Can secondary drowning happen 72 hours later?

Answered by Ricardo McCardle

Secondary drowning can occur up to 72 hours after contact with water. This is a lesser-known but potentially dangerous condition that can have serious consequences if not recognized and treated promptly.

Secondary drowning, also known as delayed drowning or dry drowning, happens when a small amount of water enters the lungs during water activities. It can occur in various settings, such as swimming pools, oceans, lakes, or even bathtubs. Unlike traditional drowning where water enters the lungs immediately, secondary drowning involves a delayed reaction.

After the initial water contact, the person may seem fine and show no immediate signs of distress. However, the tiny amount of water that enters the lungs can lead to inflammation and swelling, causing a condition called pulmonary edema. As a result, the lungs struggle to exchange oxygen and carbon dioxide efficiently, leading to a drop in blood oxygen levels.

The symptoms of secondary drowning can be subtle and may not reveal themselves while the person is still in or around the water. This is what makes it particularly concerning, as it can catch people off guard. Some common symptoms to look out for include:

1. Persistent coughing: If a person continues to cough excessively after being in the water, it could be a sign that the body is trying to clear the lungs of fluid.

2. Shortness of breath: Difficulty breathing or rapid breathing can indicate that the lungs are not functioning properly due to the accumulated fluid.

3. Chest pain: The inflammation in the lungs can cause chest discomfort or pain, which may be a warning sign of secondary drowning.

4. Fatigue or lethargy: Decreased energy levels or excessive sleepiness can be a result of decreased oxygen levels in the blood.

5. Changes in behavior or mood: Irritability, confusion, or sudden changes in behavior can be caused by the lack of oxygen reaching the brain.

If any of these symptoms are observed in someone who has recently been in the water, it is important to seek medical attention immediately. Prompt medical intervention can be life-saving in cases of secondary drowning.

It’s important to note that not everyone who ingests water will develop secondary drowning. The risk factors may vary depending on individual factors such as lung health, the amount of water inhaled, and the duration of exposure. Children and those with pre-existing respiratory conditions may be at a higher risk.

Prevention is key in avoiding secondary drowning. Ensuring proper supervision, teaching water safety skills, and using floatation devices can help reduce the risk of water-related accidents. Additionally, it is crucial to be aware of the potential signs and symptoms of secondary drowning and seek medical attention if any concerns arise.

Secondary drowning can occur up to 72 hours after contact with water. It is a condition where fluid in the lungs leads to a drop in blood oxygen levels. The symptoms may not be immediately apparent and can include persistent coughing, shortness of breath, chest pain, fatigue, and changes in behavior. If any of these symptoms are observed in someone who has recently been in the water, it is important to seek medical attention promptly. Taking preventive measures and being vigilant can help reduce the risk of secondary drowning and ensure the safety of individuals participating in water activities.