Alcohol Use and Your Health

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What is a standard drink?

In the United States, a standard drink contains 0.6 ounces (14.0 grams or 1.2 tablespoons) of pure alcohol. Generally, this amount of pure alcohol is found in

  • 12-ounces of beer (5% alcohol content).
  • 8-ounces of malt liquor (7% alcohol content).
  • 5-ounces of wine (12% alcohol content).
  • 1.5-ounces of 80-proof (40% alcohol content) distilled spirits or liquor (e.g., gin, rum, vodka, whiskey).

What is excessive drinking?

Excessive drinking includes binge drinking, heavy drinking, and any drinking by pregnant women or people younger than age 21.

  • Binge drinking, the most common form of excessive drinking, is defined as consuming
    • For women, 4 or more drinks during a single occasion.
    • For men, 5 or more drinks during a single occasion.
  • Heavy drinking is defined as consuming
    • For women, 8 or more drinks per week.
    • For men, 15 or more drinks per week.

Most people who drink excessively are not alcoholics or alcohol dependent.

What is moderate drinking?

The Dietary Guidelines for Americans recommends that adults of legal drinking age can choose not to drink, or to drink in moderation by limiting intake to 2 drinks or less in a day for men or 1 drink or less in a day for women, on days when alcohol is consumed.4 The Guidelines also do not recommend that individuals who do not drink alcohol start drinking for any reason and that if adults of legal drinking age choose to drink alcoholic beverages, drinking less is better for health than drinking more.

There are some people who should not drink any alcohol, including those who are:

  • Younger than age 21.
  • Pregnant or may be pregnant.
  • Driving, planning to drive, or participating in other activities requiring skill, coordination, and alertness.
  • Taking certain prescription or over-the-counter medications that can interact with alcohol.
  • Suffering from certain medical conditions.
  • Recovering from alcoholism or are unable to control the amount they drink.

By adhering to the Dietary Guidelines, you can reduce the risk of harm to yourself or others.

Short-Term Health Risks

Excessive alcohol use has immediate effects that increase the risk of many harmful health conditions. These are most often the result of binge drinking and include the following:

  • Injuries, such as motor vehicle crashes, falls, drownings, and burns.
  • Violence, including homicide, suicide, sexual assault, and intimate partner violence.
  • Alcohol poisoning, a medical emergency that results from high blood alcohol levels.
  • Risky sexual behaviors, including unprotected sex or sex with multiple partners. These behaviors can result in unintended pregnancy or sexually transmitted diseases, including HIV.
  • Miscarriage and stillbirth or fetal alcohol spectrum disorders (FASDs) among pregnant women.

Long-Term Health Risks

Over time, excessive alcohol use can lead to the development of chronic diseases and other serious problems including:

  • High blood pressure, heart disease, stroke, liver disease, and digestive problems.
  • Cancer of the breast, mouth, throat, esophagus, voice box, liver, colon, and rectum.
  • Weakening of the immune system, increasing the chances of getting sick.
  • Learning and memory problems, including dementia and poor school performance.
  • Mental health problems, including depression and anxiety.
  • Social problems, including family problems, job-related problems, and unemployment.
  • Alcohol use disorders, or alcohol dependence.

By not drinking too much, you can reduce the risk of these short- and long-term health risks.

What is a chest cold (acute bronchitis)?

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A chest cold, often called acute bronchitis, occurs when the airways of the lungs swell and produce mucus in the lungs. That’s what makes you cough. Acute bronchitis can last less than 3 weeks.

Causes

A virus usually causes acute bronchitis. Bacteria can sometimes cause acute bronchitis. But, even in these cases, taking antibiotics is NOT advised and will not help you get better.

Symptoms

Symptoms of acute bronchitis last less than 3 weeks and can include:

  • Coughing with or without mucus
  • Soreness in the chest
  • Feeling tired (fatigue)
  • Mild headache
  • Mild body aches
  • Sore throat

When to Seek Medical Care

Talk to a healthcare professional right away if your child is under 3 months old with a fever of 100.4 °F (38 °C) or higher.

