What to do when someone is dehydrated. Dehydration Treatment: Essential Guide to Oral Rehydration and Fluid Replacement
What are the signs of dehydration. How can you treat mild dehydration at home. When should you seek medical attention for dehydration. What is the best way to rehydrate a child. How can you prevent dehydration.
Understanding Dehydration: Causes and Risk Factors
Dehydration occurs when your body loses more fluids than it takes in, disrupting the normal balance of water and electrolytes. This condition can arise from various factors, including:
- Excessive sweating due to heat or physical activity
- Severe vomiting or diarrhea
- Certain medications, particularly diuretics
- Inadequate fluid intake
- Fever
- Underlying medical conditions
When your body becomes dehydrated, it struggles to perform essential functions efficiently. This can lead to a range of symptoms and complications if left untreated.
Recognizing the Signs and Symptoms of Dehydration
Identifying dehydration early is crucial for prompt treatment. Common symptoms include:
- Thirst
- Dark yellow urine
- Dry mouth and lips
- Fatigue
- Dizziness
- Headache
- Decreased urine output
In more severe cases, you may experience:
- Rapid heartbeat
- Confusion
- Sunken eyes
- Lack of skin elasticity
- Low blood pressure
Is there a quick way to check for dehydration at home? One simple method is the skin turgor test. Gently pinch the skin on the back of your hand and release it. If the skin takes more than a couple of seconds to return to its normal position, you may be dehydrated.
Oral Rehydration Therapy: The First Line of Defense
For mild to moderate dehydration, oral rehydration therapy (ORT) is often the most effective and accessible treatment. This involves replenishing lost fluids and electrolytes through the consumption of specially formulated solutions or appropriate fluids.
Choosing the Right Fluids for Rehydration
When selecting fluids for rehydration, consider the following options:
- Water: The most essential and readily available option
- Oral rehydration solutions (ORS): Contain a balanced mix of water, electrolytes, and glucose
- Diluted fruit juices: Mix equal parts water and juice to avoid gastrointestinal upset
- Clear broths or soups: Provide both fluids and electrolytes
Which fluids should you avoid when dehydrated? Steer clear of caffeinated beverages, alcohol, and undiluted fruit juices, as these can exacerbate dehydration by promoting fluid loss.
Treating Dehydration in Children: Special Considerations
Children, especially infants, are particularly vulnerable to dehydration. When treating a dehydrated child, follow these guidelines:
- Use commercially available oral rehydration solutions like Pedialyte or Hydralyte
- Administer fluids in small, frequent doses to prevent vomiting
- For infants, continue breastfeeding or formula feeding alongside ORS
- Avoid giving plain water to infants, as it can lead to electrolyte imbalances
- For older children, consider diluted sports drinks (1:1 ratio with water)
How can you encourage a child to drink when they’re dehydrated? Try offering frozen electrolyte popsicles or ice chips, which can be more appealing and easier to consume.
When to Seek Medical Attention for Dehydration
While mild dehydration can often be treated at home, certain symptoms warrant immediate medical attention. Seek help if you or someone you’re caring for experiences:
- Inability to keep fluids down due to persistent vomiting
- Diarrhea lasting more than 24 hours
- Bloody or black stools
- Severe abdominal or chest pain
- Seizures
- Disorientation or loss of consciousness
- Rapid breathing or heartbeat
- Sunken eyes or fontanelle (in infants)
In these cases, intravenous (IV) fluid replacement may be necessary to rapidly correct the fluid and electrolyte imbalance.
Preventing Dehydration: Proactive Measures
Prevention is always better than cure when it comes to dehydration. Incorporate these strategies into your daily routine:
- Drink water regularly throughout the day
- Increase fluid intake during hot weather or physical activity
- Consume foods with high water content, such as fruits and vegetables
- Monitor urine color – pale yellow indicates good hydration
- Avoid excessive alcohol consumption
- Dress appropriately for hot weather
- Take breaks and seek shade during outdoor activities
How much water should you drink daily to prevent dehydration? While individual needs vary, a general guideline is to consume at least 8 cups (64 ounces) of water per day for adults.
Dehydration in Special Populations: Elderly and Chronic Illness
Certain groups are at higher risk of dehydration and may require special attention:
Elderly Individuals
Older adults are more susceptible to dehydration due to:
- Decreased thirst sensation
- Reduced kidney function
- Medication side effects
- Mobility issues limiting access to fluids
Caregivers should encourage regular fluid intake and monitor for signs of dehydration in elderly individuals.
