How long does it take to feel a buzz after drinking?

Absorbing

Once alcohol is swallowed, it is not digested like food. First, a small amount is absorbed directly by the tongue and mucosal lining of the mouth. Once in the stomach, alcohol is absorbed directly into your blood stream through the tissue lining of the stomach and small intestine.

Food in the stomach can inhibit the absorption of alcohol in two ways:

First, it physically obstructs the alcohol from coming in contact with the stomach lining. Food can either absorb alcohol, or simply “take up space” so the alcohol does not enter the bloodstream through contact with the wall of the stomach.

Second, food in the stomach will prevent alcohol from passing into the duodenum, which is the upper portion of the small intestine. The surface area of the small intestine is very large (about the size of a tennis court), so alcohol has more access to enter the bloodstream once it leaves the stomach. If alcohol is sequestered in the stomach it will be absorbed slower.

Transporting

Once alcohol is in your bloodstream, it is carried to all organs of your body. In the majority of healthy people, blood circulates through the body in 90 seconds, thereby allowing alcohol to affect your brain and all other organs in a short amount of time. The full effects of a drink are felt within 15 to 45 minutes depending on the speed of absorption.

Alcohol enters all tissues of the body except bone and fat. In an adult male, alcohol can penetrate approximately 68% of body tissues. Body composition is important, because if the percentage of adipose tissue is high, the alcohol can only be distributed throughout the remaining lean tissue – resulting in a higher concentration for those areas.

The effects of alcohol on the body will vary according to the individual: their sex, body composition, the amount of alcohol consumed, the presence of food, and the ability of the liver to produce the alcohol dehydrogenase enzymes. 

Alcohol Metabolism

Alcohol is a toxin that must be neutralized or eliminated from the body. Ten percent of alcohol is eliminated through sweat, breath, and urine.

Alcohol is volatile (will evaporate in air), so when alcohol in the blood comes in contact with air in the alveoli of the lungs, it can be transferred out of the body through breath.

The liver is the primary organ responsible for the detoxification of alcohol. Liver cells produce the enzyme alcohol dehydrogenase which breaks alcohol into ketones at a rate of about 0.015 g/100mL/hour (reduces BAC by 0.015 per hour).

Nothing will speed up the rate of detoxification, but the effective metabolism of alcohol can be limited by medications and liver damage.

When the rate of consumption exceeds the rate of detoxification, BAC will continue to rise.

How Fast Can You Sober Up?

Alcohol leaves the body at an average rate of 0.015 g/100mL/hour, which is the same as reducing your BAC level by 0.015 per hour. For men, this is usually a rate of about one standard drink per hour. However, there are other factors that affect intoxication level (gender, some medications, illness) that will cause BAC to rise more quickly, and fall more slowly. 

Example: At an average rate of -0.015/hr, how long would it take someone with a BAC of 0.20 to sober up?

Can You Speed Up This Process?

Once alcohol is in the bloodstream, it can only be eliminated by the enzyme alcohol dehydrogenase, sweat, urine, and breath. Drinking water and sleeping will not speed up the process. Coffee, energy drinks, and a cold shower will not sober you up faster. These might make you feel more awake, but caffeine and cold showers will not pull alcohol out of the blood - and thus will not lower your BAC level.

Do you indulge in a glass of wine every now and then? You are not alone. More than 85% of adults report drinking alcohol at some point. In 2020, alcohol consumption in the U.S. spiked, with heavy drinking increasing by 41% among women.

While having a drink from time to time is unlikely to cause health problems, moderate or heavy drinking can impact the brain. And, alcohol abuse can cause deficits over time.

Alcohol in Your Body

Alcohol affects your body quickly. It is absorbed through the lining of your stomach into your bloodstream. Once there, it spreads into tissues throughout your body. Alcohol reaches your brain in only five minutes, and starts to affect you within 10 minutes.

After 20 minutes, your liver starts processing alcohol. On average, the liver can metabolize 1 ounce of alcohol every hour. A blood alcohol level of 0.08, the legal limit for drinking, takes around five and a half hours to leave your system. Alcohol will stay in urine for up to 80 hours and in hair follicles for up to three months.

