
Alcohol is a depressant that affects the cerebellum, the part of the brain that controls balance and coordination. When you stand up, blood rushes to your legs, lowering the blood pressure in your upper body and head, resulting in dizziness. If you're drunk, your body struggles to stabilise your blood pressure quickly, making you feel even more dizzy. Additionally, alcohol is absorbed into the bloodstream faster on an empty stomach, and the more alcohol in the blood, the drunker you feel. The effects of alcohol vary from person to person, but it typically reaches the brain within 5 minutes, and you may start feeling its effects within 10 minutes.
| Characteristics | Values |
|---|---|
| Why does alcohol hit harder when standing up? | Alcohol affects the cerebellum, the part of the brain that controls balance and coordination. When standing up, the body needs to coordinate and balance more, and alcohol impairs the body's ability to do this. |
| Alcohol absorption rate | Alcohol is absorbed faster on an empty stomach. Food slows down the rate of absorption. |
| Factors affecting absorption | The type of drink: carbonated drinks enter the system faster. The way of drinking: sipping allows the effects to kick in more gradually. |
| Alcohol's effect on the body | Alcohol passes quickly into the bloodstream and travels to the brain, kidneys, lungs, and liver. It also affects blood pressure and causes blood vessels to widen. |
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What You'll Learn
- Alcohol impairs the cerebellum, which controls balance and coordination
- Blood pressure changes when standing, which can cause dizziness
- Alcohol widens blood vessels, increasing blood flow to the skin
- Food in the stomach slows alcohol absorption; drinking on an empty stomach speeds it up
- Alcohol affects the brain first, then the kidneys, lungs and liver

Alcohol impairs the cerebellum, which controls balance and coordination
Alcohol affects the cerebellum, which is the part of the brain that controls balance and coordination. When a person is drunk, their cerebellum is impaired, and they will experience deficits in coordination. This is why people who are drunk may appear to stumble or have trouble walking in a straight line.
When a person stands up, they need to engage in balancing and coordinating their body. Usually, this is an automatic process that the body can handle without much conscious effort. However, when the cerebellum is impaired due to alcohol consumption, the task of balancing and coordinating becomes more challenging.
The act of standing up also causes a drop in blood pressure, which can lead to a feeling of lightheadedness. This is because gravity allows blood to move down into the legs, effectively lowering the blood pressure in the upper body and head. If a person is already feeling dizzy from drinking alcohol, the drop in blood pressure when they stand up can make them feel even more unsteady.
Additionally, alcohol is absorbed into the bloodstream through the small blood vessels in the mouth and tongue, as well as the stomach and small intestine. The more alcohol in the bloodstream, the higher the blood alcohol content (BAC), and the drunker a person will feel. Alcohol also causes blood vessels to widen, which can further impact blood pressure and the feeling of dizziness when standing up.
The effects of alcohol on the cerebellum and the resulting impact on balance and coordination can make it difficult for a person to stand up and maintain their balance when they are intoxicated. This is why alcohol can "hit" a person when they stand up, as they may feel a heightened sense of dizziness or unsteadiness due to the combined effects of alcohol on their brain and blood pressure.
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Blood pressure changes when standing, which can cause dizziness
When you drink alcohol, it quickly enters your bloodstream through small blood vessels in your mouth and tongue and travels to every part of your body. Alcohol affects your brain first, then your kidneys, lungs and liver. As the concentration of alcohol in your bloodstream increases, your behaviour and body functions change.
The amount of alcohol in your blood at a given time also determines how drunk you feel. When you stand up, blood rushes to your legs due to gravity, effectively lowering the blood pressure in your upper body and head, which leads to a feeling of lightheadedness. If you are already dizzy from drinking alcohol, standing up can make this feeling more pronounced.
Additionally, alcohol depresses your system, affecting the part of your brain (cerebellum) that controls balance and coordination. When you stand up, you need to balance and coordinate more, and alcohol impairs your ability to do so. The dizziness of orthostatic hypotension (lightheadedness from a brief drop in blood pressure when standing) is different from the decreased coordination caused by drunkenness.
Other factors that influence how drunk you feel include the type of drink, the amount consumed, the presence of food in the stomach, your weight, age, and gender. Carbonated drinks enter the system faster, and drinks with a higher alcohol content lead to a quicker rise in blood alcohol content (BAC). Drinking on an empty stomach allows alcohol to reach the bloodstream faster, while eating before drinking slows down absorption. Your weight and body composition also impact how quickly you feel the effects, as individuals with lower body weight have less tissue to absorb alcohol. Older adults tend to get drunk quicker than younger adults due to changes in metabolism, liver function, body composition, and hydration.
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Alcohol widens blood vessels, increasing blood flow to the skin
Alcohol has a depressive effect on the body's systems. When drunk, the body is unable to stabilise blood pressure quickly enough when transitioning from a sitting to a standing position, resulting in dizziness. This is due to the effect of alcohol on the cerebellum, the part of the brain that controls balance and coordination.
