Emergency warning: If you have shortness of breath, persistent vomiting, high fever, fainting or marked drowsiness, severe abdominal pain or bloody stools, go to the emergency department immediately. A single episode of swallowing seawater rarely causes a serious problem for most people. Because seawater is salty, taking a large amount can cause nausea or vomiting. If the water was dirty or contaminated, there is a risk of infection; fever, worsening abdominal pain, diarrhea or marked fatigue developing over a few days warrant medical evaluation. If you have no symptoms now, it is usually sufficient to rest at home and watch for signs; seek care if new symptoms appear or existing ones worsen. Which specialty to consult depends on your current symptoms: Emergency Medicine for urgent signs; Infectious Diseases and Clinical Microbiology for suspected infections; Family Medicine or Gastroenterology for digestive symptoms. This is general information and not personalized medical advice; consult a health professional for individual guidance.