People with Chronic Illnesses
Certain medical conditions can increase the risk of dehydration:
- Diabetes
- Kidney disease
- Heart failure
- Cystic fibrosis
These individuals should work closely with their healthcare providers to develop appropriate hydration strategies.
The Role of Electrolytes in Hydration
Electrolytes play a crucial role in maintaining proper hydration and bodily functions. Key electrolytes include:
- Sodium
- Potassium
- Chloride
- Magnesium
- Calcium
These minerals help regulate fluid balance, nerve and muscle function, and blood pH levels. When you become dehydrated, you lose both water and electrolytes, which is why replenishing both is essential for effective rehydration.
Can you consume too many electrolytes? While it’s rare, excessive electrolyte intake can lead to imbalances in the body. Always follow recommended guidelines for oral rehydration solutions and consult a healthcare provider if you have concerns.
Natural Sources of Electrolytes
In addition to commercial rehydration solutions, you can obtain electrolytes from various foods:
- Bananas (potassium)
- Coconut water (potassium, sodium, magnesium)
- Leafy greens (calcium, magnesium)
- Nuts and seeds (magnesium)
- Dairy products (calcium)
- Pickles and olives (sodium)
Incorporating these foods into your diet can help maintain proper electrolyte balance and support overall hydration.
Hydration for Athletes and Active Individuals
People who engage in regular physical activity or competitive sports have increased fluid and electrolyte needs. To maintain optimal hydration:
- Drink water before, during, and after exercise
- Monitor sweat loss and replace fluids accordingly
- Consider sports drinks for activities lasting longer than an hour
- Consume a balanced meal with adequate sodium after intense workouts
- Pay attention to urine color and thirst cues
How can athletes determine their individual hydration needs? One effective method is to weigh yourself before and after exercise. For every pound lost, drink 16-20 ounces of fluid to replenish what was lost through sweat.
Hyponatremia: The Danger of Overhydration
While dehydration is a common concern, it’s also possible to drink too much water, especially during endurance events. This can lead to hyponatremia, a potentially dangerous condition where sodium levels in the blood become diluted. Symptoms include:
- Nausea and vomiting
- Headache
- Confusion
- Seizures
- In severe cases, coma or death
To prevent hyponatremia, athletes should drink according to thirst and include electrolytes in their hydration strategy during prolonged activities.
Technological Innovations in Hydration Monitoring
Advancements in technology have led to new tools for monitoring hydration status:
- Smart water bottles that track fluid intake
- Wearable devices that measure sweat rate and composition
- Urine color analysis apps
- Bioelectrical impedance devices for body water measurement
While these tools can provide valuable insights, they should be used in conjunction with listening to your body’s signals and following general hydration guidelines.
Are hydration tracking devices accurate? The accuracy of these devices can vary, and they may not be suitable for everyone. It’s essential to use them as complementary tools rather than relying on them entirely for hydration management.
The Impact of Climate Change on Hydration Needs
As global temperatures rise and extreme weather events become more frequent, the importance of proper hydration is increasingly significant. Climate change may affect hydration needs in several ways:
- Higher temperatures leading to increased sweat loss
- More frequent and severe heatwaves
- Changes in humidity affecting the body’s ability to cool itself
- Potential water scarcity in certain regions
To adapt to these changes, individuals and communities may need to:
- Develop more robust hydration strategies
- Increase awareness of dehydration risks
- Implement better cooling systems in homes and workplaces
- Consider alternative water sources and conservation methods
How can communities prepare for increased hydration needs due to climate change? Public health initiatives focusing on education, access to clean water, and heat emergency preparedness plans will be crucial in addressing this growing concern.
Cultural Perspectives on Hydration and Fluid Intake
Hydration practices and beliefs can vary significantly across cultures. Some interesting cultural aspects of hydration include:
- Traditional medicine systems that emphasize balance in fluid intake
- Cultural preferences for hot or cold beverages
- Fasting practices that may impact hydration status
- Use of specific herbs or plants for hydration in traditional remedies
Understanding these cultural differences is essential for healthcare providers and public health officials when developing hydration guidelines and education programs.
How do cultural beliefs impact hydration practices? In some cultures, hot water or tea is believed to be more beneficial for health, while others may prioritize room temperature water. Recognizing and respecting these beliefs while providing evidence-based recommendations is key to promoting proper hydration across diverse populations.
