Coroner's Report
The subsequent coroner's report determined that the cause of death was a cerebral edema caused by water intoxication (hyponatraemia) secondary to use of MDMA (ecstasy). Hyponatraemia occurs when excessive fluid consumption dilutes sodium levels in the blood supply, leading to water absorption in the body's cells. Absorption of too much water causes cell swelling, which in the brain can cause irreparable damage as the human skull leaves little room for expansion inside. The brain's functions are also disrupted by cell swelling, resulting in respiratory arrest among other symptoms. The syndrome of inappropriate antidiuretic hormone hypersecretion (SIADH) that occurs in some users of MDMA can compound hyponatraemia by disrupting the body's normal response of releasing excess water by excretion.
The coroner recommended improved drug education information stressing the need for immediate medical attention if a user of MDMA became ill under its influence. Dr Henry, a British physician from the Medical Toxicology Unit at Guy's Hospital, noted that British recommendations for appropriate water consumption for MDMA users stressed the different needs of users who were dancing strenuously and those who were not.
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