{
  "abstract": "Benign prostatic hyperplasia (BPH) commonly presents with lower urinary tract symptoms and requires preprocedural bladder filling for urologic evaluation. A 61-year-old male with BPH, diabetes, and hypertension developed altered sensorium, behavioral changes, hiccups, and a single episode of generalized tonic-clonic seizure after consuming 4 L of water during 2 h prior to uroflowmetry and ultrasound. Investigations showed hypotonic hyponatremia (serum sodium: 109 mEq/L). Other causes were excluded, and prompt treatment with hypertonic saline and fluid restriction was initiated, resulting in full recovery. Acute water intoxication causing dilutional hyponatremia is a rare but preventable complication requiring awareness and proper hydration guidance, especially in the elderly.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Internal Medicine, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.",
    "Trauma and Emergency, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.",
    "Urology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hanny C Japhina"
    },
    {
      "affs": [
        1
      ],
      "name": "Zainab Mehdi"
    },
    {
      "affs": [
        2
      ],
      "name": "Amit Mishra"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/229ndg62h0zz1.bib",
  "cited_by": 0,
  "doi": "10.4103/iju.iju_216_26",
  "fulltext_url": "https://europepmc.org/articles/PMC13686717",
  "id": "229ndg62h0zz1",
  "issns": [
    "0970-1591",
    "1998-3824"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910387",
  "language": "eng",
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2740|Electrolyte and hormonal disorders"
    ]
  ],
  "openalex": "W7214916895",
  "pdf_url": "https://europepmc.org/articles/PMC13686717?pdf=render",
  "pmcid": "PMC13686717",
  "pmid": "42910387",
  "published": "2026-09-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/229ndg62h0zz1.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:14Z",
      "native_id": "MED:42910387",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910387"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2740|Electrolyte and hormonal disorders",
      "subfield": "general"
    }
  ],
  "title": "Hiccups to hyponatremic encephalopathy: A rare presentation of acute water intoxication in a patient after uroflowmetry.",
  "title_text": "Hiccups to hyponatremic encephalopathy: A rare presentation of acute water intoxication in a patient after uroflowmetry.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:14Z",
  "url": "https://research.draconitic.com/paper/229ndg62h0zz1",
  "venue": "Indian journal of urology : IJU : journal of the Urological Society of India",
  "versions": []
}