Global Hydration Challenges
Access to clean, safe drinking water remains a significant challenge in many parts of the world. This global issue has far-reaching implications for hydration and overall health:
- Increased risk of waterborne diseases
- Chronic dehydration in water-scarce regions
- Economic impacts due to time spent collecting water
- Educational challenges when schools lack proper water and sanitation facilities
Addressing these global hydration challenges requires a multifaceted approach involving governments, NGOs, and local communities to improve water infrastructure, sanitation, and education.
The Future of Hydration: Emerging Research and Trends
As our understanding of hydration and its impact on health continues to evolve, several exciting areas of research and innovation are emerging:
- Personalized hydration strategies based on genetic profiles
- Development of more efficient oral rehydration solutions
- Exploration of alternative water sources, such as atmospheric water generation
- Investigation into the role of hydration in cognitive function and mental health
- Advanced wearable technology for real-time hydration monitoring
These developments hold promise for improving hydration practices and addressing dehydration more effectively in the future.
What potential breakthroughs in hydration science can we expect in the coming years? Researchers are exploring the use of nanoparticles to enhance the absorption of water and electrolytes, which could revolutionize the treatment of severe dehydration and improve the efficacy of oral rehydration therapies.
Hydration and Longevity
Emerging research suggests that proper hydration may play a role in promoting longevity and healthy aging. Some potential benefits include:
- Reduced risk of chronic diseases
- Improved kidney function
- Better cognitive performance in older adults
- Enhanced skin health and appearance
While more research is needed to fully understand the long-term impacts of optimal hydration, maintaining good hydration habits throughout life appears to be a simple yet effective way to support overall health and well-being.
Dehydration Treatment – Oral Rehydration Therapy and Fluid Replacement
Written by WebMD Editorial Contributors
- Is Drinking Water Enough?
- What to Do for a Dehydrated Child
You can become dehydrated for many different reasons. It could be from sweating too much. Vomiting or diarrhea can quickly remove fluids from your body, too. So can medicines that make you pee a lot.
All of these things can cause you to lose more water and electrolytes (essential minerals in your blood and body fluids) than are good for you. If you don’t have enough, your body has trouble doing the things it’s supposed to do.
There’s really only one way to treat dehydration — replace the fluids and electrolytes your body has lost.
For a mild case, it should be enough just to drink plenty of fluids. Water is your first choice, but there are lots of special drinks on the market that will help you replace your body’s lost water and electrolytes.
If you can’t get a pre-mixed rehydration solution, don’t try to make one yourself. Instead, replace lost fluids naturally with sips of water, fruit juice, crushed fruit mixed with water, or salty soups or broths.
Fruit juices may upset your stomach, so it’s best to dilute them with water. Avoid coffee, tea, soda, and alcoholic drinks. They’re diuretics, which means they can dehydrate you more because they all pull water from your body.
If your dehydration is serious, you may need to see a doctor to get treated with intravenous (IV) fluids. Severe dehydration may require you to go to the hospital. You should get medical attention immediately if you:
- Haven’t peed in 8 hours
- Have had a seizure
- Are disoriented or confused
- Have a weak or rapid pulse
- Feel very tired
- Feel dizzy when you stand
- Are too sick (nauseated or vomiting) to take in fluids
If your baby or child becomes dehydrated (usually because of a fever, vomiting or diarrhea), treatment with an oral rehydration solution is your best bet. There are several over-the-counter options (Hydralyte and Pedialyte), which will give your child the right balance of electrolytes and salts.
Try giving small sips or by the teaspoon to begin with. You may even need to use a syringe if they’re having trouble drinking. For an older child, sports drinks diluted with water are the best treatment. Again, start with small sips and give them more as they show they can tolerate it.
For an infant, give plenty of breast milk and formula, but don’t give fruit juices if they are vomiting or have diarrhea. They can make it worse.
Dehydration can be serious in a baby or young child. If you notice these signs, see a doctor right away:
- Extreme sleepiness
- Less responsive than usual
- Few wet diapers
- Cold and blotchy hands and feet
- No tears when crying
- Dark yellow pee
- Very dry mouth
Usually, dehydration is easy to treat at home if you get out of the heat and drink plenty of liquids. But once you’re thirsty, you’re probably already dehydrated, so it’s best to drink plenty of fluids regularly.
