Emergency medical care: Alcohol withdrawal syndrome. Withdrawal syndrome according to ICD. Withdrawal syndrome in alcoholism ICD.

Doctors, speaking about withdrawal syndrome (ICD 10 code – F10-F19) in narcology, mean a group of symptoms that occur when stopping the use of psychoactive substances or reducing their quantity. The signs and duration of withdrawal depend on the type of substances used and the duration of their use. The appearance of withdrawal syndrome is evidenced by neurological, somatic, mental disorders, which disappear after using habitual psychoactive substances. In psychiatry, alcohol withdrawal is the most studied.

Causes

The development of withdrawal syndrome occurs after prolonged use of alcoholic beverages. With chronic alcoholism, a large number of toxins accumulate in a person’s blood. They are products of the breakdown of ethanol. Toxic compounds are formed in the liver and intestines.

In a healthy adult, when drinking alcohol, special enzymes begin to be produced that neutralize toxins. But if alcohol has been taken for a long time in large quantities, then the body cannot cope with the process of processing it. After heavy drinking, ethanol is gradually broken down by the liver, the breakdown products enter various organs through the bloodstream, affecting nerve fibers and the brain.

In newborns

If a pregnant woman has used drugs or alcohol, then after birth the child develops neonatal abstinence syndrome. Prohibited substances pass through the placenta to the fetus, so the baby is born dependent. When children abuse alcohol, fetal alcohol syndrome occurs.

Manifestations occur 3-5 days after birth. The child may have an increased appetite, but there is no weight gain. Some children begin vomiting, diarrhea, and an unreasonable increase in temperature. To clarify the diagnosis, a general urine test and toxicological examination of stool are performed.

Symptoms

When the intake of alcohol in the body stops after 7-10 hours, a person’s health worsens. It is expressed in the form of a compulsive (physical) craving for alcohol and the development of acute intoxication syndrome. The main manifestations include:

• feeling of weakness, fatigue;
• psychomotor agitation;
• increased heart rate;
• temperature increase;
• hypertension;
• trembling of limbs;
• severe headaches;
• dizziness;
• thinking disorder;
• deterioration in concentration;
• insomnia;
• the appearance of auditory and visual hallucinations;
• vomiting, which may be accompanied by bleeding.

For some, withdrawal is accompanied by seizures. The severity of symptoms depends on the stage of alcoholism. What matters is how long a person drank alcohol and how much alcohol entered the body during the specified period.

Delirium

If the patient, in addition to the characteristic signs of uncomplicated withdrawal syndrome, experiences clouding of consciousness, the occurrence of strong hallucinations, and delirium begins, then a diagnosis of withdrawal with delirium is made. Otherwise called delirium tremens.

The condition is accompanied by strongly expressed fear and apprehension of trouble. General health worsens, the following conditions are observed:

• severe anxiety arises, the person cannot sit in one place;
• eyes and face turn red;
• severe hallucinations occur before sleep;
• After falling asleep, nightmares begin, which are difficult for alcoholics to distinguish from reality.

A person can throw off non-existent insects and talk to someone. In severe forms of delirium tremens, personality disorders are observed and mental impairment occurs. Sudden death is also possible. With delirium tremens, the patient becomes dangerous; he can maim another person or commit suicide.

How is it different from a hangover?

A few hours after taking large doses of alcohol, a healthy person’s condition worsens. Severe signs of intoxication appear. This is how alcohol breakdown products act on the body.

A hangover appears after most of the alcohol has been processed in the body. After sleep, a person experiences thirst, nausea, and a feeling of weakness and exhaustion. But at the same time there is no craving for alcohol, it causes disgust. Drinking alcohol only makes it worse.

During withdrawal, drinking alcohol can relieve all unpleasant symptoms. This is the main difference between a hangover and withdrawal symptoms.

How long does it last

Post-alcohol withdrawal when quitting alcohol can last 1-2 days in people with a mild form of withdrawal syndrome. But for most it ends with another drink.

With moderate withdrawal symptoms when quitting alcohol, symptoms may bother a person for 3-4 days. It is not possible to cope with the craving for alcohol on your own, so a person drinks it at the first opportunity.

