Pagophagia-Induced Hyponatremia: An Unusual Case

Hyponatremia occurs when the serum sodium level is below 135 mmol/L. The symptoms include nausea, vomiting, confusion, headache, cardiorespiratory symptoms, profound somnolence or coma, and seizures are observed. Iron deficiency anemia can also cause pagophagia, a Pica subspecies. Although it has b...

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Main Authors: Aydanur Akbaba, Mustafa Bogan, Ceren Karakeçili, Fatma Boğan, Hasan Sultanoglu
Format: Article
Language:English
Published: Knowledge E 2023-09-01
Series:Sudan Journal of Medical Sciences
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Online Access:https://knepublishing.com/index.php/SJMS/article/view/14090
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author Aydanur Akbaba
Mustafa Bogan
Ceren Karakeçili
Fatma Boğan
Hasan Sultanoglu
author_facet Aydanur Akbaba
Mustafa Bogan
Ceren Karakeçili
Fatma Boğan
Hasan Sultanoglu
author_sort Aydanur Akbaba
collection DOAJ
description Hyponatremia occurs when the serum sodium level is below 135 mmol/L. The symptoms include nausea, vomiting, confusion, headache, cardiorespiratory symptoms, profound somnolence or coma, and seizures are observed. Iron deficiency anemia can also cause pagophagia, a Pica subspecies. Although it has been emphasized that electrolyte disturbance may develop due to pagophagia, only a dearth of cases was reported. A 59-year-old male patient was brought to the emergency department with complaints of incoherent speech that started at night, disorientated movements (such as fluttering and climbing), insomnia, restlessness, and confusion. In 2017, he experienced hyponatremia due to pagophagia and a salt-free diet. At the index episode of hyponatremia, he experienced confusion, drowsiness, and sleepiness. It was learned that the patient enjoyed these symptoms.For this purpose, the patient made a habit of eating a completely salt-free diet and consumed plenty of water. Although pagophagia is considered to cause hyponatremia because it causes excessive water intake, there are not enough cases reported. It is to be noted that people develop habits or addiction to things they like.
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issn 1858-5051
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publishDate 2023-09-01
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series Sudan Journal of Medical Sciences
spelling doaj-art-b61ca4e792a74cc999288e60957d9ea02025-01-21T09:33:17ZengKnowledge ESudan Journal of Medical Sciences1858-50512023-09-0118310.18502/sjms.v18i3.14090Pagophagia-Induced Hyponatremia: An Unusual CaseAydanur Akbaba0Mustafa Bogan1Ceren Karakeçili2Fatma Boğan3Hasan Sultanoglu41Emergency Department, School of Medicine, Düzce University, TurkeyEmergency Department, School of Medicine, Düzce University, TurkeyEmergency Department, School of Medicine, Düzce University, TurkeyVocational School of Health Services, Düzce University, Düzce, TurkeyEmergency Department, School of Medicine, Düzce University, Turkey Hyponatremia occurs when the serum sodium level is below 135 mmol/L. The symptoms include nausea, vomiting, confusion, headache, cardiorespiratory symptoms, profound somnolence or coma, and seizures are observed. Iron deficiency anemia can also cause pagophagia, a Pica subspecies. Although it has been emphasized that electrolyte disturbance may develop due to pagophagia, only a dearth of cases was reported. A 59-year-old male patient was brought to the emergency department with complaints of incoherent speech that started at night, disorientated movements (such as fluttering and climbing), insomnia, restlessness, and confusion. In 2017, he experienced hyponatremia due to pagophagia and a salt-free diet. At the index episode of hyponatremia, he experienced confusion, drowsiness, and sleepiness. It was learned that the patient enjoyed these symptoms.For this purpose, the patient made a habit of eating a completely salt-free diet and consumed plenty of water. Although pagophagia is considered to cause hyponatremia because it causes excessive water intake, there are not enough cases reported. It is to be noted that people develop habits or addiction to things they like. https://knepublishing.com/index.php/SJMS/article/view/14090pagophagiapolydipsiahyponatremiahabitaddiction
spellingShingle Aydanur Akbaba
Mustafa Bogan
Ceren Karakeçili
Fatma Boğan
Hasan Sultanoglu
Pagophagia-Induced Hyponatremia: An Unusual Case
Sudan Journal of Medical Sciences
pagophagia
polydipsia
hyponatremia
habit
addiction
title Pagophagia-Induced Hyponatremia: An Unusual Case
title_full Pagophagia-Induced Hyponatremia: An Unusual Case
title_fullStr Pagophagia-Induced Hyponatremia: An Unusual Case
title_full_unstemmed Pagophagia-Induced Hyponatremia: An Unusual Case
title_short Pagophagia-Induced Hyponatremia: An Unusual Case
title_sort pagophagia induced hyponatremia an unusual case
topic pagophagia
polydipsia
hyponatremia
habit
addiction
url https://knepublishing.com/index.php/SJMS/article/view/14090
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AT mustafabogan pagophagiainducedhyponatremiaanunusualcase
AT cerenkarakecili pagophagiainducedhyponatremiaanunusualcase
AT fatmabogan pagophagiainducedhyponatremiaanunusualcase
AT hasansultanoglu pagophagiainducedhyponatremiaanunusualcase