Alcohol intolerance can cause immediate, unpleasant reactions after you drink alcohol. The most common signs and symptoms of alcohol intolerance are stuffy nose and skin flushing. Alcohol intolerance is caused by a genetic condition in which the body is unable to break down alcohol efficiently. The only way to prevent alcohol intolerance reactions is to avoid alcohol.
Alcohol intolerance isn't an allergy. However, in some cases, what seems to be alcohol intolerance may be your reaction to something in an alcoholic beverage — such as chemicals, grains or preservatives. Combining alcohol with certain medications also can cause reactions.
In rare instances, an unpleasant reaction to alcohol can be a sign of a serious underlying health problem that requires diagnosis and treatment.
Signs and symptoms of alcohol intolerance — or of a reaction to ingredients in an alcoholic beverage — can include:
You may not need to see a doctor if you have a mild intolerance to alcohol or something else in alcoholic beverages. You may simply need to avoid alcohol, limit how much you drink or avoid certain types of alcoholic beverages. However, if you have a serious reaction or severe pain, see your doctor. Also, if your symptoms seem to be linked to an allergy or a medication you're taking, see your doctor.
Alcohol intolerance occurs when your body doesn't have the proper enzymes to break down (metabolize) the toxins in alcohol. This is caused by inherited (genetic) traits usually found in Asians.
Other ingredients commonly found in alcoholic beverages, especially in beer or wine, can cause intolerance reactions. These include:
In some cases, reactions can be triggered by an allergy to a grain such as corn, wheat or rye or to another substance contained in alcoholic beverages.
Rarely, severe pain after drinking alcohol is a sign of a more serious disorder, such as Hodgkin lymphoma.
The following may help your doctor determine the cause of your symptoms and whether you have alcohol intolerance or something else:
Depending on the cause, complications of alcohol intolerance or other reactions to alcoholic beverages can include:
Unfortunately, nothing can prevent reactions to alcohol or ingredients in alcoholic beverages. To avoid a reaction, avoid alcohol or the particular substance that causes your reaction.
Read beverage labels to see whether they contain ingredients or additives you know cause a reaction, such as sulfites or certain grains. Be aware, however, that labels may not list all ingredients.
Risk factors for alcohol intolerance or other reactions to alcoholic beverages include: