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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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Individuals who experience tingling, numbness, and burning sensations in their hands and feet often disregard these early symptoms, especially after a long drive, extended standing, or sleeping. Many frequently take painkillers to ease their discomfort in the hope that their pain and other symptoms will quickly go away.
These types of persistent or recurrent symptoms, however, could be a signal of a nerve health issue such as peripheral neuropathy. Vitamin B12 is crucial for the nervous system, and its deficiency could be one of the potential causes.
Early detection of these symptoms and appropriate, timely medical advice can help facilitate immediate intervention. Addressing nutritional gaps under medical guidance may help support overall nerve health and reduce the risk of progression.
Neurotropic B-vitamins are essential for preserving the structure and function of nerves. A lack of these vitamins may present as:
Common Vitamin B12 deficiency signs include persistent fatigue, sensory disturbances, imbalance and neuropathic discomfort. Early detection supports timely intervention and may help prevent further nerve damage.
The right nutritional support plays a key role in preserving nerve function:
An appropriate and active approach to nerve care includes nutritional adjustments, metabolic regulation, and the right assistance to support symptoms.
Dietary Optimization: Encourage intake of foods rich in B-vitamins such as whole grains, dairy, eggs, legumes, and leafy vegetables. However, for those with restrictions, the diet alone might not be enough, especially in cases of established deficiency, malabsorption, or restricted diets.
Targeted Treatment: When guided by a healthcare professional, oral supplementation can be considered as part of a comprehensive plan.
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Dozens of food products, including chocolates, snack mixes, popcorn, chips, and nuts, have been recalled in the US over the risk of salmonella contamination.
The recall is due to a specific ingredient — milk powder supplied by California Dairies — used in several products and snacks, particularly in seasonings.
According to the Food and Drug Administration (FDA), the potentially tainted powdered milk and buttermilk were voluntarily recalled on April 20.
Ghirardelli Chocolate Powders:
Also read:India Launches SEHAT Mission To Connect Farming With Nutrition And Health
The FDA urges people who purchased the products to throw them away or return them for a refund.
A separate Salmonella recall impacting 12 flavors of the popular chocolate brand Spring & Mulberry was also recently announced by the FDA, but appeared to be linked to a date supplier. It wasn't immediately clear if there was any connection to the California Dairies recall.
Another is a public health alert issued by the US Department of Agriculture’s Food Safety and Inspection Service (FSIS) for headcheese over possible contamination with Listeria monocytogenes (Lm).
Read More: Why The Norovirus Outbreak On A Caribbean Cruise Ship Is Not A Cause for Panic
As per the US Food and Drug Administration (FDA), Salmonella is a group of bacteria that can cause gastrointestinal illness and fever called salmonellosis. It can be spread by food handlers who do not wash their hands and/or the surfaces and tools they use between food preparation steps. It can also happen when people consume uncooked and raw food. Salmonella can also spread from animals to people.
The FDA notes that people who have direct contact with certain animals, including poultry and reptiles, can spread the bacteria from the animal to food if hand washing hygiene is not practiced.
Pets, too, could spread the bacteria within the home environment if they eat food contaminated with Salmonella.
Common symptoms of Salmonella include
Children younger than 5, adults 65 and older, and people with weakened immune systems are more likely to have severe illness.
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Ivermectin, an antiparasitic medication, which gained widespread attention during the COVID-19 pandemic, is back in the spotlight again — this time in connection with the ongoing hantavirus outbreak linked to the MV Hondius.
According to the latest update from the World Health Organization (WHO), nine hantavirus cases have been confirmed so far, including three deaths.
Health authorities have also confirmed that the outbreak involves the Andes strain of hantavirus — the only known hantavirus strain capable of human-to-human transmission.
While global health agencies, including the WHO, Centers for Disease Control and Prevention (CDC), and the European Centre for Disease Prevention and Control (ECDC), continue to maintain that the overall public health risk remains low, memories of the COVID-19 pandemic and the disruption it caused remain fresh. As a result, fear, speculation, and misinformation are once again spreading rapidly online.
