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Tuesday, December 30, 2008

 

FEATURE

Toast 2009 without getting a hangover

By Rome Jorge, Lifestyle Editor
 
Toasting the arrival of 2009 should be fun—not an occasion to get a hangover or get bogged down by it.

With the revelries, fireworks and parties of the New Year, staying up late, gorging on food and drinking alcoholic beverages are nearly impossible to avoid. Besides, even worse than regretting such indulgence is regretting having missed out on all the revelry.

But alcohol consumption need not be a surefire way to get knocked out—if one only knows the symptoms and possible remedies.

What to look out for

The medical term for a hangover is veisalgia—from kveis, the Nordic word for “uneasiness after debauchery,” and algia, the Hellenic word for “grief.” Though first coined only in 2000 in a study published in the Annals of Internal Medicine, the term veisalgia appears apt for this ancient malady.

The Vikings, infamous for their wantonness with meat, and the Greeks, storied for their orgies with wine, knew well the effects of alcohol indulgence normally felt the day after: splitting headaches, dizziness, nausea, vomiting, dry mouth, sensitivity to noise and bright light, irritability and lethargy.

Other hangover symptoms can include erratic motor functions, trouble sleeping, lack of depth perception, revulsion to the smell or taste of alcohol and making promises never to ever drink again—that are difficult to keep. Hangovers may last from just a few hours to up to three days. They are most often experienced upon waking from stupor.

Causes

During a hangover, the brain experiences withdrawal symptoms from ethanol—a potent psychoactive depressant drug that can cause addiction. The sensitivity to sound and light, the aversion to the smell and taste of alcohol and erratic motor functions are all effects of this withdrawal.

The effects of ethanol on the brain, the intestine and the liver have been documented in a study published by the American Academy of Family Physicians in 2004.

Ethanol is also a diuretic, making you urinate excessively. Dehydration deprives the brain of enough fluid, hence the headaches.

The liver is the organ responsible for detoxifying the body of such toxins as ethanol. But binge drinking can overwhelm and permanently damage the liver.

To breakdown toxic ethanol into harmless acetic acid—better known as vinegar—liver enzymes first convert it to acetaldehyde—a cancer-causing and mutagenic substance 30 times more toxic than ethanol. This is according to a study made on lab rats that was published in the journal Inflammation Research in 2005.

Excessive alcohol consumption can deplete the liver of glutathione, an anti-oxidant that it needs to breakdown toxins, such as ethanol. Though the body naturally synthesizes glutathione from cysteine and other proteins, excessive amounts of ethanol can cause the liver to use up available supply faster than the body’s ability to produce it. This finding was cited by a study made for the Department of Legal Medicine, Kyoto Prefectural University of Medicine in 1989.

To create the enzymes needed to neutralize toxins, like ethanol, the body needs vitamins—nutrients the body cannot synthesize by itself and must absorb through food—like B12. Excessive drinking can lead to vitamin deficiency. As with vitamin B12, these nutrients are necessary not only for the liver but also for the brain and other organs. According to the “Dietary Supplement Fact Sheet: Vitamin B12” by the US National Institutes of Health, symptoms of Vitamin B12 deficiency include fatigue, depression and poor memory—the very same symptoms of a hangover.

Because excessive alcohol consumption provokes an overproduction of liver enzymes, the metabolism of sugar is affected and may lead to hypoglycemia or low blood pressure. Hypoglycemia symptoms include palpitations, cold sweat, nausea, headaches and a sensation of pins and needles—again, the same symptoms of a hangover.

Adding to the ill effects of ethanol are congeners—substances that give an alcoholic beverage its color, aroma, taste and character—without which wine, brandy and whisky would be just plain pure alcohol. Clear distilled drinks, such as vodka, are free of congeners. But because the chief cause of veisalgia is ethanol, strictly sticking to clear drinks can by no means preclude a hangover. This multiplier effect by congener on ethanol’s symptoms was cited in the same study that coined the term veisalgia.

Hangover first aid

Experts recommend drinking water and oral rehydration solutions, enough to cause urination to flush out toxins.

Get proper ventilation and clean air to provide oxygen to better metabolize toxins and avoid feelings of nausea.

Eat foods rich in Cysteine, vitamins B12, B1, B6, C and other nutrients necessary to produce liver enzymes to neutralize toxins. Eggs, milk, citrus fruits as well as whey protein and multivitamin supplements are good sources.

One can take glutathione supplements to aid the liver in processing excessive toxins.

These remedies can be taken before, during, as well as after drinking to mitigate a hangover.

Exercise, which metabolizes toxins faster, is another remedy for the day after partying.

One can take tolfenamic acid, an anti-inflammation drug, for headaches. And taking sodium bicarbonate, otherwise known as baking soda, can sooth discomfort in the intestinal tract and counter nausea.

Drinking coffee, tea and other drinks rich in caffeine—a stimulant whose effects are opposite to that of depressants, such as alcohol—can help promote alertness and sooth the body. Caffeine, also a diuretic, can lead to a faster release of toxins through urination but can also aggravate dehydration and its effects. Drinking enough water also helps.

But perhaps the most effective remedy is moderation. If that is still difficult, try abstinence.

   

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Severino O. Frayna Jr., Benjie Dela Rosa
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