“Obesity is a disease in which a person has an unhealthy amount and/or distribution of body fat (1). Compared with people of healthy weight, those with overweight or obesity are at greater risk for many diseases, including diabetes, high blood pressure, cardiovascular disease, stroke, and at least 13 types of cancer, as well as having an elevated risk of death from all causes (2–5).”

NIH National Cancer Institute

Obesity and Cancer Fact Sheet – NCI

LOOKING AT ACTUAL STUDIES SUPPORTING OBESITY&CANCER LINK

Take for example through the American Cancer Society they stated in an article 2006 that a substantial evidence from clinical trials has established that obesity significantly increases the risk for heart disease and diabetes. More recently, suspicions that obesity is linked to prostate cancer have been supported by a number of investigations, but the relationship has remained unclear. Now through a pair of new studies provides scientists with some important insights that may have an impact on how physicians manage their patients with prostate cancer.

The pair of studies show 2 significant studies relating how obesity links with prostate cancer, which were:

The implication is that prostate cancer patients who are obese should probably be followed more closely than patients with similar cancer characteristics who are not obese. That could include regular digital rectal exams, more frequent prostate-specific antigen (PSA) testing, and perhaps setting a lower PSA cutoff point as an indication of recurrence, Kane explained.

The greater risk associated with obesity may be related to technical issues, Kane said. For example, it’s more difficult for surgeons to perform a radical prostatectomy in obese patients. However, surgical challenges offer only a partial explanation. In studies where surgeons verified that they had removed all cancer cells during radical prostatectomy, obese patients were still more likely to experience a recurrence of the disease.

The second study, a multi-center trial coordinated at the Duke University School of Medicine in Durham, NC, found that obese men under the age of 63 tend to have larger prostates, which makes finding tumors more difficult. As a result, there’s a real danger of delayed diagnosis, which decreases the chances of a cure and puts patients at greater risk for dying of the disease. The findings appear in the Journal of Urology.

“It’s harder to find cancer in larger prostate glands,” explained Stephen J. Freedland, MD, assistant professor of urology and member of the Duke Prostate Center at the Duke University School of Medicine. “Consequently, our data suggest that we may be underdiagnosing cancers in younger obese men. That also means that the tumors we do pick up are likely to be at a more advanced stage and perhaps more aggressive, and therefore more difficult to treat.”

Let’s look at this at a broader aspect, not just pertaining to prostate cancer. This would be, “It’s not just patients with prostate cancer that studies like this should be directed toward,” Dr. Kane said. “Patients who are clearly at risk for developing the disease should also take notice of our findings. The central message is yet again that obesity has been identified as an important risk factor for a potentially deadly disease. For all of us, controlling our weight through diet and exercise is important, and we shouldn’t have blinders on and just think of prostate cancer. The number one risk of death for American men is heart disease, so anything we can do to reduce that risk that also reduces the risk for prostate cancer is useful.” Including it reduces risk for other cancers as well that are impacted by disease, it makes sense.

Obesity links to an increased risk of ovarian cancer. Let’s look at this no: Atlanta 2009/01/05 -A new epidemiological study has found that among women who have never used menopausal hormone therapy, obese women are at an increased risk of developing ovarian cancer compared with women of normal weight. Published in the February 15, 2009 issue of CANCER, a peer-reviewed journal of the American Cancer Society, the research indicates that obesity may contribute to the development of ovarian cancer through a hormonal mechanism. Ovarian cancer is the most fatal of gynecologic malignancies, and has a 5-year survival rate of only 37 percent.

To investigate this issue, Dr. Michael F. Leitzmann of the National Cancer Institute and colleagues studied 94,525 U.S. women aged 50 to 71 years over a period of seven years. The researchers documented 303 ovarian cancer cases during this time and noted that among women who had never taken hormones after menopause, obesity was associated with an almost 80 percent higher risk of ovarian cancer. In contrast, no link between body weight and ovarian cancer was evident for women who had ever used menopausal hormone therapy.

According to Dr. Leitzmann, these findings support the hypothesis that obesity may enhance ovarian cancer risk in part through its hormonal effects. Excess body mass in postmenopausal women leads to an increased production of estrogen, which in turn may stimulate the growth of ovarian cells and play a role in the development of ovarian cancer.

