GETTING INTOXICATED FROM CARBOHYDRATES
Auto-Brewery Syndrome is a rare condition where carbohydrates are fermented in the gastrointestinal tract by microbes, turning them into ethanol. This results in blood alcohol levels rising without consuming any alcohol, causing intoxication symptoms. In all people, bacteria and some yeasts can cause this in small amounts but the liver is able to process this without causing blood alcohol levels to increase. People who suffer from auto-brewery syndrome ferment sugars faster than the body can metabolize it.
CAUSE OF AUTO-BREWERY SYNDROME
Overgrowth of yeast and bacteria permits fermentation which can be caused by several conditions including protracted use of antibiotics, high carbohydrate diet and medical conditions such as diabetes, Crohn’s Disease, Irritable Bowel Syndrome, Short Bowel Syndrome, a virus or in people who are immune suppressed. A genetic mutation affecting liver activity can also cause fermentation. People who suffer from this syndrome are generally in poor health. Severe cases of the disorder are treated for alcohol poisoning.
SYMPTOMS OF AUTO- BREWERY SYNDROME
Behavior mimics a person who is drunk with symptoms such as confusion, slurred speech and lack of coordination. The person may also have glassy eyes, fatigue, foul breath, vomiting, nausea or diarrhea.
TESTING FOR AUTO-BREWERY SYNDROME
To determine if a person suffers from this condition, they are given high levels of carbohydrates, after which their blood alcohol levels are measured. Alternatively, a gut or stool microbiome analysis is administered to measure gut overgrowth. An endoscopy may also be required to identify the specific bacterial and fungal cultures present.
TREATMENT FOR AUTO-BREWERY SYNDROME
Antifungal therapy is generally used to bring down yeast overgrowth, coupled with dietary changes such as lowering carbohydrate intake and eliminating ultra processed food. Unnecessary use of antibiotics should be avoided. Bringing down stress levels and addressing underlying conditions such as diabetes are also recommended. Probiotics are also an important part of addressing this disorder. Chronic recurrences are sometimes treated with a fecal transplant. This comprises the transfer of healthy fecal bacteria from a donor.
IF YOU EXPERIENCE SYMPTOMS OF AUTO-BREWERY SYNDROME
If you believe you may have Auto-Brewery Syndrome it is important you see a doctor and get tested. Undiagnosed, it could lead to acquiring cravings for alcohol. Do not drive if you are experiencing symptoms of the disorder. You could hurt yourself or others. If you behave as if you are drunk when driving no one is going to believe you have not been drinking.
