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To the Editor:
—I desire to make some supplementary remarks on an editorial which appeared in The Journal, June 19, entitled, "Water: Enough, More, or Less."The editorial is correct so far as it goes. Some experiences that I have had with a low-water diet lead me to believe that it is not always harmless, and that simply to institute such a regimen without thought of the etiology of the edema would in many instances prejudice the recovery of the patient. It is admitted that inability to concentrate urine is a compensatory activity in true suburemia, i. e., when the urea concentration of the plasma is high, and that the continued welfare of the patient calls for the use of comparatively large quantities of water for the diuretic effect. This situation often occurs in moderate edemas. A low water diet under such circumstances is contraindicated, even for the purpose of
Houghton HA. WATER: ENOUGH, MORE, OR LESS. JAMA. 1926;87(3):190–191. doi:10.1001/jama.1926.02680030054024