Is beer potomania euvolemic hyponatremia?
The combination of euvolemic hyponatremia with history of excessive beer drinking made beer potomania very likely. His urine osmolality and urine sodium, however, were higher than expected in beer potomania. These could be explained by the two diuretics that the patient was taking.
Why does beer potomania cause hyponatremia?
The low solute content of beer, and suppressive effect of alcohol on proteolysis result in reduced solute delivery to the kidney. The presence of inadequate solute in the kidney eventually causes dilutional hyponatremia secondary to reduced clearance of excess fluid from the body.
What causes beer potomania?
Beer potomania is caused by excessive drinking together with a poor diet. You can prevent beer potomania by eating healthy nutritious meals and reducing or avoiding alcohol intake. The number of calories you should eat in a day depends on your age, sex, lifestyle, and daily levels of physical activity.
How much beer causes hyponatremia?
Consequently, the ability to excrete free water becomes limited. Because the obligatory solute loss in a day is approximately 250 mOsm in these patients, with a urinary dilution capability of 50 mOsm/L, water intake greater than 5 L (or 14 cans of beer) results in hyponatremia [7].
Does beer cause low sodium levels?
Electrolyte abnormalities are common findings in patients with a history of heavy alcohol use. Excessive consumption of beer in particular, which has a low solute content (sodium concentration, 1.8 mEq/L and potassium concentration, 7.2 mEq/L), to the exclusion of other solute intake may result in severe hyponatremia.
Can drinking beer cause hyponatremia?
The excessive consumption of beer in particular, which has a low solute content (sodium concentration, 1.8 mEq/L; potassium concentration, 7.2 mEq/L), to the exclusion of other solute intake may result in severe hyponatremia.
What is the treatment for beer Potomania?
Sodium levels typically rise more quickly when the cause of hyponatremia is beer potomania. The treatment goal is to correct serum sodium levels by 1 to 2 mEq/L in the first 2 to 3 hours with a 24-hour goal of 10 mEq/L or less and a 48-hour goal of under 18 mEq/L.
What type of hyponatremia is beer potomania?
If you have beer potomania, you are at greater risk of ODS than people with other types of hyponatremia (low sodium). This is because your state of hyponatremia is likely severe and has developed over time due to sustained alcohol intake, making it more complex to treat.
Can you get hyponatremia from beer?
What is beer Potomania?
The syndrome “beer potomania” is used to describe a patient who presents with hyponatremia in conjunction with low daily solute intake and excessive beer drinking. This pathophysiological state results in patients at serious risk of rapid correction of hyponatremia and its neurological sequelae.
How is beer potomania related to hyponatremia?
After a detailed initial evaluation of the patients and labs for hyponatremia, a diagnosis of beer potomania was established in both cases. Considering the unique pathophysiology of beer potomania syndrome, the patients were closely monitored and treated appropriately to prevent any neurological sequelae.
When was the first case of hyponatremia reported?
Abstract The first case of severe hyponatremia, since referred to as beer potomania, in a heavy beer drinker patient was reported in 1972. The first case of severe hyponatremia in a heavy beer drinker patient was reported in 1972 by Gwinup et al.1 This condition has since been referred to as beer potomania.
What kind of hypo osmolality is potomania?
Potomania is a specific hypo-osmolality syndrome related to massive consumption of beer, which is poor in solutes and electrolytes.
When was the first case of beer potomania reported?
“Beer Potomania” – A Syndrome of Severe Hyponatremia with Unique Pathophysiology: Case Studies and Literature Review Beer potomania, a unique syndrome of hyponatremia, was first reported in 1972.