Concerned about your alcohol intake?
If you have landed on this webpage, it is likely that you are worried about your drinking and are concerned that drinking alcohol might raise your risk of cancer. Cancer and alcohol consumption have been closely linked. Alcohol has been linked to multiple forms of cancer, significantly increasing the risk of developing malignancies. This article discusses seven specific forms of cancer associated with drinking alcohol, the biological mechanisms at play, and how individuals can reduce their cancer risk and alcohol intake.
Reducing your intake of alcohol is key to the effective prevention of cancers caused by alcohol misuse, with research showing a clear link between its consumption and certain types of cancers in the body. 1,2
What You Will Learn on this Page
- Alcohol is known to cause seven forms of cancer
- Binge drinking alongside smoking increases the risk further
- Cutting down or stopping drinking helps to mitigate risks
- If you have cancer, there are many benefits to cutting out alcohol
What Are the Other Effects adnd Risks of Alcohol?
Alcohol addiction can cause many adverse health reactions, including cancer. Find out more, here.
The link between alcohol consumption and cancer is complex but well-documented. Globally, alcoholic drinks are recognised as a significant risk factor for malignancy (when abnormal cells grow rapidly out of control and spread throughout the body). 1,3
Even drinking a moderate or less extreme amount of alcohol can lead to a higher chance of developing several types of cancer, with recent studies suggesting that no amount of alcohol is completely safe when it comes to the risk of cancer. 4,5
Moderate consumption – typically defined as up to one drink per day for women and two for men – contributes to a higher risk of certain cancers. The risk stems from alcohol’s metabolic by-product, known as acetaldehyde, a toxic chemical that can damage your DNA and the proteins in your body. 2,3
Why Does Alcohol Increase the Risk of Cancer?
Alcohol increases the risk of several cancers developing in the body through the production of acetaldehyde during the breakdown of ethanol. Acetaldehyde, a carcinogen (which means it has the potential to cause cancer), damages DNA and impairs any repair that the body might need. This can lead to the worsening of the disease and the potential spread of cancer over time. 2,3
This damage affects the division of cells within your body, particularly in areas that come into direct contact with alcohol, such as the mouth, throat, and bowel, as well as the liver. These cancers, including bowel cancer and alcohol, are strongly linked.
Research also shows that alcohol raises the levels of some hormones, such as oestrogen and insulin, in our bodies. Increased levels of these hormones make cells in your body divide more frequently and at a much faster rate, which can greatly increase the chance of developing cancer, as well as contribute to its spread throughout your body. 2,5
Which Cancers are Linked to Alcohol Consumption?
These are the seven forms of cancer strongly linked to alcohol consumption. It’s important to note that while these cancers have strong links to consuming alcohol, the risk can vary based on individual factors, such as genetics, overall health, and other lifestyle choices. Exact percentage increases vary across studies, and we have focused here on percentages of risks caused by heavy alcohol consumption:
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Oral and Pharyngeal Cancer
As a site of direct alcohol exposure, the risk of mouth and throat cancer is the highest, an increase of 413% when high levels of alcohol are consumed. This means that if you drink heavily, your risk of mouth and throat cancer is over 4 times higher than someone who does not drink. 1,2
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Laryngeal Cancer
The larynx, or voice box, located in the neck, is at 165% increased risk of cancer from heavy drinking.
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Oesophageal Cancer
Regular drinking can also contribute to oesophageal cancer (or cancer of the gullet), which is caused by direct damage to the oesophageal lining. The risk of oesophageal cancer is 33-50% higher in drinkers than in non-drinkers. The risk of contracting oesophageal cancer becomes even higher when regular alcohol consumption or use is combined with smoking. 1,2,6
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Liver Cancer
Chronic alcohol use leads to liver disease, including liver cirrhosis (a scarring of the liver) – a sign or symptom that can lead to liver cancer. The risk is increased significantly when alcohol is consumed heavily and regularly over a long period of time. Heavy drinking has been associated with a 107% increased liver cancer risk. 1,2,6
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Breast Cancer
Increased acetaldehyde and raised hormone levels increase the risk of breast cancer in women who drink alcohol, even in moderate amounts, and face a higher chance of developing breast cancer. This risk unfortunately applies to women of all ages, but women in the post-menopausal phase may be particularly vulnerable. Heavy drinking has demonstrated a 61% higher risk of breast cancer. Therefore, alcohol and breast cancer are linked.6
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Colorectal Cancer
Heavy alcohol consumption has been linked to a 44% increased risk of developing colorectal cancer. Colorectal cancer includes a link between colon cancer and alcoholism. This is due to acetaldehyde formation in the gut, oxidative stress and changes in the gut microbiota, folate deficiency and inflammation. 6,7
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Gallbladder Cancer
Chronic inflammation, gallstone formation (which causes damage and inflammation) and bile toxicity are responsible for the high level of gallbladder cancer risk from heavy alcohol consumption. This risk is 164%, which is high considering the gallbladder isn’t a site that comes into direct contact with alcohol, unlike the mouth or throat. While rare, gallbladder cancer is aggressive, making its link to heavy drinking particularly concerning.8
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Stomach Cancer
Damage to the stomach lining due to heavy drinking and inflammation is primarily responsible for a 21% likelihood of stomach cancer among heavy drinkers.