In another study done 2003, American Cancer Society researchers analyzed data based on 900,000 American adults with obesity and cancer that they monitored for a total of 16 years. This is what they found in their landmark study: 1)The researchers found that the most obese women had a 62% increase in their risk of dying from cancer than women of normal weight; for obese men, the increase was 52%. The wide range of tumor types included colorectal, liver, gallbladder, pancreas, esophageal, kidney, prostate, breast, uterine, endometrial, and ovarian cancers. The researchers conclusion was that above-normal weight was associated with almost 20% of all cancer deaths in the United States. “There’s an incredibly powerful link between obesity and cancer,” says oncologist Joyce Slingerland of the University of Miami, Florida. “Everyone’s heard of obesity’s effect on heart disease and diabetes, and we’re now beginning to understand that the cancer risk is just as great,” she says.

Although researchers and epidemiologists had long suspected that diet and cancer were linked, efforts to explain why being fat makes cancer more deadly have only begun to deliver results in the past decade.

So it is up to the people in society of that country they live in to take on responsible actions to make their country a better for all, not just one. I say that is becoming as healthy as possible that an individual can reach and without America has the answers in knowing how to make this happen 100% in our country.

A new study from American Cancer Society researchers finds it’s not just how much physical activity you get, but how much time you spend sitting that can affect your risk of death.

My final study supporting how obesity links with cancer:

Just think if this was you or someone you know in the world and this happens to you or them; GOD FORBID, but you can help yourself through prevention with losing the weight or just staying slim and tone if you already are. This will just decrease your risk of getting the cancer.

The JCCC study, led by Dr. Guido Eibl, JCCC member and professor-in-residence in the department of surgery at David Geffen School of Medicine, revealed that mice made obese with high-calorie, high-fat diets developed abnormally high numbers of these lesions.

This is the first study to show a direct causal link in an animal model between obesity and risk of this deadly pancreatic cancer.

The JCCC study, led by Dr. Guido Eibl, JCCC member and professor-in-residence in the department of surgery at David Geffen School of Medicine, revealed that mice made obese with high-calorie, high-fat diets developed abnormally high numbers of these lesions. This is the first study to show a direct causal link in an animal model between obesity and risk of this deadly pancreatic cancer.

The mice eating the normal diet gained an average of approximately 7.2 g over 14 months. Mice on the high-fat, high-calorie diet more than doubled this with an average weight gain of 15.9 g.

Pathological tests showed that mice fed the normal diet had mostly normal pancreases with very few scattered PanIN lesions=intraepithelial neoplasias=precursors to pancreatic lesions. They are used as markers but can only be seen microscopically so a biopsy is needed. The mice fed high fat & cholesterol in their diet had significantly more PanIN lesions with less overall healthy pancreases.

The study showed that the mice fed a diet high in fats and calories gained significantly more weight, had abnormalities of their metabolism and increased insulin levels, and had marked pancreatic tissue inflammation with the development of PanIN lesions.

These observations suggest that such a diet like this which leads to weight gain, metabolism disturbances, pancreas inflammation and pancreas lesions that are precursors to cancer.

Obviously research is showing obesity has a link with cancer. We now know this information let’s make a move America and people elsewhere to become a healthier nation including world. For diversity is the US and other countries filled with all cultures, races and genders need to learn this knowledge to help make their country whether they were either born there and stayed or those born elsewhere moving to a new country, like America and we the people making up the country need to be responsible not just for yourselves but for your children and future generations in spreading good habits, good dieting, and good exercise to prevent high disease in the country for yourself and your children and the future generations by being a good role model in thinking=live healthy not unhealthy. In time this would play an impact on your countries economy and health care system in how its run. So come with me, like many others if you need to know the simple steps in how to go about losing weight safely but easy with learning better healthy habits and practicing some form of exercise which will benefit you in having a healthier body than join me at my website healthyusa.tsfl.com and become a member with getting guidance through Dr. Anderson on his healthy habits through his book and me as your health coach. Take a peek you might just like what you see. You make all the choices in what you want and going to the site costs nothing. There will come a point you get your routine down and don’t need our help with staying healthy for life with decreasing your chance of so many diseases, not just cancer, from occurring. Help me with so many others in tring to make a difference in America by becoming healthier. Slowly but surely I am and I know you can to at your pace.

References:

1 –American Institute for Cancer Research, Schernhammer ES et al. Circulating levels of insulin-like growth factors, their binding proteins, and breast cancer risk. Cancer Epidemiol Biomarkers Prev. 2005 Mar;14(3):699-704 ES et al. their binding proteins, and breast cancer risk— Cancer Epidemiol Biomarkers Prev. 2006 Mar;14(3):699-704/ AICR ScienceNow /Volume 16/Spring 2006

2 – Studies Help Clarify Link Between Obesity and Prostate Cancer  Article date: March 2, 2006 Impact of Obesity on Prostate Cancer Recurrence After Radical Prostatectomy: Data from CaPSURE.” Published in the Nov., 2005 Urology (Vol. 66, No. 5: 1060-1065). First author: William W. Bassett, University of California, San Francisco.

