Dr. Erika Kube: Is There One Of These Factor As Consuming Too Much Water?

Hyponatremia — which occurs when the degree of sodium within the blood is too low and may cause confusion, nausea, vomiting, headache, seizures, coma, and even death — is commonly associated with extended undertaking and sweating however can also occur with extreme water ingesting.

Jeff got here to the emergency branch by means of ambulance with slurred speech and changed mental fame. The paramedics had been known as to his home by using his spouse, who found him within the bathing room perplexed. When he didn’t come out, she went into the bathroom to check on him and found him standing on the sink with the water working. She requested if he changed into good enough and automatically realized whatever thing changed into wrong. He seemed startled to look her and failed to consider what she became saying. When he at last spoke, his speech was slurred and he became disoriented.

Jeff’s spouse, Susan, ran to get her mobile phone and called 911. She took Jeff’s hand and led him into the front room where she motioned for him to take a seat on the sofa. He didn’t have any problem going for walks. She sat with him on the sofa while they waited for paramedics. When the medics arrived, they without delay assessed Jeff, put him on a video display and checked his blood sugar, which became common.

Susan kept speakme to and reassuring her husband, who changed into extremely at a loss for words. The paramedics evaluated Jeff for a stroke by way of assessing him for facial slump, weak point of extremities, and grip energy. He did smartly on all the checks and showed no signs of a stroke. The medics transported Jeff to the emergency branch (ED) the place I met the ambulance to at once evaluate and try to figure out what become happening with him. He slurred his speech at times, but failed to have any weak point in his hands or legs. His signs looked as if it would wax and wane. The nurse drew blood from his IV and i ordered a CT scan of Jeff’s mind.

Susan arrived within the ED while Jeff became getting his CT scan carried out. She noted Jeff had no medical problems and never had anything like this turn up to him. She talked about he didn’t drink alcohol or use medication. He additionally did not take any domestic medicinal drugs. The only component distinct during the past few days become he had executed the instruction work for his colonoscopy, which changed into scheduled for tomorrow. She pointed out he had adhered to the liquid-best diet, had taken his laxatives and accomplished the answer that he had to drink. Susan noted Jeff advised her that he became “all cleaned out” and capable for his colonoscopy.

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She additionally informed me that he had again and again told her how thirsty he was and that he had been ingesting lots of water once he comprehensive his bowel prep answer. As we had been wrapping up our conversation Jeff got here again from the scan and Susan instantly held his hand. He seemed reassured with the aid of her presence.

Jeff’s CT scan effects got here returned instantly and confirmed no abnormalities. However the lab technician referred to as to file that Jeff’s sodium degree changed into very low. The leisure of his blood work changed into normal. I was attracted to hearing more about what Jeff had been consuming over the past few days. He appeared more oriented now, however Susan still needed to reply most questions for him. He had accomplished his jug of bowel coaching over the advised time with respectable consequences. After that he began ingesting lots of water. She had cleaned up numerous empty water bottles close the couch and next to the bed. Despite how a great deal he drank, he noted he nevertheless felt thirsty.

Dr. Erika Kube

i noticed then that Jeff’s confusion and slurred speech became because of hyponatremia, which occurs when the level of sodium within the blood is too low. The circumstance can result in swelling of the mind, which can cause confusion, nausea, vomiting, headache, seizures, coma, and even loss of life. Hyponatremia is frequently associated with extended pastime and sweating however can additionally occur with extreme water drinking, which became the case for Jeff. Instances of hyponatremia have been viewed in lengthy distance runners and excessive athletes, which is why there are so many electrolyte replacement items like Gatorade. It be special for americans to get the circumstance whereas getting ready for his or her colonoscopy however it has came about.

To deal with Jeff’s hyponatremia, I gave him a slow expense of saline, which contains sodium, via his IV and restrained his oral fluid intake. Correcting the sodium stage too right away can have serious consequences, so it must be achieved slowly. Jeff changed into hospitalized and as his sodium level grew to be more typical, so did his mental repute. He became absolutely again to himself when he went domestic a number of days later. He had to reschedule his colonoscopy and deliberate to hydrate with Gatorade and be cautious about how plenty water he drank subsequent time.

Dr. Erika Kube is an emergency healthcare professional who works for Mid-Ohio Emergency functions and OhioHealth.

drerikakubemd@gmail.Com

this article firstly regarded on The Columbus Dispatch: Hyponatremia: When consuming too tons water becomes dangerous

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