See a doctor if you have any of the following:

  • Temperature of 100.4 °F or higher
  • Cough with bloody mucus
  • Shortness of breath or trouble breathing
  • Symptoms that last more than 3 weeks
  • Repeated episodes of bronchitis

This list is not all-inclusive. Please see a doctor for any symptom that is severe or concerning.

Treatment

Acute bronchitis usually gets better on its own—without antibiotics. Antibiotics won’t help you get better if you have acute bronchitis.

When antibiotics aren’t needed, they won’t help you, and their side effects could still cause harm. Side effects can range from mild reactions, like a rash, to more serious health problems. These problems can include severe allergic reactions, antibiotic-resistant infections and C. diff  infection. C. diff causes diarrhea that can lead to severe colon damage and death.

Other illnesses like whooping cough (pertussis) or pneumonia can have similar symptoms to acute bronchitis. If you have whooping cough or pneumonia, your doctor will most likely prescribe antibiotics.

How to Feel Better

Below are some ways you can feel better while your body fights off acute bronchitis:

  • Get plenty of rest.
  • Drink plenty of fluids.
  • Use a clean humidifier or cool mist vaporizer.
  • Use saline nasal spray or drops to relieve a stuffy nose.
    • For young children, use a rubber suction bulb to clear mucus.
  • Breathe in steam from a bowl of hot water or shower.
  • Suck on lozenges. Do not give lozenges to children younger than 4 years of age.
  • Use honey to relieve cough for adults and children at least 1 year of age or older.

Ask your doctor or pharmacist about over-the-counter medicines that can help you feel better. Always use over-the-counter medicines as directed. Remember, over-the-counter medicines may provide temporary relief of symptoms, but they will not cure your illness.

Over-the-Counter Medicine and Children

Carefully read and follow instructions on over-the-counter medicine product labels before giving medicines to children. Some over-the-counter medicines are not recommended for children of certain ages.

  • Pain relievers:
    • Children younger than 6 months: only give acetaminophen.
    • Children 6 months or older: it is OK to give acetaminophen or ibuprofen.
    • Never give aspirin to children because it can cause Reye’s syndrome. Reye’s syndrome is a very serious, but rare illness that can harm the liver and brain.
  • Cough and cold medicines:
    • Children younger than 4 years old: do not use over-the-counter cough and cold medicines in young children unless a doctor specifically tells you to. Cough and cold medicines can result in serious and sometimes life-threatening side effects in young children.
    • Children 4 years or older: discuss with your child’s doctor if over-the-counter cough and cold medicines are safe to give to your child.

Ask your doctor or pharmacist about the right dosage of over-the-counter medicines for your child’s age and size. Also, tell your child’s doctor and pharmacist about all prescription and over-the-counter medicines they are taking.

Prevention

You can help prevent acute bronchitis by doing your best to stay healthy and keep others healthy, including:

  • Clean your hands.
  • Get recommended vaccines, such as the flu vaccine.
  • Don’t smoke and avoid secondhand smoke.
  • Cover your mouth and nose when coughing or sneezing.

 

Common Colds

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Sore throat and runny nose are usually the first signs of a cold, followed by coughing and sneezing. Most people recover in about 7-10 days. You can help reduce your risk of getting a cold: wash your hands often, avoid close contact with sick people, and don’t touch your face with unwashed hands.

Common colds are the main reason that children miss school and adults miss work. Each year in the United States, there are millions of cases of the common cold. Adults have an average of 2-3 colds per year, and children have even more.

Most people get colds in the winter and spring, but it is possible to get a cold any time of the year. Symptoms usually include:

  • sore throat
  • runny nose
  • coughing
  • sneezing
  • headaches
  • body aches

Most people recover within about 7-10 days. However, people with weakened immune systems, asthma, or respiratory conditions may develop serious illness, such as bronchitis or pneumonia.

