'. This is real, and it happens.


    Wet Brain – Alcoholism and Wernicke-Korsakoff Syndrome

    Wet Brain

    An ultimate and tragic consequence of years of alcoholic drinking, wet brain (Wernicke-Korsakoff syndrome) occurs from a thiamine deficiency due to malnutrition. In early stages, the syndrome can be partially reversed through treatment with large doses of thiamine; in late stage cases, there is no effective treatment.

    Alcoholics become deficient in thiamine (vitamin b-1) through poor eating habits (liquid meals), damaged gastro intestinal systems that do not absorb nutrients well, and through liver damage (leading to a reduction in thiamine processing). Thiamine is an essential nutrient for glucose conversion in the brain, and over time, a thiamine deficiency leads to significant brain cell death and serious structural damage in certain areas of the brain. Areas of the brain most affected include the brain stem, the cerebral cortex and the pons.

    Symptoms of Wet Brain
    Ataxia, an irregular gait – wide stance and short step
    Confusion, which often manifests as apathy to external surroundings and low voluntary verbal participation
    Confabulation – telling of events that did not happen, and believing them to be true
    Dementia
    Hallucination – visual, aural or tactile
    Loss of control over eye movements
    Treatment for Wet Brain
    Patients suffering early stages of wet brain may respond well to large doses of intravenous thiamine, and may see a substantial symptoms improvement. Late stage patients will not benefit from any known treatment.

    The mortality rate for wet brain is about 20%. Prompt treatment will lead to a full mental recovery for about 20%, a recovery from ataxia for about 40% and a recovery from irregular eye movement for about 60%.

    Most patients suffering from wet brain have abused alcohol heavily for many years. The rate of occurrence in the general population is not known, but it is higher amongst certain subsets, such as the homeless and the elderly.

    Anyone concerned about symptoms indicative of wet brain needs immediate medical attention.

    Long years of heavy drinking may lead to a thiamine deficiency, and a syndrome known as Wernicke-Korsakoff (wet brain). Much of the brain damage experienced is unfortunately irreversible.



    Wet Brain Syndrome is known by several names including Korsakoff psychosis, alcoholic encephalopathy, Wernicke's disease among others. The most common medical term for Wet Brain Syndrome is Wernicke-Korsakoff syndrome and is caused by a deficiency in one of the B vitamins called thiamine. Thiamine is also occasionally referred to as vitamin B1. Thiamine is important for a large number of cellular processes, many of them involving glucose metabolism and amino acid synthesis. One of the reasons that thiamine deficiency can cause such havoc in the brain is because the brain, unlike other organs, needs a steady supply of glucose from the blood and does not have the ability to store it. Also, many neurotransmitters, like glutamate and aspartate are amino acids, while others depend on amino acids for their synthesis. In addition to Wet Brain Syndrome, thiamine deficiency can also lead to a disease called Beriberi.

    Causes of Wet Brain Syndrome
    One of the most common causes of thiamine deficiency, and therefore Wet Brain Syndrome, is alcoholism. People who have severe alcoholism will drink so much alcohol that they neglect getting nutrition from sources other than alcohol. This leads to B1 deficiency as well as overall malnutrition. Thiamine deficiency is also seen in people who eat a diet rich in polished rice since the process of polishing rice removes vitamin B1. People that undergo stomach bypass and stapling surgery can develop vitamin B1 deficiency and so can those who have long stays in an intensive care unit.

    Symptoms of Wet Brain Syndrome
    Wet Brain Syndrome is characterized by many different neurological and psychiatric symptoms. Two of the main symptoms, which are also seen in alcohol intoxication, are confusion and ataxia. This is why the disease is sometime difficult to diagnose in severe alcoholics. Many symptoms of Wet Brain Syndrome involve the eye including nystagmus (a lateral tremor of the eye), ophthalmoplegia (paralysis of the eye muscles), anisocoria (unequal pupil size) and sluggish pupil reflexes (the eyes only slowly react to light). Korsakoff's psychosis is characterized by amnesia, hallucination and confabulations. A confabulation is a fascinating psychiatric symptom in which people incorporate a fantasy or a figment of their imagination into their working memory. They are also extremely suggestible. An example of a confabulation is when a doctor, who has only just met a patient with Wet Brain Syndrome can easily convince him that they are long time acquaintances. The patient then begins to confabulate other instances in which the two have interacted.

