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From controlling body temperature and flushing out toxins, adequate hydration plays a vital role in our general health and well-being, water is a life essential. However, while dehydration garners significant attention, overhydration, or drinking excessive amounts of water, is a condition that can have serious and sometimes fatal consequences.
Although it may sound bizarre since drinking water is said to be the solution for most health related problems it is important to recognize how much water is considered "too much" or the risks involved with being overhydrated can maintain a healthy balance.
Water intoxication, also termed hyperhydration, water poisoning or water toxemia, develops when an individual drinks much more water than the kidney can excrete. The main function of the kidneys in the human body is the processing and excretion of excess water. However, the human kidneys can process only up to 0.8 to 1.0 liters of water at a time. Drinking an amount that exceeds this may overwhelm the kidneys and put the electrolyte balance out of sync in the human body.
Electrolytes, especially sodium, are essential in maintaining fluid balance within and outside cells. Hyponatremia is the condition when sodium levels fall below 135 mmol/L, resulting from excessive water intake. This causes water to shift into cells, swelling them. In the brain, this can cause severe complications, including coma or even death.
The symptoms of water intoxication vary from mild to severe. Early symptoms are often similar to dehydration, which makes self-diagnosis challenging. Common symptoms include:
In more serious cases, water intoxication can cause seizures, loss of consciousness, or swelling in the brain. These complications can be fatal if left untreated.
A notable case occurred in 2007 when a woman participating in a water-drinking contest tragically died after consuming nearly two gallons of water in under two hours. More recently, actress Brooke Shields experienced a grand mal seizure attributed to excessive water consumption.
Water intoxication is rare, but certain scenarios can increase the risk:
These endurance athletes are prone to water intoxication, especially if they drink large amounts of water without replacing lost electrolytes. Hyponatremia usually happens during long races or marathons as individuals mistake fatigue and muscle cramps for dehydration and continue drinking water in excess.
Overhydration among military personnel is usually due to severe physical activity in extreme environmental conditions. The total number of hyponatremia cases documented from 2007 through 2022 for the active duty in the United States exceeds 1,600, with a note to this problem on exertion-related overhydration.
Compulsive water drinking, known as psychogenic polydipsia, is linked with some mental illnesses such as schizophrenia and psychosis. People with these conditions tend to drink too much water, causing a hazardous electrolyte imbalance.
Drugs such as MDMA (ecstasy) raise the body temperature and make people thirsty, and at times, some people tend to drink excess water at events like music festivals. MDMA also leads to urine retention, thus exacerbating the dangers of water intoxication.
The exact amount of water that causes intoxication varies from one person to another. However, drinking more than 1 liter of water per hour for several hours raises the risk. For healthy individuals, the risk of overhydration is low unless taking part in extreme physical activity or ignoring thirst cues.
Certain medical conditions, such as kidney or liver disorders, can impair the body's ability to process fluids, and even moderate water intake may be harmful. Similarly, certain medications, such as diuretics and antipsychotics, can affect the perception of thirst or fluid regulation.
The widely touted recommendation of eight 8-ounce glasses of water per day has little basis in fact. According to the National Academy of Medicine, a daily total fluid intake is about 15 cups (3.7 liters) for males and 11 cups (2.7 liters) for females, from beverage sources and from food. Usually, about 20 percent of daily hydration comes from foods such as fruits and vegetables.
A better rule of thumb is to listen to your body and drink water based on thirst. Use the color of your urine as an indicator:
Older adults, whose thirst mechanisms may decline with age, should be proactive about maintaining hydration, especially during illness or hot weather.
The symptoms of water intoxication—such as headaches, fatigue, and muscle weakness—are similar to those of dehydration. If you are unsure which condition you are experiencing, seek medical attention immediately rather than self-treating with more water.
To avoid the dangers of overhydration:
For signs of severe water intoxication-including confusion, drowsiness, seizures, and loss of consciousness-customer is advised to seek medical assistance immediately. In the meanwhile, a salty snack would help to temporarily correct low sodium levels.
Hydration is important to health, but overhydration can be a serious risk; the secret is in finding a balance. Drink enough water to satisfy your body, but not so much that it overwhelms your system. Remember, water is life, but moderation keeps it that way.
Hyponatremia (low sodium level in the blood). National Kidney Foundation. 2023.
