Value Village / Health

What are the common misunderstandings about dealing with a hangover?

This answer is a draft. It stays unpublished until legal review and source verification are complete.

The answerThe biggest misunderstanding is "there is a food or drink that works on a hangover." The main causes of a hangover are dehydration, low blood sugar, acetaldehyde and poor-quality sleep; what reliably helps is time, fluids, sugar and rest. Commercial drinks and supplements may not claim to prevent or relieve hangovers, and "hair of the dog" (迎え酒, mukae-zake) only postpones the symptoms. Prevention is how much you drink, and water while you drink.

Every country has its "miracle hangover fix". In Japan the classics are shijimi (freshwater clam) miso soup, umeboshi (salted pickled plum) and ukon (turmeric) drinks. Here is what is solid and what has no evidence, based on the Ministry of Health, Labour and Welfare (MHLW) drinking guidelines of 2024 and standard physiology.

How a hangover works and what to do

CauseSymptomsWhat to do
DehydrationHeadache, thirst, fatigue (alcohol is a diuretic)Water, oral rehydration solution or a sports drink, in small sips (see our article on oral rehydration solutions)
Low blood sugarUnsteadiness, cold sweat, weaknessSugar (fruit, rice porridge, honey)
AcetaldehydeNausea, palpitations, facial flushing. How well you break it down is genetic (about 40% of Japanese people have a weak enzyme)Time (wait for it to break down). Hair of the dog slows the breakdown further
Stomach irritationStomach pain, nauseaSmall amounts of easily digested food; OTC stomach medicine as directed
Poor sleep qualityDrowsiness, poor concentrationRest (see our article on alcohol and sleep)
Acetone and inflammatory substancesGeneral fatigueTime
Popular "fix"Assessment
Shijimi (freshwater clam) miso soupReasonable as fluid, salt and amino acids. A food may not claim "ornithine helps the liver", and no evidence has been confirmed that it eases a hangover
Ukon (turmeric, curcumin) drinks and supplementsInsufficient evidence that they prevent or improve hangovers (National Institute of Health and Nutrition). Reports of liver damage exist; people with liver disease should take care
Hair of the dog (mukae-zake)Masks the symptoms for a while and slows the breakdown. Risk of alcohol dependence
Sweating it out in a sauna or with exerciseWorsens dehydration; dangerous (see our sauna article)
CoffeeCaffeine wakes you for a while; the diuretic effect worsens dehydration. A small amount is fine
OTC headache tabletsParacetamol (acetaminophen) taken with alcohol burdens the liver. Follow the directions and avoid it straight after drinking
[Verify] Check the 2024 drinking guidelines, the assessment of turmeric in the National Institute of Health and Nutrition's "health foods" database, and the ALDH2 proportion on e-Health Net.

Misunderstanding 1|There is a drink that works on hangovers

No product may make that claim, and no evidence has been confirmed. Fluids, sugar, time.

Misunderstanding 2|Hair of the dog makes you feel better

It slows the breakdown and postpones the symptoms. It is generally described as a gateway to dependence.

Misunderstanding 3|Sweat the alcohol out

Almost no alcohol leaves through sweat; dehydration worsens and it is dangerous. No sauna, no hard exercise.

Misunderstanding 4|Take ukon beforehand and you're protected

Insufficient evidence, and there are reports of liver damage. Prevention is how much you drink, plus water and food while drinking.

Misunderstanding 5|Take a headache tablet and have another

Paracetamol with alcohol burdens the liver. Avoid painkillers straight after drinking; the next morning, as directed. Severe headache, vomiting that will not stop, or confusion is an emergency (call 119 for an ambulance in Japan): possible acute alcohol poisoning.

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Sources

https://www.mhlw.go.jp/stf/newpage_37785.html

https://hfnet.nibiohn.go.jp/

https://www.e-healthnet.mhlw.go.jp/information/alcohol/a-02-001.html

⚠️ Editorial note: the source URLs above were identified by search. Our working environment cannot reach go.jp domains, so the contents have not been checked against the text. Verify every source before publication and record who checked it and when.

About this article

What we share here are ideas and everyday practices passed down among people living in Japan, together with general information drawn from public sources. They are not official recommendations, and they are not professional instruction. Practices vary between households and regions.

This is general information. Results vary from person to person and depend on your own conditions and surroundings.

Please decide for yourself, using your own judgement, whether any of this suits your situation. We cannot accept responsibility for any damage, loss or injury arising from following this article.

This article is not meant to diagnose or manage any specific medical condition. If you are worried about your health, see a doctor rather than relying on your own judgement.

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