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Can water overdose be fatal?

by Tolulope Akinruli
January 11, 2024
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Can water overdose be fatal?
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Water overdose, in the annals of marathon running, the year 2018 marked a peculiar event when Johanna Pakenham’s post-London Marathon triumph turned into a medical emergency. An unexpected seizure led her to the intensive care unit, where she lapsed into a coma for several days. The culprit, surprisingly, was not exhaustion or muscle fatigue but rather an unusual condition known as water intoxication, as captioned by entreprenuerng.com

Water overdose

Johanna’s journey through the marathon course involved the diligent consumption of a small bottle of water at 20 different stations. Little did she know that this seemingly innocuous hydration routine would lead to a severe electrolyte imbalance in her body. Essential minerals, particularly sodium, which plays a vital role in maintaining the body’s electrical balance, became diluted in her bloodstream.

The intricate mechanics of water balance in the body played a significant role in Johanna’s ordeal. As the concentration of sodium in her blood decreased relative to the water intake, a phenomenon called osmosis came into play. Water naturally flows towards areas with higher electrolyte concentrations, a principle fundamental to maintaining cellular equilibrium.

In Johanna’s case, this meant that water moved from her bloodstream, where the electrolyte concentration was low, into her cells, where the concentration was higher. While this movement of water into cells might seem innocuous, it initiated a perilous chain of events.

Water overdose

Cells, when inundated with excess water, swell. This swelling is particularly hazardous in the context of the nervous system. Unlike other organs, the brain exists within the confines of the skull. When nerve cells swell, the pressure inside the skull rises. This increased pressure hampers blood flow into the brain, depriving it of essential oxygen and nutrients. Within minutes, this lack of blood flow, known as brain cell ischemia, results in significant damage, leading to symptoms as severe as seizures and, in Johanna’s case, a coma.

The physiology behind water intoxication unveils a critical interplay between fluid balance and electrolyte concentrations, especially the delicate equilibrium needed for optimal nerve cell function. The consequences of disregarding this balance can be profound, affecting not just physical performance but the very fabric of neurological well-being.

Now, you might be wondering, could this happen to you? The risk of water intoxication, it turns out, is primarily associated with endurance athletes. Marathon runners and participants in water-drinking contests find themselves at a unique intersection of circumstances where  water overdose intake can lead to electrolyte imbalances.

However, for the average person outside these specific scenarios, the likelihood of suffering from water intoxication is minimal. The human body has an intricate regulatory system that tightly controls electrolyte concentrations, preventing the majority of individuals from facing this rare but potentially life-threatening condition.

Conclusion

Water overdose

While the cautionary tale of Johanna Pakenham’s water overdose serves as a stark reminder of the delicate balance our bodies maintain, it also highlights that, for most of us, the simple act of staying adequately hydrated poses little risk of venturing into the perilous territory of water intoxication.

Remember, too much of everything is bad!!!

 

 

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Tolulope Akinruli

Tolulope Akinruli

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