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Excess Water: The Hidden Danger
2 May
Summary
- Drinking too much water dilutes sodium, causing cells to swell.
- Brain cell swelling from water intoxication can be life-threatening.
- Endurance athletes and those with kidney issues are at higher risk.

Water intoxication, a rare but potentially dangerous condition, arises from consuming excessive amounts of water in a short timeframe. This overhydration overwhelms the kidneys, diluting crucial electrolytes, especially sodium. The resulting condition, hyponatremia, causes cells to swell, which can be critical for brain cells confined within the skull.
Symptoms of water intoxication can progress from mild headaches and nausea to severe confusion, seizures, and even coma. Individuals at higher risk include endurance athletes who may drink too much water without replenishing lost electrolytes, and those with existing kidney problems or hormonal imbalances. Generally, the kidneys can process about 0.8 to 1 liter of water per hour; exceeding this rate significantly increases risk.
Maintaining proper hydration involves listening to thirst signals and monitoring urine color. While increasing fluid intake during exercise or hot weather is important, it should be done gradually and balanced with electrolyte-rich foods or drinks. A diet rich in fruits and vegetables also contributes to fluid balance. It is vital to avoid rapid consumption of large water volumes to prevent electrolyte dilution and potential health complications.