What is binge drinking?

What is binge drinking?

The term binge drinking conjures up images of all-day sessions, but it actually refers to drinking a large amount of alcohol in a small space of time - double the safe amount or more in a few hours, for example. 

It's probably easier to think of a binge as drinking with the intention of getting drunk. It is particularly hazardous as the body's systems have to deal with very high levels of alcohol, which are poisonous to the cells. 

Hazardous drinking is an equal opportunity activity - about two-thirds of men aged 20-24 and one-third of women aged 16-19 are hazardous drinkers. The latest government statistics show more and more young women are binge drinking, even though, on a drink-for-drink basis, alcohol affects women more than men because of their build and body fat. 

Effects of binge drinking

In small doses, alcohol helps us relax and feel more confident. But even though alcohol might make you feel better, it affects the chemistry of your brain in a way that increases negative feelings, so in the end it just makes matters worse. 

Alcohol can have a permanent effect on your brain, especially if you drink while your brain's still growing and maturing, which is up to 20 years old.

Binge drinking will affect your ability to learn and to concentrate long after your hangover has gone. As yet, doctors don't know if the brain damage caused by hazardous drinking can be reversed.

Binge drinking causes more extensive problems than just brain damage. For most young people, the problems from drinking too much are best summarised as CASH:

• Concentration
• Accidents/aggression, unwanted
• Sexual situations
• Health problems

In the short term, we know alcohol affects reaction times and coordination, so you're more likely to have an accident.

Alcohol affects the bit of your brain that deals with impulse control, so after a few beers you find it harder to say no. You're more likely to take risks, such as drink driving, or doing something you later regret, such as having unprotected sex. Alcohol can also make you aggressive and violent.

 

Almost everyone who ends up in A&E with facial injuries is there because either they, or the person who assaulted them, had been drinking. One estimate puts these at 125,000 per year. Glasses and bottles are the most common cause of serious injury. 

Over time, alcohol affects every part of your body. As well as liver disease, it's also responsible for infertility, skin conditions, heart problems, brain damage, cancer and stroke. 

Alcohol dependence

There's debate among scientists about how much it's safe to drink. The reality is, alcohol is a poison - too much will damage your health and could kill you. 

Addiction to alcohol (also called dependence) is characterised by a compulsion to drink. If you don't drink your body starts to react and you have unpleasant withdrawal symptoms, such as intense anxiety, depression and the shakes. You then feel even more desperate for the next drink, to relieve these symptoms. 

If you start drinking heavily before you're 14, you're about four times more likely to become dependent on alcohol.

The more you drink, the more you need to drink to get the same effect. This is called tolerance and is often seen as the ability to 'hold your drink'. It's a bad idea because you don't become tolerant to the damage caused, which simply gets worse as you need to drink more. 

Safe levels of alcohol

It seems a small amount of alcohol (say, one glass of wine drunk with a meal) may help to protect against heart disease, but consuming much more than that starts to damage your body.

The safe limits as set by the government are as follows:

• Men - up to four units a day (about two pints of ordinary strength beer) to a maximum of 21 units a week
• Women - up to three units a day (two small glasses of wine) to a maximum of 14 units a week

It's not a good idea to drink this much all the time. In fact, most experts advise at least two alcohol-free days a week. It's also good to have at least two days off the booze after a big night out to give your body a chance to recover.

Alcohol and drugs

Alcohol and drugs don't mix. Alcohol increases the effect of sedatives and opiates to the extent that you could go into a coma or stop breathing. 

Smoking dope can stop you from throwing up, but vomiting is one of the ways your body tries to prevent alcohol poisoning.

Drinking on top of normal medicine such as antibiotics or asthma treatments is also be a bad idea because alcohol can increase or reduce the medicine's effectiveness. Always make sure you read the label.

Cutting down alcohol

Ask yourself why you drink: most people don't drink because they like getting into fights, ending up in A&E, or getting arrested. Drinking is part of our culture, but it's important to remember that you're in control.

Probably the easiest way to cut down is to alternate a soft drink with each alcoholic drink. Try to avoid drinking in rounds and remember that going to the pub/club is not the only way you can socialise. 

If you find it hard to say no when others are up for a big session, try to avoid situations where you're expected to drink.

If you drink less, you'll be healthier, physically fitter, look better and be able to think more clearly. If this isn't enough incentive, think of the money you'll save.

Advice and support

If you think your drinking is starting to cause you problems, the best thing you can do is to talk to your GP. Alternatively, help can be a mouse click or phone call away:

• Down Your Drink has a calculator to help you work out if you're drinking too much, and you can sign up for its online programme to help you cut back on the booze.
• Frank has lots of facts about alcohol, as well as other drugs.