Abdominal Pain Symptoms & Alcohol
Experiencing abdominal pain after drinking excessive amounts of alcohol is not unusual, but in some cases it might only take a small amount of alcohol to elicit the same reaction. Mild pain is not always a cause for concern, as many people have sensitive stomachs that can be irritated by the increased stomach acid brought about by drinking alcohol, but more severe pain might be the sign of an underlying disorder. Consult a doctor if you consistently experience abdominal pain after drinking alcohol.
Gastric Secretion
Drinking alcohol, even in small amounts, irritates your stomach lining as it increases the amount of acid in your stomach. In some people, this can elicit abdominal pain, vomiting or diarrhea. Although it would seem likely that drinks that have higher alcohol content, such as whiskey, would irritate your stomach lining more, the opposite is actually true. Drinks that have lower alcohol content, such as beer and wine, increase the levels of stomach acid, whereas whiskey, cognac and other drinks high in alcohol content don't cause any increase in stomach secretion.
- Drinking alcohol, even in small amounts, irritates your stomach lining as it increases the amount of acid in your stomach.
- Although it would seem likely that drinks that have higher alcohol content, such as whiskey, would irritate your stomach lining more, the opposite is actually true.
Alcohol Intolerance
Allergic Reaction Rash to Alcoholic Drinks
Learn More
An intolerance to alcohol is due to an alteration of the digestive enzyme aldehyde dehydrongenase, which is responsible for breaking down alcohol. The enzyme is altered so that it cannot properly break down alcohol, which can result in problematic symptoms when even a little bit of alcohol is consumed. Common symptoms can include abdominal cramping, flushing in the face, nausea and an increased heartbeat. Alcohol intolerance is most common among the Asian population. An intolerance to other ingredients commonly found in alcoholic drinks, such as histamines and sulfites, can cause similar symptoms.
- An intolerance to alcohol is due to an alteration of the digestive enzyme aldehyde dehydrongenase, which is responsible for breaking down alcohol.
- The enzyme is altered so that it cannot properly break down alcohol, which can result in problematic symptoms when even a little bit of alcohol is consumed.
Food Allergies
An actual allergy to alcohol is rare, but many ingredients used to make alcoholic drinks are common allergens, including yeast, hops, rye, barley, wheat, grapes and egg or seafood proteins. Common symptoms of an allergy are abdominal pain, severe rashes, difficulty breathing or nasal congestion. A severe allergic reaction can cause collapse and possibly even death. As symptoms can vary greatly from person to person, abdominal pain may be the only thing you experience after drinking alcohol if you suffer from an allergy to a particular ingredient. Alcohol also increases the permeability of the gut, letting more food particles into the body, according to Allergy UK. Therefore, it's possible you might experience a reaction to a particular allergen only when you encounter it in alcohol.
- An actual allergy to alcohol is rare, but many ingredients used to make alcoholic drinks are common allergens, including yeast, hops, rye, barley, wheat, grapes and egg or seafood proteins.
- As symptoms can vary greatly from person to person, abdominal pain may be the only thing you experience after drinking alcohol if you suffer from an allergy to a particular ingredient.
Medical Disorders
Alcohol Sensitivity Symptoms
Learn More
Long-term alcohol consumption can lead or contribute to several gastrointestinal disorders, such as gastritis, acid reflux and peptic ulcers, which may result in abdominal pain that is exacerbated by further alcohol consumption. Damage to the liver, a common result of long-term alcohol abuse, can have abdominal pain as a symptom as well. If you have a digestive disorder, such as irritable bowel syndrome, even drinking a small amount of alcohol can cause abdominal pain.
Related Articles
References
- Drinkaware: Is Alcohol Harming Your Stomach?
- Alcohol Health and Research World: Alcohol’s Role in Gastrointestinal Tract Disorders
- Auckland Allergy Clinic: Alcohol Intolerance (Adverse Effect to Alcoholic beverages)
- National Institute on Alcohol Abuse and Alcoholism. Alcohol Metabolism: An Update. Alcohol Research & Health. 2007;30(1).
- Taylor B, Rehm J. The relationship between alcohol consumption and fatal motor vehicle injury: high risk at low alcohol levels. Alcohol Clin Exp Res. 2012;36(10):1827-34. doi:10.1111/j.1530-0277.2012.01785.x
- Ferré S, O'Brien MC. Alcohol and caffeine: The perfect storm. J Caffeine Res. 2011;1(3):153-162. doi:10.1089/jcr.2011.0017
- Stornetta A, Guidolin V, Balbo S. Alcohol-derived acetaldehyde exposure in the oral cavity. Cancers (Basel). 2018;10(1):20. doi:10.3390/cancers10010020
- Hadland SE, Levy S. Objective testing: Urine and other drug tests. Child Adolesc Psychiatr Clin N Am. 2016;25(3):549-65. doi:10.1016/j.chc.2016.02.005
- Stewart SH, Koch DG, Willner IR, Randall PK, Reuben A. Hair ethyl glucuronide is highly sensitive and specific for detecting moderate-to-heavy drinking in patients with liver disease. Alcohol Alcohol. 2013;48(1):83-7. doi:10.1093/alcalc/ags109
- Fillmore MT, Jude R. Defining "binge" drinking as five drinks per occasion or drinking to a .08% BAC: which is more sensitive to risk? Am J Addict. 2011;20(5):468-75. doi:10.1111/j.1521-0391.2011.00156.x
- American Association for Clinical Chemistry. Ethanol. 2018.
- Cederbaum A. Alcohol metabolism. Clinics in Liver Disease. 2012;16(4):667-685. doi:10.1016/j.cld.2012.08.002
- LabCorp, Inc. Drugs of Abuse Reference Guide. 2007.
- National Institute on Alcohol Abuse and Alcoholism. Alcohol Metabolism: An Update. Alcohol Research & Health. 2007;30(1).
Writer Bio
Solomon Branch specializes in nutrition, health, acupuncture, herbal medicine and integrative medicine. He has a B.A. in English from George Mason University, as well as a master's degree in traditional Chinese medicine.