Alcoholic drinks have diuretic properties, which increase urine formation and excretion by the kidneys. A single glass of wine or beer can increase urine output more than normal levels and expel more water and electrolytes, resulting in dehydration of the body. The water mechanism behind drinking beer explains dehydration from alcoholic drinks. Beer is an alcoholic drink with about 95% water and just 5% alcohol. So, the consumption of 200 milliliters (ml) of beer is almost equal to 200 ml of water. However, when a person urinates after consuming 200 ml of beer, the water excreted will be around 320 ml of urine. This is the extent of dehydration because of alcohol consumption. The increase for this extra 120 ml of urine by the kidneys is the dehydration mechanism that the alcohol induces in the body.
The water balance in the body is controlled by the antidiuretic hormone or vasopressin secreted by the pituitary glands. Vasopressin regulates the kidneys to either reabsorb or retain water depending upon the water content in the body. Alcohol directly reduces the production of vasopressin and thereby reduces the kidney’s ability to reabsorb and retain water. This results in excessive loss of water through increased urine production and excretion.
Moreover, the liver metabolizes alcohol using enzymes like dehydrogenases and forms toxic substances like acetaldehyde. Accumulation of these toxic substances triggers vomiting in alcoholics, which also causes dehydration.
High altitude can result in dehydration, and drinking alcohol in high altitude places like hill stations is likely to increase dehydration. In addition, high temperature also increases dehydration, and drinking alcohol in hot places can also increase dehydration risk.
People with medical conditions that may induce dehydration or people who take diuretics should avoid alcohol to prevent further dehydration.
Effects of dehydration
Dehydration is the most common health issue that occurs when the body loses excess water due to other conditions like illnesses, drugs, alcoholism, excessive sweating from the hot climate or heavy workout, exposure to a hot climate or high altitude, or even just lack of drinking enough water. General symptoms of dehydration include increased thirst, decreased urination and sweat production, dark-colored concentrated urine, headache, fatigue, dizziness, lightheadedness, confusion, irritability, dry skin, sunken eyes, constipation, low blood pressure, and rapid breathing. Alcohol is a diuretic that directly impacts the body’s water level and leads to severe side effects.
Dehydration impacts and reduces blood volume, blood pressure, blood circulation to body cells, energy, and physical activity, making the person slump down after alcohol consumption.
Loss of water in brain cells after alcohol consumption leads to the typical cognitive decline of an alcoholic person.
Alcohol can alter hormone levels and increase oxidative stress, dehydrating the skin cells, leading to acne and other skin issues.
Alcohol increases water excretion in the kidney, leading to toxic accumulation in the kidneys, resulting in hypertension and kidney diseases.
After alcohol intake, water loss in muscle cells tightens the muscles and causes severe muscle cramps, leading to alcoholic myopathy.
Along with water loss, alcohol increases fat and protein levels in the liver leading to cirrhosis.
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