First, alcohol can reduce lower esophageal sphincter (LES) tone.2 By lowering LES tone, alcohol facilitates the onset of different disease processes, first and foremost, GERD. In turn, GERD can progress to reflux esophagitis and finally, Barrett's metaplasia of the esophagus.3 Barrett's metaplasia can eventually lead to stricture. All of these disease processes could present as “dyspepsia.” Alcohol also slows gastric emptying.4 Slower gastric emptying, or gastroparesis (also defined as dysmotility dyspepsia) will present as bloating and abdominal distension.1