How does somebody get drunk?

Mr What

JF-Expert Member
Oct 22, 2016
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Ethanol, commonly known as alcohol, may seem like a simple molecule composed of just a few carbon atoms, but its effects on the human body are far from straightforward. Responsible for drunkenness, ethanol's ability to easily traverse membranes and interact with various parts of the body leads to a wide range of effects on different individuals. Understanding how alcohol causes drunkenness and why its impact varies among people requires following its journey through the body, from absorption to the brain's intricate reactions.

The journey begins in the stomach, where alcohol is absorbed into the bloodstream through the digestive tract, particularly the small intestine. The contents of the stomach play a role in how much alcohol enters the blood, as the pyloric sphincter closes after eating, reducing the amount of alcohol reaching the bloodstream compared to an empty stomach. From the blood, alcohol travels to organs with high blood flow, notably the liver and the brain. The liver takes the lead in breaking down alcohol through two enzymatic steps. First, alcohol dehydrogenase (ADH) converts alcohol into acetaldehyde, a toxic compound. Next, aldehyde dehydrogenase (ALDH) transforms acetaldehyde into non-toxic acetate. The liver continually eliminates alcohol from the blood, influencing the amount of alcohol that reaches the brain and other organs.

The brain's response to alcohol determines the emotional, cognitive, and behavioral effects experienced during drunkenness. Alcohol boosts the brain's primary inhibitory neurotransmitter, GABA, while suppressing its primary excitatory neurotransmitter, glutamate. This results in reduced neuronal communication, leading to relaxation at moderate doses, sedation at higher doses, and impairment of vital brain functions at toxic doses. Alcohol also stimulates a specific group of neurons extending from the midbrain to the nucleus accumbens, a region essential for motivation. Similar to other addictive drugs, alcohol triggers a release of dopamine in the nucleus accumbens, creating a pleasurable sensation. Additionally, some neurons produce and release endorphins, which contribute to the euphoria and relaxation associated with alcohol consumption.
As the liver's breakdown of alcohol outpaces the brain's absorption, the effects of drunkenness gradually subside. However, individual differences in this journey result in people acting more or less drunk despite consuming the same amount of alcohol. Gender is a significant factor, as women tend to have smaller blood volumes due to a higher percentage of fat, leading to higher blood alcohol concentrations (BACs) compared to men of the same weight after drinking the same amount. Genetic variations in the liver's alcohol-processing enzymes and regular drinking habits also influence BAC and contribute to alcohol tolerance or liver damage.


Genetic differences in dopamine, GABA, and endorphin transmission can affect an individual's risk for developing an alcohol use disorder. Those with naturally low levels of these neurotransmitters may seek relief through alcohol, while others with sensitive endorphin responses may experience heightened pleasure from drinking. On the contrary, individuals with variations in GABA transmission may be more sensitive to alcohol's sedative effects, reducing their risk of developing disordered drinking patterns. Chronic alcohol consumption leads to changes in the brain's neural pathways, reducing GABA, dopamine, and endorphin transmission, while enhancing glutamate activity. This adaptation results in anxiousness, sleep disturbances, and reduced pleasure in regular drinkers, further reinforcing their drinking habits.

In summary, alcohol's impact on the body and mind is a complex interplay of genetics, physiological responses, and previous experiences. Understanding these intricacies is crucial in recognizing that individuals may be more prone to certain patterns of drinking than others and that chronic alcohol consumption can lead to profound neural and behavioral changes. Drinking 1 or 2 shots in a while won't be a catastrophe, but you definetly shoudln't overdo it. Stay healthy.
 
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