“Obesity, Serum Prostate Specific Antigen and Prostate Size: Implications for Prostate Cancer Detection.” Published in the Feb. 2006 Journal of Urology (Vol. 175, No. 2: 500-504). First author: Stephen J. Freedland, MD, Duke University School of Medicine.

3 – Director, Medical & Scientific Communications American Cancer Society david.sampson@cancer.org Article: “Body mass index and risk of ovarian cancer.” Michael F. Leitzmann, Corinna Koebnick, Kim N. Danforth.

“AT/RTs occur in both children and adults and are very rare in both age groups. Most patients are younger than two years of age at diagnosis. An estimated 470 people are living with this tumor in the United States and only 50 are adults. AT/RTs occur slightly more often in males than females.”

NIH National Cancer Institute (Atypical Teratoid/Rhabdoid Tumors (AT/RT): Diagnosis and Treatment – NCI)

AT/RT is a primary central nervous system (CNS) tumor. This means it begins in the brain or spinal cord.

To get an accurate diagnosis, a piece of tumor tissue will be removed during surgery, if possible. A neuropathologist should then review the tumor tissue.

Central nervous system (CNS) atypical teratoid/rhabdoid tumor (AT/RT) is a very rare, fast-growing cancer that begins in the brain and spinal cord. It usually occurs in children aged 3 years and younger, although it can occur in older children and adults.

About half of these tumors form in the cerebellum or brain stem. The cerebellum is the part of the brain that controls movement, balance, and posture. The brain stem controls numerous functions breathing, heart rate, and the nerves and muscles used in seeing, hearing, walking, talking, and eating. AT/RT can also begin in other parts of the brain and spinal cord.

Certain genetic changes may increase the risk of AT/RT.

A risk factor is anything that increases the chance of getting a disease. Not every child with one or more of these risk factors will develop AT/RT. And it will develop in some children who don’t have a known risk factor.

AT/RT may be linked to changes in the tumor suppressor genes SMARCB1 or SMARCA4. Tumor suppressor genes make a protein that helps control how and when cells grow. Changes in the DNA of tumor suppressor genes like SMARCB1 or SMARCA4 may lead to cancer.

The changes in the SMARCB1 or SMARCA4 genes may be inherited (passed on from parents to offspring). When this gene change is inherited, tumors may form in two parts of the body at the same time (for example, in the brain and the kidney). For children with AT/RT, genetic counseling (a discussion with a trained professional about inherited diseases and a possible need for gene testing) may be recommended.

Most AT/RTs are caused by changes in a gene known as SMARCB1 (also called INI1), and less frequently by mutations in a gene called SMARCA4. SMARCB1 normally signals proteins to stop tumor growth. But, in AT/RTs, SMARCB1 doesn’t function properly and tumor growth is uncontrolled. In addition to occurring in the tumor’s DNA, SMARCB1 and SMARCA4 can also be found in a person’s own DNA. There are three groups of AT/RTs based on their genetic alterations: AT/RT-TYR, AT/RT-SHH, and AT/RT-MYC. Each group tends to develop in a different location of the CNS and is more common in different age groups. AT/RT-MYC is the most frequent group in adults.

Talk with your child’s doctor if you think your child may be at risk.

Cancer is a genetic disease—that is, it is caused by certain changes to genes that control the way our cells function. Genes may be mutated (changed) in many types of cancer, which can increase the growth and spread of cancer cells.

The Grades of the tumors:

Primary CNS tumors are graded based on the tumor location, tumor type, extent of tumor spread, genetic findings, the patient’s age, and tumor remaining after surgery, if surgery is possible.

AT/RTs are all classified as grade 4 (also written as grade IV) tumors. This means they are malignant (cancerous) and fast-growing.

The symptoms of AT/RT aren’t the same in each patient.

Symptoms depend on 2 major factors:

Because AT/RT is fast growing, symptoms may develop quickly and get worse over a period of days or weeks. It’s important to check with your child’s doctor if your child has:

These symptoms may be caused by problems other than AT/RT. The only way to know is to see your child’s doctor.

The prognosis of this disease:

The likely outcome of the disease or chance of recovery is called prognosis. Prognosis is based on the tumor grade, location, tumor type, extent of tumor spread, genetic findings, patient’s age, and tumor remaining after surgery (if surgery is possible).