Comprehensive, Evidence-Based Alcohol Rehab
Learn more about treatment for alcohol addiction.
Colon Cancer and Alcoholism
Long-term alcohol misuse has been linked to an increased risk of colon cancer. Heavy drinking can damage the lining of the colon, promote inflammation, and alter gut bacteria, all of which may contribute to the development of cancerous cells. People with alcoholism are therefore at higher risk, especially if alcohol use is combined with other factors such as smoking or a poor diet.
Alcohol and Bowel Cancer
Research shows a clear association between alcohol consumption and bowel cancer risk. Even moderate drinking can increase the likelihood of developing bowel cancer, with higher levels of intake leading to greater risk. For people with a family history of bowel cancer, cutting back or quitting alcohol can be an important preventive step.
Colorectal Cancer and Alcohol
Colorectal cancer, which affects both the colon and rectum, is one of the most common cancers linked to alcohol use. Studies suggest that the risk rises in line with the amount of alcohol consumed, regardless of whether it comes from wine, beer, or spirits. Reducing alcohol intake is a practical way to lower the chance of developing colorectal cancer over time.
Reducing Your Risk
Consuming alcohol in any amount increases the risk of developing cancer, as carcinogenic compounds such as acetaldehyde, which are produced when alcohol is metabolised in the body, can damage DNA and stop the body from repairing itself. 2,3
Here are some key points to consider:
- Cut Down on Alcohol Consumption: Even small reductions can have a positive impact. 3,4,5
- Avoid Binge Drinking: This often makes the harmful effects of alcohol even worse, increasing the likelihood of acute damage on a cellular level as well as inflammation around the body. 1,3
- Don’t Smoke: When paired with smoking, the carcinogenic or cancer-inducing potential of alcohol is greatly increased. 1,2
- Be Aware of Persistent Risk: the elevated risk of getting cancer from alcohol consumption can persist for years – even after stopping drinking. However, take comfort in knowing that whilst the risk might not disappear immediately, it does significantly decrease over time. 3,4
- Seek Help if Needed: Many resources are available to anyone who is looking for support either for themselves or for a loved one. These include counselling, support groups, and medical interventions. 5
A gradual or steady reduction in the intake of alcohol can lead to many health benefits, such as improved immune function, better hormonal regulation, and less oxidative stress (something that causes damage to your organs and tissues). Any amount of reduction in intake can have positive effects on your overall health and cancer risk. 3,4,5
Should I Quit Alcohol If I Have Cancer?
If you have been diagnosed with cancer, it is important to understand that while alcohol consumption is a known risk factor for several types of cancer, it may not be the sole cause of your specific diagnosis. Cancer is typically the result of a combination of factors, including a genetic predisposition, environmental factors, lifestyle choices, and sometimes even unexplained causes. 3,4
If you have cancer, there are significant benefits to reducing or eliminating alcohol:
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Improved Treatment Efficacy:
Alcohol can interfere with the effectiveness of cancer treatments such as chemotherapy and radiation. It impacts the function of the liver, which is essential for processing many cancer medications. This has the potential to affect the effectiveness of the drug within your system, increasing the risk of adverse reactions to the treatment you are undergoing.5
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Enhanced Healing and Recovery:
Abstaining from alcohol supports your body’s natural healing processes. Alcohol can impair the immune system and delay your recovery, so eliminating it can lead to a more robust and swift recovery process, allowing the body to tolerate and benefit more fully from treatment.3,5
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Reduced Risk of Recurrence:
Cutting out alcohol may decrease the risk of cancer recurring. Continuing to drink can promote the cellular environments that allow cancer cells to thrive, so abstinence is an important preventive measure against the return of cancer.3,4,5
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Reduced Side Effects:
Alcohol can make treatment side effects such as nausea, dehydration, and liver stress much worse. By reducing or eliminating alcohol altogether, individuals may experience fewer and less severe side effects, leading to an improved quality of life during treatment.5
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Overall Health Benefits:
These include improved sleep, better heart health, lower blood pressure, and more energy; all of which help the body to fight and recover from cancer.3,4,5
If you’re struggling to reduce your alcohol intake, you can discuss this with our healthcare team.
