Why Alcohol Makes You Drunk: Body & Brain Impact
Why Alcohol Makes You Drunk is more than just a feeling—it’s a complex biological process that impacts your body and brain at multiple levels. This article explains the science of alcohol absorption, metabolism, intoxication, long-term damage, and the myths behind drinking culture.
BLOGS-RATHBIOTACLANHEALTH SCIENCE


Why Alcohol Makes You Drunk Body Brain Impact
Alcohol, a substance with a history predating human civilisation, is inherently natural. Its formation is rooted in a biological process known as fermentation. This chemical reaction occurs when yeast, a single-celled fungus and microorganism, consumes the abundant sugars found in overripe fruits. During this process, two primary byproducts emerge: carbon dioxide, which dissipates into the atmosphere, and alcohol, which remains within the fruit.
The Evolutionary Hypothesis of Human Alcohol Tolerance
Scientists propose the "Drunken Monkey Hypothesis" to elucidate the evolutionary development of human tolerance to alcohol. This hypothesis postulates that millions of years ago, the common ancestors of humans, monkeys, and apes encountered and ingested these naturally fermented, overripe fruits. Initially, consuming such fruits might have caused temporary disorientation or unsteadiness. However, over countless millennia of evolution, these early hominids are believed to have progressively developed an enhanced tolerance to the consumption of fermented fruits. This gradual adaptation is theorised to have endowed modern humans with the innate capacity to both tolerate and derive pleasure from alcohol. It is important to acknowledge that the "Drunken Monkey Hypothesis" remains a scientific hypothesis and has not been definitively proven. A limiting factor in its definitive proof is that the alcohol concentration produced through natural fermentation in wild fruits is typically very low, generally less than 2%.
Nevertheless, archaeological findings offer tangible evidence of early human engagement with alcoholic beverages, long before formal distillation processes. For instance, archeological excavations in the ancient Chinese village of Jiahu, situated in the Henan Province, have uncovered pottery fragments dating back to 7000 BCE. These ancient vessels bear chemical traces indicative of drinks crafted from rice, grapes, and honey. Similarly, compelling evidence of beer, estimated to be 13,000 years old, has been discovered within a prehistoric cave in Haifa, located in Israel/Palestine.
The Production of Diverse Alcoholic Beverages: Fermentation versus Distillation
The fundamental principle underpinning the creation of a wide array of alcoholic drinks is the fermentation process. Essentially, any food item that naturally contains sugars or starch can undergo fermentation to yield its unique alcoholic derivative.
Beer is commonly produced by soaking grains such as wheat or barley in water and allowing them to be exposed to open air under optimal environmental conditions, particularly the correct temperature. Naturally occurring yeast present in the air then interacts with these grains, initiating the fermentation process that culminates in beer. The typical alcohol content in beer ranges from 4% to 8%.
Wine is derived from the fermentation of grapes. Wine’s alcohol concentration generally falls between 9% and 15%.
Rice Wine, as its name suggests, is produced through the fermentation of rice, typically containing 12% to 16% alcohol.
Cider is an alcoholic beverage obtained from the fermentation of apples, usually featuring an alcohol content of 4% to 8%.
Beyond these common examples, the sources mention other naturally fermented beverages such as banana beer, popular in various African regions and made from fermented bananas, and chicha, a popular drink in South America derived from fermented corn. Toddy is another example, produced through the fermentation of coconut sap.
Even the creation of sourdough bread, a leavened product, involves the fermentation of flour; however, the alcohol generated in this process is present in negligible trace amounts, with lactic acid being the primary byproduct of yeast activity.
A crucial scientific limitation of natural fermentation is that the alcohol percentage it can produce is inherently capped. Yeast, the microbial agent of fermentation, cannot survive in environments where alcohol concentrations exceed approximately 18-19%, as these levels become toxic to it. Once this alcohol threshold is reached, the fermentation process naturally halts.
To overcome this limitation and achieve higher alcohol concentrations, humans ingeniously developed the process of distillation. This technique involves heating the naturally fermented alcoholic liquid. Alcohol possesses a lower boiling point than water, meaning it vaporises more readily when heated. By capturing this alcohol vapour and subsequently cooling it, the resulting condensed liquid boasts a significantly higher percentage of alcohol. This process is responsible for producing "hard alcohol" or "spirits," which typically contain alcohol concentrations ranging from 30% to 60%.
Specific examples of spirits produced through distillation include:
Brandy, which is distilled wine.
Whiskey, made by distilling beer.
Rum, created through the fermentation and subsequent distillation of sugarcane.
Vodka, which is distilled from potatoes. Notably, the naturally fermented product of potatoes is not potable.