Many factors can affect prognosis, including the tumor grade and molecular type, the person’s age and health when diagnosed, and how they respond to treatment. If you want to understand your prognosis, talk to your doctor.

The Treatment of  Teratoid/Rhabdoid Tumors (AT/RT):

The first treatment for an AT/RT is surgery, if possible. The goal of surgery is to obtain tissue to determine the tumor type and remove as much tumor as possible without causing more symptoms.

People with AT/RTs usually receive further treatments after surgery, which may include radiation, chemotherapy, or clinical trials. Clinical trials test new chemotherapy, targeted therapy, or immunotherapy drugs. Treatments are decided by the patient’s health care team based on the patient’s age, tumor remaining after surgery, tumor type, and tumor location.

“Heavy alcohol use causes numerous diseases that affect the brain, nerves, muscle tissue, heart, stomach, liver, pancreas and other organs. Consuming the substance is a risk factor for several cancers, and it’s associated with psychological disorders.

It doesn’t take long to recover from drinking. A person can take a quick nap to relieve the effects of a few beers. The worst hangovers usually subside in a day. But each drink makes a small amount of hidden damage inside the body. Years of heavy drinking can result in a plethora of long-term illnesses.

Nearly every part of the body is affected by alcohol. When a person drinks, alcohol heads to the stomach, where some of it is absorbed. The liver processes the liquid. Alcohol moves through the brain, the heart and the kidneys. Alcohol in the blood passes through the lungs.

Each part of the body experiences short- and long-term effects of alcohol. Your organs recover from the short-term side effects in hours or days, but they don’t recover from the long-term effects. That damage gets worse each time a person drinks. The risks of permanent damage are increased when a person is mixing drugs and alcohol.

In most people, the liver takes the most damage. Alcoholics are known for liver problems, and several liver diseases are caused solely by long-term alcohol abuse.”

DrugRehab.com

Alcohol-Related Diseases (Liver, Heart & Brain Damage)

Complications:

Alcohol depresses your central nervous system. In some people, the initial reaction may be stimulation. But as you continue to drink, you become sedated.

Too much alcohol affects your speech, muscle coordination and vital centers of your brain. A heavy drinking binge may even cause a life-threatening coma or death. This is of particular concern when you’re taking certain medications that also depress the brain’s function

Impacts on your safety:

Excessive drinking can reduce your judgment skills and lower inhibitions, leading to poor choices and dangerous situations or behaviors, including:

• Motor vehicle accidents and other types of accidental injury, such as drowning
• Relationship problems
• Poor performance at work or school
• Increased likelihood of committing violent crimes or being the victim of a crime
• Legal problems or problems with employment or finances
• Problems with other substance use
• Engaging in risky, unprotected sex, or becoming the victim of sexual abuse or date rape
• Increased risk of attempted or completed suicide

Drinking too much alcohol on a single occasion or over time impacts health problems:

• Liver disease. Heavy drinking can cause increased fat in the liver (hepatic steatosis), inflammation of the liver (alcoholic hepatitis), and over time, irreversible destruction and scarring of liver tissue (cirrhosis).
• Digestive problems. Heavy drinking can result in inflammation of the stomach lining (gastritis), as well as stomach and esophageal ulcers. It also can interfere with absorption of B vitamins and other nutrients. Heavy drinking can damage your pancreas or lead to inflammation of the pancreas (pancreatitis).
• Heart problems. Excessive drinking can lead to high blood pressure and increases your risk of an enlarged heart, heart failure or stroke. Even a single binge can cause a serious heart arrhythmia called atrial fibrillation.
• Diabetes complications. Alcohol interferes with the release of glucose from your liver and can increase the risk of low blood sugar (hypoglycemia). This is dangerous if you have diabetes and are already taking insulin to lower your blood sugar level.
• Sexual function and menstruation issues. Excessive drinking can cause erectile dysfunction in men. In women, it can interrupt menstruation.
• Eye problems. Over time, heavy drinking can cause involuntary rapid eye movement (nystagmus) as well as weakness and paralysis of your eye muscles due to a deficiency of vitamin B-1 (thiamine). A thiamine deficiency also can be associated with other brain changes, such as irreversible dementia, if not promptly treated.
• Birth defects. Alcohol use during pregnancy may cause miscarriage. It also may cause fetal alcohol syndrome, resulting in giving birth to a child who has physical and developmental problems that last a lifetime.
• Bone damage. Alcohol may interfere with the production of new bone. This bone loss can lead to thinning bones (osteoporosis) and an increased risk of fractures. Alcohol can also damage bone marrow, which makes blood cells. This can cause a low platelet count, which may result in bruising and bleeding.
• Neurological complications. Excessive drinking can affect your nervous system, causing numbness and pain in your hands and feet, disordered thinking, dementia, and short-term memory loss.
• Weakened immune system. Excessive alcohol use can make it harder for your body to resist disease, increasing your risk of various illnesses, especially pneumonia.
• Increased risk of cancer. Long-term excessive alcohol use has been linked to a higher risk of many cancers, including mouth, throat, liver, colon and breast cancer. Even moderate drinking can increase the risk of breast cancer.
• Medication and alcohol interactions. Some medications interact with alcohol, increasing its toxic effects. Drinking while taking these medications can either increase or decrease their effectiveness, or make them dangerous.What to expect to report to your doctor.Before your appointment, make a list of: Consider your drinking habits, taking an honest look at how often and how much you drink. Be prepared to discuss any problems that alcohol may be causing. You may want to take a family member or friend along, if possible. If you want to stop drinking, there is help. Start by talking to your health care provider. Treatment may include medicines, counseling, and support groups.