When alcohol enters the bloodstream, it widens the blood vessels. This increases blood flow to the skin, causing physical symptoms such as blushing. The rate at which alcohol enters the bloodstream is influenced by several factors, including the presence of food in the stomach, the type of drink, and the speed of consumption. For example, drinking on an empty stomach allows alcohol to pass directly into the bloodstream, increasing the rate of absorption.
Carbonated drinks, such as champagne or whiskey soda, also enter the system faster, resulting in a quicker rise in blood alcohol content (BAC). The higher the BAC, the more pronounced the effects of alcohol become. This includes the sensation of dizziness when standing up, as the blood rushes to the legs, lowering the blood pressure in the upper body and head.
Additionally, the more alcohol that is consumed in a short period, the more alcohol remains in the bloodstream. This is because the liver, which metabolises more than 90% of alcohol, can only process one standard drink per hour. Therefore, excessive drinking can lead to a higher BAC and an increased risk of alcohol poisoning.
In summary, alcohol widens blood vessels, increasing blood flow to the skin and causing physical symptoms such as blushing. The rate at which alcohol enters the bloodstream is a critical factor in the overall effects on the body, including the sensation of dizziness when standing up due to the sudden drop in blood pressure.
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Food in the stomach slows alcohol absorption; drinking on an empty stomach speeds it up
When you drink alcohol, it quickly enters your bloodstream and travels to every part of your body, primarily affecting your brain, kidneys, lungs, and liver. The rate at which alcohol is absorbed into the bloodstream is influenced by various factors, including weight, age, gender, and liver health.
Food in the stomach plays a crucial role in slowing down alcohol absorption. When you drink on a full stomach, the rate at which alcohol reaches the small intestine is reduced, allowing for a more gradual absorption that the body can better manage. This helps to avoid feeling too drunk too quickly. Eating before drinking can increase the rate of alcohol elimination from the bloodstream by 25-45%. It is recommended to consume foods containing a mix of protein, fat, and carbohydrates.
On the other hand, drinking on an empty stomach speeds up alcohol absorption. Without food in the stomach, alcohol passes directly into the bloodstream, leading to a faster and more pronounced effect. This can result in a higher peak blood alcohol concentration (BAC) within 30 minutes to two hours of drinking. Consuming alcohol on an empty stomach can lead to unpleasant side effects associated with a hangover and, in extreme cases, can be dangerous or even fatal.
It is important to note that drinking alcohol, especially in excessive amounts, can have negative consequences for your health. Alcohol is a diuretic, increasing urine production and the risk of dehydration. Additionally, drinking too much or too quickly can lead to stomach pain, nausea, and vomiting, which may be signs of alcohol poisoning, a life-threatening condition.
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Alcohol affects the brain first, then the kidneys, lungs and liver
When you drink alcohol, it passes directly into your bloodstream without being digested. Alcohol affects your brain first, then your kidneys, lungs, and liver.
Alcohol influences the cerebellum, the part of the brain that controls balance and coordination. This is why you may feel more drunk when you stand up suddenly, as you need to use more coordination and balance. In addition, when you stand up, your blood rushes down to your legs, lowering the blood pressure in your upper body and head, which leads to a feeling of lightheadedness. If you are already dizzy from drinking, you will feel the effects more strongly when you stand up.
The ethanol in alcohol slows down neuron and brain activity, influencing the metabolism and increasing the effects of vital neurotransmitters and amino acids. This can cause tiredness, reduced reflexes, and aggressive behaviour. Alcohol also affects the neurotransmitters' signals to the brain, such as serotonin and dopamine, also known as the "happy chemicals". When the brain doesn't receive the needed amount of these chemicals, depression can occur.
As alcohol travels to every part of your body, it also affects your kidneys, lungs, and liver. Alcohol is a diuretic, increasing urine production and causing dehydration. When inhaled, alcohol can enter the bloodstream through the lungs. The liver oxidises 95% of alcohol, converting it into water and carbon monoxide. On average, the liver takes about an hour to break down one unit of alcohol.
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Frequently asked questions
When you stand up, blood rushes to your legs, effectively lowering the blood pressure in your upper body and head, which can make you feel lightheaded. If you're already feeling dizzy from drinking alcohol, standing up will only make it more pronounced.
Alcohol enters the bloodstream through small blood vessels in the mouth and tongue, as well as through the stomach and small intestine. Drinking on an empty stomach allows alcohol to enter the bloodstream faster.
The number of drinks and whether you have food in your stomach are factors that influence how quickly alcohol takes effect. Carbonated drinks also enter the system faster, and drinking quickly will get more alcohol into your body faster.
Alcohol typically reaches the brain within 5 minutes, and you may start to feel happy and less inhibited. However, the effects and how pronounced they are vary from person to person.
Alcohol affects the cerebellum, the part of the brain that controls balance and coordination. It also impairs decision-making and can lead to changes in brain function and thinking with heavy use.










































