Does Drinking Ice Water After Exercise Cause Pneumothorax? - Internal Medicine

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Drinking a large amount of ice-cold water after exercise can cause pneumothorax?


Hello Doctor: A friend heard that after exercising, drinking ice water caused discomfort and went to see a doctor, who said it was a pneumothorax caused by drinking ice water.
Can drinking ice water after exercise really lead to pneumothorax? I personally drink ice water after exercising as well, but I haven't experienced any issues.

Lizzy, 30~39 year old female. Ask Date: 2017/12/03

Dr. Hong Yuanbin reply Internal Medicine


Hello, theoretically speaking, ice water may cause discomfort in the throat or gastrointestinal tract, but it should not directly lead to a pneumothorax.
As for the causes of pneumothorax, aside from trauma, one possible reason could be severe coughing, or it may occur as a spontaneous pneumothorax without a known cause, which is commonly seen in tall and slender individuals.
The exact reason remains unclear, but the medical community speculates that it may be related to individual physiology.
Your friend likely falls into this category.
Thank you for your question.

Reply Date: 2017/12/03

More Info


Drinking ice water after exercise is a common practice for many individuals seeking to cool down and rehydrate. However, the concern that it could lead to pneumothorax, a condition where air leaks into the space between the lung and chest wall, is largely unfounded. Pneumothorax can occur due to various reasons, including trauma, certain medical conditions, or even spontaneous occurrences, particularly in tall, thin individuals.
The idea that drinking ice water could directly cause pneumothorax stems from a misunderstanding of the condition's underlying causes. While it is true that consuming very cold beverages can lead to temporary discomfort in the throat or stomach, it does not have a direct correlation with the development of pneumothorax. The primary causes of pneumothorax include:
1. Trauma: This includes blunt or penetrating injuries to the chest that can cause air to escape from the lung into the pleural space.

2. Spontaneous Pneumothorax: This occurs without any obvious cause and is more common in young, tall, and thin individuals. It is believed to be related to the rupture of small blebs (air-filled sacs) on the lung surface.

3. Underlying Lung Disease: Conditions such as chronic obstructive pulmonary disease (COPD), cystic fibrosis, or pneumonia can increase the risk of pneumothorax.

In the case of your friend, it is more likely that their symptoms were coincidental or related to another underlying issue rather than directly caused by drinking ice water after exercise. It is important to note that after vigorous physical activity, the body is in a state of recovery, and hydration is crucial. Drinking cold water can help lower body temperature, but it should be done in moderation to avoid gastrointestinal discomfort.

Additionally, if someone experiences chest pain, difficulty breathing, or any other concerning symptoms after drinking cold water or exercising, it is essential to seek medical attention. These symptoms could indicate a more serious condition that requires evaluation.

In conclusion, while drinking ice water after exercise is generally safe for most people, it is essential to listen to your body. If you experience discomfort, consider opting for room temperature or slightly cool water instead. Maintaining proper hydration is vital, especially after exercise, to prevent complications such as dehydration, which can lead to muscle cramps and other issues. If there are persistent concerns about symptoms following exercise or hydration practices, consulting a healthcare professional is advisable for personalized advice and assessment.

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