Tequila, distilled from the blue agave plant.
Subsequently, these distilled spirits and fermented beverages were combined with other liquids, such as sodas or various fruit juices, to create a diverse range of cocktails. Despite the vast array of names, origins, and alcohol concentrations, all these alcoholic beverages share one common and active chemical component: ethanol, universally referred to as alcohol.
A critical scientific caution regarding natural fermentation, particularly with certain fruits, is the potential for the co-production of methanol. While ethanol is the desired alcohol, methanol is extremely dangerous and can be lethal if consumed even in small quantities, often leading to blindness. This inherent risk means that consuming rotten or excessively fermented wild fruits is not safe. This grave danger is further underscored by the problem of illicit or "kacchi sharab," which frequently contains toxic methanol or industrial spirits, leading to numerous fatalities.
The Physiological Journey and Impact of Alcohol in the Human Body
Upon ingestion, alcohol undertakes a complex journey through the human digestive system, ultimately exerting its effects on various organs, with the brain and liver being particularly susceptible.
Absorption and Entry into the Bloodstream:
Alcohol begins its journey in the mouth, travels down the oesophagus, and reaches the stomach.
Only a minor fraction, approximately 20%, of the ingested alcohol is absorbed in the stomach.
The vast majority of alcohol is rapidly absorbed into the bloodstream from the small intestine.
The pyloric sphincter, a muscular valve situated between the stomach and the small intestine, regulates the passage of stomach contents.
When alcohol is consumed on an empty stomach, this sphincter typically remains open, allowing alcohol to quickly pass into the small intestine and be absorbed rapidly into the blood, leading to a quicker onset of intoxication.
Conversely, if food has been consumed, the stomach is full, and the pyloric sphincter remains closed for a longer duration to facilitate digestion. In this scenario, alcohol is retained in the stomach for an extended period, resulting in a slower absorption rate into the blood.
Carbonated alcoholic beverages, such as whisky with soda or champagne, accelerate the absorption process. The carbon dioxide within these drinks creates pressure in the stomach, which hastens the movement of alcohol from the stomach to the small intestine and subsequently into the bloodstream, thereby inducing intoxication more rapidly.
Distribution and Hepatic Metabolism:
Once absorbed, alcohol circulates throughout the entire body via the bloodstream. It tends to concentrate more intensely in organs with higher blood flow, most notably the liver and the brain.
The liver serves as the body's primary organ for detoxifying harmful substances, including alcohol.
Alcohol metabolism in the liver involves specific enzymes and occurs in a two-step enzymatic process:
Step 1: An enzyme called ADH (Alcohol Dehydrogenase) metabolises alcohol (ethanol) into a highly toxic chemical compound known as acetaldehyde. This acetaldehyde is directly responsible for the characteristic unpleasant symptoms of a hangover, such as headaches.
Step 2: Subsequently, another enzyme, ALDH (Aldehyde Dehydrogenase), converts this poisonous acetaldehyde into a harmless substance called acetate. Acetate is benign to the human body and is ultimately broken down into water and carbon dioxide.
The resolution of hangover symptoms, such as headaches, signifies that the liver has successfully processed and eliminated the toxic acetaldehyde from the body.
Crucially, the liver processes alcohol at a fixed and limited speed. This means that if alcohol is consumed at a rate exceeding the liver's capacity to metabolise it, alcohol accumulates in the bloodstream, leading to an increase in Blood Alcohol Concentration (BAC). A higher BAC directly correlates with a more profound state of intoxication. Law enforcement agencies utilise devices that measure BAC from breath samples to detect intoxicated drivers, as alcohol can remain detectable in breath for 12 to 24 hours.
3.Neurological Effects and Neurotransmitter Modulation:
The most significant and profound effects of alcohol are exerted on the brain, which is an intricate network of neurons communicating via chemical messengers called neurotransmitters.
Alcohol specifically impacts the activity of two key neurotransmitters:
GABA (Gamma-Aminobutyric Acid): This neurotransmitter acts as the brain's "brake pedal". Alcohol enhances the activity of GABA, which subsequently slows down brain function, inducing feelings of calmness, sedation, and ultimately leading to sleep.
Glutamate: In contrast, glutamate functions as the brain's "accelerator pedal," typically maintaining brain activity and alertness. Alcohol reduces the activity of glutamate.
By concurrently increasing GABA activity and decreasing glutamate activity, alcohol disrupts the normal formation of neural connections and significantly slows down overall brain processing speed. This neurological alteration accounts for the subjective sensations of peace and relaxation experienced after alcohol consumption, and with escalating intake, the inevitable onset of sleep. Critically, excessive alcohol consumption can depress vital brain functions to a life-threatening degree, potentially inhibiting essential physiological processes like breathing.