    A Serious Disease
    Sadly, if left untreated, Wet Brain Syndrome can lead to coma or even death. In fact, if amnesia and psychosis have already occurred, it is unlikely that a full recovery will be achieved. One pitfall for physicians that treat alcoholic patients is that thiamine deficiency is often sub-clinical meaning that it does not yet result in obvious signs of Wet Brain Syndrome. Since many people with alcoholism are malnourished, one obvious intervention is to give patients glucose. Unfortunately, giving glucose to someone with thiamine deficiency without first giving thiamine can result in a terrible exacerbation of Wet Brain Syndrome and put them into full blown encephalopathy. Medical students are routinely taught if you are going to treat for malnutrition that you better give thiamine before the sugar!


    What is a wet brain

    --------------------------------------------------------------------------------

    The term you are referring to applies to someone who has abused alcohol to the point that normal brain function is permanently impaired. There are several degrees of "wet". I have been on 12 step calls and witnessed this first hand. It is a "very awakening" experience.

    If you were able to type a post here, then you are not likely wet brained. What you are going through is known as the "paws": Post Acute Withdrawal Syndrome. Now I am not a doctor and not trying to offer advise, but in my early attempts at sobriety were me trying to "study" this disease. I thought if I knew my nemesis, I could defeat it. Of course, this did not work.

    The "paws" is caused by a sudden withdrawal of a substance that your body has become "dependant" on. After abusing alcohol and drugs, the brain stops producing certain chemicals such as dopamine and seratonin. The abused substance causes the transmitters and receptors in the brain to stop "firing" the chemicals. Once the abused substance is no longer ingested, the brain experiences a chemical imbalance. The severity of the paws related episodes depend and the frequency, substance used, and length of abuse. Most experts state that the paw starts 7 to 14 day into recovery and can last 3 months to two years. The severity of paws can also depend on the stress level experienced in sobriety as well. Here are some examples of paws symptoms:

    1. Inability to think clearly

    2. Memory problems

    3. Emotional overreactions or numbness

    4. Sleep disturbances

    5. Physical coordination problems

    6. Stress sensitivity

    Do not fear this. It is merely a sign that the brain is trying to stabilize. There are things that help, such as exercise, proper nutrition, meditation, and most of all, working the program with the help of your higher power. In time, these chemicals will flow again. They call this "getting your brain out of hoc" in AA. Doctors can also treat with certain non addictive drugs, such as Serzone, or Zoloft. (Anti-depressants)

    To read more, check out: ---PAWS

    Post Acute Withdrawl - Relapse Prevention Specialists - TLC The Living Center



    Are you scared yet? Are you convinced? I almost believe it's worse when it happens to a friend than to ourselves, since we don't even know it has happened. When it's us, we are shuttled off to nursing care, lost in our own mind (what's left of it). When it's someone we care about, we watch helplessly. I PRAY someone will see this and it will make a difference. What have you lost today, or had stolen from you, by drinking? How has your family suffered? Consider what AL has done for you today.
    Rubes
    sigpic
    Never look down on a person unless you are offering them a hand up.
    awprint: RUBY Imagine yourself doing What you love and loving What you do, Being happy From the inside Out, experiencing your Dreams wide awake, Being creative, being Unique, being you - changing things to the way YOU know they can BE - Living the Life you Always imagined.awprint:

    #2
    EFFECTS

    Ruby, another great post. I'am definitely going to make a copy and put in with my sobriety plan. One look at this,just might stop a craving. Scary stuff! Thanks'
    runningwind
    The greatest discovery of my generation is that a human being can alter his life by altering his attitudes of mind. William James (1842-1910)

    Comment


      #3
      EFFECTS

      Thank you for the post Ruby......
      :heart:AF since May 31 2008.....Happy and Healthy

      Comment


        #4
        EFFECTS

        Thank you for the post Ruby...:h
        :heart:AF since May 31 2008.....Happy and Healthy

        Comment


          #5
          EFFECTS

          Always, Rusty. We know the suffering of others, and carry it as our own pain. Let it always remind us.
          sigpic
          Never look down on a person unless you are offering them a hand up.
          awprint: RUBY Imagine yourself doing What you love and loving What you do, Being happy From the inside Out, experiencing your Dreams wide awake, Being creative, being Unique, being you - changing things to the way YOU know they can BE - Living the Life you Always imagined.awprint:

          Comment


            #6
            EFFECTS

            Such a vicious cycle (alcoholism) that we know we are hurting ourselves yet continue to do so. So many times I had gone thru withdrawal & hangovers knowing I was hurting my body yet a month (week, days) later I'd do it again. Dumb.

            thanx for the article.

            p.s. now my signature makes sense!
            :notes:
            My mind not only wanders, sometimes it leaves me altogether.

            "When enough is enough, that's when you know your half way there"-Tim Mcllrath

            Comment


              #7
              EFFECTS

              very interesting post ruby,thanks


              :congratulatory: Clean & Sober since 13/01/2009 :congratulatory:

              Until one is committed there is always hesitant thoughts.
              I know enough to know that I don't know enough.