Water Toxicity. NIH. 2023
Exercise-Associated Hyponatremia: 2017 Update. Front Med (Lausanne). 2017
Update: Exertional Hyponatremia Among Active Component Members of the U.S. Armed Forces, 2007–2022
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Every year on March 20, World Oral Health Day is observed to raise awareness about the importance of caring for your mouth at every stage of life. This means starting from birth through later years. However, a visit to dentist is usually the last thing anyone plans when they think of a doctor's visit. Dental visits happen only when extraction or something bigger is involved. More often than not people ignore a follow up or a regular dental checkup to maintain oral health. Why so?
In a previous interview with Health and Me Lt Gen Dr Vimal Arora, the Chief Clinical officer at Clove Dental, who has 40 years of experience as a dentist and also served in the Indian Army explained how oral health is not just about a pretty smile. He explained that many do not plan a regular visit to a dentist because the problems that pertains to oral health do not seem "life threatening".
Read: Exclusive: Astronaut Rakesh Sharma Had To Get His Wisdom Tooth Extracted Before His Trip To Space
However, Dr Arora told Health and Me that oral health can in fact be the first way to know if anyone is prone to a chronic disease.
“There is now scientific evidence, published in top medical journals, that shows how oral infections can significantly worsen pre-existing systemic diseases,” says Dr. Arora. This isn’t just a theory — it’s a medically established fact.
Take diabetes, for instance. People with gum infections often find it harder to control their blood sugar levels. “If you're suffering from diabetes and you have a gum infection, your diabetes will not be well controlled. In fact, it may worsen,” he adds. The same applies to heart diseases. Oral infections can increase inflammation in the body, potentially triggering or worsening cardiovascular problems.
This is concerning especially for those people who may already be managing conditions like hypertensions, arthritis, or respiratory illness. Poor oral health can actually sabotage their efforts to stay stable.
“Your tongue is a true mirror of your oral and general health,” says Dr. Arora. The correlation therefore goes beyond just gums and teeth. Dentists are trained to detect early signs of systemic disorders simply by examining the tongue's color, coating and texture.
A pale tongue might indicate iron deficiency, while a coated tongue could be a sign of digestive issues or a viral illness. “Sometimes, we ask patients if they've had their blood work done, based purely on what we see on their tongue,” he adds. In some cases, dentists can even detect undiagnosed diabetes or early signs of nutritional deficiencies.
Dr. Arora also highlights the overlooked risks that pregnant women face when they neglect their dental hygiene. “If you are pregnant and suffer from periodontitis or even gingivitis — essentially poor gum health — you are at risk of having a preterm or low-birth-weight baby,” he says.
This isn’t just theory; it’s a well-documented risk in obstetric dentistry. Pregnant women are encouraged to get dental check-ups not just for themselves, but for the health of their unborn child.
Despite these evidences, oral health remains one of the most neglected aspects of personal healthcare. Dr. Arora believes this is partly due to a lack of awareness and the perception that dental problems are not "serious enough."
“People often wait until they’re in pain before they see a dentist, but by then, the damage might already be affecting other parts of the body,” he says. Preventive check-ups, regular cleaning, and treating gum infections early on can go a long way in improving not just oral health, but overall wellness.
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Most people reach for sunscreen when heading to the beach or stepping out for a long day in the sun. But skincare experts say sun protection should not be limited to vacations or outdoor activities. Sunscreen is meant to be part of a daily skincare routine.
This often raises a common question. If you are staying indoors all day, do you still need sunscreen?
Dermatologists say the answer depends on your surroundings and daily habits.
Many people assume that staying inside completely protects their skin from sunlight. But this is not always true.
Dr Khushboo Jha, MBBS, MD, Chief Dermatologist Consultant at Metro Hospital and Founder of One Skin Clinic, explains that sunlight entering through windows can still affect the skin.
“While standard window glass blocks most UVB rays, which cause sunburn, UVA rays can still pass through. These rays penetrate deeper into the skin and are linked to long term concerns such as premature aging, uneven pigmentation and loss of skin elasticity,” she says.
These UVA rays are often overlooked because they do not cause immediate redness or burning like UVB rays. However, over time they can lead to visible signs of skin aging and pigmentation.
Dermatologists say sunscreen indoors is particularly useful for people who spend long hours near windows or in well lit spaces.