Are You Struggling to Quit Alcohol?
Overcoming addiction is challenging but achievable. With the right support, evidence-based therapy, both online and in-person, as well as a commitment to ongoing recovery, you can build a fulfilling life free from alcohol misuse and the associated health risks.
Here at CATCH Recovery, we recognise that there’s no one-size-fits-all solution when it comes to alcoholism treatment. Each person’s journey to recovery is unique and requires a personalised approach, taking into account any mental health issues or physical health issues such as cancer. Call us today for information on our treatment programmes for alcohol use disorder, which can be accessed either as an outpatient or at a residential rehab centre.
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Can alcohol and drugs cause cancer?
Yes. Alcohol is classified by the International Agency for Research on Cancer (IARC) as a Group 1 carcinogen (i.e. a substance definitely known to cause cancer in humans). Even small amounts of alcohol increase the risk of certain types of cancer, for example mouth, throat, food pipe (oesophagus), breast, bowel and liver cancers.10
While the evidence for illicit or prescribed drugs causing cancer depends on the specific substance, pattern of use, and method of consumption, alcohol’s link is well-established in UK research. Using alcohol together with smoking further amplifies risk.
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Is one drink a day safe?
In UK guidance, there is no completely safe level of drinking when it comes to cancer risk. Even one drink per day increases the risk of some cancers.11
The UK Chief Medical Officers recommend that men and women should not regularly drink more than 14 units per week, and if drinking that much, it should be spread over 3 or more days.12
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What alcohol level is considered heavy drinking in UK / WHO guidelines?
In the UK, “heavy drinking” doesn’t have a single fixed number universally agreed in law, but in guidance terms:
Regularly drinking more than 14 units/week is above the “low-risk” threshold.13
The World Health Organization (WHO) emphasises that any amount of alcohol increases cancer risk, and that there is no completely safe level.11
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How much alcohol increases your breast cancer risk?
UK evidence shows that even low levels of alcohol increase the risk of breast cancer, and risk grows with higher intake:
Compared to non-drinkers, women who drink up to 2 units per day have about a 9% higher risk of developing breast cancer.
For women who drink 6 or more units per day, the increased risk is much greater (around 60% higher) compared to non-drinkers.
Also, alcohol is linked to about 1 in 13 breast cancer cases in the UK.14
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References
- World Health Organization. Global status report on alcohol and health 2018. [Accessed 13 November 2024].
- Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer. 2015;112(3):580-93. doi:10.1038/bjc.2014.579
- Rehm J, Shield KD. Alcohol and cancer: Latest evidence and implications for prevention. Cancer Res. 2021;217:131-44. doi:10.1007/978-3-030-56570-2_8
- Choi YJ, Myung SK, Lee JH. Light Alcohol Drinking and Risk of Cancer: A Meta-Analysis of Cohort Studies. Cancer Res Treat. 2018;50(2):474-87. doi:10.4143/crt.2017.094
- LoConte NK, Brewster AM, Kaur JS, Merrill JK, Alberg AJ. Alcohol and Cancer: A Statement of the American Society of Clinical Oncology. J Clin Oncol. 2018;36(1):83-93. doi:10.1200/JCO.2017.76.1155
- National Cancer Institute. Alcohol and Cancer Risk Fact Sheet. [Accessed 13 November 2024]
- Rossi M, Jahanzaib Anwar M, Usman A, Keshavarzian A, Bishehsari F. Colorectal Cancer and Alcohol Consumption-Populations to Molecules.Cancers (Basel). 2018 Jan 30;10(2):38. doi: 10.3390/cancers10020038. PMID: 29385712; PMCID: PMC5836070.
- Espinoza JA, Bizama C, García P, Ferreccio C, Javle M, Miquel JF, Koshiol J, Roa JC. The inflammatory inception of gallbladder cancer. Biochim Biophys Acta. 2016 Apr;1865(2):245-54. doi: 10.1016/j.bbcan.2016.03.004. Epub 2016 Mar 12. PMID: 26980625; PMCID: PMC6287912.
- The Link Between Alcohol and Stomach Cancer. Healthline.com. Accessed Dec 2024.
- WHO. No Level of Alcohol Consumption is Safe For Our Health. [Accessed September 2025].
- Alcohol Change UK. Alcohol and Cancer. [Accessed September 2025].
- Department of Health. UK Chief Medical Officers’ Low Risk Drinking Guidelines. [Accessed September 2025].
- NHS. The Risks of Drinking Too Much. [Accessed September 2025].
- Public Health England. Alcohol Causes 1 in 13 Breast Cancers. [Accessed September 2025].