Alcohol is a favourite drink   for many to offer to guests   at home or to take in a party,   both as pre dinner and post dinner drinks. Some may take it occasionally in a party, while some take alcohol regularly in the evenings before dinner.

While drinking alcohol before dinner, people give a little thought as to what it is causing to their digestion and nutrition.

In some moderate habitual drinkers, alcohol tends to improve appetite because of its euphoriant effect on brain. But in many others it tends to reduce   the appetite and   quantity of food taken   due to the high   amount of calories present. 

It contains 7 Kilo calories/gram. These are empty calories as it has no other nutrients. But because of this many people eat poorly after drinking. They are deprived of essential nutrients and thus suffer from chronic malnutrition after a period of time.

Because of the high calories provided to the body, alcohol tends to increase the body weight of an individual   which results in obesity. Internally,   levels of fat and glucose are increased in the blood which becomes the cause for increase in hypertension, diabetes and cardiac problems in alcoholics.

Alcohol has a direct irritant   and inflammatory effect on the protective lining of the stomach. 

This causes pain in the upper part of stomach, burning sensation in the stomach and chest, nausea   and vomiting. Chronic use of alcohol also   causes inflammation of the pancreas resulting in pain in the upper abdomen.

Due to   these reasons, the overall food intake of a person is reduced as he is not able to eat adequately. This contributes to physical weakness and malnourishment.

Regular intake of alcohol tends to drive out some nutrients from the body. The most damaging effect is on folic acid (a component of vitamin B.complex).

Normally liver contains adequate folate to meet the requirement of the body. But alcohol tends to drive out folate from the liver.

Thus   folate   levels rise in the blood   and it is   expelled   from the kidneys. Resultant deficiency of folate   damages the cells of the intestine and   impairs the digestion of the person.

Thereafter, the person is unable to eat food in adequate quantity and this harms his overall nutritional status. Folate deficiency   also causes anaemia and impairs the body’s ability to regenerate damaged cells. 

This   becomes a risk factor for cancer of the colon and rectum. All these factors contribute to physical weakness.

Alcohol   deprives the body of Pyridoxine (vitamin B6), due to the action of acetaldehyde (a metabolic product of alcohol in the body). This results in damage to the nerves causing burning sensation in the feet and palms.

Malnutrition due to alcohol also occurs due to its interference with absorption and metabolism of   essential nutrients of the body. Cells of the intestine fail to absorb vitamins of the B.complex group causing deficiency of vitamin B.complex in the body.

This manifests as ulcers over the tongue and lips and around mouth, dryness of the skin, abnormal sensations in the limbs and muscular weakness.

The liver cells lose their ability to activate vitamin D due to effect of alcohol on the liver cells. The result is weakening of the bones of the body.

In elderly people, this can cause pathological fractures i.e. spontaneous breaking of the bones without any trauma.

Normally cells of the retina (curtain of the eye where an image is fixed) convert retinol (a component of vitamin A) into aldehyde which is needed for vision. But due to interference by alcohol, these cells start converting retinol   to acetaldehyde which contributes to malnutrition. The vision of a person is damaged due to this and direct toxic effect of alcohol on the retina.

Thus one can see clearly that over a period of time, regular   use of alcohol greatly impairs the nutrition of a person and results in chronic malnutrition. This happens irrespective of the type of alcohol taken.

Dr. Rachna Pande
Specialist Internal medicine
Ruhengeri Hospital
E-mail-rachna212002@yahoo.co.uk