Which symptom is NOT associated with alcohol withdrawal syndrome?

• A. Tremors
• B. Delirium tremens
• C. Decreased appetite
• D. Diarrhea

Answer: (C)

Decreased appetite is not typically a core symptom associated with alcohol withdrawal syndrome. While individuals experiencing withdrawal may exhibit changes in appetite due to various psychological and physiological factors, decreased appetite is not a definitive characteristic or diagnostic criterion for withdrawal.

In contrast, tremors are one of the hallmark symptoms of alcohol withdrawal and often begin several hours after the last drink. Delirium tremens, a severe form of alcohol withdrawal, encompasses a spectrum of symptoms including confusion, hallucinations, and severe autonomic instability, making it a critical component of the syndrome. Diarrhea can occur as part of the body's hyperactive response during withdrawal, stemming from autonomic nervous system involvement. Thus, the presence of these symptoms reinforces the distinct profile of alcohol withdrawal, while decreased appetite, although it may happen, does not have the same grounding in the withdrawal syndrome itself.