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Overhydration, also known as water intoxication or hyponatremia, occurs when the body takes in more water than the kidneys can eliminate, leading to dangerously diluted blood sodium levels. It is caused by excessive water intake that overwhelms the kidneys' ability to excrete fluid, diluting electrolytes and blood components. The Urea Nitrogen (BUN) blood test is the most important test for overhydration because it directly measures blood dilution and reveals how water overload is affecting kidney function.
Overhydration is caused by drinking water faster than your kidneys can eliminate it, which typically happens when consuming excessive amounts in a short period. Athletes during endurance events, people with certain medical conditions affecting kidney function, and individuals taking medications that cause water retention are at higher risk. The kidneys normally process about 1 liter of fluid per hour, but drinking significantly more than this overwhelms the system, causing sodium levels in the blood to become dangerously diluted. Certain psychiatric conditions can also lead to compulsive water drinking, and some recreational drug users consume excessive water due to increased thirst or misguided attempts to flush substances from their system.
The Urea Nitrogen (BUN) blood test is the most important test for overhydration because it directly measures how diluted your blood has become from excess water intake. When you drink too much water, BUN levels drop significantly below the normal range as blood components become diluted, providing clear evidence of water overload and its severity. The Benzene Incident Urine test is also valuable as a supporting test because it measures urine specific gravity, revealing whether your kidneys are properly concentrating urine or producing abnormally diluted urine due to overhydration. Together, these tests give healthcare providers a complete picture of how excess water is affecting both your blood chemistry and kidney function, allowing them to determine the best treatment approach.
You should get tested if you experience symptoms like nausea, headache, confusion, or muscle weakness after drinking large amounts of water, especially during or after intense exercise or endurance events. Testing is also important if you notice swelling in your hands or feet, feel unusually bloated, or experience changes in mental status such as disorientation or drowsiness after consuming excessive fluids. Athletes participating in marathons or long training sessions, individuals with conditions affecting kidney function, and anyone who has consumed several liters of water in just a few hours should consider testing. Early detection through blood work is critical because severe overhydration can lead to dangerous complications like brain swelling, seizures, and even coma if left untreated.
What this means
Your BUN level is slightly elevated, which may indicate mild dehydration or that your kidneys are working harder than ideal to filter waste. This could also be related to a high-protein diet or certain medications. While not necessarily concerning on its own, it's worth monitoring and addressing potential causes.
Recommended actions
Increase your daily water intake to stay well-hydrated throughout the day
Reduce sodium intake by limiting processed foods and salty snacks
Consider moderating protein intake if you consume large amounts daily
Retest in 4-6 weeks after making hydration and dietary adjustments
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