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==Current Fatality==
{{WikiProject banner shell|class=C|
2007-01-14 Water intoxication fatality: http://www.cnn.com/2007/US/01/13/water.intox.ap/index.html
{{WikiProject Medicine |importance=Mid |toxicology=yes |toxicology-imp=Mid |emergency=y |emergency-imp=Mid}}
{{WikiProject Water |importance=Mid}}
}}
{{Reliable sources for medical articles}}
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== Missing Information on treatment with table salt, diet cola? ==


The article fails to identify why giving table salt is NOT a reasonable cure for water intoxication. Also, some common diuretics such as diet cola (which has a double dose of diuretics, chiefly caffeine and nutrasweet) - are they an effective treatment? It seems that water intoxication is most likely in remote areas, with no medical personnel available, when endurance athletes are involved in running or cycling event, so it would be good to list least one or two treatments that could be used by first aid responders. Also, it seems that the body would respond to table salt FASTER than it would respond to diuretics, possibly protecting the brain earlier. [[Special:Contributions/70.230.203.219|70.230.203.219]] [[User:SystemBuilder|SystemBuilder]] ([[User talk:SystemBuilder|talk]]) 15:56, 30 August 2010 (UTC)
==Misleading Article==
: Wikipedia should not be used by first-aid responders or for any therapy. See [[WP:MEDICAL]].--[[User:Blaisorblade|Blaisorblade]] ([[User talk:Blaisorblade|talk]]) 00:22, 5 November 2011 (UTC)
While I truly understand WHY the article is written this way, it may need to be said that this condition is EXTREMELY rare, because I have had many people tell me that when they discovered this condition (including myself initially) they became extremely nervous because of how much water they drink. It isn't that rare! Read the first link on the article page: http://www.hhp.ufl.edu/faculty/pbird/keepingfit/ARTICLE/toomuchwater.htm and you will see that 29% of Ironman finishers suffer from it.
:@[[User:SystemBuilder|SystemBuilder]] - Ask your healthcare provider or first-aid responder questions like those, ''never'' a Wikipedia 'Talk Page'. The 'Talk Page' is only meant for discussions about the article - format, clarity, spelling, grammar, reliable sources, that sort of thing. [[User:Wordreader|Wordreader]] ([[User talk:Wordreader|talk]]) 22:19, 10 June 2023 (UTC)


== Distractions ==
At the very least, it should be mentioned that the quantity of water required to cause this condition is tremendous, and not merely slightly above average consumption. However, I'm certainly no expert, so I don't want to do this. -- [[User:Ubergenius|Ubergenius]] 19:38, 22 December 2006 (UTC)
Apparently it doesn't take that much: 900ml/hr sustained according to http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11732457&dopt=Abstract.


Is everything in the article relevant to the article topic? Is there anything that distracted you?
==84 year old man==
An 84-year old male patient recovering from the removal of a small polyp in his bladder was told to drink 16 8-ounce glasses of water a day a couple of days after the procedure in order to help in "flushing out" blood remaining in the bladder. Can this lead to water intoxication under otherwise healthy conditions? -- [[User:206.113.26.20|206.113.26.20]]
:Hmmm, that's 3.8 litres per day. A person with two healthy kidneys can rid themselves of about 1.5 litres per hour at maximum filtration. So, I think he will be perfectly fine, provided he spreads the water intake over his whole (waking) day and also provided he has a healthy diet with normal sodium intake. -- [[User:FirstPrinciples|FP]] 00:40, Apr 17, 2005 (UTC)
::Do we assume our 84-year old male patient to have two healthy kidneys? [[User:Jimp|Jimp]] 15:31, 14 January 2006 (UTC)
:::Yes, in the absence of evidence to the contrary, it's normal to assume healthy kidneys. In any case, 3.8 litres of water per day is far too small to present any risk of water intoxication if it is not taken in one gulp. [[User:Agateller|Agateller]] 01:24, 21 July 2006 (UTC)
::::Why are we speculating on something that amounts to giving medical advice? Do any of the above responses have qualifications to answer the initial question? Let's see some credentials.