In advanced cases, the alcoholic may suffer from withdrawal symptoms for more than a week. For most people, physical discomfort lasts no more than 10 days. After normalization of the condition, psychological dependence remains.

Treatment of alcohol withdrawal syndrome

To reduce the severity of symptoms, it is prescribed. It is necessary to remove alcohol breakdown products from the body. Therapy is aimed primarily at detoxifying the body and reducing the likelihood of developing complications of addiction. After eliminating the main symptoms, treatment involves suppressing cravings for alcohol.

In mild forms, a person can be helped at home. For moderate to severe withdrawal, therapy should be carried out in a clinic. When delirium is diagnosed, the patient is taken to the psychiatric ward.

Medicines

In case of mild withdrawal symptoms, it will be possible to relieve symptoms with the help of enterosorbents and drugs designed to reduce hangovers: Alcostop, Medichronal.

To relieve severe withdrawal symptoms, it is required urgent Care doctors Doctors prescribe intravenous administration of saline solution, glucose, Hemodez, Polyfer. In the drug treatment department, magnesium sulfate, sodium thiosulfate, and Unithiol can also be administered. If necessary, anticonvulsant therapy is used. Doctors prescribe tranquilizers, sleeping pills, and antipsychotics to many patients.

Traditional methods

To relieve symptoms, a cleansing enema is done at home. The condition can be alleviated by drinking plenty of fluids. It is recommended to drink water and water-electrolyte solutions. A contrast shower helps speed up the elimination of toxic substances. Connoisseurs traditional methods It is advised to steam an alcoholic in a bathhouse.

Forecast

To say how recovery will proceed and whether the sick person will be able to survive withdrawal without negative consequences for nervous system, difficult. It all depends on the degree of alcoholism, the severity of symptoms and the patient’s health condition. The life expectancy of a person dependent on psychoactive substances is influenced by the speed of giving up the addiction. If a person wants to get rid of addiction, then he will be able to get help.

Complications and consequences

If a patient has developed an addiction to alcohol, then when he refuses it, signs of withdrawal appear. Lack of adequate treatment can lead to negative consequences. People experience the following complications:

• renal and hepatic failure;
• extensive bleeding;
• ischemic brain damage;
• cardiovascular failure;
• exacerbation of chronic diseases;
• metabolic disorders.

In severe forms, there is a possibility of developing mental illness. Only complete abstinence from alcohol will help you return to a normal lifestyle and reduce the likelihood of early death.

Alcohol withdrawal syndrome occurs mainly after heavy drinking. It does not occur instantly, but after a certain period of time after a person stops drinking alcohol. ICD-10 notes it under code F10-F19 as behavioral or mental disorders, the onset of which is associated with drinking alcohol. There are two types of these disorders - with delirium, that is, with the clinical picture of delirium tremens, and without it, that is, non-psychotic.

Delirium: alcohol withdrawal syndrome, symptoms

Most dangerous case delirium is considered, if this alcohol withdrawal syndrome is observed, treatment is mandatory. We are talking about saving a person’s life; only timely measures taken will allow him to preserve his health and life. If withdrawal symptoms take such forms, withdrawal from binge drinking is necessary, as well as treatment for chronic alcoholism. Until the addiction enters the third or fourth stage, this phenomenon is not observed. The cause of delirium tremens is precisely long-term alcohol abuse.

This problem arises only in the case of long-term addiction; it is necessary to place the person in a drug treatment clinic for his complete cure. In some cases, resuscitation measures are required. You cannot delay providing assistance to the patient, the condition will only worsen. The situation with delirium has a medical code of F10.4.

Alcohol withdrawal syndrome ICD 10 code F10.4

Abstinence with delirium has its own specific symptoms. Its signs are:

• Delirium and insomnia,
• Problems of the cardiovascular system,
• Psychomotor agitation,
• Hallucinations of various kinds are possible.

This condition can last for several days, constantly getting worse. It is necessary not only to stop drinking alcohol, but also to ensure medical supervision, since such patients often die from cardiovascular pathologies. Hallucinations are also dangerous, the consequences of alcohol withdrawal syndrome are serious, and hallucinations can be obsessive and realistic, because of them the patient can commit suicide or go crazy. In the presence of mental symptoms, the consequences of the condition can be different, it all depends on the specific clinical picture. However health care necessary in any case.

