RELATIONSHIP OF ALCOHOL AND BLOOD PRESSURE

RELATIONSHIP OF ALCOHOL AND BLOOD PRESSURE

Drinking alcohol more than moderate level may increase blood pressure. Following is the details of relationship of alcohol and blood pressure.

Drinking restrictions are necessary to improve hypertension

Drinking restrictions are recommended in the treatment of hypertension and can also improve lifestyle-related diseases.
First, I will explain the reason why blood pressure rises due to drinking and the reason why blood pressure drops due to drinking restrictions.

Effects of drinking alcohol on blood pressure

It is known that the higher the amount of alcohol consumed, the higher the blood pressure.
Alcohol absorbed in the body is converted to acetaldehyde by enzymes. As acetaldehyde increases in the blood and dilates blood vessels, blood pressure after drinking drops temporarily.
However, if drinking continues, acetaldehyde changes to acetic acid and the blood concentration decreases, causing the blood vessels to constrict and the blood pressure to rise as a result.
In particular, it has been reported that people who drink more than 1.3 cups of sake per day have higher blood pressure than those who do not drink.

Blood pressure drops due to drinking restrictions

It has also been shown that long-term drinking causes an increase in blood pressure, while alcohol restriction is effective in lowering blood pressure.
An analysis (meta-analysis) summarizing several studies has reported that alcohol restriction reduces blood pressure by an average of 3 mm Hg during systole and 2 mm Hg during diastole.
It has been found that this anti hypertensive effect increases in people with higher blood pressure.
Excessive drinking not only causes the blood pressure to rise, but also causes refractory hypertension, which is difficult for drugs like anti hypertensive to work. Specific goals such as one beer should be set and restricted.

The health effects of alcohol

From here, I will explain how alcohol affects your health.

Bad impact of alcohol

There is a direct relationship between alcohol and blood pressure. If you continue to drink excessively for a long time, your blood pressure will rise and it may lead to various illnesses other than high blood pressure.
For example, there is a research result that if you drink more than 2 cups of sake a day, the risk of death such as cerebrovascular accident, cancer, accidental death increases compared to those who do not drink.
Not only the burden on the internal organs, but also the mental and nerves are adversely affected, and there is a great risk of alcohol dependence.

Good impact of alcohol

On the other hand, moderate amounts of alcohol also have medical advantages.
It is known that people who enjoy about 1 cup of sake a day have a lower mortality rate of cardiovascular disease than those who do not drink at all.
Moderate drinking helps prevent myocardial infarction and arteriosclerosis obliterans, and cerebral infarction can be prevented with a small amount of alcohol.
However, this is the case when an appropriate amount is ingested under appropriate conditions, and the effect varies depending on the constitution and the like. It is important to always keep in mind that alcohol has adverse effects and do not force it to non-drinkers.

According to Ministry of Health, Labor and Welfare, what is basically “moderate drinking”?

Finally, I would like to introduce the guideline for “moderate and moderate drinking” approved by the Ministry of Health, Labor and Welfare.
Ministry of Health, Labor and Welfare reported ;drinking about 20g / day of pure alcohol is moderate.
The recommended daily amount for Japanese men is “1 bottle of beer 500 ml”, “1 go of sake”, “1 bottle of chuhai 350 ml
“, “1 cup of whiskey double” and so on.
However, since the rate of alcohol decomposition tends to be slow in women and the elderly, it is recommended to keep it to about 1/2 to 2/3 of the above standard amount.
In addition, people who have a flushing reaction that causes their faces to turn red also tend to have a slow decomposition rate, and it is necessary to reduce their intake.
For good health, it is advisable to keep less than one can of beer a day and take it with meals.
The ideal drinking habit is to have two rest days a week and refrain from alcohol during exercise, bathing, bedtime, and medication.

alcohol and blood pressure

How to treat alcoholism

After knowing the effects of alcohol on blood pressure, one must go for the treatment. Treatment is carried out by a doctor who has sufficient knowledge and experience in the treatment of alcohol dependence. Alcoholics have a strong desire to drink and are in a state of self-control (psychological dependence). Then, when you stop drinking alcohol, symptoms (withdrawal symptoms) such as frustration, anxiety, shaking hands, sleeplessness at night, sweating, and vomiting of food will appear (withdrawal symptoms). Physical dependence). It is necessary to stop drinking in order to recover from such addiction and regain physical health.

Inpatient treatment can be called as treatment of choice. If the patient’s physical and mental condition is relatively stable and the patient and his / her family can improve their lives by themselves according to the doctor’s instructions, treatment can be done outpatiently without hospitalization. It may be done.

Inpatient treatment for alcoholism is generally divided into several treatment steps (introduction, detoxification, early and late rehabilitation).

Step 1

Introductory period: First interview-Before the start of abstinence

This is where patients are made aware that alcoholism is a disease, and the motivation for patients to work enthusiastically on treatment is motivated by the efforts of doctors, family members and those around them. It is done.

Step 2

Detoxification period: about 3 weeks

We will start abstinence, further strengthen the motivation for treatment, and diagnose and treat withdrawal symptoms, other organ disorders, and co morbid psychiatric disorders. When the symptoms subside in about 3 weeks and you feel calm, psychotherapy to stop drinking begins.

Step 3

First term of rehabilitation: Approximately 7 weeks

Rehabilitation begins when the physical and mental health is restored to some extent. You will be trained to lead a daily life after discharge by receiving psychotherapy to review your thinking and behavior regarding drinking, and participating in group activity programs centered on creative and recreational activities at rehabilitation center.

Step 4

Late rehabilitation: After discharge-lifetime

Even after being discharged from the hospital after rehabilitation, we will continue to visit specialized facilities regularly and participate in self-help groups, and continue to abstain from alcohol for a long time with various support. In addition, to prevent recurrence, we may take anti-alcohol drugs for about 6 months to 1 year.

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