What Are the Symptoms of Alcohol Withdrawal

What Are the Symptoms of Alcohol Withdrawal

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Alcohol can get deep under your skin. If you’ve been drinking for a while and stop suddenly your body isn’t just going to shrug and move on. It’s going to react – sometimes like a bad flu, other times like a threat to your life. That’s withdrawal.

So what does withdrawal feel like? Let’s break it down.

Understanding Alcohol Withdrawal

Withdrawal happens when your body, which has become used to having alcohol, has to function without it. When you drink regularly your brain adjusts its chemical balance to accommodate the alcohol. Remove it suddenly and your system struggles to rebalance. That’s when withdrawal symptoms kick in.

Symptoms vary based on how long and how heavily someone has been drinking. Mild cases feel like a bad hangover. Severe cases can be life-threatening.

How Long Does Withdrawal Last

There’s no one-size-fits-all answer. Most symptoms peak within 72 hours and start to improve after that but some can linger for weeks. Here’s a rough timeline:

  • 6-12 hours: Anxiety, nausea, headaches, shaking
  • 12-48 hours: Increased heart rate, blood pressure spikes, hallucinations
  • 48-72 hours: Risk of seizures, delirium tremens (DTs)
  • Week 1 and beyond: Fatigue, mood swings, lingering anxiety, insomnia

Some men experience something called post-acute withdrawal syndrome (PAWS) – a set of symptoms that can last months after quitting. These can include mood swings, trouble concentrating and low energy. PAWS isn’t deadly but it can make recovery feel like a long road. This is where a solid support system comes in.

This is when it usually starts. It can creep up quickly sometimes within hours of your last drink. You might feel:

  • Anxiety or restlessness
  • Nausea
  • Sweating
  • Headaches
  • Shaky hands
  • Trouble sleeping

These symptoms are uncomfortable but they’re just the beginning. If you’ve been drinking daily for months or years these early symptoms can be intense. Some men describe it as an overwhelming sense of nervous energy they can’t shake like they’re constantly on edge.

Things can get worse. Your body is realizing alcohol isn’t coming back and it’s not happy about it. Here’s what might hit next:

  • Increased heart rate
  • High blood pressure
  • More intense sweating and shaking
  • Vomiting
  • Confusion
  • Irritability

For some, this is the worst of it. But for heavy drinkers, things can get even scarier. Some men experience hallucinations – seeing or hearing things that aren’t there. Others feel like their heart is racing out of control. Sleep can be almost impossible during this stage leaving you exhausted and even more on edge.

This is when withdrawal can be life-threatening. If you’ve been drinking heavily for years stopping cold turkey can cause something called delirium tremens (DTs). DTs are no joke. Symptoms include:

  • Severe confusion
  • Hallucinations (seeing or hearing things that aren’t there)
  • Seizures
  • Fever
  • Intense agitation
  • Heavy sweating
  • Sudden, extreme mood swings

If DTs kick in it’s a medical emergency. This isn’t something to tough out alone. Seizures can happen suddenly and without proper care can be fatal. Even if you don’t experience full-blown DTs withdrawal can still push your body to dangerous levels of stress.

Why Does Withdrawal Happen

Your brain is a complex machine that adjusts to whatever you put into it. When you drink regularly your brain adapts by producing more excitatory neurotransmitters to counterbalance alcohol’s depressant effects. When you take alcohol away your brain is suddenly overstimulated and withdrawal symptoms kick in.

Some people are more likely to experience severe withdrawal than others. Risk factors include:

When to Get Help

If you’re reading this and thinking, “That sounds rough but I’ll tough it out,” don’t. Withdrawal can be unpredictable and even if you don’t think you’ll experience severe symptoms it’s not worth the risk. Medical detox can keep you safe, ease the worst symptoms and set you up for real recovery. At Jaywalker we’ve seen firsthand how tough alcohol withdrawal can be. But we’ve also seen men come out the other side – stronger, clearer, ready for a better life. If you’re thinking of quitting don’t do it alone. Reach out and let’s talk about the best way forward.

The Role of Medical Detox

A medically supervised detox isn’t just about comfort – it can be life-saving. The withdrawal process can be unpredictable and without proper care complications can arise. In a detox center medical professionals can provide medications to ease withdrawal symptoms making the process more manageable and less painful. They also monitor your health to prevent dangerous complications like seizures or delirium tremens.

Beyond the medical side detox centers create a structured, trigger-free environment, removing temptations and outside pressures that could make withdrawal even harder. More importantly, a medical detox acts as a bridge to longer-term recovery. It’s not just about getting through the first few days – it’s about setting up a foundation for real lasting change.

Moving Forward: Take the Next Step Toward Recovery

alcohol withdrawal center

Alcohol withdrawal is tough but it’s also temporary. The real challenge – and the real reward – comes after. Sobriety isn’t just about removing alcohol – it’s about rebuilding your life in a way that makes you want to stay sober. That’s where real healing happens.

At Jaywalker, a dedicated rehab for men we help guys navigate both the struggle and the solution. If you’re ready to quit drinking but worried about withdrawal we’re here to support you through the process. Whether you need medical detox, long-term treatment or just someone to talk to about your options we’re here when you are. Reach out today and let’s take that first step together.

Alcohol Withdrawal FAQs

What helps with alcohol withdrawal?

Staying hydrated, eating balanced meals and getting medical support can all help. In a medical detox setting doctors may prescribe medications to ease symptoms and reduce complications.
The safest treatment is a medically supervised detox where professionals monitor symptoms and provide supportive care including medication to reduce risks.
Yes, alcohol withdrawal can cause seizures, especially within the first 24-48 hours. This is why medical supervision is strongly recommended for anyone quitting alcohol after heavy use.
Yes, headaches are common in the early stages as your body adjusts to no alcohol.
Yes, some people hallucinate within the first 24-48 hours. These can be visual, auditory or tactile and are a sign of severe withdrawal.
Yes, high blood pressure is common and can be dangerous if untreated, especially if you have pre-existing conditions.
Yes, digestive issues like diarrhea can occur as your body detoxes.
Shakes can start within hours of the last drink and can last several days depending on the withdrawal.
author avatar
Stefan Bate, MA, LAC, CCTP Chief Clinical Officer
Stefan Bate, BA, MA, LAC holds a Master's Degree in Applied Psychology from Regis University and is a Licensed Addiction Counselor in the state of Colorado. Stefan has wide-ranging experience in the field of addiction recovery including: working as a recovery coach, therapist, and program director.

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