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The paradox of dilutional hyponatremia, as described by Ovid  two millennia ago, continues to apply to patients with  advanced cirrhosis today: they have unremitting thirst despite  vastly increased total body water. Hyponatremia of less than  130 mmol/L occurs in 30% of cirrhotic patients (1), and is  mainly due to the reduced capacity of their kidneys to excrete  free water

Vasopressin Antagonists and Dilutional Hyponatremia