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Dehydration - types, causes, symptoms


and treatment
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Dehydration is a condition of the body, where the water content is below the value
needed for its operation. Dehydration can be dangerous to human life. The greatest risk
of death by dehydration occurs in the case of infants, young children and the elderly.
Older people do not feel as big thirst as young. So if they do not feel the need, they will
not take fluids in sufficient quantities. For infants, you should pay attention to their
vulnerability and powerlessness in the separate adoption of water, and the fact of
increased fluid loss during diarrhea and crying. Young children usually occupied with a
continuous play, do not care about fluids. Therefore, the parent has to be sure that
children drank a significant amount of water, protecting them against the danger of
dehydration. Older people with knowledge of the adverse action risk of dehydration,
should be also reasonably protected from him. Reduced rehydration also promotes the
loss of skin elasticity, which in older people gradually lose elasticity, thus providing
sufficient quantities of water will improve its appearance.

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Why dehydration occurs ?

In the physiological state, a person loses a certain amount of water with the sweat,
urine and exhaled air. Similarly, in pathological conditions, water is lost through severe
diarrhea and vomiting. Also, tears are a certain percentage of water lost from the body.
If water loss is not compensated with consumed drinks, then it comes to dehydration.

What are the types of dehydration ?


Due to changes in the concentrations of electrolytes, there are three types of
dehydration:

* Isotonic. There is a normal concentration of electrolytes (correct ionogram), but


disorders concern increased creatinine concentration. This leads to the shortage of
circulating body fluids and at a later stage to hypovolaemic shock.

* Hypotonic. In the course hypotension (low blood pressure) decreased fluids molarity
are recognized. It can occur as a consequence of isotonic dehydration, during which the
non electrolyte substances are administered.

* Hypertonic. Hypertonia (increased blood pressure), higher molarity of body fluids are
observed during its course. In addition, there is hypernatremia (increase in the amount
of sodium) and raised creatinine concentration. This type of dehydration is more
dangerous than isotonic type.

How long can you live without water ?

In extreme circumstances, where access to water is impossible, man is able to survive


4 - 5 days. There are also isolated cases, when someone has survived without water for
up to 7 days. But always keep in mind that such a long state of dehydration contribute
to a number of changes in the functioning of a healthy body, ultimately leading to
death.

How fast can dehydration occur ?

Under conditions of increased temperature, dehydration can occur more quickly,


within several hours. Due to the fact that every organism is an individual, the question
of weakness, as one of the first signs of dehydration will occur at different time
intervals. Initially, however, the state of dehydration is asymptomatic, in the next stage
first symptoms starts to appear.

Causes of dehydration

- Diarrhea, in the course of various diseases, including bacterial infections and food
poisoning.
- Vomiting, often found in the youngest.
- Fever, which is always accompanied by excessive sweating.
- Burns and bleeding leading to hypovolaemic shock.
- Taking too little fluid in comparison with the needs of the body.
- Imbalance of supply and loss of water during intense exercise.
- Taking diuretics, laxatives, or psychotropic drugs without adequately increasing water
supply.
- The use of dieting, restricting the acceptance of beverages.
- Excessive consumption of active dehydration caffeine, alcohol) and dry food without
water.
- Increased consumption of salt that has the ability to retain water in the body, leading
also to disturbances in electrolyte balance, and form a quantitative advantage of
sodium ions.
- Diabetes, which is accompanied by disturbances in the form of hyperglycemia and
glycosuria.
- Hypotension, or decreased incidence of correct blood pressure.
- Overheating of the body, while staying in a very hot environment for too long.
- Excessive sweating.
- Anaphylactic shock.
- Prolonged stay in areas with dry air - air conditioned.
- A diet rich in fiber (swelling in the digestive tract due to the ability to bind water), with
inadequate fluid intake.

What are the symptoms and signs of dehydration ?

Signs of dehydration can be grouped according to the percentage loss of water weight.

1.Water loss not exceeding 2% of body weight:

* Strong thirst.
* Weight loss.

2.Water loss between 2-4% of body weight:

* Dry mouth, decreased saliva production and reduces perspiration.


* Headache and dizziness.
* Decrease in urine output, which becomes brown in color, and then anuria.
* Weakness and fainting, exhaustion and loss of strength.
* Abnormal vision, eye collapse.
* Nausea and vomiting.
* Constipation.
* Increased work of breathing.
* Tachycardia.
* Increased body temperature.
* Cramps and muscle aches.
* Reduced skin elasticity.

3.Water loss between 5-6% of body weight:

* Drowsiness.
* The weakening of resistance.
* Paresthesias - felt as a numbness or tingling.

4.Water loss between 10-15% of body weight:

* Inability to speak, swelling of the tongue.


* Seizures.
* Disorders of consciousness.
* Delirium - disorders associated with the illusion of visual, auditory and tactile.
* Loss of consciousness.

5.Water loss above 15% of body weight results in death.

How to recognize dehydration in infants and children ?

Certainly easy to see there are chapped lips, irritability and weakness of the child. If
the baby cries, and the amount of tears is not great, it can be expected to dehydration.
Also, when the amount of urine passed greatly reduced. Furthermore, the skin loses its
elasticity, together with the lack of water, so it will not immediately return to its place
when, for example, it is a little shake and lift. Further signs are sunken eyes, belly,
cheeks, or fontanelle.

What is the treatment of dehydration ?

First of all, the basis of treatment is to supplement water lost, by rehydration of the
body. In addition, we attempt to stop the water in the body, by providing salty snacks
for instance. There is a notion of the so-called oral rehydration therapy (ORS), which is
based on mixed ingredients such as water, sodium and potassium chloride, sodium
citrate and glucose intake. In the hospital treatment (often in intensive care units),
infusions of water, along with electrolytes are used, while monitoring their
concentration in plasma. In the case of athletes who, because of strenuous activity, are
exposed to increased water loss, it is recommended to drink skim milk or energy drinks.

How to protect yourself from dehydration ?

It is based on getting adequate amounts of fluids. The smallest amount of water


which is should be provided to the human body during the day, is between 1,5-2 l. For
adult men in the labor standard daily intake of water is from 3-4 l.

For women in the labor force drinking of 2-4 l of water is also recommended. Pregnant
women and breastfeeding women should drink between 3-4 l of water a day. In the
case of athletes as well as those exposed to high temperature operation and the
associated sweating, it is recommended to increase the amount of fluid intake. The
elderly, despite a reduced thirst should drink at least 2 l of water a day.

Not every fluid, is appropriate for rectifying deficiencies of electrolytes. Highly


mineralized mineral water, can cause excessive accumulation of elements in the body,
leading for example to the development of kidney stones. Water with a high content of
sodium chloride are also not desirable, since it increases blood pressure, creating the
danger of suffering from hypertension. The best kind of mineral water is low
mineralized water, which comes in large amounts, not exceeding the limits, of course,
will not endanger the electrolyte imbalance.

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