Why does alcohol make you lose balance?

Answered by Robert Golston

The effects of on our balance and coordination are well-known. When we consume alcohol, it has a direct impact on our central nervous system, affecting various regions of the brain. One of the key areas affected is the cerebellum, which plays a vital role in maintaining balance and coordinating movements.

The cerebellum, often referred to as the “little brain,” is located at the back of the brain, just above the brainstem. It receives sensory information from the body and helps regulate motor functions, muscle tone, and posture. It works in conjunction with the vestibular system, a complex network of structures in the inner ear responsible for our sense of balance and spatial orientation.

When alcohol is introduced into the system, it interacts with the neurotransmitters in the brain, particularly gamma-aminobutyric acid (GABA) and glutamate. GABA is an inhibitory neurotransmitter that slows down brain activity, while glutamate is an excitatory neurotransmitter that speeds up brain activity. Alcohol enhances the inhibitory effects of GABA, leading to a general suppression of brain function.

The cerebellum is particularly sensitive to alcohol's effects due to its high concentration of GABA receptors. As a result, the communication between the cerebellum and other parts of the brain becomes impaired. This interference disrupts the precise coordination of muscle movements, leading to a loss of balance and coordination.

Furthermore, alcohol also affects the vestibular system, which relies on precise input from the inner ear to maintain balance. Alcohol can disturb the fluid balance in the inner ear, affecting the functioning of the vestibular apparatus. This disruption can result in dizziness, vertigo, and a distorted sense of spatial orientation.

To illustrate the impact of alcohol on balance, let me share a personal experience. As a sommelier, I have had the opportunity to taste and evaluate various alcoholic beverages. On one occasion, I attended a tasting event where I sampled a range of high-proof . As the evening progressed, I noticed a gradual decline in my balance and coordination. Tasks that would typically be effortless, like walking or pouring a glass of , became challenging and clumsy. It was a clear demonstration of how alcohol impairs our motor skills and disrupts our sense of balance.

Alcohol's effect on balance and coordination is primarily due to its suppression of the cerebellum and the vestibular system. By interacting with neurotransmitters in the brain, alcohol disrupts the communication between the cerebellum and other regions, leading to a loss of fine motor control and coordination. Additionally, alcohol can disturb the fluid balance in the inner ear, further contributing to a distorted sense of balance.