Alcohol can damages our cells and this can stop cells repairing damage.  Alcohol effects chemical signals which can make cells more likely to divide this in turn increases the chance of cancer to develop.  Alcohol makes it easier for cell in our mouth and throat to absorb cancer causing chemicals.

There are many ways that alcohol can cause cancer. Some of the main ways are:

• Damage to cells. When we drink alcohol, our bodies turn it into a chemical, called acetaldehyde. Acetaldehyde can damage our cells and can also stop cells from repairing this damage.
• Changes to hormones. Alcohol can increase the levels of some hormones in our bodies such as oestrogen and insulin. Hormones are chemical messengers, and higher levels of oestrogen and insulin can make cells divide more often. This increases the chance that cancer will develop.
• Changes to cells in the mouth and throat. Alcohol can make it easier for cells in the mouth and throat to absorb harmful chemicals that cause damage.

Remember, it’s the alcohol itself that damages your body, even small amounts. It doesn’t matter whether you drink beer, wine or spirits. All types of alcohol can cause cancer.

There’s plenty of tricks that people claim ‘cure’ hangovers. But even if they work for your hangover, they don’t reverse the damage caused from drinking alcohol.

What types of cancer does alcohol cause?

Drinking alcohol causes 7 different types of cancer. This includes:

• Breast cancer and bowel cancer (two of the most common types)
• Mouth cancer
• Some types of throat cancer: oesophagus (food pipe), larynx (voice box) and pharynx (upper throat)
• Liver cancer
• Colon and Rectum

Treatments for alcoholism disorder may include:

• First know treatment for alcohol use disorder can vary, depending on your needs. Treatment may involve a brief intervention, individual or group counseling, an outpatient program, or a residential inpatient stay. Working to stop the use of alcohol to improve quality of life is the main treatment goal.Detox and withdrawal. Treatment may begin with a program of detoxification or detox — withdrawal that’s medically managed — which generally takes two to seven days. You may need to take sedating medications to prevent withdrawal symptoms. Detox is usually done at an inpatient treatment center or a hospital.  Learning skills and establishing a treatment plan. This usually involves alcohol treatment specialists. It may include goal setting, behavior change techniques, use of self-help manuals, counseling and follow-up care at a treatment center.
• Psychological counseling. Counseling and therapy for groups and individuals help you better understand your problem with alcohol and support recovery from the psychological aspects of alcohol use. You may benefit from couples or family therapy — family support can be an important part of the recovery process.
• Oral medications. A drug called disulfiram (Antabuse) may help to prevent you from drinking, although it won’t cure alcohol use disorder or remove the compulsion to drink. If you drink alcohol, the drug produces a physical reaction that may include flushing, nausea, vomiting and headaches. Naltrexone (Revia), a drug that blocks the good feelings alcohol causes, may prevent heavy drinking and reduce the urge to drink. Acamprosate (Campral) may help you combat alcohol cravings once you stop drinking. Unlike disulfiram, naltrexone and acamprosate don’t make you feel sick after taking a drink.
• Injected medication. Vivitrol, a version of the drug naltrexone, is injected once a month by a health care professional. Although similar medication can be taken in pill form, the injectable version of the drug may be easier for people recovering from alcohol use disorder to use consistently.
• Continuing support. Aftercare programs and support groups help people recovering from alcohol use disorder to stop drinking, manage relapses and cope with necessary lifestyle changes. This may include medical or psychological care or attending a support group.
• Treatment for psychological problems. Alcohol use disorder commonly occurs along with other mental health disorders. If you have depression, anxiety or another mental health condition, you may need talk therapy (psychotherapy), medications or other treatment.
• Medical treatment for health conditions. Many alcohol-related health problems improve significantly once you stop drinking. But some health conditions may warrant continued treatment and follow-up.
• Spiritual practice. People who are involved with some type of regular spiritual practice may find it easier to maintain recovery from alcohol use disorder or other addictions. For many people, gaining greater insight into their spiritual side is a key element in recovery.
• Things you would let your doctor know in your original visit would include:   Any symptoms you’ve had, including any that may seem unrelated to your drinking.  Key personal information, including any major stresses or recent life changes.  All medications you might be taking, vitamins or other supplements that you’re taking, and their dose.

