What Happens if a Baby Drinks Alcohol?

Ingesting alcohol is dangerous for infants, even in minimal amounts. A small quantity can rapidly lead to severe intoxication. Unlike adults, an infant’s undeveloped physiological systems are ill-equipped to process alcohol, making them highly vulnerable to its toxic effects.

Immediate Effects and Symptoms

When an infant ingests alcohol, the effects can manifest quickly and severely. Common symptoms include drowsiness, decreased responsiveness, and reduced activity, reflecting alcohol’s depressant effect on the central nervous system. More severe signs can emerge, such as low blood sugar (hypoglycemia), which occurs because alcohol interferes with the liver’s ability to produce glucose and infants have smaller glycogen stores. Hypothermia can also develop due to alcohol-induced vasodilation and impaired temperature regulation.

Infants may experience seizures, respiratory depression, and difficulty breathing, which can lead to respiratory failure. Their feeding ability can also be affected, potentially causing dehydration. These symptoms pose immediate dangers to the infant’s health.

Infant Vulnerability to Alcohol

Infants are susceptible to alcohol’s toxic effects due to several physiological differences. Their immature liver function means they have lower levels of alcohol dehydrogenase (ADH), the primary enzyme responsible for breaking down alcohol. Perinatal infants have approximately 10-fold less ADH content than adults, and ADH activity does not reach adult levels until around five years of age. This reduced metabolic capacity prolongs alcohol’s presence in their system.

An infant’s smaller body size and different body composition mean that a small amount of alcohol results in a higher blood alcohol concentration. Their underdeveloped central nervous system is also more sensitive to alcohol’s depressant effects, impacting breathing, heart rate, and consciousness. These factors make infants uniquely vulnerable to severe intoxication.

Emergency Response and Medical Action

Immediate action is essential if an infant has ingested alcohol. Call emergency services, such as 911, or contact a poison control center (1-800-222-1222 in the U.S.) for guidance. Provide them with details about what was ingested, the estimated amount, and when it occurred.

While waiting for medical help, do not attempt to induce vomiting, as this can cause further harm, such as aspiration or burns to the throat. Keep the baby warm, as hypothermia is a risk. If the infant is unconscious or vomiting, position them on their side to prevent choking and maintain an open airway. Do not offer any food or drink unless instructed by medical professionals.

Potential Long-Term Health Concerns

Acute alcohol intoxication in infancy can have lasting health implications. The developing brain is sensitive to alcohol, and exposure can lead to permanent changes. This may result in neurological effects such as learning disabilities, attention deficits, and memory problems. Alcohol can disrupt the formation of neural connections and even lead to the death of brain cells.

Developmental delays may also occur, impacting cognitive and behavioral functions. Potential organ damage, particularly to the liver, is a concern. The brain’s ongoing development into early adulthood means that alcohol exposure at any early stage can negatively impact problem-solving skills, concentration, and overall mental health.

Preventing Accidental Exposure

Preventing accidental alcohol ingestion requires vigilance and secure storage practices within the home. Alcoholic beverages, including beer, wine, and spirits, should be stored out of reach and sight, ideally in locked cabinets. Discard unfinished drinks immediately, especially after gatherings.

Many common household products contain alcohol and pose a risk. These include mouthwash, hand sanitizers, perfumes, aftershaves, and certain medications like cough and cold syrups. Store these items securely, out of reach. Never transfer alcohol into unmarked or appealing containers, such as water bottles, as this can lead to dangerous mix-ups.