* <nowiki>I found nearly everything to be relevant except for noting how many mL rats can consume. It lead me to researching the volume conversion chart. I would have liked to see how many liters one can consume within a day. The talk page did a great job expanding on this area. ~~~~ </nowiki>[[User:Deezytings|Deezytings]] ([[User talk:Deezytings|talk]]) 13:12, 21 May 2023 (UTC)
==How much water intoxicates?==
how much water does it take to get water intoxication?[[User:Star2288|Star2288]] 10:34, 5 February 2006 (UTC)
:That depends on body weight and several other factors... theres no real quick answer. &nbsp;[[User:Alkivar|<font color="#FA8605">'''ALKIVAR'''</font>]][[User_talk:Alkivar|&trade;]][[Image:Radioactive.svg|18px|]] 18:04, 5 February 2006 (UTC)
::The usual amount is in the range of litres of water, taken over a relatively short period (minutes, or an hour or two). Outside of some special circumstances (people exerting themselves and sweating profusely for many hours), water intoxication usually only occurs in people who are mentally disturbed and compulsively drink tremendous amounts of water (gallons). It's a rare condition. The healthy body's ability to deal with a large intake of water is considerable. [[User:Agateller|Agateller]] 01:33, 21 July 2006 (UTC)
I like numbers... Check out this abstract: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11732457&dopt=Abstract
==This article was the first I'd heard of W.I.==
...and it scared the hell out of me when I first read it. Drinking large amounts of water has been a major factor in my weight loss (50 lbs. in ~ 6 months). I carried around a 32-ounce water cup like it was a growth on my hand. I'm still here, so I guess I'm doing something right. [[User:JMD4LSU|JMD4LSU]] 22:44, 10 March 2006 (UTC)
:No worries, scared me too but assuming you get plenty of electrolytes, the only way water can hurt you is if the kidney can't process it fast enough. Of course, I happen to think the kidney will adapt... [[User:Tyciol|Tyciol]] 21:00, 16 July 2006 (UTC)
::Water intoxication is extraordinarily rare. It occurs on ''rare occasions'' in people who drink a great deal of water over a prolonged period to replace water lost in sweat, vomit, or diarrhea, and it can also occur (even more rarely) in people who drink a tremendous amount of water (many litres) over a short period and are not perspiring heavily. Overall, the risk of water intoxication has been dramatically exaggerated in recent years. It's really not something that should be high on the list of anyone's worries. [[User:Agateller|Agateller]] 01:26, 21 July 2006 (UTC)
It's not that rare! http://www.hhp.ufl.edu/faculty/pbird/keepingfit/ARTICLE/toomuchwater.htm
==Major rewrite by Technopilgrim==
I made quite a few changes to the article to clear up various errors, expand some information, and remove some irrelevant material. Some comments on the edits:
*I removed the mention of [[pulmonary edema]] -- as far as I know this is not related to water intoxication. If you know otherwise, please put the information back along with a reference.
*I placed more emphasis on sodium levels to clarify the entire mechanism
*The section on urine color doesn't belong on the water intoxication page. Urine color is not a good indicator of water intoxication because sodium in the urine is colorless. In theory you could have any color urine and have water intoxication, or not have water intoxication.
*I've added info on the relationship of water intoxication to diabetics and psychiatric patients to complement the good information on atheletes and drug users already in the article. I've added headers to make things more organized.
*added notes to medical journal sources
[[User:Technopilgrim|technopilgrim]] 23:11, 14 March 2006 (UTC)
:Removed the line about intoxication and being light headed - intoxication scientifically means being poisoned by a substance, not in relation to the verb "being intoxicated" ie by alcohol - schoolboy error, in my opinion - [[Gruffy]] 15:51, 17 May 2006


::Unfortunately, [[User:Deezytings|Deezytings]], there is no one-size-fits-all formula, only approximations. Variables include, but are not restricted to, body size, activity level, environment (dry, humid), age, overall health, condition of one's kidneys, electrolytes present in the water. On and on. It is good to include other Earthlings, though, as this may not be a phenomena restricted to humans and the article is definitely human-centered. (I don't know about that, though. Animals probably have more sense, but that's just a guess.) Thank you. [[User:Wordreader|Wordreader]] ([[User talk:Wordreader|talk]]) 22:34, 10 June 2023 (UTC)
==Regarding the picture==
:::Turns out that it is ''NOT'' a phenomena restricted to humans. See this and other articles on PubMed - - -
The caption given declares that the glass is half full; surely many may view it as half empty, an equally valid opinion, therefore the current caption does not conform to wikipedia rules on NPOV. -Unknown
:::"Water intoxication in cattle."
:The new way is pedantic and seems like a complex joke. I would prefer it to say a glass of water, and so it shall. [[User:66.41.66.213|66.41.66.213]] 11:57, 22 July 2006 (UTC)
:::Njoroge EM, Maribei JM, Mbugua PN, Njiru SM.
:::''J S Afr Vet Assoc. ''1999 Dec;70(4):177-9. doi: 10.4102/jsava.v70i4.792.
:::https://pubmed.ncbi.nlm.nih.gov/10855845/ [[User:Wordreader|Wordreader]] ([[User talk:Wordreader|talk]]) 23:18, 17 June 2023 (UTC)