Withdrawal syndrome without a mental component

Non-psychotic conditions are usually easier to tolerate, but their severity may vary depending on the individual case. At severe manifestation there is a real risk to human health and life. There are several stages of this manifestation, they vary depending on the severity. It is worth considering this phenomenon, starting from the mildest degree to the most severe, sequentially.

1. Mild degree assumes that the addict has self-control; he can still control the process of drinking alcohol. There may be a desire for treatment, a desire to stop drinking alcohol voluntarily. In this case, alcohol withdrawal syndrome does not produce significant symptoms, but certain phenomena are already observed - lack of appetite and apathy, sweating, bad mood, insomnia.
2. Medium severity suggests a strong desire to drink alcohol. Symptoms include aggression and depression, low mood, nightmares, headaches and dizziness, insomnia, and increased heart rate. The craving for alcohol is so strong that a person is ready to do anything to take a new drink.
3. Severe stage manifests itself in strong reversals of behavior. It is problematic to contact a person, he does not make contact, wants only alcohol, and is ready to commit crimes and other serious offenses in order to get it. In addition to aggression and inadequacy, the following symptoms are observed - delirium, nightmares, severe headache and dizziness.
4. On final stage the same symptoms manifest themselves even more strongly, and to all this are added hallucinations, illusions, and sometimes obsessions - usually guilt. You can experience anxiety over a long period, increased heart rate, attacks of anxiety, and restlessness. This stage requires immediate treatment, since the person himself can no longer cope with the craving for alcohol.

How is withdrawal syndrome classified medically?

When considering alcohol withdrawal syndrome ICD 10, it should be noted that there are a number of additional classification points. Alcohol poisoning is not uncommon, and F10.0 suggests an acute case of alcohol poisoning. Alcohol abuse and addiction to it are hidden under paragraph F10.1. Alcohol dependence is another item, F10.2. Point F10.3 means abstinence, while the next point, F10.4, means delirium. F10.5 is an indicator of mental disorder, and F10.6 is an indicator of amnestic syndrome. F10.7 - delayed psychotic disorders, F10.8 - behavioral and mental disorders of another type. F10.9 - unspecified mental disorders. Thus, if you are interested in knowing how many types of disorders arise, it is worth noting that there are only nine of them classified.

Seeing a doctor and subsequent treatment if severe withdrawal symptoms occur are mandatory. Take care of your health and avoid abuse.

Alcoholism chronic code according to ICD-10 from F10.2 to F11. ICD 10 goes into more detail about alcoholism as a mental illness. The consequences of chronic alcohol abuse are also discussed in detail.

The International Directory of 10th Generation Diseases contains more detailed information about both the disease itself and its consequences, causes and complications. The system by which the directory was created allows you to assign a code not only to the main pathology, but also to its various forms. This makes it easier for doctors to identify the syndrome and prescribe appropriate treatment. ICD 10 contains more than 10 different entries on the topic of alcoholism, including descriptions of numerous consequences caused by the underlying disease. Each individual consequence and complication has its own code.

The disease in question has code F10.2, which means that chronic alcoholism is a disease resulting from the systematic uncontrolled consumption of alcoholic products. Characteristic feature The disease is alcohol addiction - a constant unbearable desire to get drunk, failure to fulfill which leads to a number of symptoms that sharply worsen one’s well-being.

Among the signs of dependence on ethyl alcohol compounds are the following deviations in human behavior and psyche:

• withdrawal syndrome, also called abstinence;
• constant craving for alcohol, expressed by psychosomatic and physical disorders;
• lack of a protective reaction of the body to excessive drinking;
• specific external signs such as hand tremors, nausea and increased sweating associated with the disorder internal organs.

Dependence syndrome on ethanol breakdown products is not a sudden phenomenon. Usually, the state of withdrawal appears in the second stage of alcoholism, that is, when the disease takes a chronic form. It is known how alcohol affects the psyche of an addict. A chronic alcoholic who is sober can do without a new portion of the substance for some time if circumstances do not allow for a hangover. But the same addict, having taken a dose of alcohol that is modest for an ordinary person, falls into a state of withdrawal, forgetting about human qualities.

