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Caffeine - Friend or Foe?

By Dr. Randi Fredricks, Ph.D.

Over the past 50 years, smoking has almost disappeared, and is pretty much history in California. Is coffee the next bastion to be overthrown? It's unlikely, given the fact that caffeine is a legal and widely accepted drug.

Although there are positive aspects to caffeine consumption, such as a burst of energy and brief periods of increased mental and physical performance, there's also risks such as overdosing and the possibility of becoming dependent.

It probably won't surprise you to hear that people who use large amounts of caffeine over long periods build up a tolerance to it. When that happens, they have to use more and more caffeine to get the same effects. Heavy caffeine use can also lead to dependence. If an individual stops using caffeine abruptly, withdrawal symptoms may occur, including headache, fatigue, drowsiness, yawning, irritability, restlessness, vomiting, or runny nose. These symptoms can go on for long as a week.

Caffeine may cause problems for people with these medical conditions:

  1. peptic ulcer
  2. heart arrhythmias or palpitations
  3. heart disease or recent heart attack (within a few weeks)
  4. high blood pressure
  5. liver disease
  6. insomnia (trouble sleeping)
  7. anxiety or panic attacks
  8. agoraphobia (fear of being in open places)
  9. premenstrual syndrome (PMS)
In deciding whether caffeine represents a health risk, it helps to understand how it works. Caffeine stimulates the brain, which makes you less tired, increases alertness, quickens reaction time, and improves motor tasks, such as typing. Caffeine also causes an increase in heart rate, quicker movement of food through the digestive system, an increase in stomach acid, and relaxation of certain muscles. Caffeine is also a diuretic, which means it increases urine output.

The body rapidly absorbs caffeine once ingested. Because caffeine is perceived as a foreign chemical by the body, it is removed as soon as it is consumed. But, it may take from 10 to 14 hours for the body to totally eliminate caffeine, and its stimulatory effects continue as long as it remains in your body. Once in the body, caffeine goes wherever there's water, which means just about everywhere.

Even at small doses, such as a couple cups of coffee a day, caffeine can cause restlessness, irritability, nervousness, shakiness, headache, lightheadedness, sleeplessness, nausea, vomiting, and upset stomach. At higher doses, caffeine can cause excitement, agitation, anxiety, confusion, a sensation of light flashing before the eyes, unusual sensitivity to touch, unusual sensitivity of other senses, ringing in the ears, frequent urination, muscle twitches or tremors, heart arrhythmias, rapid heartbeat, flushing, and convulsions.

If you're an individual who shouldn't be drinking coffee, you'll know it. If you consistently need caffeine for energy and you find you can't make it through the day without it, you've probably crossed the line where it's become hazardous to your health.

About the Author

Dr. Randi Fredricks, Ph.D. is a psychotherapist and author specializing in the treatment of mental health using integrative medicine and natural therapies. She works with individuals, couples, and families at her office in San Jose, California and is the founder of All Things Well, a certified provider of The Listening Program. Dr. Fredricks' publications include the landmark book Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. No part of this article may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems. Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Dr. Randi Fredricks as articles often present the published results of the research of other professionals. Copyright © 2012.



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Dr. Randi Fredricks, Ph.D., is a certified provider of the Listening Program. This site does not provide medical advice, diagnosis, or treatment and is intended for informational purposes only. No therapeutic relationship is established by the use of this site. Dr. Fredricks is a Licensed Marriage Family Therapist MFC 47803.
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