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Went on a Drinking Bender? Here’s What to Do Now

drinking-benderMost adults in the United States drink alcohol at least casually and occasionally. However, many people drink too much, and they may not realize it. The Centers for Disease Control and Prevention (CDC) reports that alcohol abuse contributes to at least 88,000 deaths every year, from car crashes to liver failure. One in 10 working-age adults (ages 20-64) die because of alcohol abuse.

One of the riskiest forms of alcohol abuse is binge drinking, which involves consuming four or more servings of alcohol in a two-hour period. Drinking this much raises blood alcohol concentration (BAC) over 0.08, which is the legal limit where it is no longer safe to drive. Although “going on a bender” and binge drinking are often conflated, benders are extreme forms of binge drinking that can lead to severe physical, mental, emotional, financial, and legal harm.

A Bender Is a Dangerous Form of Problem Drinking

To define binge drinking and benders, it is important to know how much a standard serving of alcohol is:

  • 12 ounces of beer, or one bottle
  • 5 ounces of wine, or one small glass
  • 8 ounces of malt liquor
  • 5 ounces of hard liquor, or one shot

The liver processes about one serving of alcohol per hour. To avoid raising BAC too fast, drink alcoholic beverages slowly – at most one per hour. However, many bars and restaurants serve more than these standard, measured servings in large wine glasses, pints of beer instead of bottles, and overflowing shots for mixed drinks. As a result, many people drink more than one serving at a time when they are out.

Some people intentionally drink more than one serving per hour because their goal is to get drunk. In some cases, a person may not monitor how much they’ve drunk, so they may accidentally drink two or more servings in an hour. Binge drinking is defined as four servings of alcohol for women, or five servings of alcohol for men, or more consumed over the course of two hours.

One in six adults, according to the CDC, binge drinks four times per month, consuming about seven drinks per binge. Binges are problems for nearly all adult age groups. While binges occur most frequently in people ages 18-34, binge drinking is also a serious problem for older adults, 35 and older.

After binge drinking, a lot of people can experience a hangover, which is physical sickness from dehydration and the effects of alcohol. Most people do not continue drinking alcohol when they develop a hangover, but some people think “hair of the dog” is a cure for this sickness. Unfortunately, continuing to drink after one evening of binge drinking may lead to a bender instead of a hangover cure.

A bender is not just binge drinking, but bingeing on alcohol for at least three days. Many people drink all weekend, starting on Friday night, but a bender involves drinking either Friday or Monday as well, which for most people means intentionally missing work or school to drink.

 Binge drinking by itself is very risky behavior, but drinking a lot of alcohol to stay drunk for several days can lead to alcohol poisoning and death or chronic health problems later in life.


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The Harmful Effects of Too Much Alcohol and Going on a Bender

The harmful effects of alcohol are well known, both in terms of acute harm and chronic illnesses. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) lists many of alcohol’s harmful effects.

  • BrainShort-term, alcohol can interfere with the transfer of short-term memories into long-term memories, which causes blackouts. Even retained memories may be fuzzy. Speech, judgment, physical coordination, and thinking are all impaired when a person is intoxicated. Long-term, too much alcohol can change the function of various areas in the brain, permanently impairing memory, cognition, and emotions.
  • LiverBinge drinking can overwhelm the liver, so if a person suffers from alcohol poisoning, they still have several servings of alcohol in their body that have not yet been processed, which can make poisoning worse or lead to death. Long-term, people who drink too much can develop fatty liver disease, cirrhosis, alcoholic hepatitis, liver failure, and liver cancer.
  • HeartShort-term, being drunk or binge drinking can raise blood pressure, change heart rate, and increase the risk of heart attacks from underlying heart conditions. Long-term, cardiomyopathy (or drooping heart muscle) will develop as well as arrhythmias, chronic high blood pressure, blood clots, and an increased risk of heart attacks or strokes.
  • CancerAlcohol abuse increases the risk of all kinds of cancer, including cancer of the stomach, liver, mouth, throat, esophageal, and breast.

These problems are associated with any kind of problematic alcohol consumption, like heavy drinking, binge drinking, and alcohol use disorder.

However, drinking benders can cause other, specific problems like:

  • Increased skin breakouts
  • Higher levels of stress or anxiety
  • Extreme fatigue or sleep disturbances
  • Inflammatory reactions inside the body, causing digestive problems
  • Increased chronic pain from inflammation
  • Dehydration
  • Salt imbalance that can increase the risk of seizures
  • Erratic blood pressure
  • Muscle weakness
  • Headaches
  • Increased mood swings
  • Depression

 One bender may leave a person with just a serious hangover, but multiple benders and other forms of problem drinking dramatically increase the risk of alcohol poisoning, damage to long-term health, and death. Going on benders more than once can also indicate a potential alcohol use disorder (AUD), and this must be treated by addiction specialists.

Get Help to Stop Going on Benders

Monitoring how much alcohol has been consumed in an hour is one way to avoid binge drinking. Quitting after a drink or two and drinking water or a nonalcoholic beverage are other ways to avoid binge drinking.

Drinking every day, even one or two servings of alcohol, can also cause harm to the body, so intentionally taking breaks between social events or meals with alcohol is important for physical recovery. If a bender is binge drinking over three days or more, then drinking one day, followed by no alcohol the next day, will prevent a bender. Avoiding hair of the dog, or drinking alcohol to alleviate a hangover, can also prevent a bender.

Compulsive consumption of alcohol, drinking more than intended in an outing, or frequently craving alcohol are all indicators that alcohol use disorder (AUD) may be a problem. Frequent benders and feeling sick from several days of drinking a lot can also suggest that the person has a problem with alcohol. Get help with medically supervised detox and evidence-based rehabilitation to avoid the long-term effects of alcohol abuse.


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