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Why do people vomit the next morning after getting drunk?

Sep 13, 2023 Source: Cainiu Health
Dr. Guo Xiheng
Introduction
In general, vomiting the morning after excessive alcohol consumption may be related to factors such as poor alcohol metabolism, alcohol poisoning, gastrointestinal dysfunction, gastritis, or acute pancreatitis. Patients are advised to receive symptomatic treatment as directed by a physician. Additionally, conditions such as acute gastroenteritis or gastric ulcers may also contribute. If patients experience any discomfort, they should seek timely medical attention at a hospital to avoid delaying diagnosis and treatment.

Under normal circumstances, vomiting the morning after excessive alcohol consumption may be related to factors such as poor alcohol metabolism, alcohol poisoning, gastrointestinal dysfunction, gastritis, and acute pancreatitis. Patients are advised to receive symptomatic treatment as directed by a physician. Specific analyses are as follows:

1. Poor Alcohol Metabolism

Each individual has different alcohol metabolism capacity. Some people metabolize alcohol more slowly, leading to alcohol accumulation in the body, which may result in vomiting the day after intoxication. This is a normal phenomenon and generally does not require specific treatment.

2. Alcohol Poisoning

Consuming large amounts of alcohol can irritate the stomach and potentially lead to alcohol poisoning, causing persistent vomiting the following morning. In such cases, gastric lavage under medical supervision may be necessary for treatment.

3. Gastrointestinal Dysfunction

Alcohol is an irritant beverage. If a patient drinks large quantities on an empty stomach, it may disrupt gastrointestinal function, resulting in the aforementioned symptoms. Under medical guidance, patients may take medications such as domperidone tablets or mosapride citrate tablets.

4. Gastritis

Gastritis is caused by inflammatory irritation of the gastric mucosa. When a patient already has gastritis, the gastric lining is already damaged. Alcohol consumption further irritates the mucosa, exacerbating gastritis symptoms and possibly leading to vomiting the next morning. Under medical supervision, patients may take medications such as Weiyanning granules or Weiyanning capsules.

5. Acute Pancreatitis

Substances like alcohol can increase pancreatic secretion, potentially causing edema of the sphincter surrounding the common channel of the bile and pancreatic ducts, leading to bile reflux into the pancreatic duct. This activates pancreatic enzymes within the pancreas, triggering acute pancreatitis. Symptoms may include nausea, vomiting, abdominal pain, and fever. Even the day after drinking, continued alcohol stimulation may worsen these symptoms, making them more pronounced. As directed by a physician, patients may use medications such as omeprazole enteric-coated capsules or cefixime capsules.

In addition, conditions such as acute gastroenteritis or gastric ulcers may also contribute. If patients experience discomfort, they should seek timely medical evaluation at a hospital to avoid delays in diagnosis and treatment.

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