The Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA–Ar) (Sullivan et al. 1989; Foy et al. 1988). This instrument rates 10 withdrawal features, takes only a few minutes to administer, and can be repeated easily when necessary. A total score of 15 or more points indicates that the patient is at increased risk for severe withdrawal effects, such as confusion and seizures. I was getting purpura on the back of my hands and my forearms only. I am in my mid 60s and it finally dawned on me that a vitamin C deficiency always caused bruising. For years I have just taken vitamin C for regular bruising and it went away.

Even just a single drink transiently reduces immune function, which can become a permanent feature when you drink regularly, placing you at risk of skin infections. Alcohol can directly impair your immune system, but can also do so indirectly if you develop deficiencies of vitamin C and zinc, both of which help to maintain the strength of your immunity. The health of your skin is just as dependent on a supply of vitamins and minerals alcohol and bruising as any other part of your body. Alcohol also interferes with the absorption of the fat soluble vitamins A and E, which both help to protect your skin from damage. Meanwhile, in alcoholism skin can also suffer, as metabolism of alcohol depletes levels of B vitamins that otherwise promote a healthy circulation to deliver additional nutrients to your skin. Do you bruise more easily now than you did when you were younger?

Loss of appetite and weight loss

Bruising comes into play when you bump a part of your body on a hard surface, causing blood vessels to rupture. While you’re drinking, the blood flow around the surface of your skin will increase; even minor bumps can cause blood vessels to burst, forming a bruise. Genetic, psychological, social and environmental factors can impact how drinking alcohol affects your body and behavior. Theories suggest that for certain people drinking has a different and stronger impact that can lead to alcohol use disorder.

According to UPMC, your liver contains about 10 percent of your total blood supply at any given time. When you’re drinking alcohol, your liver is working hard to process the toxins from your blood, but that work takes time. When you drink so much that your liver cannot keep up with the amount you’re drinking, intoxication can take hold. For the same reason you have trouble with motor control and coordination, you will also have a worse reaction time while drinking. Since alcohol slows down central nervous system activity and communication, you take longer to register stimuli and decide what to do. It increases your chances of being hit in the forehead with an incoming football, but it may also cause you to bump into people or objects.

Mechanisms of Alcohol Withdrawal

A while ago, I’ve noticed many small «bruises» or discolorations on my upper back. I had a head on collision in 1993 and three slip discs, one was removed (C4-5). I still have C5-6 and T/L disc need to be removed.

Clinical evaluation of bleeding and bruising in primary care. Sometimes, random bruising is the result of physical abuse. The following sections will look at some of the factors that may increase a person’s likelihood of bruising. This article will look at the potential causes of unexplained bruising on the legs.

Alcohol and Skin Infections

Non-REM parasomnias often occur in people who have a family history of similar parasomnias. Parasomnias are disruptive sleep-related disorders. Abnormal movements, talk, emotions and actions happen while you’re sleeping although your bed partner might think you’re awake. Examples include sleep terrors, sleepwalking, nightmare disorder, sleep-related eating disorder and sleep paralysis.