The Symptoms of Delirium Tremens

At first, loss of appstite, nausea, and vomiting, especially in the morning; either diarrhea or obstinate constipation; tongue coated and dry; great debility; pulse feeble and rapid; skin cold and moist; sleep unrefreshing, and disturbed by frightful dreams; patient generally wakeful; in most cases, .headache and dizziness; more or less mental disturbance; confusion of ideas; trembling of the muscles, first noticed in the tongue when protruded. When fully developed, wild expression on the face; hallucinations, illusions, and delusions; patient frightened by horrid fancies, as of reptiles and errifying objects seen all about him; entire absence of sleep; considerable fever; extremities cold; head greatly congested; patient talks incessantly; pupils strongly contracted; in some cases, convulsions.

Delirium tremens, although generally produced by the use of alcohol, is also sometimes occasioned by the use of tobacco, all the characteristic symptoms being present. The condition is one of intense poisoning of the nervous system, the nutrition of which is greatly interfered with. In delirium tremens from the use of alcohol, there is always present great congestion and often inflammation of the stomach, sometimes rendering the patient unable to retain food. In some cases the patient suffers with incessant vomiting for several days. The attack generally continues from three to five days. Ability to sleep is a very favorable symptom, as the patient generally awakes feeling refreshed.