Can Drinking Well Water Make You Sick?

Drinking well water can cause illness because private water sources are not regulated by the government like public utility water supplies. The responsibility for testing and maintaining water safety falls entirely on the well owner. Contaminants can be broadly categorized into two groups: microbes that cause immediate, acute sickness and chemicals that lead to chronic, long-term health problems. Understanding the difference between these threats and how they enter the water is the first step toward mitigation.

Acute Illnesses Caused by Pathogens

Microbial contamination in well water leads to acute gastrointestinal illness, often with a rapid onset of symptoms. These pathogens are typically bacteria, viruses, or parasites originating from human or animal fecal matter that has entered the groundwater supply. A sudden spike in contaminants is frequently associated with environmental events like heavy rainfall or flooding that introduce surface water into the well.

The most common bacterial indicator of fecal contamination is total coliform bacteria, which prompts concern for harmful strains like Escherichia coli (E. coli). Ingesting water contaminated with pathogenic E. coli can cause severe diarrhea, abdominal cramps, and vomiting. Viruses, such as Norovirus and Hepatitis A, are also transmitted through fecal matter and can lead to similar gastrointestinal distress.

Parasitic protozoa, particularly Giardia lamblia and Cryptosporidium, are notoriously hardy and resistant to standard chlorination methods. Giardia infection typically causes diarrhea, gas, and greasy stools, while Cryptosporidium infection results in watery diarrhea, nausea, and abdominal cramps. While these acute illnesses are usually short-lived in healthy individuals, they can be dangerous for infants, the elderly, and people with compromised immune systems.

Long-Term Health Risks from Chemical Contaminants

Chemical contaminants pose an insidious threat because they are often odorless, colorless, and tasteless. These substances lead to chronic health risks that develop over months or decades of exposure. Three common chemical hazards are nitrates, arsenic, and lead, each causing distinct health complications.

Nitrate contamination is a serious concern, especially for infants under six months old, as high levels can cause methemoglobinemia, or “blue baby syndrome.” This condition reduces the blood’s ability to carry oxygen, rapidly causing bluish skin and shortness of breath. Newer research also links chronic exposure to nitrates to increased risks of colorectal cancer, thyroid disease, and adverse reproductive outcomes in adults.

Arsenic is a naturally occurring heavy metal that leaches into groundwater from surrounding rock and soil deposits, though industrial activities can also contribute. Long-term consumption of arsenic-contaminated water is linked to an increased risk of several cancers, including bladder, lung, and skin cancer. Chronic arsenic exposure can also contribute to cardiovascular disease, diabetes, and reduced intelligence in children.

Lead enters well water primarily from household plumbing components like lead service lines, solder, or brass fixtures. Lead poses a threat to the neurological system, particularly in children, where it can damage the brain and kidneys, slowing development and causing learning or behavioral problems. Unlike microbial threats, these chemical contaminants are not removed by boiling the water; boiling can actually increase the concentration.

Common Pathways for Well Contamination

Contaminants reach well water through several common physical and geological pathways. One frequent source is the proximity of a well to a septic system or drain field. If a septic system is improperly maintained or located too close to the well, its effluent can seep through the soil and transport pathogens and nitrates into the groundwater.

Agricultural land use is another major contamination source, where surface runoff carries fertilizers, pesticides, and animal waste toward the well area. Fertilizers and manure are rich in nitrates and bacteria, which leach through the soil into the water table. Geological features like fractured bedrock or thin soil layers can create rapid pathways, bypassing the earth’s natural filtering capacity.

Poor well construction or maintenance provides a direct entry point for surface contamination. Flaws like a cracked casing, a missing sanitary well cap, or insufficient sealing (grouting) allow surface water to flow straight down to the groundwater. Shallow wells, typically less than 100 feet deep, are inherently more susceptible to contamination because they draw water from aquifers closer to the ground level. Improperly abandoned wells that are not sealed can also act as conduits, funneling contaminants into deeper aquifers.

Essential Steps for Well Testing and Water Treatment

Protecting a private well begins with a consistent testing schedule, as water quality can change unexpectedly over time. Well owners should test their water at least once every year for total coliform bacteria and nitrates. These annual tests provide a baseline understanding of microbial safety and contamination from human or agricultural waste.

Additional testing is recommended if there is a change in the water’s taste, odor, or appearance, or after major events like flooding or well system repair. Owners should also periodically test for heavy metals like arsenic and lead, especially if the well is located in an area with known geological or industrial contamination risks. It is advisable to use a state-certified laboratory for accurate results to determine appropriate treatment.

If testing reveals contamination, the problem must be addressed with specific treatment methods tailored to the contaminant. For microbial issues, shock chlorination can disinfect the entire well system, while continuous treatment systems like ultraviolet (UV) light are effective for inactivating bacteria and viruses. Chemical contaminants require advanced methods, such as reverse osmosis systems or distillation units, which are effective at removing nitrates and heavy metals at the point of use. Addressing the source of contamination, such as repairing a faulty well casing, is necessary for long-term water safety.