Addiction to alcohol is always associated with withdrawal syndrome, as it is directly related to it. However, in ICD 10 these two consequences of uncontrolled consumption of alcoholic beverages are indicated under different codes.

Withdrawal syndrome, which is an integral part of chronic alcoholism, is listed in ICD 10 under code F10.3. According to the international reference book, the phrase “withdrawal state” should be understood as a number of painful symptoms and mental disorders that arise as a result of an abrupt cessation of the use of alcohol-containing substances.

Symptoms of withdrawal syndrome include the following psychosomatic and physical ailments:

1. Strong feeling of fear.
2. Pain throughout the body due to physical withdrawal.
3. Low brain activity.

The above health problems, which suddenly arise after the alcoholic stops drinking, again provoke the appearance of an unbearable craving for drinking. The addict simply wanders in a vicious circle. The stronger the withdrawal, the more you want to drink.

The nature of withdrawal symptoms depends on the dose of alcohol consumed before stopping drinking. The higher this dose, the worse it becomes for an alcoholic who had to get out of a drunken state.

Sometimes the situation with withdrawal syndrome becomes extreme. An excessively abrupt cessation of a riotous lifestyle and the rapid removal of the remaining portion of alcohol from the body can cause such severe withdrawal that, along with acute physical pain, the addict begins to suffer from symptoms of mental overexcitation, which are united under one common name - delirium. The withdrawal state with delirium has its own code according to ICD 10 and is designated as F10.4.

A person in this state experiences a change in behavior; adequacy is replaced by aggression, or, on the contrary, hysteria. The origins of the so-called delirium tremens are a phenomenon of distortion of reality due to incorrect functioning and partial death of brain cells.

Withdrawal syndrome complicated by delirium can cause the following pathologies in the patient:

• hallucinations, both auditory and visual;
• feeling of fear;
• resentment;
• mania of persecution.

Often, convulsions are also added to the bouquet of the above symptoms. A person under the influence of delirium tremens presents potential danger both for yourself and for those around you. This is due to rash actions that an alcoholic often commits when in a state of delirium. Withdrawal syndrome threatens the life of an alcoholic. There have been cases where a sudden exit from a drunken state provoked first abstinence with delirium, and then severe shock, followed by death. Sometimes an intermediate state is observed - withdrawal coma. Therefore, addiction treatment occurs in stages, without sudden jumps.

Abnormal, inappropriate behavior that appears during a period of severe alcohol intoxication, as well as after an abrupt cessation of drinking alcohol, is a consequence of an extensive psychotic disorder, which, like withdrawal syndrome, is an essential part of chronic alcoholism. In the international classification of 10th generation diseases, this disease received code F10.5. Psychotic disorder refers to a list of pathologies of a psychotic nature that are the result of abuse of psychotropic substances, in particular ethyl alcohol, and differ from the symptoms of withdrawal.

This type of disorder is characterized by the following symptoms:

• psycho-emotional disruptions, sudden spasmodic mood swings;
• distorted perception of news and events;
• behavior inappropriate to the situation (in exceptional cases);
• impaired affect, manifested as frequent replacement feelings of fear to ecstasy, and vice versa.

Psychotic disorder due to alcohol dependence does not involve severe clouding of consciousness up to a complete loss of connection with the outside world.

During repeated stays in a state of withdrawal, delayed psychotic disorders arise, the symptomatic component of which is practically no different from the signs of previous psycho-emotional deviations. The same mood swings, the same disturbances of affect. Distinctive features of delayed residual disorders, which are coded in ICD 10
F10.6, are their frequency and duration of action. Such problems with mental functions arise, as a rule, immediately after taking a psychoactive product, that is, when its effect on the body begins.

However, after the neutralization of alcohol and its breakdown products in the body is completed, the effect of residual psychotic disorders does not stop. It may persist further, but not for long. There are also symptoms of alcohol addiction that occur periodically and regardless of how much alcohol is in the body, or whether it is there at all. But such pathologies are no longer direct consequences of alcoholism, but are the results of its complications. Therefore, the ICD 10 code for these diseases will be different.

