Delirium tremens (DTs) is a severe disturbance of the brain caused by alcohol withdrawal.
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DTs occur when a person who repeatedly drinks large amounts of alcohol suddenly stops or decreases the amount of alcohol consumed.
These factors increase your chance of developing DTs:
Symptoms usually begin 3-7 days after suddenly stopping or decreasing alcohol intake. Symptoms may include:
In severe cases, DTs can result in death, especially if untreated.
You will be asked about your symptoms and medical history. A physical exam will be done. The diagnosis of DTs is usually based on the symptoms and signs of the disorder after stopping alcohol use.
Your bodily fluids may be tested. This can be done with blood tests.
Your brain activity may be tested. This can be done with an Electroencephalogram (EEG).
Images of your internal body structures can be taken with:
Treatment can be difficult. Clearing of DTs may begin in 12-24 hours, but may take up to 2-10 days. Treatment for alcohol abuse is necessary after DTs are under control.
Talk with your doctor about the best treatment plan for you. Options may include:
Medications may include:
Severe, life-threatening vitamin deficiency or dehydration may accompany DTs. Treatment may include:
Treatment for alcohol abuse may be done in a hospital setting or while living at home. It may involve individual or group therapy. Many people seek support by participating in groups such as Alcoholics Anonymous (AA).
National Institute on Alcohol Abuse and Alcoholism
Canadian Centre on Substance Abuse
Alcohol withdrawal. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 20, 2014. Accessed June 18, 2014.
Barrons R, Roberts N. The role of carbamazepine and oxcarbazepine in alcohol withdrawal syndrome. J Clin Pharm Ther. 2010;35(2):153-167.
Bayard M, McIntyre J, et al. Alcohol withdrawal syndrome. Am Fam Physician. 2004;69(6):1443-1450.
McKeon A, Frye MA, et al. The alcohol withdrawal syndrome. J Neurol Neurosurg Psych. 2008;79:854-862.
Last reviewed May 2014 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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