title: Taking alcohol with a (large) pinch of salt: Understanding the osmoles in "beer potomania" and "starvation potomania".
abstract: Alcoholism is a major problem globally and beer drinking is on the rise. Many of the alcoholics sustain only on beer for days and do not get adequate solutes in the form of food. Similar situation can arise in cases of decreased food intake due to severe deliberate restriction or other factors like decreased appetite from cocaine. In these cases, salt free liquid intake may still be adequate. Such situations are conducive to the development of hyponatremia. Some of the solutes in diet, such as salt and protein, act as osmoles in urine. In these conditions, understanding the role played by solutes in diet and osmoles in urine is of vital importance for appropriate treatment of hyponatremia.
authors.affiliation: Department of Nephrology, Kaiser Permanente, 9961 Sierra Ave, Fontana, CA 92335, USA.
authors.forename: T H
authors.initials: TH
authors.lastname: Imam
keywords: Beer potomania; hyponatremia; osmoles; starvation potomania
references.citation: Addiction. 1996 Feb;91(2):231-42
references.pmid: 8835278
references.citation: Am J Physiol. 1982 May;242(5):R522-7
references.pmid: 7081477
references.citation: Prim Care Companion J Clin Psychiatry. 2010;12(4):
references.pmid: 21085565
references.citation: Clin Nephrol. 1996 Jan;45(1):61-4
references.pmid: 8616959
references.citation: J Am Soc Nephrol. 2008 Jun;19(6):1076-8
references.pmid: 18337482
references.citation: Am J Kidney Dis. 1998 Jun;31(6):1028-31
references.pmid: 9631849
references.citation: Clin Invest Med. 1991 Aug;14(4):355-8
references.pmid: 1782734
references.citation: Am J Clin Nutr. 1977 Jul;30(7):1070-6
references.pmid: 879074
references.citation: N Engl J Med. 2013 Apr 25;368(17):1655-6
references.pmid: 23614598
references.citation: J Physiol. 1942 Aug 18;101(2):172-91
references.pmid: 16991552
references.citation: Lancet. 1971 Nov 20;2(7734):1115-7
references.pmid: 4107396
references.citation: Am J Kidney Dis. 2007 Oct;50(4):673-80
references.pmid: 17900468
references.citation: Drug Alcohol Depend. 2004 Jun 11;74(3):223-34
references.pmid: 15194200