The International Directory of Diseases, 10th revision, released back in 1997, contains information about many human diseases. An entire section of the reference book is devoted to alcohol addiction, as this is a truly broad topic. Withdrawal syndrome, intoxication, complications in the form of somatic mental disorders - all this includes chronic alcoholism. However, over 20 years, information about diseases could become quite outdated, since new strains and viruses appear almost every day. The addiction syndrome also does not stand still and is progressing every day.

The updated and expanded classification of diseases ICD-11, the official release of which is planned for 2017, should correct the situation with outdated information about alcohol dependence, which will help in the future to quickly and accurately determine the patient’s diagnosis.

Alcohol withdrawal syndrome is the cause of binge drinking. And if not everyone has heard about withdrawal, then almost everyone has heard about binge drinking. A person drinks alcohol for a long time, from several days to several weeks, while clearly suffering himself and causing a lot of trouble to those close to him. The question arises what makes him behave In a similar way? Withdrawal syndrome is the answer to this question.

What is alcohol withdrawal syndrome?

Withdrawal syndrome or withdrawal syndrome is characteristic of any addiction to psychoactive drugs. When using drugs, it is called drug withdrawal. Withdrawal begins to manifest itself when the patient becomes physically dependent on a psychoactive substance.

This means that the active substance of the drug, in the case of alcoholism, this is ethyl alcohol, is included in the metabolic processes of the body and becomes their integral component. When alcohol withdrawal occurs, painful symptoms, physical and mental, appear. Trying to get rid of them, a person begins to drink every few hours, and this is how binge drinking occurs.

Physical dependence can only develop with regular drinking. Naturally, the question arises, what makes a person drink regularly?

Reasons for the development of alcoholism

The huge number of alcohol dependent people ambiguously suggests that many people have the prerequisites for the development of this disease. This is a psychological predisposition, which is expressed in the presence of fears, attitudes, and harmful beliefs. They prevent us from achieving goals, building harmonious relationships, and communicating freely with others.

When faced with these problems, we feel discomfort. It can be removed through changes, development, and work on oneself, but this path is long and difficult, although it is the only effective one. Most people prefer to relax, relieve stress, and distract themselves from problems with the help of alcohol. And the psyche likes it, because it becomes easier, and this is how psychological dependence on alcohol arises.

Under the influence of a psychological craving for drinking, a person drinks more and more often, physical attachment and alcohol withdrawal syndrome develop.

Alcoholism

Alcoholism is a disease characterized by two types of dependence on alcohol consumption: psychological and physical. They cause the patient to drink alcohol uncontrollably and in excessive quantities.

Alcohol addiction is a serious complex disease; it destroys the entire human body and his entire life. Like any drug addiction, alcoholism leads to constant long-term intoxication, which damages all the internal organs of the patient. Which is a serious, but far from the only problem.

A person dependent on alcohol loses social connections and status, interest in life, stops experiencing emotions, enjoying ordinary things, and becomes immoral. The physical, social, emotional, spiritual spheres of the patient’s life collapse.

ICD withdrawal syndrome code

Alcohol addiction is not bad habit, not the result of bad character and lack of spirituality, as ordinary people often think. In fact, it’s the other way around: first the disease arises, then its external manifestations: indifference, inappropriate behavior, irresponsibility, deceit and many others. Close people begin to be offended and upset. But this is a disease that needs to be treated.

Alcoholism, like any disease, has its own code in the International Classification of Diseases - ICD-10.

According to ICD-10, alcoholism is a disorder caused by the use of a psychoactive drug. It leads to disturbances in consciousness, behavior and reactions. But that’s not all, ICD-10 warns us that the disease leads to serious complications: convulsions, delirium tremens, coma. Alcohol intoxication equated to a narcotic. Alcoholism code according to ICD-10 is F10.0.

From the codes describing individual manifestations of the disease, we learn that alcohol has a detrimental effect on the body (code F10.1), causes dependence syndrome (code F10.2) and the development of withdrawal symptoms (code F10.3), up to withdrawal syndrome with delirium (code F10.4). In addition, alcohol consumption causes amnesia, mental and behavioral disorders. So, from the information contained in ICD-10, we conclude that this addiction can completely destroy a person’s physical and mental health.

