Daily Alcohol Consumption in Young Adult with Underlying Medical Conditions
Case at a Glance
A 23-year-old female presents with concerning daily alcohol consumption patterns, consuming approximately 750ml of wine nightly as a coping mechanism for stress and medication-related weight gain.
Patient's Story
The patient reports consuming a full bottle of wine (approximately 5 standard drinks) every evening for an unspecified duration. She describes using alcohol as a method to 'wind down' from work-related stress and is simultaneously attempting weight loss due to medication-induced weight gain of 11 pounds. The patient is currently taking diuretic medications for an unspecified condition. She expresses awareness that her drinking pattern may be problematic and is seeking medical guidance.
Initial Assessment
Patient presents with alcohol use disorder symptoms, consuming 5 times the CDC-recommended weekly alcohol limit for women in a single day. Current alcohol intake significantly exceeds safe consumption guidelines (CDC recommends ≤7 drinks per week for women). Patient also reports concurrent use of diuretic medications, which poses additional health risks when combined with alcohol.
The Diagnostic Journey
Clinical evaluation revealed daily alcohol consumption pattern consistent with alcohol use disorder. Assessment included review of current medications (diuretics), evaluation of stress management techniques, and consideration of underlying mental health conditions that may be contributing to alcohol dependency. Patient's motivation for seeking help and awareness of the problem were noted as positive prognostic factors.
Final Diagnosis
Alcohol Use Disorder (moderate to severe), complicated by polypharmacy interactions with prescribed diuretics. Secondary concerns include maladaptive coping mechanisms for stress management and potential underlying anxiety or depressive disorders requiring further evaluation.
Treatment Plan
- Immediate medical supervision for alcohol reduction due to withdrawal risks
- Gradual tapering protocol to prevent dangerous withdrawal symptoms
- Psychiatric evaluation for underlying mental health conditions
- Medication review with prescribing physician regarding diuretic interactions
- Referral to addiction psychiatry services
- Introduction of healthy stress management alternatives
- Nutritional counseling regarding alcohol-related caloric intake
- Support group referrals for ongoing recovery support
Outcome and Follow-up
Patient education provided regarding serious health risks including liver damage, cardiovascular complications, cancer risk, and drug interactions. Emergency protocols established for withdrawal symptoms. Scheduled follow-up appointments with primary care physician and addiction specialist. Patient encouraged to engage with peer support resources and maintain close medical supervision throughout treatment process.