Alcohol abuse is a silent epidemic among America's older adults. Many drink out of boredom, to ease anxiety or depression, or as a sleep aid. This behavior frequently goes unnoticed. Elders may have few contacts with family or friends and have no job or other social responsibilities that can be affected. Furthermore, many people believe that older people have few pleasures remaining and should be allowed to drink as they like.
Numerous interactions can occur with prescription and nonprescription medications.
Delayed stomach emptying and slowed intestinal movement allows for greater absorption of alcohol. Changes in body composition lead to a higher blood alcohol level. Slower metabolic processing of alcohol causes it to remain in the body longer. Because alcohol is a central nervous system depressant, it may lead to loss of balance, difficulties with vision, impaired memory, reduced sensitivity to pain, and sleep disorders such as insomnia or sleep apnea. The irritant properties of alcohol and its ability to increase gastric acid secretion cause a greater incidence of gastritis.