How does a normal hangover differ from alcohol withdrawal?

People who are not alcohol dependent cannot understand what force forces a person to drink continuously for several days or weeks. After all, in everyday life the concepts of hangover and alcohol withdrawal syndrome are often confused. Therefore, occasionally drinking citizens think that an alcoholic experiences approximately the same sensations as they did the morning after a stormy party.

The signs of alcohol withdrawal syndrome are indeed similar to a regular hangover, but only partly because they are more intense and painful. And the most important difference is that over time they do not go away, but intensify. While a normal hangover goes away within a few hours and can be treated with home remedies, alcohol withdrawal syndrome can last for several days.

At different stages of the disease, alcohol withdrawal syndrome manifests itself with different strengths. The deeper the addiction, the stronger the mental manifestations caused by the use and further withdrawal of alcohol become. On early stages The disease mainly manifests itself as a characteristic physical ailment.

Signs of alcohol withdrawal syndrome

• Alcoholic drinks cause dehydration, so the patient experiences thirst and dry mouth.
• Sweating.
• Cardiopalmus.
• Severe headaches.
• Disorders of the gastrointestinal tract, in particular, nausea, sometimes leading to vomiting, lack of appetite. An alcoholic experiencing withdrawal symptoms may not eat at all.
• An alcohol addict has an irritable mood, depression, leading to depression.
• Redness of the eyes or certain areas of the skin.
• A symptom that many have heard about is tremors of the limbs. Trembling hands are often perceived by others as a sign of alcoholism, although this is not always the case. But during alcohol withdrawal syndrome, the patient’s arms and legs really tremble violently, and sometimes his whole body “pounds.”
• The face becomes swollen. Often an alcohol addict can be recognized by his characteristic puffy face and bluish nose with pronounced capillaries.
• The patient's coordination of movements is impaired.
• Disturbances and lack of sleep.
• Anxiety, anxiety and even panic.
• Mental disorders: psychoses, epileptic seizures, delirium tremens.
• Strong and pronounced desire to drink.

By the way, let’s add one more point to the differences between a regular hangover and abstinence: a drunkard during a hangover cannot even think about alcohol, he feels sick at the very thought. For an alcoholic, the opportunity to drink is extremely desirable, this is how he can temporarily relieve the painful symptoms of withdrawal syndrome.

Complications after alcohol withdrawal syndrome

Few people think about treating alcohol withdrawal syndrome, and it is completely in vain. If an alcoholic who has drunk alcohol undergoes emergency sobering up and relieves the acute craving for repeated drinking, then binge drinking can be avoided altogether.

Treatment of alcohol withdrawal syndrome is no less important when the binge is interrupted after a few days or weeks. This situation requires mandatory medical intervention. If alcohol withdrawal is left untreated, it can cause serious complications.

• A person develops short temper and unpredictability in behavior, aggressiveness. During the period of withdrawal syndrome, a patient in a similar state may find himself in various unpleasant situations.
• A severe form of addiction can lead to the fact that without alcohol a person cannot even simply get out of bed, get dressed, or go outside. To do this, he needs a dose of alcohol, he needs to “get better.” If you have seen the film “The Theory of Binge,” then remember that this was exactly the state in which one of its characters, Dedulik, was constantly in, who got out of bed only after a few sips of alcohol.
• Within 2-4 days after severe intoxication, the patient may experience hallucinations, delusions, speech disorders, alcoholic dementia, epileptic seizures, amnesia, and delirium tremens.
• As a result of the use of a psychoactive substance and its abrupt withdrawal, concomitant diseases may worsen in an alcoholic: peptic ulcer, kidney failure, and a stroke or heart attack may occur.

Let’s also not forget that while intoxicated or in a state of withdrawal syndrome, a person, being in an inadequate state, can get into accidents, often resulting in death.

How to relieve alcohol withdrawal syndrome?

Withdrawal syndrome is observed as long as ethyl alcohol and its half-life products - poisonous toxins - are in the patient’s body. Therefore, detoxification is the way to get rid of withdrawal symptoms.

