Dehydration | Symptoms, Cause, Headache, Prevent

Dehydration

Dehydration occurs when you use or lose more fluid than you take in, and your body doesn’t have enough water and other fluids to carry out its normal functions. If you don’t replace lost fluids, you will get dehydrated. Anyone may become dehydrated, but the condition is especially dangerous for young children and older adults. The most common cause of dehydration in young children is severe diarrhea and vomiting. Older adults naturally have a lower volume of water in their bodies, and may have conditions or take medications that increase the risk of dehydration.

What is cause of dehydration?

The basic causes of dehydration are not taking in enough water, losing too much water. Sometimes, it is not possible to consume enough fluids because we are too busy, lack the facilities or strength to drink. These are in an area without potable water (while hiking or camping, for example). Additional causes of dehydration include:

Diarrhea 

The most common cause of dehydration and related deaths. The large intestine absorbs water from food matter, anddiarrhea prevents this from happening. The body excretes too much water, leading to dehydration.

Vomiting 

Leads to a loss of fluids and makes it difficult to replace water by drinking it.

Sweating 

The body’s cooling mechanism releases a significant amount of water. Hot and humid weather and vigorous physical activity can further increase fluid loss from sweating. Similarly, a fever can cause an increase in sweating and may dehydrate the patient. Especially if there is also diarrhea and vomiting.

Diabetes 

High blood sugar levels cause increased urination and fluid loss. Tips for handling summer heat for people with diabetes.

Frequent urination 

Usually caused by uncontrolled diabetes. But it also can be due to alcohol and medications such as diuretics, antihistamines, blood pressure medications, and antipsychotics.

Burns 

Blood vessels can become damaged, causing fluid to leak into the surrounding tissues.

What are the symptom of dehydration?

The body’s initial responses to dehydration are thirst to increase water intake, and decreased urine output to try to conserve water loss. The urine will become concentrated and more yellow in color.

As the level of water loss increases, more symptoms can become apparent. The following are further signs and symptoms of dehydration.

·         Infant or young child

·         Dry mouth and tongue

·         No tears when crying

·         No wet diapers for three hours

·         Sunken eyes, cheeks

·         Sunken soft spot on top of skull

·         Listlessness or irritability

·         Adult

·         Extreme thirst

·         Less frequent urination

·         Dark-colored urine

·         Fatigue

·         Dizziness

·         Confusion

What are the Complications?

Dehydration can lead to serious complications, including:

Heat injury

If you don’t drink enough fluids when you’re exercising vigorously and perspiring heavily. You may end up with a heat injury, ranging in severity from mild heat cramps to heat exhaustion or potentially life-threatening heatstroke.

Urinary and kidney problems

Prolonged or repeated bouts of dehydration can cause urinary tract infections, kidney stones and even kidney failure.

Seizures

Electrolytes — such as potassium and sodium — help carry electrical signals from cell to cell. If your electrolytes are out of balance, the normal electrical messages can become mixed up. And it can lead to involuntary muscle contractions and sometimes to a loss of consciousness.

Low blood volume shock (hypovolemic shock)

This is one of the most serious, and sometimes life-threatening, complications of dehydration. It occurs when low blood volume causes a drop in blood pressure and a drop in the amount of oxygen in your body.

Diagnosis of dehydration

A doctor will use both physical and mental exams to diagnose dehydration. A patient presenting symptoms such as disorientation, low blood pressure, rapid heartbeat, fever, lack of sweat, and inelastic skin will usually be considered dehydrated. Blood tests are often employed to test kidney function and to check sodium, potassium, and other electrolyte levels. Electrolytes are chemicals that regulate hydration in the body and are crucial for nerve and muscle function. A urine analysis will provide very useful information to help diagnose dehydration. In a dehydrated person, urine will be darker in color and more concentrated – containing a certain level of compounds called ketones. To diagnose dehydration in infants, doctors usually check for a sunken soft spot on the skull. They may also look for a loss of sweat and certain muscle tone characteristics.

What are the treatment of dehydration?

Dehydration must be treated by replenishing the fluid level in the body. This can be done by consuming clear fluids such as water, clear broths, frozen water or ice pops, or sports drinks (such as Gatorade). Some dehydration patients, however, will require intravenous fluids in order to rehydrate. People who are dehydrated should avoid drinks containing caffeine such as coffee, tea, and sodas. Underlying conditions that are causing dehydration should also be treated with the appropriate medication. This may include medication available to purchase over-the-counter or online, such as anti-diarrhea medicines, anti-emetics (stop vomiting), and anti-fever medicines.

Prevention of dehydration

To prevent dehydration, drink plenty of fluids and eat foods high in water such as fruits and vegetables. Letting thirst be your guide is an adequate daily guideline for most healthy people. People may need to take in more fluids if they are experiencing conditions such as:

Vomiting or diarrhea

If your child is vomiting or has diarrhea, start giving extra water or an oral rehydration solution at the first signs of illness. Don’t wait until dehydration occurs.

Strenuous exercise

In general, it’s best to start hydrating the day before strenuous exercise. Producing lots of clear, dilute urine is a good indication that you’re well-hydrated. During the activity, replenish fluids at regular intervals and continue drinking water or other fluids after you’re finished.

Hot or cold weather

You need to drink additional water in hot or humid weather to help lower your body temperature and to replace what you lose through sweating. You may also need extra water in cold weather to combat moisture loss from dry air, particularly at higher altitudes

Illness

Older adults most commonly become dehydrated during minor illnesses — such as influenza, bronchitis or bladder infections. Make sure to drink extra fluids when you’re not feeling well.

August 11, 2018 health