Alcohol withdrawal symptoms

Anxiety, tremor, sweating, and insomnia start 6–24 hours after the last drink. Severe withdrawal (seizures, DTs) is a medical emergency in heavy daily drinkers — go to the ER or call 911. A provider can plan safer outpatient treatment for lower-risk patterns online.

Also called: shakes after not drinking · delirium tremens · alcohol withdrawal timeline

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Seek urgent care or the ER if you have:

  • Symptoms that are sudden, severe, or rapidly worsening
  • High fever (over 103°F / 39.4°C) that doesn't respond to treatment
  • Chest pain, trouble breathing, fainting, or confusion
  • Signs of dehydration — dizziness, dark urine, unable to keep fluids down
  • Symptoms in someone who is pregnant, immunocompromised, or over 65

What alcohol withdrawal symptoms could be

The most common causes a clinician considers. This isn't a diagnosis — it's the differential a provider works through with you.

Alcohol use disorder

Alcohol use disorder is one of the more common causes of alcohol withdrawal symptoms. Ondoc can evaluate it online.

When to see a clinician

  • Symptoms have lasted more than a few days without improving, or keep coming back
  • You're not sure if this needs antibiotics, prescription treatment, or watchful waiting
  • You have a chronic condition (diabetes, heart disease, immunocompromised) that raises the stakes
  • You want a same-day plan without a trip to urgent care
Dr. Ikechukwu Ogbu, MD — Medical Director
Dr. Ikechukwu Ogbu, MD

Board-Certified · Internal Medicine · Medical Director

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