If the disease is in the initial stages, and the dependence is not deep, and the binge has just begun, then one dropper may be enough for this. If withdrawal syndrome occurs after a long period of heavy drinking, then you cannot do without an enhanced detoxification program. Often it is complemented by restorative therapy for internal organs, as we noted above, they are severely damaged by constant alcoholic libations.

Withdrawal from binge drinking

The procedure for withdrawal from binge drinking consists of cleansing droppers based on saline solution. General strengthening agents and vitamin complexes are added to it. Expanded programs for withdrawal from binge drinking include therapy for the liver, brain, enhanced blood purification, and restoration of metabolism. In addition, the specialist alleviates the symptoms of withdrawal syndrome, relieves pain and discomfort.

Detoxification is carried out in a drug treatment clinic or at the patient’s home. The doctor, working on the road, has with him all the necessary equipment and kit medicines. You can urgently call a narcologist to your home around the clock.

Alcoholism treatment in Pomoshch network clinics

The most effective and safest treatment for alcoholism is in a clinic. Here the patient is under constant medical supervision, which is especially important in severe withdrawal symptoms. At the clinic he will not be able to get alcohol under any pretext. Here a psychologist communicates with the patient, helps him overcome mental disorders and psychological discomfort caused by withdrawal, and also motivates him for further treatment.

You can contact our consultation center “Help” with any problem related to alcohol addiction, from the need for emergency withdrawal from binge drinking to organization full course treatment and rehabilitation. To call a narcologist to your home or find out more about treatment, you just need to call our 24-hour call center at the toll-free number listed on this page of the website.

Please note that alcoholism causes serious conditions, so delaying treatment is dangerous. So that you can save your dependent relative from the disease, our center provides motivation for the treatment of those who disagree. The best thing you can do for a loved one is to call the specialists right now and find out how to start treatment without delay.

Article reading time: 1 minute

Alcoholism chronic code according to ICD-10 from F10.2 to F11. ICD 10 goes into more detail about alcoholism as a mental illness. The consequences of chronic alcohol abuse are also discussed in detail.

The International Directory of 10th Generation Diseases contains more detailed information about both the disease itself and its consequences, causes and complications. The system by which the directory was created allows you to assign a code not only to the main pathology, but also to its various forms. This makes it easier for doctors to identify the syndrome and prescribe appropriate treatment. ICD 10 contains more than 10 different entries on the topic of alcoholism, including descriptions of numerous consequences caused by the underlying disease. Each individual consequence and complication has its own code.

More about alcoholism

The disease in question has code F10.2, which means that chronic alcoholism is a disease resulting from the systematic uncontrolled consumption of alcoholic products. A characteristic feature of the disease is alcohol dependence - a constant unbearable desire to get drunk, failure to comply with which leads to a number of symptoms that sharply worsen well-being.

Among the signs of dependence on ethyl alcohol compounds are the following deviations in human behavior and psyche:

• withdrawal syndrome, also called abstinence;
• constant craving for alcohol, expressed by psychosomatic and physical disorders;
• lack of a protective reaction of the body to excessive drinking;
• specific external signs, such as hand tremors, nausea and increased sweating, associated with a disorder of the internal organs.

Dependence syndrome on ethanol breakdown products is not a sudden phenomenon. Usually, the state of withdrawal appears in the second stage of alcoholism, that is, when the disease takes a chronic form. It is known how alcohol affects the psyche of an addict. A chronic alcoholic who is sober can do without a new portion of the substance for some time if circumstances do not allow for a hangover. But the same addict, having taken a dose of alcohol that is modest for an ordinary person, falls into a state of withdrawal, forgetting about human qualities.

Addiction to alcohol is always associated with withdrawal syndrome, as it is directly related to it. However, in ICD 10 these two consequences of uncontrolled consumption of alcoholic beverages are indicated under different codes.

Withdrawal state

Withdrawal syndrome, which is an integral part of chronic alcoholism, is listed in ICD 10 under code F10.3. According to the international reference book, the phrase “withdrawal state” should be understood as a number of painful symptoms and mental disorders that arise as a result of an abrupt cessation of the use of alcohol-containing substances.

