What to Do When Throwing Up From Alcohol

Vomiting after consuming alcohol is a common and often uncomfortable experience. Understanding the reasons behind this reaction and knowing how to respond can help manage the situation effectively. This guide offers practical advice on immediate actions, subsequent care, and recognizing when professional medical help is necessary.

Why Alcohol Causes Vomiting

Alcohol can irritate the lining of the stomach, causing inflammation and discomfort. This irritation prompts the body to try and expel the substance, triggering a vomiting reflex. The stomach’s natural defenses react to the presence of alcohol as a foreign or harmful irritant.

The body also perceives excessive alcohol as a toxin to be removed. The liver can only process a certain amount of alcohol at a time, and when intake exceeds this rate, the body’s natural detoxification mechanisms are overwhelmed. Vomiting serves as a protective mechanism to eliminate unabsorbed alcohol from the digestive system.

Furthermore, alcohol affects the brain’s vomiting center. When alcohol levels in the blood rise, they can directly stimulate this area, independently of stomach irritation. This neurological response contributes to the feeling of nausea and the subsequent act of vomiting.

Immediate Actions During Vomiting

When someone is actively vomiting from alcohol consumption, ensuring their safety is the first priority. Position the person on their side, especially if they are drowsy or unconscious, to prevent aspiration into the lungs. Keeping their head turned to the side helps maintain an open airway and allows vomit to exit easily.

Remaining with the person offers both practical assistance and reassurance. Having a bucket or a similar container readily available can help manage the mess and provide a clear target for vomiting. Loosening any tight clothing around their neck or waist can also increase comfort and reduce pressure.

Offering small sips of water between vomiting episodes can help rinse their mouth and prevent dehydration, but do not force fluids. Wait for a natural break before offering sips. The primary goal during this phase is to support the person and ensure their airway remains clear.

After Vomiting: Recovery and Care

After vomiting subsides, the focus shifts to recovery and rehydration. Begin by offering small, frequent sips of clear fluids such as water, clear broth, or electrolyte solutions. Gradually increasing the amount of fluid as tolerated helps replenish lost fluids and electrolytes without overwhelming the stomach.

It is important to avoid further alcohol consumption, as well as caffeine and sugary drinks, which can further irritate the stomach or worsen dehydration. These hinder recovery. Rest is also important, as the body needs time and energy to recover from the stress of vomiting and alcohol processing.

When the stomach has settled and the person feels able to eat, introduce bland, easy-to-digest foods in small quantities. Plain toast, crackers, or bananas provide some sustenance without upset. Continue to monitor the individual for any signs of continued discomfort or the development of new symptoms.

When to Seek Urgent Medical Help

Certain symptoms after alcohol consumption indicate a serious condition like alcohol poisoning and require immediate medical attention. Unconsciousness or an inability to be roused warrants calling emergency services. Any instance of slow breathing, fewer than eight breaths per minute, or irregular breathing with pauses of 10 seconds or more, also signals a serious concern.

Changes in skin color, such as paleness or a bluish tint, suggest a lack of oxygen and the need for urgent help. A low body temperature (hypothermia) can occur, making the person feel cold. Seizures necessitate immediate professional intervention.

Persistent, uncontrolled vomiting after several hours, or severe confusion and disorientation, are signs of danger. If any of these symptoms are present, contact emergency medical services right away. Do not leave the person alone, and be prepared to provide information about the type and amount of alcohol consumed.