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Who has 'endogenous alcohol concentration'?

Báo Tuổi TrẻBáo Tuổi Trẻ05/03/2024


Bác sĩ Nguyễn Trung Nguyên - Ảnh: DANH KHANG

Doctor Nguyen Trung Nguyen - Photo: DANH KHANG

* According to the doctor, how can we understand endogenous alcohol concentration? Who is likely to have endogenous alcohol concentration?

- In cases where the body does not come into contact with or eat or drink alcoholic foods but the alcohol concentration is still positive when tested or breathed, it can be called endogenous alcohol cases due to the body's own presence.

However, it must be clearly stated that endogenous alcohol is a disease in people, healthy people do not have this phenomenon. Endogenous alcohol is a person whose digestive system contains special bacteria, some types of yeast and is present in the body's mucosa.

Or people with digestive tract structure problems, diseases such as digestive diseases, biliary tract, gastrointestinal dysbiosis; cirrhosis, diabetes, metabolic problems, and many other diseases can also cause endogenous alcohol.

However, the rate of people with this disease is very low, extremely rare.

Currently, hospitals can also test for endogenous alcohol concentration to "excuse" some cases that claim not to drink alcohol but still have alcohol concentration.

Doctors will measure by testing carbohydrates, which means giving a certain amount of glucose to drink, then measuring the alcohol concentration in the blood again at certain intervals.

If the test shows that the alcohol concentration appears and increases, it is likely that there is endogenous alcohol. Conversely, if the alcohol concentration does not appear through the test, it is not a case of endogenous alcohol concentration.

* So what alcohol concentration will be harmful to health and affect driving?

- Regarding the harmful effects of this drink, we need to understand that alcohol or ethanol is considered a depressant to the nervous system. Even at the time of drinking alcohol in large or small amounts, it can cause stimulation, excitement, and disinhibition.

If you drink a little, it may only create a low level of stimulation. But if you drink a lot, it will cause stimulation and release of inhibition, revealing all the desires, behaviors, and repressed thoughts. It can also lead to the risk of not only causing traffic accidents, speeding and reckless driving, but also causing conflicts and disrupting other social order issues.

We must understand that even low concentrations of ethanol in the blood affect driving ability and studies around the world have clearly demonstrated this.

Therefore, if we detect a positive blood alcohol concentration, we should not participate in traffic.

In fact, thanks to the strict management of penalties related to alcohol concentration violations in the recent past, the center has recorded positive changes in the community. The number of cases related to alcohol poisoning and alcohol abuse at the center has decreased by 50%.

There are still many diseases and long-term consequences caused by alcohol abuse. If we continue to maintain the work of preventing the harmful effects of alcohol and punishing drunk drivers, in the future many diseases and long-term consequences caused by alcohol abuse will also decrease.

* Regarding current alcohol concentration measurement, can the doctor share what are the appropriate regulations?

- Currently, our country is in the development stage, there are many things we have to do, we need more scientific research on alcohol concentration regulations. First of all, with the current alcohol concentration regulations, traffic participants themselves must be aware that putting alcoholic drinks and foods into their bodies will face the risk of detecting alcohol concentration in their bodies.

The alcohol concentration without drinking alcohol only occurs in a very small percentage. Therefore, people do not need to worry too much.

If you eat seafood steamed with beer, you have to eat a large amount, eat a lot to be able to increase the alcohol concentration. Or if you have an endogenous alcohol concentration, you can use medical tests to prove it.

When there are clear and strict regulations on alcohol concentration, all products other than alcohol, fermented fruits... foods and medicines containing ethanol also need to be fully labeled so that people know, choose products and avoid the risk of having alcohol concentration in the body.

Many people believe that even if they do not drink alcohol, through eating and drinking, the digestive system still produces endogenous alcohol levels in the body. Does everyone really have endogenous alcohol levels or is there a high risk of naturally producing alcohol levels?

Drinking too much alcohol is harmful to health.

Doctor Nguyen said that according to medical recommendations, a man should not drink more than 20 grams of ethanol, equivalent to about 50cc of 50-degree alcohol, a day, and women can drink half as much as men. Drinking more will be harmful to health.

So, after work we can drink in moderation. We can end the party before 12 midnight, so we will have at least 6 hours to rest, return to work the next day and ensure that we do not have an alcohol concentration. In the context of legal regulations, people need to comply.

A nutritionist in Ho Chi Minh City said that endogenous alcohol concentration is common in people with diabetes, due to increased ketone levels in the blood, causing alcohol concentration to appear in their breath. For people with normal health, eating daily foods (not drinking alcohol), it is not enough to create alcohol concentration in the body and measure through the breath.



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