$re = '/(?i)^(?!.*\bnever\b.{,20}\bwater\b).*\bwater\b/m';
$str = 'water
I have water
I never have water
Where is the water
I never have food or water
I never have food but I always have water
I never have food or chips. I like to walk. I have water';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php