"Intoxication occurs when alcohol intake exceeds your body's ability to metabolize alcohol and break it down," states Jeffrey T. Johnson, DO, Northwestern Medicine Regional Medical Group board-certified specialist in addiction medicine.

Your Brain on Alcohol

Your whole body absorbs alcohol, but it really takes its toll on the brain. Alcohol interferes with the brain's communication pathways. It can also affect how your brain processes information.

There are several stages of alcohol intoxication:

1. Subliminal intoxication. With a blood alcohol content (BAC) between 0.01 – 0.05, this is the first stage of intoxication. You may not look like you have been drinking, but your reaction time, behavior and judgment may be slightly altered. Depending on weight, most men and women enter this stage after one drink.
2. Euphoria. During the early stages of drinking, your brain releases more dopamine. This chemical is linked with pleasure. During euphoria, you may feel relaxed and confident. But, your reasoning and memory may be slightly impaired. Often referred to as "tipsy," this stage occurs when your BAC is between 0.03 and 0.12.
3. Excitement. At this stage, with a BAC from 0.09 to 0.25, you are now legally intoxicated. This level of intoxication affects the occipital lobe, temporal lobe and frontal lobe in your brain. Drinking too much can cause side effects specific to each lobe's role, including blurred vision, slurred speech and hearing, and lack of control, respectively. The parietal lobe, which processes sensory information, is also affected. You may have a loss of fine motor skills and a slower reaction time. This stage is often marked by mood swings, impaired judgment, and even nausea or vomiting.
4. Confusion. A BAC of 0.18 to 0.3 often looks like disorientation. Your cerebellum, which helps with coordination, is impacted. As a result, you may need help walking or standing. Blackouts, or the temporary loss of consciousness or short-term memory, are also likely to occur at this stage. This is a result of the hippocampus, the region of the brain that is responsible for making new memories, not working well. You may also have a higher pain threshold, which may increase your risk for injury.
5. Stupor. If you reach a BAC of 0.25, you may have concerning signs of alcohol poisoning. At this time, all mental, physical and sensory functions are severely impaired. The risk for passing out, suffocation and injury is high.
6. Coma. At a BAC of 0.35, you are at risk for going into a coma. This occurs due to compromised respiration and circulation, motor responses and reflexes. A person in this stage is at risk of death.
7. Death. A BAC over 0.45 may cause death due to alcohol poisoning or failure of the brain to control the body's vital functions.

Drinking and Driving

The impaired judgment you have when drinking alcohol may cause you to think that you can still drive, regardless of your BAC. Drivers with a BAC of 0.08 or more are 11 times more likely to be killed in a single-vehicle crash than non-drinking drivers. Some states have higher penalties for people who drive with high BAC (0.15 to 0.20 or above) due to the increased risk of fatal accidents.

How Much Is Too Much?

Your body's response to alcohol depends on many factors. These include your age, gender, overall health, how much you drink, how long you have been drinking and how often you normally drink.

• Those who drink occasionally tend to recover once they are sober. However, while their judgment is impaired, they may make poor decisions with lasting effects, such as driving under the influence.
• Those who drink moderately, one or two drinks per day, can have a higher risk for breast cancer. They may also be prone to increased violence or accidents.
• Heavy or chronic drinking occurs over an extended period of time. For women, this is more than three drinks per day or seven drinks per week. For men, it is more than four drinks per day or 14 drinks per week. For perspective, there are five drinks in a bottle of wine. Heavy or chronic drinking can cause lasting damage.

Alcohol Misuse and Its Lasting Effects

Over time, excessive drinking can lead to mental health problems, such as depression and anxiety. Alcohol abuse can increase your risk for some cancers as well as severe, and potentially permanent, brain damage. It can lead to Wernicke-Korsakoff syndrome (WKS), which is marked by amnesia, extreme confusion and eyesight issues. WKS is a brain disorder caused by a thiamine deficiency, or lack of vitamin B-1. Taking certain vitamins and magnesium, along with not drinking alcohol, may improve your symptoms.

Alcohol can harm your body in many ways. The good news is that within a year of stopping drinking, most cognitive damage can be reversed or improved.

If you or someone you know needs help, please contact your physician or Alcoholics Anonymous.

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