Doctor insights on:
Is Thyamin Use For Treating Delirium Tremens
We believe delirium occurs when the brain cannot maintain its normal activities when overwhelmed by metabolic demands or other variables which exceed the brain's capacity to compensate for. Brains with less reserve capacity are particularly vulnerable. Not entirely unlike acute heart failure. See my last textbook chapter for more reading in the appi textbook ...Read more
Seizures: Preceded by fever, rapid heart rate, confusion, inability to walk well, irritability and anxiety. Withdrawal begins within hours of the last drink. Within 2-3 days the syndrome is in full swing and the risk of seizures and death is highest within 3-7days. The more regularly one drinks and the larger the amounts, the higher the risk of significant withdrawal. ...Read more
Withdrawal Alcohol?: Delirium tremens is an acute episode of delirium that is usually caused by withdrawal from alcohol, first described in benzodiazepines are the treatment of choice for delirium tremens (dt)withdrawal from sedative-hypnotics other than alcohol, such as benzodiazepines, or barbiturates, can also result in seizures, delirium tremens, and death if not properly managed. ...Read more
Hallucinations/shakes: While I have not personally experienced delirium tremens or dts, I have seen it on a number of occasions in alcoholics withdrawing from alcohol. It is characterized primarily by visual hallucinations, shaking tremors, high blood pressure, and rapid pulse. This is a medical emergency that can lead to seizures and death if not treated properly with IV fluids, enough valium to reverse the symptoms, and folic acid. ...Read more
Alcohol withdrawal: Within 6-96 hrs after abrupt cessation of drinking, an alcoholic may develop withdrawal seizures followed by confusion, florid hallucinations, tremulousness, disorientation, agitation, even combativeness. This could well be life threatening and must be treated within a hospital, even an icu. Thiamine administration is critical. ...Read more
Delirium tremens: This is a withdrawal syndrome that can happen when you stop drinking alcohol after a period of heavy drinking -- especially if not eating enough food. Symptoms most often occur within 72 hours after the last drink. However, they may occur up to 7 - 10 days after the last drink. These include body tremors, agitation, confusion, hallucinations, sweating, etc. Can lead to seizures. ...Read more
Can be severe: Delirium tremens or alcohol withdrawal syndrome can have very severe symtpoms. These may include tremenulousness, agitation, confusion, hallucinations, high blood pressure, high heart rate, sweating. This can lead to seizures in the extreme cases. The seizures are usually generalized with uncontrolled movements of all of the limbs. ...Read more
DTs: Delerium tremens, is severe alcohol withdrawal, and can be deadly so it is treated with strong withdrawal medications in the intensive care units. The patient has severe confusion, is often very agitated, has shaking, and may have seizures. If a person drinks a lot daily, has done this for years, and then abruptly stops drinking, can go into dts. ...Read more
Hospitalization: Delerium tremens is a severe form of alcohol withdrawal that can involve nervous system (anxiety, hallucinations, agitation, seizures) and cardiovascular (high blood pressure, heart racing) changes. It can be very dangerous. Treatment with various medications (often anti-anxiety medications in the class of benzodiazepines) is used to help people withdraw safely. ...Read more
Treat symptoms: There is no one-size-fits-all treatment for delirium tremens, a potentially-fatal withdrawal syndrome of alcohol abuse. In general the goal is to treat the symptoms and gently support the person through withdrawal while keeping them alive. The important thing to remember is dt can kill you; it must be treated early and aggressively. ...Read more
DTs: No! This is a life threatening situation and needs treatment by a physician. ...Read more
Sequences: Often the first occurrence is a withdrawal seizure at 6-96 hrs after stopping the booze, and delirium tremens begins shortly after seizure activity. However, have seen patients without any premonitory tremors or seizures and go directly into delirium tremens. So, could well be variable. ...Read more
?: Not sure what you mean? Dt's is a life threating condition that includes an altered mental state and can be lifethreating without treatment. Individuals with dt being that they are delirious could say just about anything that may not make any sense, could be having hallucinations and not be in touch with reality, so that leaves what could be said by someone in dt's wide open, . ...Read more
Does alcohol withdrawal generally cause hot flashes and/or fever without delerium tremens (dt's)?
Certainly can....: Withdrawal from alcohol causes instability of many pathways, including those that control body temperature, even in the abscence of dt's. Other common complaints are diarrhea and agitation. Typically these will all resolve within a few days, however alcohol withdrawal is one of the few drug withdrawals that can be life-threatening. Heavy drinkers: seek the help of a doctor when quitting. ...Read more
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