Beyond these primary effects, alcohol also stimulates the release of other important neurochemicals:
Dopamine: This neurotransmitter is intrinsically linked to feelings of pleasure and reward. Its release contributes to the euphoric and "good" sensations experienced after drinking.
Endorphins: These are the body's natural pain-relieving and mood-enhancing chemicals. Endorphins also play a role in mediating the sense of happiness and relaxation induced by alcohol consumption.
The process of sobering up occurs when the liver's rate of alcohol clearance from the blood surpasses the brain's rate of alcohol absorption. While the most immediate effects subside, traces of alcohol can persist in various bodily fluids and tissues for considerable durations: in the blood for up to 12 hours, breath for 12-24 hours, urine for 12-24 hours (extending to 72 hours with heavy consumption), saliva for 12 hours, and in hair for up to 90 days.
Severe Long-Term Health Consequences of Chronic Alcohol Abuse
While the immediate effects of alcohol may appear transient, regular and prolonged consumption leads to widespread, severe, and often irreversible damage across multiple physiological systems.
Irreversible Brain Damage:
Chronic alcohol abuse leads to a measurable physical shrinkage of the brain, resulting in a reduction in overall brain volume. Individual neurons within the brain also become smaller or, in severe cases, die off.
The frontal lobe, a critical brain region responsible for complex cognitive functions such as decision-making, sustained focus, and emotional regulation, is particularly vulnerable to alcohol-induced damage. This specific damage explains why long-term alcoholics often exhibit impaired emotional control and are prone to sudden outbursts of anger.
The hippocampus, a brain structure indispensable for memory formation and reasoning, also undergoes atrophy (shrinkage) due to prolonged alcohol exposure.
Another significant neurological consequence is an elevated risk of alcohol-induced blackouts. These episodes are characterised by a complete inability to recall events that occurred while intoxicated. This phenomenon occurs because alcohol actively impedes the transfer of short-term memories into long-term memory storage, effectively preventing the consolidation of new memories.
Progressive Liver Disease:
The liver, being constantly tasked with filtering out alcohol, undergoes a progressive deterioration through four distinct stages of damage:
Fatty Liver: This is the initial, reversible stage, characterised by the accumulation of fat cells within the liver. If alcohol consumption is ceased at this stage, the liver can often recover.
Hepatitis: If drinking persists, the liver becomes inflamed and causes pain.
Fibrosis: In this more advanced stage, scar tissue begins to form on the liver.
Cirrhosis: This represents the final and most severe stage of liver damage. The liver becomes hardened and extensively scarred, losing its ability to perform its vital functions. Cirrhosis is an irreversible condition that can ultimately lead to complete liver failure.
Cardiovascular System Deterioration:
Alcohol weakens the muscles of the heart.
It can cause an irregular heartbeat (cardiac arrhythmia), where the heart rate becomes erratic.
Long-term alcohol abuse is strongly associated with the development of high blood pressure (hypertension) and other severe cardiovascular diseases.
The risk of experiencing a heart attack or stroke is significantly increased with prolonged alcohol consumption.
Damage to the Digestive System and Other Organs:
Pancreas: Alcohol can cause the digestive enzymes, normally produced by the pancreas to aid in food digestion, to become prematurely activated within the pancreas itself. This pathological process can lead to the pancreas effectively "digesting itself".
Kidneys: Alcohol consumption is also implicated in causing kidney damage.
Bile Production: Increased production of bile juice in the liver due to alcohol can result in symptoms such as diarrhoea.
Ulcers and Internal Bleeding: Chronic alcohol use can lead to the formation of painful ulcers (open sores) and internal bleeding within the digestive tract.
Compromised Immune System:
Even a single instance of alcohol consumption can temporarily weaken the immune system for up to 24 hours.
Regular, albeit occasional, drinking can lead to a more permanent impairment of the immune system.
This compromised immunity renders heavy drinkers more susceptible to common infections like influenza and colds, as well as other opportunistic infections.
Scientific Debunking of Common Alcohol-Related Myths
Several widely held beliefs about alcohol consumption are contradicted by scientific evidence:
Myth: "One glass of alcohol is harmless."
Scientific Refutation: The World Health Organization (WHO) explicitly states that no quantity of alcohol is considered safe. This means that regardless of how minimal the amount, there is an inherent risk associated with consumption. From a biological perspective, any alcohol intake carries a physiological cost, which may manifest as mild inflammation, a transient increase in blood pressure the following day, or an elevated susceptibility to various illnesses.
