Secondary drowning can and does occur up to 72 hours after near-drowning incidents occur.
When someone drowns, they inhale to much liquid in their body, clogging the person's airways and preventing oxygen from entering the body.
When someone suffers from secondary drowning, the body almost drowns in liquid- then suffers from too much liquid in its systems (especially the lungs). The body counters the liquid in its lungs with its own bodily fluids, filling the systems further. This type of drowning is a sort of slow motion version of the first kind. The victim finds it more and more difficult to breathe, until they can't anymore.
Effects of secondary drowning are usually hours after the near-drowning events. Usually it is small children that suffer from this condition- that is why it is important for parents to take note of its symptoms, "difficulties in breathing, extreme tiredness or behavioral changes."
More information on this at this link: https://shine.yahoo.com/parenting/every-parent-needs-know-secondary-drowning-162500883.html
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