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Beyond the Hangover: Understanding Alcohol Intolerance and Allergies

Experiencing nausea, headaches, and sensitivity to light and sound after a night of drinking? While these are common hangover symptoms that typically subside as your body processes the alcohol, they could indicate something more serious, such as an alcohol intolerance or allergy.

According to Dr. Raj Dasgupta, an internal medicine specialist at Huntington Health in Los Angeles, "Feeling unwell after consuming alcohol isn't always just a hangover. While hangovers are the most frequent reaction to excessive drinking, some individuals might be experiencing alcohol intolerance or even an allergy, both of which present distinct symptoms."

Man experiencing hangover symptoms

Dr. Dasgupta explains that a hangover results from consuming more alcohol than your body can process, leading to dehydration, electrolyte imbalances, inflammation, and a strained liver. Pacing yourself and staying hydrated can sometimes prevent hangovers. However, alcohol intolerance is unavoidable for some.

Alcohol intolerance manifests rapidly, often within minutes of consuming even a small amount of alcohol.

This rapid reaction stems from an enzyme deficiency that prevents the body from breaking down alcohol effectively. Common indicators of alcohol intolerance include facial flushing, nasal congestion, nausea, and a rapid heartbeat. These symptoms aren't related to the quantity of alcohol consumed but rather the body's inability to process it.

Woman declining an alcoholic beverage

While significantly less common than hangovers or intolerance, alcohol allergies are a more serious concern. These are immune responses to components within the drink, such as barley, wheat, yeast, or sulfites. Allergic reactions occur almost immediately after consumption and can manifest as hives, swelling, breathing difficulties, stomach pain, and even life-threatening anaphylaxis. Immediate medical attention is crucial in such cases.

Woman enjoying a beer

Dr. Dasgupta advises, "If symptoms appear immediately after drinking, take note. Flushing and mild discomfort might suggest intolerance, whereas swelling or breathing problems likely indicate an allergy requiring immediate medical care. If you're uncertain, consult your doctor for proper diagnosis and guidance."

So, while that morning-after discomfort might be a typical hangover, understanding the differences between a hangover, intolerance, and allergy is vital for ensuring your well-being. If symptoms arise quickly after drinking, it's essential to seek appropriate medical advice.