Why Does Red Wine Cause a Headache?

Folks have been complaining about wine headaches since historic Greece.

Whereas all varieties of alcohol may cause complications, particularly in people who find themselves susceptible to migraines, red wine seems to be notably pernicious. However scientists nonetheless aren’t certain why it’s a catalyst.

“This puzzle has been round for actually hundreds of years,” mentioned Dr. Morris Levin, director of the Headache Heart on the College of California, San Francisco, Medical Heart. “There are a variety of elements in wine that would conceivably trigger a headache, not the least of which is simply alcohol itself.”

A preliminary examine published Monday within the journal Scientific Experiences proposes a novel principle: An antioxidant present in grape skins impacts how your physique processes alcohol, resulting in the buildup of a toxic byproduct that causes complications.

Right here’s what the science says about crimson wine complications and stave them off earlier than you sip.

A wine headache, which occurs within the first three hours after you have got a drink, isn’t the identical as a hangover, which kicks in later.

One thought is that allergic reactions are responsible for that achy, throbbing feeling. Some individuals are delicate to histamines, that are discovered in lots of fermented meals, together with crimson wine. However studies testing the histamine speculation discovered no distinction in folks’s responses to pinot noirs with high and low ranges of histamines, or when folks got an antihistamine earlier than ingesting a glass of Sangiovese.

An allergy to sulfites, a sort of preservative present in wine, is one other potential trigger, although there are not any research really proving that sulfites in crimson wine can deliver on complications. And different meals, like dried fruits and soy sauce, comprise extra sulfites and don’t have the identical popularity.

The present main principle amongst scientists factors to a group of chemicals known as polyphenols, which incorporates the tannins and antioxidants which might be current in crimson wines. Researchers have struggled to find out which particular compounds is likely to be the wrongdoer, or precisely how they trigger complications. What’s extra, different meals — like tea, chocolate, onions and berries — additionally comprise excessive ranges of those chemical substances however don’t have a powerful hyperlink to complications.

The brand new examine suggests crimson wine complications is likely to be attributable to a mix of alcohol and a sure polyphenol, an antioxidant known as quercetin.

To reach at their speculation, the researchers seemed to a different recognized reason for alcohol-induced complications: a genetic variant that’s frequent in folks of East Asian descent and that results in complications, flushing and nausea in the event that they drink alcohol. The variant interferes with how the physique processes alcohol, resulting in a buildup of a dangerous compound known as acetaldehyde.

“In small quantities, we will deal with” acetaldehyde with out feeling sick, mentioned Lara Ray, a psychology professor on the College of California, Los Angeles, who makes a speciality of alcohol use problems and was not concerned within the examine. However when alcohol isn’t metabolized correctly, “the physique then reveals this aversive response.”

The researchers got down to discover a compound in crimson wine which may equally impede this course of. In lab checks, they discovered that was the case with quercetin, an antioxidant produced by grapes after they’re uncovered to daylight. “We seek advice from this as sunscreen for grapes,” mentioned Andrew Waterhouse, a professor emeritus of oenology (wine chemistry) on the College of California, Davis, and an writer of the examine.

The concept quercetin causes wine complications continues to be only a principle, however “it’s a compelling argument,” Dr. Ray mentioned.

Nonetheless, Vasilis Vasiliou, the chair of the division of environmental well being sciences at Yale College and a specialist in alcohol metabolism, cautioned that what occurs in a petri dish doesn’t at all times translate to what occurs within the human physique. He added that other research has advised that quercetin can really assist protect against injury attributable to alcohol.

To check their speculation, the researchers might want to evaluate folks’s responses to wines which might be excessive and low in quercetin.

If you happen to’re susceptible to crimson wine complications, you would strive taking an over-the-counter painkiller earlier than you have got a glass; one small study advised that doing so prevented them. However watch out about utilizing acetaminophen or ibuprofen in the event you’re ingesting greater than a glass or two — taking them with alcohol can elevate the danger of liver injury and gastrointestinal bleeding.

The only resolution is likely to be to modify wines. Each inexperienced and crimson grapes comprise quercetin, however for white and rosé wines, the skins are eliminated instantly after the fruit is crushed. The skins are left in whereas crimson and orange wines ferment, so extra quercetin leaches into the wine. There’s some research into which crimson wines have decrease quercetin ranges, however there are not any definitive solutions but.

For Dr. Levin, a co-author of the brand new examine, the pursuit has turn out to be considerably private — he lately developed the disagreeable response to crimson wine and now seeks out varietals that he hopes gained’t have an effect on him. “I feel I do know which wines is likely to be the extra tolerable ones, however I’m not fairly certain but,” he mentioned. “So it’s one other experiment.”

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