0000007674 00000 n 0 0000003377 00000 n The action of vasopressin renders the epithelium permeable to water. 2007. Potomania: Symptoms, Causes and Treatments. & We propose that in patients with beer potomania detailed fluid balance studies, sequential observations of changes in urine and plasma osmolality corresponding to dynamics of vasopressin release would advance our understanding of its pathophysiology. Little or no salt content of beer results in marked reduction in the solute load to the kidney. Prevalence and incidence of hyponatremia and their association with diuretic therapy: Results from North India. Lodhi MU, Saleem TS, Kuzel AR, Khan D, Syed IA, Rahim U, Iqbal HI, Rahim M. Cureus. 2018 Dec 6;10(12):e3697. Our literature review found 22 cases (including ours) of beer potomania. endobj Keywords: endobj In addition, he had consumed a fifth of a vodka bottle the day before presentation. 82 0 obj Patient was assessed to have moderate euvolemic hypotonic hyponatremia. Low-solute hyponatremia is a relatively uncommon entity of euvolemic hyponatremia. Cureus. Am J Kidney Dis. The patient’s initial mental status showed a somnolent woman with mildly slurred speech and oriented to person, place, and time, but with difficulty with short-term memory. Serum sodium level on presentation was 100 mEq/L (mmol/L; Abbreviations: Na, sodium; K, potassium; BUN, blood urea nitrogen; U osm, urine osmolality; U Na, urine sodium; N/A, not available; IV, intravenous; CPM, central pontine myelinolysis; NS, normal saline solution; IVF, intravenous fluid; KCl, potassium chloride; ODS, osmotic demyelination syndrome. <>/Border[0 0 0]/Rect[243.264 230.364 507.756 242.376]/Subtype/Link/Type/Annot>> | NLM USA.gov. image, Death - brain autopsy with atrophy of mammillary bodies, 0.9% NS @ 150 mL/h and 3% NS @ 20 mL/h × 160 Ml, • Prescribe IVFs in finite amounts if needed, • Relower serum sodium levels if necessary. The kidneys can dilute urine to a maximum of 50 mosm/L People who suffer from it usually drink between six and ten or fifteen liters of water per day. Get the latest research from NIH: https://www.nih.gov/coronavirus. Serum sodium level at the time of presentation was 104 mEq/L (mmol/L; The patient was not being administered antibiotics and had no laboratory or clinical evidence of cirrhosis or congestive heart failure. 2020 Jan 2;12(1):e6547. The low solute content of beer, and suppressive effe … 0000015368 00000 n Many similarities were noted in the presentation of patients with beer potomania. -. Challenges in the diagnostics and management of hydrochlorothiazide-induced severe hyponatremia in a habitual beer drinker. eCollection 2019 Dec. See this image and copyright information in PMC. Beer Potomania: A View on the Dynamic Process of Developing Hyponatremia. A rare case of low-solute hyponatremia in a nonalcoholic person. Poor solute intake has been ascribed to hyponatremia seen in patients with beer potomania, an uncommon etiology of hyponatremia. Severe symptomatic hyponatremia: Treatment and outcome. Hyponatremia in beer drinkers occurs because of water intake that exceeds excretory capacity (described next), modified by the possibility of inappropriate ADH secretion on admission. The family member was unaware if there was recent binge drinking. 0000015189 00000 n 0000008250 00000 n The amount of free water we excrete depends upon number of osmoles that need to be excreted. @z�&��N�E0�Ǣ?���C���~�rB��;N�#���;HJ������K��4�Iﴪ�IY$��߸�n����\,^�������WnݭV�&�@�ߑ�����D��M�@)+k n�Gm2f
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