Myth: "Red wine is beneficial for health due to its antioxidant content."
Scientific Refutation: It is indeed true that red wine contains antioxidants, which are compounds known to be beneficial for health. However, these antioxidants are derived directly from the grapes used in winemaking. Consuming grapes themselves provides the same antioxidants, often in higher concentrations, without exposing the body to the detrimental effects of alcohol. The negative physiological impact of the ethanol present in red wine significantly outweighs any potential benefits conferred by its antioxidants. Furthermore, a study cited from 2025 (as presented in the source, implying either a future study or a misstated publication date) indicated no significant difference in overall cancer risk between red and white wines, reinforcing the conclusion that no type of wine is truly safe to consume.
Myth: "Beer and wine are 'soft drinks' and therefore safer than 'hard liquor' because they are produced through natural fermentation."
Scientific Refutation: While beer and wine are indeed products of fermentation, and spirits like brandy are produced through distillation (which concentrates alcohol), the human liver does not differentiate between these various types of alcoholic beverages in terms of their ethanol content. The critical factor for the body's processing and potential harm is the total amount of pure ethanol consumed, not the specific form of the drink. Consumption patterns often adjust such that a strong beer, a standard glass of wine, and a single shot of whiskey typically contain approximately the same amount of ethanol, roughly 10 to 14 grams. Therefore, the popular notion that wine or beer is inherently healthier or incapable of leading to alcoholism is scientifically false.
The Scientific Basis of Alcohol's Addictive Nature: Alcohol Dependence Syndrome
Perhaps the most insidious and hazardous characteristic of alcohol is its profound addictive potential. Alcohol's mechanism of addiction lies in its ability to directly hijack the brain's reward system. The release of dopamine and endorphins following alcohol consumption creates a powerful neurological association, leading the brain to perceive alcohol as an effortless pathway to pleasure, happiness, or relief from stress. This chemical reinforcement gradually transforms alcohol into a primary psychological crutch, sought after for feelings of confidence, joy, or an escape from sadness.
A fundamental aspect of alcohol addiction is the development of tolerance. As an individual consistently consumes alcohol over time, their body becomes progressively more tolerant to its effects. This tolerance does not imply improved health; rather, it signifies that a larger quantity of alcohol is required to achieve the same desired level of intoxication or effect. This escalating need for alcohol explains why an individual who once felt intoxicated after two beers may eventually require four or more beers to achieve a similar sensation. This progressive increase in consumption can culminate in a severe medical condition known as Alcohol Dependence Syndrome. At this advanced stage, individuals require alcohol merely to function normally and prevent withdrawal.
Attempting to discontinue alcohol consumption at this level triggers severe and potentially dangerous withdrawal symptoms, as the body and brain, having adapted to alcohol's constant presence, "revolt" in its absence. The brain's chemistry has been fundamentally altered, and without alcohol, it struggles to operate correctly. Common withdrawal manifestations include involuntary hand tremors, intense and overwhelming cravings for alcohol, and a profound sensation of illness if alcohol is withheld. Other symptoms encompass general body tremors, profuse sweating, elevated anxiety levels, severe insomnia, and acute panic attacks. In some extreme cases, individuals may experience terrifying hallucinations or life-threatening seizures. These distressing and dangerous withdrawal symptoms often create a vicious cycle, compelling individuals to resume drinking solely to alleviate their suffering, which can ultimately lead to fatal outcomes from excessive alcohol intake.
The source provides statistics on deaths related to alcohol consumption, including significant figures both nationally and globally, and highlights the increased propensity for suicide among individuals who consume alcohol. It also underscores the tragic issue of deaths resulting from illicit alcohol, which frequently contains toxic methanol as opposed to ethanol.
In conclusion, the scientific information presented in the source comprehensively details alcohol as a natural fermentation product with profound and varied physiological impacts. From its rapid absorption and the liver's role in metabolism to its direct influence on brain neurotransmitters, alcohol systematically disrupts normal bodily functions. Chronic exposure leads to severe and often irreversible damage to vital organs such as the brain, liver, heart, and pancreas, alongside a compromised immune system. The source meticulously debunks common myths surrounding alcohol, unequivocally stating that no amount is truly safe and that perceived benefits are scientifically unfounded or outweighed by ethanol's harmful effects. Finally, the scientific explanation of alcohol's addictive nature illuminates its capacity to hijack the brain's reward system, fostering tolerance, dependence, and debilitating withdrawal symptoms, thereby trapping individuals in a perilous cycle.
"All the scientific details presented have been thoroughly researched, scientifically verified, and carefully curated by the RathBiotaClan team."
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