== More germane references. ==
I think the picture of a glass of water adds nothing to the article. I personally think it should be removed. --[[User:Burbster|Burbster]] 17:36, 23 July 2006 (UTC)


Water intoxication / hyperhydration / hyponatremia is a serious condition. Here are some articles that discuss it in specific situations. There are many more articles on PubMed for your evaluation. Happy reading.
: I agree. The picture doesn't contribute anything. --[[User:WillNL|WillNL]] 10:53, 4 August 2006 (UTC)


"Water intoxication-a dangerous condition in labor and delivery rooms."
==Merge with Hyponatremia?==
Ophir E, Solt I, Odeh M, Bornstein J.
I'm just wondering, these things sound almost identical. I suppose if you had hyponatremia as an imbalance of salts, and water intoxication is just one way to get it, it makes sense, but then what are the others? [[User:Tyciol|Tyciol]] 21:00, 16 July 2006 (UTC)
''Obstet Gynecol Surv.'' 2007 Nov;62(11):731-8. doi: 10.1097/01.ogx.0000286583.98141.a2.
:There are other ways to develop hyponatremia: in kidney disease, through mismanagement of electrolyte balance in patients receiving TPN or NG nutrition, in disease states producing profuse vomiting or diarrhea, etc. Water intoxication is a ''consequence'' of hyponatremia, not a cause, but usually when people speak of water intoxication, they mean ''specifically'' hyponatremia that results from consuming too much hypotonic fluid in too short a time. Note that other types of electrolyte imbalance can occur as a result of overconsumption of water, too, but they are even more rare. Lately it seems that people have developed a bit of a fixation on water intoxication; it's actually very rare. [[User:Agateller|Agateller]] 01:30, 21 July 2006 (UTC)
https://pubmed.ncbi.nlm.nih.gov/17925046/


"Case Report: A Patient With Neuroleptic Malignant Syndrome, Water Intoxication and Hyponatremia Associated With Severe Cerebral Edema and Coma."
==should i be worried?==
Takenouchi H, Anno T, Kimura Y, Kawasaki F, Shirai R, Kaneto H, Kurokawa K, Tomoda K.
i enjoy distending my stomach to huge proportions by drinking large amounts (two litres at least) of water should i be worried?
''Front Endocrinol (Lausanne)''. 2022 Mar 10;13:822679. doi: 10.3389/fendo.2022.822679. eCollection 2022.
2 liters per day is a recommended amount for certain activities and climates. It is not excessive.
https://pubmed.ncbi.nlm.nih.gov/35360072/


"Clinical characteristics and outcomes of hyponatraemia associated with oral water intake in adults: a systematic review."
:I am no expert at all, so if you die its not my fault. First, why do you enjoy doing that? Considering why you do it may be something you want to think about. On a positive note, it is a better habit than drinking 2 liters of beer to disentend the stomach haha. If you really enjoy this, what about either A) mixing some gatoraid in with it to get some electrolytes, or even taking an electrolyte pill or eat like a salty (NaCl) bannana (K+) prior to doing it. Just something to think about. [[User:Rjkd12|Rjkd12]] 16:03, 4 December 2006 (UTC)
Rangan GK, Dorani N, Zhang MM, Abu-Zarour L, Lau HC, Munt A, Chandra AN, Saravanabavan S, Rangan A, Zhang JQJ, Howell M, Wong AT.
''BMJ Open.'' 2021 Dec 9;11(12):e046539. doi: 10.1136/bmjopen-2020-046539.
https://pubmed.ncbi.nlm.nih.gov/34887267/


"Management of a patient with Sheehan's syndrome and diabetes insipidus complicated by recurrent hyponatremia."
::As with the above, the best thing to do is to eat something. Try a banana and french fries, or a sub from Subway. ~ [[User:PHDrillSergeant|<font color="green">PH</font>]][[User_talk:PHDrillSergeant|<font color="blue">DrillSergeant</font>]]...[[Special:Contributions/PHDrillSergeant|<font color="maroon">§</font>]] 18:50, 14 January 2007 (UTC)
Al-Sharafi BA, Askar F, Qais AA.
Endocrinol Diabetes Metab Case Rep. 2021 Sep 1;2021:21-0078. doi: 10.1530/EDM-21-0078. Online ahead of print.


