Alcohol Abuse



Mr.Wilko states he is a social drinker and can stop at any time. Howaccurate is his self-assessment?Mr.Wilko’s statement that he is a social drinker is inaccurate becausehe is taking alcohol every day, even during work hours. Besides, hisalcohol tolerance has been getting worse because he keeps increasingthe amount of alcohol he takes daily. In addition, social drinkertakes alcohol during his or her leisure time, but Wilko drinks tosuppress his work related stress, thus disqualifying him as a socialworker (Goodwin, 2000).Whatstressors are present in Mr. Wilko`s case?Mr.Wilko is experiencing work-related stress associated with small salesand the threat of his employers that they will dismiss him in casehis sales volume would not increase. Besides, the small sales volumehas reduced Wilko’s income while the expenses for his family aresignificantly increasing. He feels stressed by the fact that he isunable to meet the financial requirements of his family (Goodwin,2000).Whydoes Mr. Wilko continue to increase his alcohol intake?Mr.Wilko keeps increasing the number of beers he takes every day becausehe is becoming more tolerant to alcohol. This implies that he needsmore alcohol to reach his desired intoxication level than when hestarted drinking.Whatchanges in liver function can Mr. Wilko expect if he continues todrink large amounts of alcohol?Mr.Wilko’s liver will malfunction if he continues consuming alcohol.The organ will develop oxidative stress since the resulting chemicalaction destroys the cells. The damage will occur because the chemicalaction of alcohol causes scarring and inflammation that occurs as theliver attempts to repair itself. Similarly, alcohol will destroy hisintestine such that bacteria and toxins from the intestines reach theliver, thereby causing liver scarring and inflammation (Goodwin,2000).Mr.Wilko complains to his wife that all the stress is causingindigestion. How do stress and alcohol consumption affect GIfunction?Stressaffects GI function because it influences the functioning of theenteric nervous system. After stress turns on the “flight or fight”response in the CNS, digestion is impaired because the CNS stops theblood flow, hinders digestive muscles’ contractions and reducesproduction of digestion juices. Besides, stress enhancesgastrointestinal system inflammation that can further hinderefficient digestion (Rohr &amp Gragert, 2006).On the otherhand, stress increases alcohol consumption that may damage the liver,which is an important organ in food digestion. A spoil liver cannotremove toxins in the body, or secrete essential digestion juices,thereby leading to indigestion (Rohr &amp Gragert, 2006).Whyis Mr. Wilko at greater risk of trauma?Wilkois more vulnerable to trauma because he has become an alcohol addicthis family expenses are increasing, and he has lost his job. Theintensifying stress might make him increase alcohol consumption thatputs him at higher risk of suffering from chronic health conditionsuch as liver failure (Rohr &amp Gragert, 2006).


Goodwin,D. W. (2000). Alcoholism,the facts.Oxford: Oxford University Press.

Rohr,K. M., &amp Gragert, M. (2006). Alcoholuse and injury-related outcomes in older rural trauma patients.