In a person with delirium tremens, it is important to rule out other associated problems such as electrolyte abnormalities, pancreatitis, and alcoholic hepatitis.
[2] Prevention is by treating withdrawal symptoms using similarly acting compounds to taper off the use of the precipitating substance in a controlled fashion.
In general, DT is considered the most severe manifestation of withdrawal from alcohol or other GABAergic drugs, and can occur between the second and tenth days after the last drink.
[11] DT can sometimes be associated with severe, uncontrollable tremors of the extremities, and secondary symptoms such as anxiety, panic attacks, and paranoia.
Confusion is often noticeable to onlookers as those with DT will have trouble forming simple sentences or making basic logical calculations.
In a person with delirium tremens, it is important to rule out other associated problems, such as electrolyte abnormalities, pancreatitis, and alcoholic hepatitis.
[2] In the 1945 film The Lost Weekend, Ray Milland won the Academy Award for Best Actor for his depiction of a character who experiences delirium tremens after being hospitalized, hallucinating that he saw a bat fly in and eat a mouse poking through a wall.
At mealtime, roughly 48 hours later, Whitfield becomes hysterical upon being served food in the mess tent, claiming that things are crawling onto her from it.
During his travels, he experiences delirium tremens on a couch after waking up from a binge and crawls in pain to the refrigerator for more vodka.
In English Writer Mona Caird's feminist novel The Daughters of Danaus (1894), "[a]s for taking enfeeblement as a natural dispensation," the character Hadria "would as soon regard delirium tremens in that light."
American writer Mark Twain describes an episode of delirium tremens in his book The Adventures of Huckleberry Finn (1884).
In chapter 6, Huck states about his father, "After supper pap took the jug, and said he had enough whisky there for two drunks and one delirium tremens.
One of the characters in Joseph Conrad's novel Lord Jim experiences "DTs of the worst kind" with symptoms that include seeing millions of pink frogs.
Professor Parkins while staying at the Globe Inn when in coastal Burnstow to "improve his game" of golf, despite being "a convinced disbeliever in what is called the 'supernatural'", when face to face with an entity in his "double-bed room" during the story's climax, is heard "uttering cry upon cry at the utmost pitch of his voice" though later "was somehow cleared of the ready suspicion of delirium tremens".
American writer Jack Kerouac details his experiences with delirium tremens in his book Big Sur.
Alcoholic scoundrel John Raffles, both an abusive stepfather of Joshua Riggs and blackmailing nemesis of financier Nicholas Bulstrode, dies, whose "death was due to delirium tremens" while at Peter Featherstone's Stone Court property.
Fito Páez and Joaquín Sabina have a song called "Delirium Tremens" on their 1998 collaborative album, ''Enemigos Íntimos''.
[25] Nicknames for delirium tremens include "the DTs", "the shakes", "the oopizootics", "barrel-fever", "the blue horrors", "the rat's", "bottleache", "bats", "the drunken horrors", "seeing pink elephants", "gallon distemper", "quart mania", "janky jerks", "heebie jeebies", "pink spiders", and "riding the ghost train",[26] as well as "ork orks", "the zoots", "the 750 itch", and "pint paralysis".
Another nickname is "the Brooklyn Boys", found in Eugene O'Neill's one-act play Hughie set in Times Square in the 1920s.