Volume : 13, Issue : 04, April – 2026
Title:
CASE REPORT ALCOHOL WITHDRAWAL SYNDROME
Authors :
Khethavath.Divya, Dongri. Swetha, Rathod. Rajeswari, Dr .P. Soma Sekhar
Abstract :
Alcohol withdrawal syndrome is a condition that happens when a person who has been drinking alcohol regularly for a long time suddenly stops or reduces it. [1] It mainly affects the brain and nerves. [2] The symptoms can start mildly, like feeling anxious or having slight shaking in the hands, but in some cases, they can become serious, leading to seizures or a confused state called delirium tremens. [5,6] Long-term alcohol use can also affect the stomach, causing problems like gastritis, which gives a burning pain in the abdomen. [7,8]
In this case, a 30-year-old man came to the hospital with complaints of difficulty in walking and a burning sensation in his abdomen. [10] He also had a history of drinking alcohol. On examination, he had mild tremors and some difficulty with coordination. [5] His lab reports were normal, which helped rule out infections or other metabolic problems. [9]
The patient was treated with proton pump inhibitors to reduce stomach irritation and thiamine supplements to support nerve function. [13,14] Over time, his symptoms improved gradually. [15]
“This case highlights the importance of recognizing the early signs of alcohol withdrawal and starting the right care promptly to prevent serious complications.” [1,12]
KEYWORDS: Alcohol withdrawal syndrome, chronic alcohol use, tremors, anxiety, seizures, delirium tremens, impaired coordination, difficulty walking, gastritis, abdominal burning, proton pump inhibitors, thiamine supplementation, supportive treatment, early diagnosis, symptom improvement.
Cite This Article:
Please cite this article in press Khethavath.Divya et al., Case Report Alcohol Withdrawal Syndrome, Indo Am. J. P. Sci, 2026; 13(04).
REFERENCES:
1. Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM. Assessment of alcohol withdrawal: the revised Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-Ar). Br J Addict. 1989;84(11):1353–1357. https://doi.org/10.1111/j.1360-0443.1989.tb00737.x
2. Mihic SJ, Harris RA. GABA and the GABAA receptor. Alcohol Health Res World. 1997;21(2):127–131. https://pubmed.ncbi.nlm.nih.gov/15704349
3. Kiefer F, Wiedemann K. Neuroendocrine pathways of addictive behaviour. Addict Biol. 2004;9(3–4):205–212. https://doi.org/10.1080/13556210412331286532
4. Becker HC. Kindling in alcohol withdrawal. Alcohol Health Res World. 1998;22(1):25–33. https://pubmed.ncbi.nlm.nih.gov/15706728
5. Schuckit MA. Recognition and management of withdrawal delirium (delirium tremens). N Engl J Med. 2014;371(22):2109–2113. https://doi.org/10.1056/NEJMra1407298
6. Victor M, Adams RD. The effect of alcohol on the nervous system. Res Publ Assoc Res Nerv Ment Dis. 1953;32:526–573. https://pubmed.ncbi.nlm.nih.gov/13136190
7. Bode C, Bode JC. Effect of alcohol consumption on the gut. Best Pract Res Clin Gastroenterol. 2003;17(4):575–592. https://doi.org/10.1016/S1521-6918(03)00034-9
8. Laine L, Weinstein WM. Histology of alcoholic hemorrhagic ‘gastritis’: a prospective evaluation. Gastroenterology. 1988;94(6):1254–1262. https://doi.org/10.1016/0016-5085(88)90655-5
9. Amato L, Minozzi S, Davoli M. Efficacy and safety of pharmacological interventions for the treatment of the alcohol withdrawal syndrome. Cochrane Database Syst Rev. 2011;(6):CD008537. https://doi.org/10.1002/14651858.CD008537.pub2
10. Mayo-Smith MF. Pharmacological management of alcohol withdrawal: a meta-analysis and evidence-based practice guideline. JAMA. 1997;278(2):144–151. https://doi.org/10.1001/jama.278.2.144
11. Saitz R. Introduction to alcohol withdrawal. Alcohol Health Res World. 1998;22(1):5–12. https://pubmed.ncbi.nlm.nih.gov/15706726
12. Bayard M, McIntyre J, Hill KR, Woodside J Jr. Alcohol withdrawal syndrome. Am Fam Physician. 2004;69(6):1443–1450. https://pubmed.ncbi.nlm.nih.gov/15053409
13. Kosten TR, O’Connor PG. Management of drug and alcohol withdrawal. N Engl J Med. 2003;348(18):1786–1795. https://doi.org/10.1056/NEJMra020617
14. Thomson AD, Cook CC, Touquet R, Henry JA. The Royal College of Physicians report on alcohol: guidelines for managing Wernicke’s encephalopathy. Alcohol Alcohol. 2002;37(6):513–521. https://doi.org/10.1093/alcalc/37.6.513
15. Day E, Bentham PW, Callaghan R, Kuruvilla T, George S. Thiamine for prevention and treatment of Wernicke-Korsakoff syndrome. Cochrane Database Syst Rev. 2013;(7):CD004033. https://doi.org/10.1002/14651858.CD004033.pub3
16. Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955–964. https://doi.org/10.1001/archinte.166.9.955