If you experience redness, swelling, nausea, or a headache after you drink, the problem may not be as simple as a hangover. You might have an allergy or intolerance to alcohol—or some of the ingredients used to make the spirit you're drinking. Our guide will help you determine if you may have an allergy or intolerance to alcohol, but if you experience a severe allergic reaction, such as difficulty breathing, it’s important to call emergency services immediately.

1

Look for flushing.

  1. You may notice redness on your face, neck, chest, or arms. Red flushing on the skin is one of the most common signs of alcohol intolerance. It is also very common for those of Asian descent, and is often referred to ‘Asian flush.’ Sufferers will initially feel a hot or tingling sensation prior to the red flushing. In some cases, your eyes might become red as well. These symptoms may result from drinking just one beer or glass of wine, and you’ll quickly notice your face and neck getting red.[1]
    • This reaction is caused by a mutation in the enzyme called acetaldehyde dehydrogenase, which is supposed to help metabolize alcohol.[2]
    • Those who experience Asian flush are at greater risk for cancer. There are numerous advertised products that claim to get rid of Asian flush, such as Pepcid, but they do not protect you from long-term effects of drinking alcohol. So it’s best to stick to less than 5 alcoholic drinks per week if you experience these symptoms.
    • Flushing may also be due to combining alcohol with a medication you are taking.
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3

Feel your skin for hives.

  1. Red, itchy bumps are a common symptom of an allergic reaction. These bumps appear pale red, and may also burn or sting. They can appear anywhere on the body, but you’ll typically see them on the face, neck, or ears. Hives usually fade on their own but can last up to an hour or even days on your skin.[4]
    • The appearance of hives typically means you are allergic to ingredients found in the alcohol. Stop drinking immediately and pick up a bottle of water instead.
    • If you experience hives, apply cool compresses or wet cloths to the affected areas to reduce any itchiness or burning.
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5

Look out for diarrhea after drinking alcohol.

7

Observe congestion and other allergy symptoms.

9

Do a skin prick test for a quick diagnosis.

  1. You may need to see an allergist for this test. During this test, the doctor places different drops of a solution containing various food allergens. Then, using a needle, the doctor gently pricks the skin to allow the solution to enter just below the surface. If a large white bump appears on the skin surrounded by redness, you are most likely allergic to the food that was tested. If no bumps or redness appears, you may not have an allergy to the test food.[10]
    • Ask the doctor to test you for foods that are commonly found in alcohol, such as grapes, gluten, seafood, and grains.
    • The results of this test typically appear within 30 minutes.
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11

Be wary of alcohol consumption if you have asthma or hay fever.

  1. Alcohol may aggravate these conditions. There are only a few scientific studies on the link between asthma and alcohol intolerance, but researchers have found that drinking alcohol can sometimes trigger asthma symptoms in those who have the condition. The most common alcoholic beverages that worsen asthma symptoms include champagne, beer, white wine, red wine, fortified wines (such as sherry and port), and spirits (whiskey, brandy, and vodka). Alcohol also affects those with hay fever because it contains varying amounts of histamine, which can worsen symptoms.[12]
    • If you have asthma or hay fever and suspect alcohol intolerance, stay away from red wine, which contains high levels of histamine.[13]
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12

Avoid alcohol if you have an allergy to grains or other foods.

  1. Alcoholic beverages may contain allergens. If you are allergic to certain foods that are common ingredients, you may experience an allergic reaction when drinking them. Red wine is the most common alcoholic beverage that will cause an allergic reaction. Beer and whiskey are also likely to cause allergic reactions because they contain the 4 common allergens: yeast, barley, wheat, and hops. Some other common food allergens found in alcohol that may be contributing to your allergic reaction include the following:[14]
    • Grapes
    • Gluten
    • Seafood proteins
    • Rye
    • Egg protein
    • Sulfites
    • Histamine

Warnings

  • This article's advice is intended for people of legal drinking age.
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  • Mild alcohol intolerance may not require a trip to the doctor. However, if you’re experiencing severe symptoms, such as trouble breathing, dizziness or fainting, or increased heart rate, call emergency services immediately. These may be signs of a life-threatening allergic reaction.
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About This Article

Erik Kramer, DO, MPH
Medically reviewed by:
Doctor of Osteopathic Medicine
This article was medically reviewed by Erik Kramer, DO, MPH. Dr. Erik Kramer is a Board-Certified Primary Care Physician at the University of Colorado. With over 15 years of experience, his clinical interests include obesity and weight management, diabetes care, and preventive care, as well as embracing a holistic approach to primary care. He received his Doctorate in Osteopathic Medicine (D.O.) from the Touro University Nevada College of Osteopathic Medicine and completed his residency at Central Maine Medical Center. Dr. Kramer is a Diplomate of the American Board of Obesity Medicine. This article has been viewed 919,966 times.
31 votes - 82%
Co-authors: 18
Updated: December 2, 2021
Views: 919,966

Medical Disclaimer

The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.

Article SummaryX

If you have allergies to liquor, you might get red flushes on your face, neck, chest, or arms when you drink. This will usually be accompanied by a hot or tingling sensation. Some people also get swelling around their face after drinking. Others get hives, which are red, itchy bumps that appear across your skin. It’s common to vomit when you drink excessive amounts of liquor, but if you experience nausea and vomiting after only 1 or 2 drinks, or you get a headache, you probably have an alcohol allergy. While not as common, some people with asthma or hay fever also find that alcohol can trigger their condition. If alcohol brings on your asthma or hay fever, stay away from red wine, since this contains high levels of histamine. For more tips from our Medical co-author, including how to get tested for an alcohol allergy, read on.

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