The Composition of Sodium Chloride
Sodium chloride, commonly known as table salt, is an essential electrolyte for human health, regulating fluid balance, nerve impulses, and muscle function. It is composed of sodium and chloride ions and is present in nearly all bodily fluids and tissues. However, the concentration is what determines its safety for consumption. While a small amount is necessary for survival, a high concentration, like that found in seawater, is toxic to humans.
The Physiological Problem with Salt Water
When you drink a highly concentrated sodium chloride solution, such as ocean water (which is roughly 3.5% salt), your body's cells are exposed to a hypertonic environment. The principle of osmosis dictates that water moves from an area of lower solute concentration to an area of higher concentration across a semi-permeable membrane. In the case of drinking seawater, this means your cells release their water to try and dilute the excess salt in your bloodstream, leading to cellular shrinkage and severe dehydration.
The Kidneys' Limitation
The human renal system actively works to regulate sodium levels in the blood, excreting excess sodium through urine. However, the kidneys have a maximum concentrating ability and cannot produce urine that is saltier than seawater. This creates a vicious cycle: to excrete the excess sodium from ingested seawater, your body must use more water than you drank, resulting in a net fluid loss. This process quickly leads to dangerous dehydration and other severe health complications.
Dangers of Consuming Excessive Sodium Chloride
Consuming too much salt can lead to a dangerous medical condition called hypernatremia, where sodium levels in the blood become abnormally high.
- Increased Dehydration: Contrary to what you might expect, drinking salt water makes you thirstier and more dehydrated. The body expends valuable water to flush out the excess salt, accelerating fluid loss.
- Kidney Strain and Failure: The kidneys bear the brunt of processing excess sodium. The struggle to filter the high salt concentration places immense stress on these organs, which can lead to kidney dysfunction or even failure over time.
- Electrolyte Imbalances: The flood of sodium disrupts the delicate balance of electrolytes needed for proper nerve and muscle function, potentially causing irregular heart rhythms, muscle spasms, and neurological issues.
- Neurological Symptoms: The brain is particularly sensitive to high sodium levels. As brain cells shrink from water loss, symptoms such as confusion, delirium, seizures, and even coma can occur.
- Fatal Consequences: In extreme cases, consuming large quantities of a highly concentrated sodium chloride solution can be lethal due to severe hypernatremia and subsequent organ failure. Survival manuals consistently advise against drinking seawater in emergencies.
The Difference: Salt Water vs. Electrolyte Drinks
Many people confuse the idea of drinking high-salinity seawater with consuming carefully formulated electrolyte drinks. While both contain sodium, their purpose and composition are fundamentally different. The key difference is concentration.
| Feature | Seawater | Fresh Water | Electrolyte Drink | 
|---|---|---|---|
| Sodium Concentration | High (approx. 3.5%) | Low (<250 mg/L typical) | Balanced (optimized for rehydration) | 
| Other Electrolytes | Trace minerals in potentially harmful concentrations | Low concentrations | Balanced blend (potassium, magnesium, etc.) | 
| Effect on Hydration | Dehydrating, causes net fluid loss | Hydrating, replenishes body fluid | Hydrating, enhances fluid absorption | 
| Purpose | None, toxic for human consumption | Basic hydration | Replenish electrolytes lost via sweat/illness | 
What to Do in a Salt Water Emergency
If you find yourself stranded without fresh water, the most important rule is to avoid drinking seawater. Here are safer alternatives:
- Gather Rainwater: Collect any rainwater using a tarp, container, or other materials to create a clean, fresh water source.
- Distillation: Create a makeshift solar still to purify seawater. By boiling salt water and collecting the condensation, you can obtain safe, drinkable water, as the salt is left behind. This can also be done on a smaller scale with a pot and a cup.
- Reverse Osmosis: While not a field solution, reverse osmosis is a desalination method that removes salt and impurities by forcing water through a semi-permeable membrane. This is used in larger scale applications.
The Danger of Salt Poisoning
Salt poisoning is a severe medical issue resulting from the excessive intake of sodium, which can be intentional or accidental. A lethal dose of table salt is approximately 0.5–1 gram per kilogram of body weight. Historically, using salt water as an emetic (to induce vomiting) was a dangerous practice that has been fatal. This method is no longer recommended by poison control centers because it increases blood sodium concentration, leading to severe hypernatremia.
Conclusion
In conclusion, despite being a crucial nutrient in small amounts, sodium chloride in high concentrations is not drinkable. The human body is not equipped to process the high levels of salt found in solutions like seawater, leading to severe dehydration, hypernatremia, and potential organ failure. While electrolyte drinks contain sodium, they are carefully balanced to aid hydration, not replicate the dangerous concentrations found in salt water. In a survival situation, prioritizing the search for fresh water and employing safe desalination methods are critical steps to ensure survival and avoid the fatal consequences of salt poisoning.
For further information on why humans cannot drink seawater, consult NOAA's National Ocean Service.