Help reduce your risk of getting a cold by washing hands often with soap and water.

How to Protect Yourself

Viruses that cause colds can spread from infected people to others through the air and close personal contact. You can also get infected through contact with stool (poop) or respiratory secretions from an infected person. This can happen when you shake hands with someone who has a cold, or touch a surface, like a doorknob, that has respiratory viruses on it, then touch your eyes, mouth, or nose.

You can help reduce your risk of getting a cold:

  • Wash your hands often with soap and water. Wash them for 20 seconds, and help young children do the same. If soap and water are not available, use an alcohol-based hand sanitizer. Viruses that cause colds can live on your hands, and regular handwashing can help protect you from getting sick.
  • Avoid touching your eyes, nose, and mouth with unwashed hands. Viruses that cause colds can enter your body this way and make you sick.
  • Stay away from people who are sick. Sick people can spread viruses that cause the common cold through close contact with others.

Practice good cough and sneeze etiquette: always cough and sneeze into a tissue or your upper shirt sleeve, completely covering your mouth and nose.

How to Protect Others

If you have a cold, you should follow these tips to help prevent spreading it to other people:

  • Stay at home while you are sick and keep children out of school or daycare while they are sick.
  • Avoid close contact with others, such as hugging, kissing, or shaking hands.
  • Move away from people before coughing or sneezing.
  • Cough and sneeze into a tissue then throw it away, or cough and sneeze into your upper shirt sleeve, completely covering your mouth and nose.
  • Wash your hands after coughing, sneezing, or blowing your nose.
  • Disinfect frequently touched surfaces and objects, such as toys, doorknobs, and mobile devices.

There is no vaccine to protect you against the common cold.

How to Feel Better

There is no cure for a cold. To feel better, you should get lots of rest and drink plenty of fluids. Over-the-counter medicines may help ease symptoms but will not make your cold go away any faster. Always read the label and use medications as directed. Talk to your doctor before giving your child nonprescription cold medicines, since some medicines contain ingredients that are not recommended for children. Learn more about symptom relief of upper respiratory infections, including colds.

Antibiotics will not help you recover from a cold caused by a respiratory virus. They do not work against viruses, and they may make it harder for your body to fight future bacterial infections if you take them unnecessarily. 

When to See a Doctor

You should call your doctor if you or your child has one or more of these conditions:

  • symptoms that last more than 10 days
  • symptoms that are severe or unusual
  • if your child is younger than 3 months of age and has a fever or is lethargic

You should also call your doctor right away if you are at high risk for serious flu complications and get flu symptoms such as fever, chills, and muscle or body aches. People at high risk for flu complications include young children (younger than 5 years old), adults 65 years and older, pregnant women, and people with certain medical conditions such as asthma, diabetes, and heart disease.
Your doctor can determine if you or your child has a cold or the flu and can recommend treatment to help with symptoms.

Causes of the Common Cold

Many different respiratory viruses can cause the common cold, but rhinoviruses are the most common. Rhinoviruses can also trigger asthma attacks and have been linked to sinus and ear infections. Other viruses that can cause colds include respiratory syncytial virus, human parainfluenza viruses, adenovirus, common human coronaviruses, and human metapneumovirus.

Know the Difference between Common Cold and Flu

The flu, which is caused by influenza viruses, also spreads and causes illness around the same time as the common cold. Because these two illnesses have similar symptoms, it can be difficult (or even impossible) to tell the difference between them based on symptoms alone. In general, flu symptoms are worse than the common cold and can include fever or feeling feverish/chills, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches and fatigue (tiredness). Flu can also have very serious complications. CDC recommends a yearly flu vaccination as the first and best way to prevent the flu. If you get the flu, antiviral drugs may be a treatment option.

Common cold symptoms cartoon style infographic illustration