Why Rabies Fears Water?
The fear of water in rabies occurs because throat muscle spasms prevent the patient from swallowing liquids.
How Water Fear Develops in Rabies
The reason rabies patients experience water fear is that the virus settles in the brain and nervous system and affects the areas that control the throat muscles.1- As the virus reaches the brain, it damages the nerves responsible for swallowing,
2- When patients try to drink water, very strong spasms occur in the throat,
3- These spasms can be triggered not only when trying to drink but even at the sight or sound of water.
Because of this, people try to avoid water due to both the physical pain and the panic it causes. This symptom is medically known as “hydrophobia” (fear of water), but it is not a real psychological phobia. It is not a mental fear of water, but a physical reaction caused by painful muscle responses. Since the patient cannot swallow, speaking becomes difficult, and breathing may feel stressful as the throat muscles continue to contract.
Progression of Rabies and the Danger of This Symptom
Rabies is almost always fatal if left untreated, and water fear usually appears in the final stage of the disease.1- As the virus spreads throughout the nervous system, muscle control becomes impaired,
2- Trying to drink water triggers severe panic, spasms, and a choking sensation,
3- As a result, the patient cannot drink and becomes dehydrated quickly.
Dehydration (severe fluid loss) rapidly worsens the patient’s condition. It is crucial for anyone who suspects rabies exposure to go to a hospital immediately. Vaccines and antibody treatments can completely prevent the disease as long as the virus has not yet reached the nerves. The fear of water seen in rabies is one of the clearest signs that urgent medical attention is needed. Being careful when interacting with animals and following public health guidelines about stray animals are among the most effective ways to prevent the spread of rabies. /