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Symptoms » Alcohol use » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for Alcohol use

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: Alcohol use. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. Alcohol history

    Why: document age started drinking, type of alcohol preferred, daily alcohol consumption, days per week alcohol is consumed.

  2. If answer yes to two of the following 4 questions, suggestive of a problem drinker
    • 1. Have you ever felt you should cut down on your drinking?
    • 2. Have people annoyed you by criticising your drinking?
    • 3. Have you ever felt bad or guilty about your drinking?
    • 4. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?
  3. Effect of alcohol abuse on relationships, occupation and finances?
  4. Is there a history of absenteeism?
  5. Is there a family history of alcohol problems?
  6. Is there a family history of depression or anxiety?
  7. Do you use alcohol? If so how much and what type?

    Why: This is a solid starting point for you health professional to begin from in assessing your alcohol use. How much alcohol you use assists in assessing whether you abuse alcohol or have (or are at risk of) alcohol dependence. The type of alcohol can be important as different common alcoholic drinks have different concentrations of alcohol, plus some types of alcohol have been shown in moderation to have health benefits. It is vitally important that you are honest when answering these questions.

  8. Do you take any medications, and if so what are they?

    Why: Some medications have the ability to increase or decrease the effects of alcohol.

  9. Have you ever had any liver disease such as hepatitis or cirrhosis?

    Why: Liver disease can impair your body's ability to appropriately metabolize and handle alcohol as well as the potentially toxic substance which is digested to form.

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Symptoms of withdrawal if alcohol dependent

    Why: e.g. tremor, hallucinations, delirium tremens.

  2. Tiredness

    Why: due to effect of alcohol itself, insomnia associated with alcohol or due to anemia.

  3. Heartburn or indigestion
  4. Abdominal pain

    Why: suggesting possible pancreatitis, alcoholic hepatitis, gastritis, reflux oesophagitis, peptic ulcers.

  5. Diarrhea

    Why: due to alcohol, fatty stools from alcoholic pancreatitis.

  6. Symptoms of heart disease as a complication of alcohol

    Why: e.g. arrhythmias, congestive cardiac failure.

  7. "Blackouts"
  8. Memory problems

    Why: suggestive of possible alcoholic dementia or pellagra.

  9. Impotence
  10. Leg numbness- suggesting peripheral neuropathy
  11. Testicular atrophy in men
  12. Amenorrhea, infertility, spontaneous abortion in women
  13. Depressive symptoms
  14. Insomnia

 » Next page: Types of Alcohol use

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