Many parents have never heard of secondary drowning, but it can happen in a pool, in the ocean, and even in a bathtub. "It occurs when a small amount of inhaled fluid acts as an irritant, causing inflammation and leakage of liquid into the lung," says Michael Roizen, MD, chief wellness officer at the Cleveland Clinic and co-founder of YouBeauty. "In some cases, the body may respond by pushing even more liquid into the lungs (this is called pulmonary edema) over the following hours, reducing the ability to breathe and leading a person to drown in their own body fluids." The reaction can take place up to 72 hours after a near drowning incident.