"Hantavirus is an RNA virus, and ivermectin should work against it," claims a May 6, 2026, post on X from Mary Talley Bowden, an ear, nose, and throat doctor suspended in 2021 by Houston Methodist Hospital for spreading Covid-19 misinformation.
"I actually texted her today and asked what we can treat hantavirus with. I'm so glad she posted it," former Texas representative Marjorie Taylor Greene wrote on X as she amplified Bowden's assertions about ivermectin.
HealthandMe spoke to experts to understand the truth behind these claims, and they dismissed the misinformation surrounding them stat.
Dr Jatin Ahuja, Consultant, Infectious Disease, Apollo Delhi, noted that, "there is currently no strong scientific evidence or official guideline supporting ivermectin as a proven treatment for hantavirus in humans".
He advised people to avoid self-medication or depending on unverified online claims and to consult a doctor at the earliest if they experience any symptoms.
Dr Rajiva Gupta, Senior Consultant, Internal Medicine, CK Birla Hospital, Gurugram, added that ivermectin is not approved for the treatment of hantavirus infection by major global regulatory and public health agencies, including the World Health Organization, Centers for Disease Control and Prevention, or the US Food and Drug Administration.
"Current claims linking ivermectin to hantavirus treatment appear largely unverified and are being circulated primarily through social media platforms," he told HealthandMe.
Also read: Why The Norovirus Outbreak On A Caribbean Cruise Ship Is Not A Cause for Panic
Ivermectin is a well-established medication that is highly effective against parasites. It was developed to treat topical parasitic infections and has been widely used for conditions like river blindness and scabies.
The drug's significance in treating these diseases was so profound that researchers who studied it won the Nobel Prize in 2015.
The US Food and Drug Administration (FDA) has approved ivermectin tablets for treating specific parasitic infections in humans. It is also available as a lotion to treat lice and as a cream for rosacea. Additionally, veterinarians also use it to prevent and treat parasitic diseases in animals.
Previously, ivermectin also gained popularity as a cancer cure, although there is no scientific evidence for it.
To understand the treatment for hantavirus, let us first look at how the rat-borne virus affects the body.
"Once hantavirus enters the body, it mainly affects the lungs and small blood vessels," Dr Jatin told HealthandMe.
In some patients, the infection can cause fluid build-up in the lungs, which may lead to breathing problems and low oxygen levels.
Further, the severity of symptoms also can vary from person to person and may depend on factors such as the amount of virus a person was exposed to, the body’s immune response, and how early treatment is started.
Like many viral infections, a higher viral load may sometimes be linked to more severe illness, although every patient can respond differently, the experts said.
Read More: High Blood Pressure? Daily Soy And Legume Intake May Help Lower The Risk: Study
One challenge with hantavirus is that the early symptoms are quite non-specific and may resemble several common viral or respiratory infections.
Fever, body ache, fatigue, headache, nausea, and cough are commonly reported in the initial stage. In a few cases, symptoms may progress to breathing difficulty and lung-related complications, which require timely medical care.
Currently, treatments focus on medical care support and managing complications at the earliest stage possible.
"Patients may require oxygen support, hydration, monitoring, and intensive care depending on the severity of the illness. Early recognition and prompt medical attention remain important for better outcomes," Dr Jatin said.
Dr Rajiva noted that approved management for hantavirus infection remains primarily supportive, focused on respiratory and hemodynamic (circulatory) support. Among the therapies explored so far, ribavirin and monoclonal antibodies have shown some potential in experimental settings and animal models, but these are still under investigation and are not widely approved as standard treatment options.
Also read: Hantavirus: Is Climate Change Behind The Outbreak?
Since there is no direct cure for hantavirus infection, prevention becomes extremely important. Key precautions include:
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