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This article was co-written by Erik Kramer, DO, MPH. Dr. Kramer is a primary care physician at the University of Cporado, specializing in weight management, diabetes, and internal medicine. He received his DO degree from Touro University College of Osteopathic Medicine in 2012.
There are 10 references cited in this article that you can view at the bottom of the page.
This article has been viewed 14,795 times.
Allergy to spirits is not uncommon and is usually caused by an allergy to an ingredient in spirits, but it may be caused by alcohol intolerance due to the accumulation of acetaldehyde. Symptoms can be extremely uncomfortable and intense in some cases. If you suspect you have an alcohol intolerance, look out for the external symptoms as well as the internal signs and digestive problems, then see your doctor for diagnostic testing. It is important to distinguish between an alcohol intolerance and an allergy, as consuming chemicals that the body is not able to metabolize can have serious consequences. Call emergency services right away if you have a severe allergic reaction, such as difficulty breathing.
Steps
Look at the external symptoms
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Watch for flushing on your face, neck, chest, or arms. Blushing is one of the most common signs of alcohol intolerance. This phenomenon is also very common among Asians, so it is often called “Asian flush”. People with this syndrome will initially feel a heat or stinging sensation before the face turns red, and some people even have red eyes. Symptoms can appear even if you’ve only had a pint of beer or wine, and you’ll quickly notice your face and neck turn red. [1] X Trusted Source Mayo Clinic Go to Source
- This reaction is caused by a modification of an enzyme called acetaldehyde dehydrogenase, which helps metabolize alcohol. [2] X Research Source
- People with red face syndrome when drinking alcohol have a higher risk of cancer. There are many products touted to help with alcohol flushing, such as Pepcid, but these products do not protect against the long-term effects of alcohol. It’s best to drink less than 6 drinks per week if you have these symptoms.
- Blushing can also be caused by a combination of alcohol and a medication you’re taking.
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Watch for swelling around the face and eyes. One symptom that can accompany facial redness is swelling around areas of red skin. The area around the eyes, cheeks, and mouth can be noticeably swollen after drinking alcohol. This is another sign of alcohol intolerance. [3] X Research Sources
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Recognize the phenomenon of urticaria. Red, itchy bumps, also known as hives, are a common symptom of an allergy. These bumps are light red and may sting or sting. Hives can appear anywhere on the body, but usually appear on the face, neck, or ears. Hives usually resolve on their own, but can last up to an hour or even days on the skin. [4] X Research Sources
- The appearance of hives usually means that you are allergic to the ingredients in alcohol. Immediately stop drinking alcohol and drink water instead.
- If you have hives, you can apply a cool or wet washcloth to the hives to relieve itching or burning.
Look for internal problems or digestive problems
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Note the feeling of nausea and vomiting. Feeling nauseous, even vomiting when drinking a lot of alcohol is normal. However, if you are allergic or intolerant to alcohol, you may feel nauseous even if you only drink 1-2 drinks. Vomiting and nausea due to alcohol intolerance can also accompany abdominal pain. [5] X Research Sources
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Watch out for diarrhea after drinking alcohol. Diarrhea causes discomfort with loose and watery stools. Diarrhea is often accompanied by other symptoms such as bloating, abdominal pain, and nausea. If you experience diarrhea after drinking alcohol, you must stop drinking immediately as this is a sign of an alcohol allergy or intolerance. [6] X Research Sources
- Drink plenty of fluids (preferably water) if you have diarrhea. It is very easy to become dehydrated if you have diarrhea several times a day without drinking enough water.
- See your doctor if you have severe symptoms that accompany diarrhea, such as blood in your stools, a high fever that lasts more than 24 hours, or severe abdominal pain.