Symptoms of withdrawal syndrome include the following psychosomatic and physical ailments:

1. Strong feeling of fear.
2. Pain throughout the body due to physical withdrawal.
3. Low brain activity.

The above health problems, which suddenly arise after the alcoholic stops drinking, again provoke the appearance of an unbearable craving for drinking. The addict simply wanders in a vicious circle. The stronger the withdrawal, the more you want to drink.

The nature of withdrawal symptoms depends on the dose of alcohol consumed before stopping drinking. The higher this dose, the worse it becomes for an alcoholic who had to get out of a drunken state.

Sometimes the situation with withdrawal syndrome becomes extreme. An excessively abrupt cessation of a riotous lifestyle and the rapid removal of the remaining portion of alcohol from the body can cause such severe withdrawal that, along with acute physical pain, the addict begins to suffer from symptoms of mental overexcitation, which are united under one common name - delirium. The withdrawal state with delirium has its own code according to ICD 10 and is designated as F10.4.

A person in this state experiences a change in behavior; adequacy is replaced by aggression, or, on the contrary, hysteria. The origins of the so-called delirium tremens are a phenomenon of distortion of reality due to incorrect functioning and partial death of brain cells.

Withdrawal syndrome complicated by delirium can cause the following pathologies in the patient:

• hallucinations, both auditory and visual;
• feeling of fear;
• resentment;
• mania of persecution.

Often, convulsions are also added to the bouquet of the above symptoms. A person under the influence of delirium tremens poses a potential danger to himself and to others. This is due to rash actions that an alcoholic often commits when in a state of delirium. Withdrawal syndrome threatens the life of an alcoholic. There have been cases where a sudden exit from a drunken state provoked first abstinence with delirium, and then severe shock, followed by death. Sometimes an intermediate state is observed - withdrawal coma. Therefore, addiction treatment occurs in stages, without sudden jumps.

Psychotic disorder

Abnormal, inappropriate behavior that appears during a period of severe alcohol intoxication, as well as after an abrupt cessation of drinking alcohol, is a consequence of an extensive psychotic disorder, which, like withdrawal syndrome, is an essential part of chronic alcoholism. In the international classification of 10th generation diseases, this disease received code F10.5. Psychotic disorder refers to a list of pathologies of a psychotic nature that are the result of abuse of psychotropic substances, in particular ethyl alcohol, and differ from the symptoms of withdrawal.

This type of disorder is characterized by the following symptoms:

• psycho-emotional disruptions, sudden spasmodic mood swings;
• distorted perception of news and events;
• behavior inappropriate to the situation (in exceptional cases);
• impaired affect, manifested in the form of frequent replacement of feelings of fear with ecstasy, and vice versa.

Psychotic disorder due to alcohol dependence does not involve severe clouding of consciousness up to a complete loss of connection with the outside world.

During repeated stays in a state of withdrawal, delayed psychotic disorders arise, the symptomatic component of which is practically no different from the signs of previous psycho-emotional deviations. The same mood swings, the same disturbances of affect. Distinctive features of delayed residual disorders, which are coded F10.6 in ICD 10, are their frequency and duration of action. Such problems with mental functions arise, as a rule, immediately after taking a psychoactive product, that is, when its effect on the body begins.

However, after the neutralization of alcohol and its breakdown products in the body is completed, the effect of residual psychotic disorders does not stop. It may persist further, but not for long. There are also symptoms of alcohol addiction that occur periodically and regardless of how much alcohol is in the body, or whether it is there at all. But such pathologies are no longer direct consequences of alcoholism, but are the results of its complications. Therefore, the ICD 10 code for these diseases will be different.

The International Directory of Diseases, 10th revision, released back in 1997, contains information about many human diseases. An entire section of the reference book is devoted to alcohol addiction, as this is a truly broad topic. Withdrawal syndrome, intoxication, complications in the form of somatic mental disorders - all this includes chronic alcoholism. However, over 20 years, information about diseases could become quite outdated, since new strains and viruses appear almost every day. The addiction syndrome also does not stand still and is progressing every day.

The updated and expanded classification of diseases ICD-11, the official release of which is planned for 2017, should correct the situation with outdated information about alcohol dependence, which will help in the future to quickly and accurately determine the patient’s diagnosis.