Thank you for your time, [[User:Wordreader|Wordreader]] ([[User talk:Wordreader|talk]]) 23:25, 17 June 2023 (UTC)
== Toxic? ==
"Water itself is not toxic to the body in any amount."


== It was July 4 2023 not 2022 btw ==
Water is not toxic but can kill you if you drink to much of it. So what does "toxic" mean?


. [[Special:Contributions/2603:6011:7F00:8A7D:1863:593E:6E29:CEAC|2603:6011:7F00:8A7D:1863:593E:6E29:CEAC]] ([[User talk:2603:6011:7F00:8A7D:1863:593E:6E29:CEAC|talk]]) 13:37, 5 August 2023 (UTC)
:This is arguing semantics. I kinda agree with you. On a similar note I think that carbon monoxide shouldn't be considered "Toxic" because it doesn't actually hurt you, it makes it so you can't get any oxygen and you suffoccate. Since it doesn't cause any necrosis or doesn't directly damage tissue, like an acid or fire or something, I don't know if I personally condier it toxic. Granted, I am in the minority and most consider things like carbon monixide toxic and water potentially toxic considering it can kill you by causing an imbalace. Maybe since the "toxic" effects of water are secondary (the water doesn't hurt you, it leeches electrolytes from you) it maybe isn't as toxic. What was the question again? haha. [[User:Rjkd12|Rjkd12]] 16:03, 4 December 2006 (UTC)


==Wiki Education assignment: Toxicology==
== Redundancy ==
{{dashboard.wikiedu.org assignment | course = Wikipedia:Wiki_Ed/Salisbury_University/Toxicology_(Fall) | reviewers = [[User:Toxstudent32|Toxstudent32]], [[User:Yummize|Yummize]] | start_date = 2023-08-29 | end_date = 2023-12-11 }}


<span class="wikied-assignment" style="font-size:85%;">— Assignment last updated by [[User:ProdigyPanda|ProdigyPanda]] ([[User talk:ProdigyPanda|talk]]) 14:51, 28 November 2023 (UTC)</span>
After reading this articly, I came to the conclusion that about 50% of the article summarises in:
"Drinking an excessive ammount of water in a short period to rehydrate are at risk of water intoxication."
Every paragraphs in the article contain this idea at least once, those could be removed to make it ligther and focus more on what really causes the problem (which is already explained in the first paragraph anyway), and not repeat the general idea.
[[User:TiCPU|TiCPU]] 14:55, 24 December 2006 (UTC)

== Inappropriate subheadings and/or language ==

"All the creatures in this sexy world"? Come on, that doesn't belong in an encylopedia. This is a case of vandalism. <small>—The preceding [[Wikipedia:Sign your posts on talk pages|unsigned]] comment was added by [[Special:Contributions/161.200.255.162|161.200.255.162]] ([[User talk:161.200.255.162|talk]]) 01:51, 15 January 2007 (UTC).</small><!-- HagermanBot Auto-Unsigned -->

Latest revision as of 23:28, 10 February 2024

Missing Information on treatment with table salt, diet cola?

[edit]

The article fails to identify why giving table salt is NOT a reasonable cure for water intoxication. Also, some common diuretics such as diet cola (which has a double dose of diuretics, chiefly caffeine and nutrasweet) - are they an effective treatment? It seems that water intoxication is most likely in remote areas, with no medical personnel available, when endurance athletes are involved in running or cycling event, so it would be good to list least one or two treatments that could be used by first aid responders. Also, it seems that the body would respond to table salt FASTER than it would respond to diuretics, possibly protecting the brain earlier. 70.230.203.219 SystemBuilder (talk) 15:56, 30 August 2010 (UTC)[reply]

Wikipedia should not be used by first-aid responders or for any therapy. See WP:MEDICAL.--Blaisorblade (talk) 00:22, 5 November 2011 (UTC)[reply]
@SystemBuilder - Ask your healthcare provider or first-aid responder questions like those, never a Wikipedia 'Talk Page'. The 'Talk Page' is only meant for discussions about the article - format, clarity, spelling, grammar, reliable sources, that sort of thing. Wordreader (talk) 22:19, 10 June 2023 (UTC)[reply]

Distractions

[edit]

Is everything in the article relevant to the article topic? Is there anything that distracted you?

