Delirium tremens (severe alcohol withdrawal)
About Delirium tremens (severe alcohol withdrawal)
A complication of chronic alcohol abuse. It is characterized by excessive agitation, confusion, and hallucinations. There is a release in adrenalin and other catecholamines after a sudden deprivation of alcohol. Not all alcoholics experience DTs when they stop drinking alcohol, but recurrence of DTs is common. If left untreated DTs can result in death.Symptoms
Hallucinations, confusion, sweating, elevated blood pressure, racing heart, agitation, seizure.Tests & Diagnostics
A history and physical exam will be performed, Tests are performed to rule out other causes of the confusion and hallucinations. Alcoholics have a higher incidence of infections and traumatic brain injuries and these possibilities are usually ruled out before the diagnosis is of DTs is confirmed.Common tests: BHCG, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, CT Scan, EKG, Lipase, Troponin, Urinalysis (UA), X-ray.
Prescription medications
Conventional treatment summary
Intravenous fluids, treatment of fever, and sedation are the mainstays of therapy. Benzodiazepines (lorazepam, diazepam) are administered and large doses are occasionally needed. Other sedatives, anti-psychotic medications (such as haloperidol) and anti-seizure medications may be administered. Patients often need treatment in an ICU. High mortality if not treated quickly and aggressively. Consider calling the National Poison Control Phone Number for further information or assistance: 1-800-222-1222.Medical specialties
Medical Toxicology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Delirium tremens (severe alcohol withdrawal).