Excessive Water Intake Identified as Rare Trigger for Asthma Exacerbation: Case Report
China: A recent case report has highlighted an unusual trigger for asthma exacerbation-excessive water consumption. While asthma is commonly worsened by allergens, air pollution, smoking, and viral infections, fluid overload as a contributing factor remains largely unreported. This rare case emphasizes the need for clinicians to consider fluid balance in asthma management.
The case, published in Clinical Medicine Insights: Case Reports, involved a 72-year-old man in China who had been managing bronchial asthma for two years with inhaled and oral medications. Upon hospitalization for worsening chest tightness, wheezing, and shortness of breath, he was treated with standard asthma therapies, including nebulized bronchodilators, corticosteroids, and oxygen therapy. Initially, his symptoms showed mild improvement, but his condition unexpectedly worsened despite ongoing treatment.
"Upon further investigation, we discovered that the patient had been consuming large amounts of water—approximately 3.5 liters daily, in addition to intravenous fluids—due to persistent dry mouth from oxygen therapy. However, his fluid output was significantly lower, resulting in a serious positive fluid balance. The excessive fluid retention was suspected to contribute to pulmonary congestion, further aggravating his asthma symptoms," Huachen Jiao, Department of Cardiology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, People’s Republic of China, and colleagues described in their case report.
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