Hiccups to hyponatremic encephalopathy: A rare presentation of acute water intoxication in a patient after uroflowmetry.
- 1Department of Internal Medicine, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.
- 2Trauma and Emergency, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.
- 3Urology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.
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.
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BibTeX
@article{japhina2026hiccups,
title = {{Hiccups to hyponatremic encephalopathy: A rare presentation of acute water intoxication in a patient after uroflowmetry.}},
author = {Hanny C Japhina and Zainab Mehdi and Amit Mishra},
journal = {Indian journal of urology : IJU : journal of the Urological Society of India},
year = {2026},
month = sep,
doi = {10.4103/iju.iju_216_26},
url = {https://europepmc.org/article/MED/42910387},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - Hiccups to hyponatremic encephalopathy: A rare presentation of acute water intoxication in a patient after uroflowmetry.
AU - Hanny C Japhina
AU - Zainab Mehdi
AU - Amit Mishra
PY - 2026
DA - 2026/09/29
JO - Indian journal of urology : IJU : journal of the Urological Society of India
DO - 10.4103/iju.iju_216_26
UR - https://europepmc.org/article/MED/42910387
AB - 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.
SN - 0970-1591
SN - 1998-3824
ER -