Article revised on April 1, 2024 Elizabeth Lynch RN

“Alcohol Awareness Month is a public health program organized by the National Council on Alcoholism and Drug Dependence as a way of increasing outreach and education regarding the dangers of alcoholism and issues related to alcohol. The program was started in April 1987 with the intention of targeting college-aged students who might be drinking too much as part of their newfound freedom. It has since become a national movement to draw more attention to the causes and effects of alcoholism as well as how to help families and communities deal with drinking problems.

However, the dangers of alcohol abuse go beyond college kids getting too drunk at parties. An estimated 14.4 million Americans ages 18 and older had an alcohol use disorder (AUD) in 2018 according to NSDUH.³ Across the nation, 26.45% individuals 18 and older reported that they engaged in binge drinking in the past month (typically 4 drinks for women and 5 drinks for men in about 2 hours) while 6.6% engaged in heavy alcohol use (binge drinking on 5 or more days in the past month) in the past month.^3″

American Addiction Centers (Alcohol.org)

What Is Alcohol Awareness Month?

Risk factors for alcohol use disorder include:

• Steady drinking over time. Drinking too much on a regular basis for an extended period or binge drinking on a regular basis can lead to alcohol-related problems or alcohol use disorder.
• People who begin drinking at an early age, and especially in a binge fashion, are at a higher risk of alcohol use disorder. Alcohol use may begin in the teens, but alcohol use disorder occurs more frequently in the 20s and 30s. However, it can begin at any age.
• Family history. The risk of alcohol use disorder is higher for people who have a parent or other close relative who has problems with alcohol. This may be influenced by genetic factors.
• Depression and other mental health problems. It’s common for people with a mental health disorder such as anxiety, depression, schizophrenia or bipolar disorder to have problems with alcohol or other substances.
• Social and cultural factors. Having friends or a close partner who drinks regularly could increase your risk of alcohol use disorder. The glamorous way that drinking is sometimes portrayed in the media also may send the message that it’s OK to drink too much. For young people, the influence of parents, peers and other role models can impact risk.

Alcohol intoxication results as the amount of alcohol in your blood stream increases. The higher the blood alcohol concentration is, the more impaired you become. Alcohol intoxication causes behavior problems and mental changes. These may include inappropriate behavior, unstable moods, impaired judgment, slurred speech, impaired attention or memory, and poor coordination. You can also have periods called “blackouts,” where you don’t remember events. Very high blood alcohol levels can lead to coma or even death.

Alcohol withdrawal can occur when alcohol use has been heavy and prolonged and is then stopped or greatly reduced. It can occur within several hours to four or five days later. Symptoms include sweating, rapid heartbeat, hand tremors, problems sleeping, nausea and vomiting, hallucinations, restlessness and agitation, anxiety, and occasionally seizures. Symptoms can be severe enough to impair your ability to function at work or in social situations.

Are you wondering if you drinking is on the high side or it crossed a line into a problem?  It may be time to make some changes and its never too LATE!

What could be telling you that your having a problem with drinking? Well if you are asking yourself any of the listed problems or asking yourself the followng questions listed below it maybe time to be checked or you get help:

1. You drink more than planned. If your coming into this situation drinking more than you planned to or longer than you thought than you are having problem controlling your alcohol!

2. You find yourself spending a long time drinking, even getting sick from the drinking but  and in time from the side effects of drinking recover.  Why even get to that point.  Keep track of your daily activities with seeing how often you drink in a diary and see if the bottles add up highier than one glass of wine a day or one or three glasses a week of alcohol.  Again you might see it adds up much higher than that.