Dr Jha notes that individuals who work near windows, sit in sunlit rooms or spend time driving during the day may still be exposed to sunlight. “Even short periods of daily exposure to sunlight over time can contribute to cumulative skin damage,” she explains.
In such situations, applying sunscreen in the morning can offer an added layer of protection. A broad spectrum sunscreen with at least SPF 30 is generally recommended.
This approach is especially relevant for people working in offices with large windows or those who frequently commute during daylight hours.
Experts also say sunscreen use indoors is not always equally necessary for everyone.
If you spend most of the day inside a room with minimal natural light and away from windows, your exposure to ultraviolet radiation becomes much lower.
Dr Jha says that in such cases the urgency of frequent sunscreen reapplication becomes less important. The risk of sun related skin damage is significantly reduced when there is little to no direct daylight entering the space.
This means sunscreen indoors should not be treated as a strict rule but rather as a flexible part of skincare based on lifestyle and environment.
Another topic that often comes up is blue light exposure from digital devices such as phones, laptops and tablets.
Some studies suggest that prolonged exposure to visible light may contribute to pigmentation, especially in individuals with deeper skin tones. However, dermatologists point out that the amount of blue light from electronic screens is much lower than what we receive from natural sunlight.
Dr Jha says the effect of digital screens on the skin is still being studied, but compared to sun exposure, the impact remains minimal.
Dermatologists suggest viewing sunscreen as a preventive skincare habit rather than a rigid rule.
Dr Jha recommends incorporating sunscreen into your morning routine, particularly if your day includes stepping outdoors or spending time in naturally lit environments.
In simple terms, if daylight reaches your workspace or you plan to go outside later in the day, applying sunscreen in the morning is a small step that can help protect your skin over time.
Credits: ABC News' Four Corners
At the age of 28, Courtney Paton realized she could never have children. She was medically infertile. This was after years of repeated surgeries, a total of seven, for 'suspected' endometriosis, due to which Dr Simon Gordon, Melbourne-based gynecologist removed both her ovaries and eventually her uterus.
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Her story came to light through an investigation by the Australian Broadcasting Company or ABC's Four Corners, an investigation that looked at the treatment she received from Dr Gordon.
Courtney says she trusted the doctor completely. Now she says that trust has been shattered. “I feel completely betrayed by not only Simon Gordon, but by Epworth, by the healthcare system,” she told the program.
Courtney first had laparoscopic surgery in 2018 with another surgeon, which confirmed she had endometriosis. The condition affects about one in seven Australian women and can cause severe pelvic pain and fertility problems.
Still struggling with pain, she began seeing Gordon in 2019 when she was 21.
Over the next several years she underwent seven surgeries with him. Gordon told her the procedures were necessary to treat severe endometriosis. Courtney and her family paid more than 32,000 Australian dollars for these surgeries alone.
But when investigators asked her to obtain her pathology reports, the results told a very different story. The tissue tests from most of her surgeries showed no evidence of endometriosis.
Despite this, operation reports written by Gordon continued to describe findings consistent with the disease.
Read: A Woman Lost Her Ovary To Endometriosis Surgery After Receiving An Ultimatum From Gynecologist
In 2021 Gordon removed one of Courtney’s ovaries, saying it was stuck to the pelvic wall. Later he removed the second ovary as well.
Independent specialists who reviewed the pathology for the investigation said the ovary appeared normal and there was no clear justification for removing it. One expert described the treatment as “unbelievable” after reviewing the medical records.
Medical guidelines generally advise caution when removing ovaries from young women who may want children in the future.
Despite losing both ovaries, Courtney continued to experience pelvic pain. Gordon later advised that she should undergo a hysterectomy.
Concerned, she sought a second opinion from another gynecologist who said the procedure was unnecessary and suggested non surgical treatments.
But after years of pain and repeated surgeries, Courtney says she felt desperate for relief and trusted the doctor who had treated her for so long. Her uterus was removed in 2023 when she was just 25.
Again, pathology results found no evidence of endometriosis.
Courtney is now pursuing legal action through a medical negligence claim. The case has also drawn attention from regulators, with investigations underway into Gordon’s conduct.
Australia’s federal health minister Mark Butler described the allegations as “physically sickening”.
For Courtney, the emotional impact remains overwhelming.
“No woman should ever have to endure what I’ve endured,” she said. “I’ve had the opportunity to have a family taken away from me.”
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