Symptoms most commonly occur within 72 hours after the last drink, but may occur up to 7 - 10 days after the last drink. Symptoms may get worse rapidly, and can include: Body tremors ; Mental status changes Agitation, irritability; Confusion , disorientation; Decreased attention span ; Decreased mental status Deep sleep that persists for a day or longer; Stupor , sleepiness, lethargy; Usually occurs after acute symptoms. ; Delirium (severe, acute loss of mental functions); Excitement; Fear; Hallucinations (such as seeing or feeling things that are not present are most common); Highly sensitive to light, sound, touch; Increased activity; Mood changes rapidly; Restlessness , excitement. ; Seizures Most common in first 24 - 48 hours after last drink; Most common in people with previous complications from alcohol withdrawal; Usually generalized tonic-clonic seizures. ; Symptoms of alcohol withdrawal Anxiety ; Depression ; Difficulty thinking clearly; Fatigue ; Feeling jumpy or nervous; Feeling shaky; Headache, general, pulsating; Insomnia (difficulty falling and staying asleep); Irritability or easily excited; Loss of appetite ; Nausea ; Pale skin ; Palpitations (sensation of feeling the heart beat); Rapid emotional changes; Sweating , especially the palms of the hands or the face; Vomiting. Additional symptoms that may occur: Chest pain ; Fever ; Stomach pain .
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