When it comes to multiple sclerosis (MS), you want to do what’s best for your body. But you are wondering about the alcohol. Is it okay to enjoy a drink from time to time? Or is alcohol completely off the table? The answer is more complex than just yes or no.
don’t overdo
“For most people with MS, the answer is to use alcohol in moderation,” says Jennifer Graves, MD, PhD, associate professor of neurosciences and director of the Neuroimmune Research Program at the University of California, San Diego.
According to the US Dietary Guidelines for Americans, this means no more than one drink per day if you’re a woman, or two if you’re a man.
“Regularly having too many drinks can exacerbate neurological damage and function in patients with MS, but a single glass of wine or beer at dinner is unlikely to cause major problems,” Greaves says.
Not all alcohol is good, nor is it all bad. For example, the antioxidants and flavonoids found in red wine may reduce the risk of heart disease, which is a concern when you have MS. But that’s no reason to start drinking if you haven’t already. These compounds are found in other foods and drinks, Graves says.
And if you’re wondering whether past alcohol use caused your MS, put your fears aside.
“Based on the available data, this is unlikely,” Greaves says.
The effect of alcohol on MS symptoms
If you decide to enjoy an occasional glass of wine or beer, know that it can worsen your MS symptoms. Even one drink can make problems like unsteadiness worse.
“If you have a lot of problems with balance, thinking, or memory symptoms from MS, it may be best to avoid alcohol completely,” Greaves says.
Alcohol can also lead to sleep problems and worsen bladder symptoms. You also increase your risk of developing other conditions when you drink alcohol, especially if you drink a lot. Your chances of developing some types of cancer, high cholesterol, and stroke are increased. Some of these conditions can make MS generally worse, Graves says, so it’s important to do what you can to prevent them.
Many of the medications used to treat MS symptoms such as pain, headache, insomnia, and depression do not mix well with alcohol. “Combining these drugs and drinks may lead to excessive sedation and health risks,” Greaves says.
Be sure to ask your doctor how your specific treatments might work with alcohol so you know what to look for.
short and sweet
Remember that everyone with MS is different. Have an honest conversation with your doctor about your habits so you can make smart decisions on your own.
You’ll likely celebrate with a glass of champagne, add a nice red color to your meal, or enjoy a beer while watching the game. Just know your limits and do your best to stay within their limits.
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