  • I found nearly everything to be relevant except for noting how many mL rats can consume. It lead me to researching the volume conversion chart. I would have liked to see how many liters one can consume within a day. The talk page did a great job expanding on this area. ~~~~ Deezytings (talk) 13:12, 21 May 2023 (UTC)[reply]
Unfortunately, Deezytings, there is no one-size-fits-all formula, only approximations. Variables include, but are not restricted to, body size, activity level, environment (dry, humid), age, overall health, condition of one's kidneys, electrolytes present in the water. On and on. It is good to include other Earthlings, though, as this may not be a phenomena restricted to humans and the article is definitely human-centered. (I don't know about that, though. Animals probably have more sense, but that's just a guess.) Thank you. Wordreader (talk) 22:34, 10 June 2023 (UTC)[reply]
Turns out that it is NOT a phenomena restricted to humans. See this and other articles on PubMed - - -
"Water intoxication in cattle."
Njoroge EM, Maribei JM, Mbugua PN, Njiru SM.
J S Afr Vet Assoc. 1999 Dec;70(4):177-9. doi: 10.4102/jsava.v70i4.792.
https://pubmed.ncbi.nlm.nih.gov/10855845/ Wordreader (talk) 23:18, 17 June 2023 (UTC)[reply]

More germane references.

[edit]

Water intoxication / hyperhydration / hyponatremia is a serious condition. Here are some articles that discuss it in specific situations. There are many more articles on PubMed for your evaluation. Happy reading.

"Water intoxication-a dangerous condition in labor and delivery rooms." Ophir E, Solt I, Odeh M, Bornstein J. Obstet Gynecol Surv. 2007 Nov;62(11):731-8. doi: 10.1097/01.ogx.0000286583.98141.a2. https://pubmed.ncbi.nlm.nih.gov/17925046/

"Case Report: A Patient With Neuroleptic Malignant Syndrome, Water Intoxication and Hyponatremia Associated With Severe Cerebral Edema and Coma." Takenouchi H, Anno T, Kimura Y, Kawasaki F, Shirai R, Kaneto H, Kurokawa K, Tomoda K. Front Endocrinol (Lausanne). 2022 Mar 10;13:822679. doi: 10.3389/fendo.2022.822679. eCollection 2022. https://pubmed.ncbi.nlm.nih.gov/35360072/

"Clinical characteristics and outcomes of hyponatraemia associated with oral water intake in adults: a systematic review." Rangan GK, Dorani N, Zhang MM, Abu-Zarour L, Lau HC, Munt A, Chandra AN, Saravanabavan S, Rangan A, Zhang JQJ, Howell M, Wong AT. BMJ Open. 2021 Dec 9;11(12):e046539. doi: 10.1136/bmjopen-2020-046539. https://pubmed.ncbi.nlm.nih.gov/34887267/

"Management of a patient with Sheehan's syndrome and diabetes insipidus complicated by recurrent hyponatremia." Al-Sharafi BA, Askar F, Qais AA. Endocrinol Diabetes Metab Case Rep. 2021 Sep 1;2021:21-0078. doi: 10.1530/EDM-21-0078. Online ahead of print.

Thank you for your time, Wordreader (talk) 23:25, 17 June 2023 (UTC)[reply]

It was July 4 2023 not 2022 btw

[edit]

. 2603:6011:7F00:8A7D:1863:593E:6E29:CEAC (talk) 13:37, 5 August 2023 (UTC)[reply]

Wiki Education assignment: Toxicology

[edit]

This article was the subject of a Wiki Education Foundation-supported course assignment, between 29 August 2023 and 11 December 2023. Further details are available on the course page. Peer reviewers: Toxstudent32, Yummize.

— Assignment last updated by ProdigyPanda (talk) 14:51, 28 November 2023 (UTC)[reply]

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