Water Intoxication and Hyponatremia due Religious Ritual "Ruqayyah": Case Report

Introduction:This paper discusses a patient who developed severe acute hyponatremia due to consuming an excessive amount of water (19 liters) over 4 hours during a religious ritual called "Ruqayyah."Understanding this case can contribute to raising awareness and preventing similar occurrences in the future. Case presentation:A 29-year-old woman, who had been undergoing psychotherapy for depression for the past month, was brought to the emergency department by emergency medical services after experiencing a newonset generalized tonic-clonic seizure.Patients consumed approximately 19 liters of fluid over a period of 4 hours due to religious beliefs.The diagnosis of water intoxication with severe hyponatremia (Na = 109 mmol/L) was made.Optimum fluid and electrolyte management achieved, and the patient discharged with a good neurological outcome. Conclusion:The presented case offers a compelling narrative that intersects cultural practices, medical emergencies, and the importance of culturally sensitive healthcare delivery.Therefore, healthcare providers must be aware of the potential risks associated with certain rituals and be prepared to address any medical emergencies that may arise.