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Watch out for headaches or migraines 1-2 hours after drinking alcohol. Severe cases of alcohol intolerance may present with headaches or migraines. Migraine headaches are characterized by throbbing pain, nausea, vomiting, and sensitivity to light. This usually occurs 1-2 hours after drinking alcohol and can last for many hours. [7] X Research Sources
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Be aware of the signs of nasal congestion and other allergy symptoms. Wine, champagne and beer contain histamine, which are chemicals released by the immune system to help the body get rid of allergens. When an allergen enters the body, histamine is released and causes nasal congestion, runny nose, itchy eyes, and watery eyes. People with alcohol intolerance may be especially sensitive to red wine and other alcoholic beverages that are high in histamine. [8] X Research Sources
- Wine and beer also contain sulfites, a compound that can also trigger allergy symptoms.
Diagnostic test
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Talk to your doctor about your symptoms. If you suspect you have an allergy or intolerance to alcohol, it’s important to stop drinking and see your doctor. Your doctor will ask about your family history, symptoms, and physical exam. In addition, your doctor may order a number of other diagnostic tests to determine your allergies or potential causes of alcohol intolerance. [9] X Research Source
Tip : Remember that the only way to prevent alcohol intolerance is to not drink at all.
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Do a skin prick test for a quick diagnosis. The most common food allergy test is the skin prick test. With this test, the doctor places drops of solution containing different food allergens on the skin, then uses a needle to insert the solution just below the surface of the skin. If a large white bump appears on the skin with redness around it, it is very likely that you are allergic to the food tested. [10] X Research Source
- Ask to be tested for foods commonly found in wine, such as grapes, gluten, seafood, and grains.
- Test results are usually available within 30 minutes.
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Blood tests. A blood test can measure the immune system’s response to certain foods by looking in the blood for antibodies to a certain substance. Your doctor will send a blood sample to a lab, where different foods will be tested. [11] X Research Source
- This test can take 2 weeks to get results.
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Use caution with alcohol if you have asthma or allergic rhinitis. There are only a few scientific studies on the link between asthma and alcohol intolerance, but researchers have found that alcohol sometimes causes asthma symptoms in people with the condition. The most common alcoholic beverages that can worsen asthma symptoms include champagne, beer, white wine, red wine, fortified wine (such as sherry and port) and spirits (whiskey, brandy, and vodka). Alcoholic beverages also affect people with allergic rhinitis, as it contains different amounts of histamine that make symptoms worse. [12] X Research Source
- If you have asthma or allergic rhinitis and suspect you have an alcohol intolerance, stay away from red wine, which is high in histamine. [13] X Research Source
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Avoid alcoholic beverages if you are allergic to grains or other foods. Alcoholic beverages contain many different ingredients. If you are allergic to foods that are common ingredients, you may also be allergic to those drinks. Red wine is the most common alcoholic beverage that causes allergies. Beer and whiskey are also common allergens because they have four common allergens: yeast, barley, wheat, and hops. Some common food allergens found in alcohol that may contribute to allergies include: [14] X Research Source
- Grape
- Gluten
- Protein in seafood
- Buckwheat
- Protein in eggs
- Sulfites
- Histamine
Warning
- The advice in this article is for people of legal drinking age.
- You may not need to see a doctor for mild symptoms of alcohol intolerance. However, if severe symptoms such as shortness of breath, dizziness or fainting appear, or an increased heart rate, call emergency services immediately. These could be symptoms of a life-threatening allergic reaction.
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This article was co-written by Erik Kramer, DO, MPH. Dr. Kramer is a primary care physician at the University of Cporado, specializing in weight management, diabetes, and internal medicine. He received his DO degree from Touro University College of Osteopathic Medicine in 2012.
There are 10 references cited in this article that you can view at the bottom of the page.
This article has been viewed 14,795 times.
Allergy to spirits is not uncommon and is usually caused by an allergy to an ingredient in spirits, but it may be caused by alcohol intolerance due to the accumulation of acetaldehyde. Symptoms can be extremely uncomfortable and intense in some cases. If you suspect you have an alcohol intolerance, look out for the external symptoms as well as the internal signs and digestive problems, then see your doctor for diagnostic testing. It is important to distinguish between an alcohol intolerance and an allergy, as consuming chemicals that the body is not able to metabolize can have serious consequences. Call emergency services right away if you have a severe allergic reaction, such as difficulty breathing.
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