Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful

Beer potomania is one of the less common causes of hyponatremia that we encounter. Patients usually have a recent history of binge drinking along with poor diet. The low solute content in alcoholic beverages limits daily urine output, and ingestion of extra fluid will cause dilutional hyponatremia a...

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Bibliographic Details
Main Authors: Zhuo Lin Yu, Lisa Fisher
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2022/8778304
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Summary:Beer potomania is one of the less common causes of hyponatremia that we encounter. Patients usually have a recent history of binge drinking along with poor diet. The low solute content in alcoholic beverages limits daily urine output, and ingestion of extra fluid will cause dilutional hyponatremia as a result. Blindly providing intravenous fluid without an underlying cause of the hyponatremia can be detrimental, such as in patients with beer potomania. In our case, a patient presented to the emergency department due to poor oral intake from jaw pain and was found to be hyponatremic from alcohol intake. He initially received 2 liters of fluid, which caused overcorrection of his sodium, requiring more free water to lower his sodium as a result.
ISSN:2090-665X