              This signature has been typed in front of a live studio audience.

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                #8
                EFFECTS

                Thank you for posting this, Ruby. I'd heard the term and wasn't sure what exactly it meant. Thanks for clarifying.
                ​​Emancipate yourselves from mental slavery, none but ourselves can free our mind ~ Bob Marley ~ Redemption Song

                AUGUST 9, 2009

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                  #9
                  EFFECTS

                  I know this is scary. It should be. I'm serious about my addiction, and I never want to have someone else I care so much about be at this stage.
                  sigpic
                  Never look down on a person unless you are offering them a hand up.
                  awprint: RUBY Imagine yourself doing What you love and loving What you do, Being happy From the inside Out, experiencing your Dreams wide awake, Being creative, being Unique, being you - changing things to the way YOU know they can BE - Living the Life you Always imagined.awprint:

                  Comment


                    #10
                    EFFECTS

                    Thanks Ruby for posting this info. It really brought tears to my eyes, lots of them. :upset: There are a lot of people out there that think DTs are the worst of the effects of AL. And of course, they can get a liver transplant....
                    My once beautiful mother, an artist, former model, mother of eight, had W-K. Started when she was 55. She had all of the symptoms and effects named in the article, including she didn't know any of us. My dad took care of her for 13 years, then I had to move across the country, losing the best job I ever had to help him and get her into a care facility. This caused dad severe anger at me, took time to overcome. Seven years after that, at 75, she finally died because she couldn't even swallow anymore, food or her own saliva... Only one of many who are lost in such a horrible way! It destroyed my dad, he was angry til he died. Wish MWO had been around for support back then. I a so glad you are all here now!

                    Be Well All,:h

                    Jenn
                    Jenn
                    "I fought against the bottle, but I had to do it drunk."
                    Leonard Cohen

                    Comment


                      #11
                      EFFECTS

                      Jenn, I'm so sorry you have personal knowledge of this. I know it is painful. It was only posted so those who think their drinking is a social problem will understand. You did the best you could under a horrible cloud, amd when it's our family, our parents, it's almost too much to bear. Please, if you can contribute to the discussion, with the effects, family turmoil, do. I only hope this saves one person from this living hell.
                      sigpic
                      Never look down on a person unless you are offering them a hand up.
                      awprint: RUBY Imagine yourself doing What you love and loving What you do, Being happy From the inside Out, experiencing your Dreams wide awake, Being creative, being Unique, being you - changing things to the way YOU know they can BE - Living the Life you Always imagined.awprint:

                      Comment


                        #12
                        EFFECTS

                        It is a sobering thought isn't it? Thanks for that reminder.
                        I've known a couple of people in the later stages of this, although I've never heard the term "wet brain" and it is quite scary.
                        All the more reason to stop poisoning ourselves.

                        Comment


                          #13
                          EFFECTS

                          Ever since I heard of our dear friend becoming ill with this disease, I have thought about how many ways alcohol ruins health and lives. Unlike other "diseases", we can stop alcoholism. Some stop through rehab, some stop with the help of meds, and others stop through self dicipline and/or supplements. Whatever is safe and works is the right way for us to stop this! Unlike other disease, we play a role in our disease. Like it or not, that is a fact.

                          Like Ruby said, I take my disease seriously. I know first hand how destructive alcohol is to me, physicly, emotionally and mentally. To an alcoholic, alcohol is poison. Alcohol feeds the disease of alcoholism, when alcohol is removed, the progression of this disease stops and healing begins.

                          Wishing everyone Health and Peace!
                          A Dream is a Wish Your Heart Makes~Cinderella

                          AF 12/6/2007

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                            #14
                            EFFECTS

                            KateH1;828070 wrote: To an alcoholic, alcohol is poison. Alcohol feeds the disease of alcoholism, when alcohol is removed, the progression of this disease stops and healing begins.

                            Wishing everyone Health and Peace!
                            Kate thanx. Very true.
                            :notes:
                            My mind not only wanders, sometimes it leaves me altogether.

                            "When enough is enough, that's when you know your half way there"-Tim Mcllrath

                            Comment


                              #15
                              EFFECTS

                              Kate, a wonderful post. Yes, I posted this with great sadness, and a feeling of profound loss. If it shakes one person out of their 'illusion' about the glamour of AL, she would be proud.
                              sigpic
                              Never look down on a person unless you are offering them a hand up.
                              awprint: RUBY Imagine yourself doing What you love and loving What you do, Being happy From the inside Out, experiencing your Dreams wide awake, Being creative, being Unique, being you - changing things to the way YOU know they can BE - Living the Life you Always imagined.awprint:

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