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My 10-week-old puppy licked puddle water left on the patio overnight — is water intoxication a risk?

Dogs · Emergency guide

Last reviewed: 2026-09-05 · Reference ranges: ASPCA, Pet Poison Helpline & Merck Veterinary Manual

Short answer

Yes, a young small puppy is at higher risk for water intoxication, especially after drinking an unmeasured amount from a puddle. The water sitting overnight is also prone to bacteria and contamination, which adds another concern. Watch for wobbliness, staring into space, drooling, vomiting, or excessive urination. Stop all free access to standing water and call your vet now — hyponatraemia needs careful slow correction and can be life-threatening in puppies.

Why is this dangerous?

When a pet takes in water faster than the kidneys can excrete it, blood sodium is diluted. Water then moves into brain cells, which swell inside the fixed skull — the cause of the neurological signs.

The classic case is a dog repeatedly fetching from a lake or playing in a sprinkler for a long time, or a dog that drinks an enormous bowl after intense exercise. Small dogs are at higher risk.

Why speed matters

Delaying care significantly worsens outcomes. Some signs appear hours or days later, so "looks fine right now" is not a reason to wait.

Signs to watch for

  • Lethargy, confusion, staring into space
  • Wobbliness, staggering, unable to stand
  • Dilated pupils, blindness-like behaviour
  • Drooling, vomiting, excessive urination
  • Tremors, seizures, coma and breathing difficulty in severe cases

What to do right now

  1. Call the vet immediately — hyponatraemia needs careful, slow correction; too-rapid correction causes its own brain injury.
  2. Stop the pet drinking and remove it from the water.
  3. Do not give salt, salty food or electrolytes on your own.
  4. Limit water play: take breaks, use a shallow pool, and do not let a hot dog gulp a full bowl at once.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.

The step-by-step response, from the first minute to the vet visit, is in our Water Intoxication (Hyponatraemia) emergency guide.

Open the full emergency guide: Water Intoxication (Hyponatraemia) →