{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:55:50Z","timestamp":1790776550139,"version":"4.1.0"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Benign prostatic hyperplasia (BPH) commonly presents with lower urinary tract symptoms and requires preprocedural bladder filling for urologic evaluation. A 61-year-old male with BPH, diabetes, and hypertension developed altered sensorium, behavioral changes, hiccups, and a single episode of generalized tonic\u2013clonic seizure after consuming 4 L of water during 2 h prior to uroflowmetry and ultrasound. Investigations showed hypotonic hyponatremia (serum sodium: 109 mEq\/L). Other causes were excluded, and prompt treatment with hypertonic saline and fluid restriction was initiated, resulting in full recovery. Acute water intoxication causing dilutional hyponatremia is a rare but preventable complication requiring awareness and proper hydration guidance, especially in the elderly.<\/jats:p>","DOI":"10.4103\/iju.iju_216_26","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:00:14Z","timestamp":1790758814000},"page":"338-340","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hiccups to hyponatremic encephalopathy: A rare presentation of acute water intoxication in a patient after uroflowmetry"],"prefix":"10.4103","volume":"42","author":[{"given":"Hanny C.","family":"Japhina","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab","family":"Mehdi","sequence":"additional","affiliation":[{"name":"Trauma and Emergency, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Mishra","sequence":"additional","affiliation":[{"name":"Urology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"R1-20260930","first-page":"129","article-title":"An unusual complication following uroflowmetry: Water intoxication resulting in hyponatremia and seizure","volume":"59","author":"Issa","year":"1997","journal-title":"Urol Int"},{"key":"R2-20260930","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s11255-004-7973-1","article-title":"Water intoxication leading to hyponatremia and seizures: A rare complication of uroflowmetry","volume":"37","author":"Vishwajeet","year":"2005","journal-title":"Int Urol Nephrol"},{"key":"R3-20260930","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1046\/j.1464-410X.1997.11538.x","article-title":"Iatrogenic polydipsia: A rare cause of water intoxication in urology","volume":"79","author":"Olapade-Olaopa","year":"1997","journal-title":"Br J Urol"},{"key":"R5-20260930","doi-asserted-by":"crossref","first-page":"i1","DOI":"10.1093\/ndt\/gfu040","article-title":"Clinical practice guideline on diagnosis and treatment of hyponatraemia","volume":"29","author":"Spasovski","year":"2014","journal-title":"Nephrol Dial Transplant"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_216_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:02:12Z","timestamp":1790773332000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_216_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_216_26","relation":{},"ISSN":["0970-1591","1998-3824"],"issn-type":[{"value":"0970-1591","type":"print"},{"value":"1998-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"2026-04-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}