3. Has your tolerance build up that you have to drink more for your buzz.  Your brain adapts over time to alcohol sensitivity and goes up when drinking high levels of alcohol.  Just like a completely different disease but similar concept.  In a pt without emphysema (COPD type the worst)  where in time the brain adjusts to CO2 – Carbon Dioxide levels with O2 levels.  A person without emphysema the brain makes us breath on low 02 levels but with a emphysema pt the brain makes them breath based on low CO2 levels since in time the brain developed sensitivity to it.

4. You crave alcohol frequently, another factor in making you want to seek help.  There are times you want to drink so badly bases on emotions or physical feelings you are experiencing that can trigger the craving.  You can be at a place (like a bar) triggering that craving.  That strong need or urge to drink can be triggered by people, places, things also.  When you have a trigger reacts to these factors differently than a social drinker’s does.

5.  You give up activities; what do you do for fun besides drinking?  Now yes life does change but what have you edged out of your life for drinking and or does everything you do entail a lot of drinking.  Has drinking stopped you from doing those things you use to do or pushed them out of your life.

6.  Are dropping the ball on life?   Take work, how many times have you come to work with a hang over, missed dead lines for your boss, or got behind on college work?  Now if your drinking in high school you know your under the age and its against the LAW!  When your drinking keeps you home sick or from your responsibilities that is a problem!

7.  Is it causing friction in your relationships?  If you care about your loved ones but can’t imagine your life without drinking that is a problem!  If your in this situation, this does not make you a bad person at all but like any problem you need to resolve it.  You need to look for help and make changes to help the relationship you have with a significant one in your life or with family members or friends to get those relationships back on the right track for both of you.

8. Are you having Withdrawal S/S from drinking?  (S/S are listed above under withdrawal).  Remember alcohol changes your brain’s chemistry.  When you drink heavy over a long period of time the brain has adapted to the high alcohol in your body.  So understand,  if you suddenly stop drinking your brain has to adjust again and with doing so this will make withdrawal s/s occur.

9.  Have you been put in the situation that you could have been hurt due to drinking or has an injury actual already happened.  Your brain didn’t react fast enough or was it from poor decision making that an injury almost occurred or actually happened (Examples of getting into risky situations due to your heavy drinking could be: Driving, swimming, getting into fights, poor sex-ending up with sexual transmitted diseases or passing on your STD like HIV for example and walking into dangerous areas getting hurt or someone else hurt.)

10. Getting sick with medical conditions or health problems due to your heavy drinking.  Alcohol can damage your liver, brain, heart, pancreas and even immune system.  It can even raise odds of getting certain cancers.

Drinking alcohol increases the risk of cancer. Drinking alcohol doesn’t mean that you’ll definitely get cancer, but the risk is higher the more alcohol you drink.

People might talk about some alcoholic drinks being better or worse for you than others. But all types of alcohol increase the risk of cancer – as it’s the alcohol itself that causes damage, even in small amounts.

So the more you can cut down on alcohol the more you can reduce your risk of cancer.

Drinking less alcohol has lots of other health benefits, too. You can reduce your risk of accidents, high blood pressure and liver disease by cutting back.

Alcohol can damages our cells and this can stop cells repairing damage.  Alcohol effects chemical signals which can make cells more likely to divide this in turn increases the chance of cancer to develop.  Alcohol makes it easier for cell in our mouth and throat to absorb cancer causing chemicals.

There are many ways that alcohol can cause cancer. Some of the main ways are:

• Damage to cells. When we drink alcohol, our bodies turn it into a chemical, called acetaldehyde. Acetaldehyde can damage our cells and can also stop cells from repairing this damage.
• Changes to hormones. Alcohol can increase the levels of some hormones in our bodies such as oestrogen and insulin. Hormones are chemical messengers, and higher levels of oestrogen and insulin can make cells divide more often. This increases the chance that cancer will develop.
• Changes to cells in the mouth and throat. Alcohol can make it easier for cells in the mouth and throat to absorb harmful chemicals that cause damage.

Remember, it’s the alcohol itself that damages your body, even small amounts. It doesn’t matter whether you drink beer, wine or spirits. All types of alcohol can cause cancer.

There’s plenty of tricks that people claim ‘cure’ hangovers. But even if they work for your hangover, they don’t reverse the damage caused from drinking alcohol.

What types of cancer does alcohol cause?

Drinking alcohol causes 7 different types of cancer. This includes:

• Breast cancer and bowel cancer (two of the most common types)
• Mouth cancer
• Some types of throat cancer: oesophagus (food pipe), larynx (voice box) and pharynx (upper throat)
• Liver cancer
• Colon and Rectum

Stay tune for Part III in tomorrow’s article.

