5 Diseases And Illnesses That Mimic Intoxication

It’s not fair.

There are times when you feel a little “off,” but you haven’t had anything to drink. What could it be? People don’t believe you when you say you’re not drunk, but it’s the truth. Fortunately, you’re not crazy.


There are very specific illnesses that can mimic intoxication. Get to the doctor immediately to get tested and to rule out other possibilities:

1. Diabetes

Diabetes is a condition in which you have trouble controlling your blood sugar. A person who has diabetes may look fine, but may also not look fine. In fact, when blood sugar drops, the person may feel very different – may even feel drunk or slightly intoxicated.


The signs and symptoms range from mild to severe.

Generally, the warning signs include:

  • A smell of acetone on your breath
  • Fruity body odor, which some police mistake as a mixed drink
  • Dizziness and trouble keeping balance
  • Disorientation
  • Altered state of consciousness
  • Hostility or mania
  • Unusual nervousness
  • Disorientation, especially concerning time or place
  • Inability to concentrate
  • Sudden mood change
  • Sweaty and clammy perspiration

2. Epilepsy

Epilepsy and related seizures occur without warning and are pretty scary. But, they, in and of themselves, are not life-threatening. It happens because of an abnormal electrical activity in the brain. A seizure can be either partial or generalized.

It will usually be accompanied by these symptoms:

  • A detachment from reality
  • A dreamy state
  • Dizziness
  • Falling
  • Sweating
  • Unresponsiveness to words or environment
  • Staring spells
  • Walking away during a conversation
  • Flushing
  • Heightened pleasure
  • Contorted posture or limbs
  • Aggressiveness or anger
  • Loss of consciousness
  • Unrealistically fearful

3. Traumatic Brain Injury

A brain injury is accompanied by symptoms correlating with the part of the brain that was injured.

For example:

  • Tremors
  • Dizziness
  • Inability to make simple movements
  • Inability to perform sequence of complex movements
  • Unable to focus
  • Unable to focus attention visually
  • Difficulties with hand-eye coordination
  • Difficulty speaking
  • Slurring speech
  • Aggressive behavior
  • Hallucinations, auditory or visual

Brain injuries occur during moments of stress or during physical activities. For example, if you play sports, you are at an increased risk of a brain injury. The injury may not even be apparent at first.

Because many people fall or knock their head during a game, it’s considered a common occurrence. Yet, even though it’s common, it can be life-threatening if it’s not dealt with immediately.


Slurred speech can be indicative of a serious injury, for example.

You may have a concussion or a hematoma – bleeding on the brain. Left untreated, you could die. If you’ve recently been in an accident of any kind, or suffered any kind of blow to the head, you should see your doctor immediately to rule out any damage to your brain.


4. Alzheimer’s

This illness is related to another illness, called “dementia.” And, while it’s uncommon for young people to suffer from it, it can happen. The disease is progressive. Meaning, once you have it, it only gets worse as time goes on.

Symptoms range from mild to severe, and may include symptoms that make the person appear drunk, like:

  • Paranoia
  • Changes in mood
  • Confusion and anger
  • Aggressiveness
  • Unresponsiveness
  • Falling down or disorientation
  • Incontinence
  • Trouble remembering things
  • Blank stare
  • Slurring speech or mumbling

Unfortunately, there is no treatment for Alzheimer’s disease. If you suspect that you may be in the early stages of the disease, contact your doctor and have tests run to confirm. A diagnosis means that you will likely notice a steady decline in your cognitive abilities.

And, the heartbreaking conclusion to the disease is that you will likely forget even your own family at some point, becoming totally dependent on others for basic survival.

5. Wilson’s Disease

This rare disease is thought to be genetic in nature. The body accumulates excess copper, and cannot clear it. Unfortunately, the excess copper damages the liver, and impaired detox pathways. It may also make a person sound or look drunk. It can impair normal bodily functions, too, and requires medication.

Other common symptoms include pain in the knees and other joints. While it’s not common, it does happen to people of all ages, but is usually diagnosed when an individual is young.

If you suspect you may have this disease, you need to see a doctor immediately and get tested. It can be life-threatening if left undiagnosed and untreated.

Paul Takakjian is the founding partner at Takakjian & Sitkoff, LLP and started his 35-year career as a district attorney in Los Angeles Superior courts (including West LA and Los Padrinos), Compton, Santa Monica, Beverly Hills, Culver City and Pomona. Paul is certified as a specialist in criminal law by the State Bar of California Board of Legal Specialization, a title reserved for the select attorneys who submit to a rigorous application and review process. He wrote the “DUI Prosecution Manual” while working at the District Attorneys Office, which the agency continued to use for several years after he left to start his private practice in 1987.