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More severe symptoms may include seizures, and delirium tremens (DTs); which can be fatal in untreated patients. [1] Symptoms start at around 6 hours after the last drink. [2] Peak incidence of seizures occurs at 24 to 36 hours [5] and peak incidence of delirium tremens is at 48 to 72 hours. [6]
Delirium tremens was also given an alternate medical definition since at least the 1840s, being known as mania a potu, which translates to 'mania from drink'. [28] The Belgian beer "Delirium Tremens," introduced in 1988, is a direct reference and also uses a pink elephant as its logo to highlight one of the symptoms of delirium tremens. [29] [30]
There are hospital protocols for prevention, supplementing with thiamine in the presence of: history of alcohol misuse or related seizures, requirement for IV glucose, signs of malnutrition, poor diet, recent diarrhea or vomiting, peripheral neuropathy, intercurrent illness, delirium tremens or treatment for DTs, and others.
Thomas Sutton (1767–1835), a physician in Kent, England, was the first to publish a description of delirium tremens (the "DTs") and to connect the illness to an over indulgence in alcohol. [ 1 ] Sutton was born in Staffordshire, England about 1767.
Alcoholic hallucinosis is a much less serious diagnosis than delirium tremens. Delirium tremens (DTs) do not appear suddenly, unlike alcoholic hallucinosis. DTs also take approximately 48 to 72 hours to appear after the heavy drinking stops. A tremor develops in the hands and can also affect the head and body.
Benzodiazepines are often used for this reason to detoxify alcohol-dependent patients and can have life-saving properties in preventing or treating severe life-threatening withdrawal syndromes from alcohol, such as delirium tremens.
Acute confusional state caused by alcohol withdrawal, otherwise known as delirium tremens. A normal liver detoxifies the blood of alcohol over a period of time that depends on the initial level and the patient's overall physical condition. An abnormal liver will take longer but still succeeds, provided the alcohol does not cause liver failure. [34]
"Seeing pink elephants" is a euphemism for hallucinations caused by delirium tremens or alcoholic hallucinosis, especially the former.The term dates back to at least the early 20th century, emerging from earlier idioms about seeing snakes and other creatures.