If yes to any of the questions listed in the first box above on the right side you may want to be checked out if you done know by now for your health!

“April is Alcohol Awareness Month, an opportunity to update your knowledge about the adverse effects of alcohol misuse on health and society. It is also a good time to talk to teens about drinking and to equip them with the knowledge to handle situations involving alcohol. Even teens who would not normally be tempted to drink alcohol may be drawn in by certain social situations, so don’t assume they have all the facts they need to resist peer pressure. Parents and trusted adults can play a meaningful role in shaping youth’s attitudes toward drinking.

Alcohol-related problems continue to take a heavy toll on individuals, families, and communities. Alcohol is a significant factor in the deaths of people younger than age 21 in the United States. This includes deaths from motor vehicle crashes, homicides, alcohol overdoses, falls, burns, drownings, and suicides.”

National Institute on Alcohol Abuse and Alcoholism

(https://www.niaaa.nih.gov/about-niaaa/directors-page/niaaa-directors-blog/alcohol-awareness-month-raising-awareness-about-dangers-alcohol-use-among-teens)

Alcohol is the drug of choice among youth. Many young people are experiencing the consequences of drinking too much, at too early an age. As a result, underage drinking is a leading public health problem in this country.

Each year, approximately 5,000 young people under the age of 21 die as a result of underage drinking; this includes about 1,900 deaths from motor vehicle crashes, 1,600 as a result of homicides, 300 from suicide, as well as hundreds from other injuries such as falls, burns, and drownings.

Yet drinking continues to be widespread among adolescents, as shown by nationwide surveys as well as studies in smaller populations.  As children move from adolescence to young adulthood, they encounter dramatic physical, emotional, and lifestyle changes. Developmental transitions, such as puberty and increasing independence, have been associated with alcohol use. So in a sense, just being an adolescent may be a key risk factor not only for starting to drink but also for drinking dangerously.

How people view alcohol and its effects also influences their drinking behavior, including whether they begin to drink and how much. An adolescent who expects drinking to be a pleasurable experience is more likely to drink than one who does not. An important area of alcohol research is focusing on how expectancy influences drinking patterns from childhood through adolescence and into young adulthood.

Beliefs about alcohol are established very early in life, even before the child begins elementary school.  Know before age 9, children generally view alcohol negatively and see drinking as bad, with adverse effects. By about age 13, however, their expectancies shift, becoming more positive.   As would be expected, adolescents who drink the most also place the greatest emphasis on the positive and arousing effects of alcohol.

Whatever it is that leads adolescents to begin drinking, once they start they face a number of potential health risks. Although the severe health problems associated with harmful alcohol use are not as common in adolescents as they are in adults, studies show that young people who drink heavily may put themselves at risk for a range of potential health problems.

What has been done to prevent this problem in out communities throughout America:

Raising the Price of Alcohol—A substantial body of research has shown that higher prices or taxes on alcoholic beverages are associated with lower levels of alcohol consumption and alcohol-related problems, especially in young people

Increasing the Minimum Legal Drinking Age—Today all States have set the minimum legal drinking at age 21. Increasing the age at which people can legally purchase and drink alcohol has been the most successful intervention to date in reducing drinking and alcohol-related crashes among people under age 21.

Enacting Zero-Tolerance Laws—All States have zero-tolerance laws that make it illegal for people under age 21 to drive after any drinking. When the first eight States to adopt zero-tolerance laws were compared with nearby States without such laws, the zero-tolerance States showed a 21-percent greater decline in the proportion of single-vehicle night-time fatal crashes involving drivers under 21.

School-Based Prevention Programs—The first school-based prevention programs were primarily informational and often used scare tactics; it was assumed that if youth understood the dangers of alcohol use, they would choose not to drink. These programs were ineffective. Today, better programs are available and often have a number of elements in common: They follow social influence models and include setting norms, addressing social pressures to drink, and teaching resistance skills. These programs also offer interactive and developmentally appropriate information, include peer-led components, and provide teacher training.

Family-Based Prevention Programs—Parents’ ability to influence whether their children drink is well documented and is consistent across racial/ethnic groups.  Setting clear rules against drinking, consistently enforcing those rules, and monitoring the child’s behavior all help to reduce the likelihood of underage drinking. The Iowa Strengthening Families Program (ISFP), delivered when students were in grade 6, is a program that has shown long-lasting preventive effects on alcohol use.