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Dehydration – Diagnosis & treatment
Diagnosis
Your doctor can often diagnose dehydration on the basis of physical signs and symptoms. If you’re dehydrated, you’re also likely to have low blood pressure, especially when moving from a lying to a standing position, a faster than normal heart rate and reduced blood flow to your extremities.
To help confirm the diagnosis and pinpoint the degree of dehydration, you may have other tests, such as:
- Blood tests. Blood samples may be used to check for a number of factors, such as the levels of your electrolytes — especially sodium and potassium — and how well your kidneys are working.
- Urinalysis. Tests done on your urine can help show whether you’re dehydrated and to what degree. They also can check for signs of a bladder infection.
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Treatment
The only effective treatment for dehydration is to replace lost fluids and lost electrolytes. The best approach to dehydration treatment depends on age, the severity of dehydration and its cause.
For infants and children who have become dehydrated from diarrhea, vomiting or fever, use an over-the-counter oral rehydration solution. These solutions contain water and salts in specific proportions to replenish both fluids and electrolytes.
Start with about a teaspoon (5 milliliters) every one to five minutes and increase as tolerated. It may be easier to use a syringe for very young children. Older children can be given diluted sports drinks. Use 1 part sports drink to 1 part water.
Most adults with mild to moderate dehydration from diarrhea, vomiting or fever can improve their condition by drinking more water or other liquids. Diarrhea may be worsened by full-strength fruit juice and soft drinks.
If you work or exercise outdoors during hot or humid weather, cool water is your best bet. Sports drinks containing electrolytes and a carbohydrate solution also may be helpful.
Children and adults who are severely dehydrated should be treated by emergency personnel arriving in an ambulance or in a hospital emergency room. Salts and fluids delivered through a vein (intravenously) are absorbed quickly and speed recovery.
Preparing for your appointment
You’re likely to start by seeing your or your child’s doctor. However, in some cases when you call to set up an appointment, the doctor may recommend urgent medical care. If you, your child or an adult who you care for is showing signs of severe dehydration, such as lethargy or reduced responsiveness, seek immediate care at a hospital.
If you have time to prepare for your appointment, here’s some information to help you get ready, and what to expect from the doctor.
What you can do
- Write down any symptoms you or the person you’re caring for is experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. If you or the person you’re caring for has been vomiting or has had diarrhea, the doctor will want to know when it began and how frequently it’s been occurring.
- Write down key personal information, including any recent trips taken or foods recently eaten that might have caused illness. In addition, your doctor will want to know if you or the person you’re caring for has recently been exposed to anyone with diarrhea.
- Make a list of key medical information, including other conditions you or the person you’re caring for is being treated for and the names of the medications being taken. Include on your list prescription and over-the-counter drugs, as well as any vitamins and supplements.
- Write down questions to ask your doctor.
For dehydration, some basic questions to ask the doctor include:
- What’s causing these symptoms?
- What kinds of tests are needed?
- What treatment do you recommend?
- How soon after treatment will there be improvement?
- Are there any activity or dietary restrictions?
- Is there anything I can do to prevent a recurrence of dehydration?
- I have other health conditions. Do I need to change the treatments I’ve been using for them?
- What steps can I take to prevent dehydration from happening again?
What to expect from your doctor
Your doctor is likely to ask you a number of questions, such as:
- When did the symptoms begin? What were you doing?
- Are you able to keep down any food or drink?
- How recently have you urinated? Are you experiencing any pain or urgency with urination?
- Do you also have other signs or symptoms, such as abdominal cramping, fever, headache or muscle aches? How severe are these signs and symptoms?
- Has there been blood in your stools?
- Have you recently eaten any food that you suspect was spoiled?
- Has anyone gotten sick after eating the same food that you did?
- Have you recently been exposed to someone who you know was experiencing diarrhea?
- Have you been coughing or had a runny nose?
- What medications are you currently taking?
- Have you recently traveled to another country?
- Do you know what your or your child’s weight was before symptoms started?
11 signs that your body is dehydrated (and how to fix it)
The summer of 2021 turned out to be abnormally hot — in the central part of Russia, the temperature exceeded the norm by 5-7 degrees. In such heat, the body actively removes fluid, and it needs to be replenished. If you ignore this fact, you can face dehydration – a serious disease in both adults and children.
Signs of dehydration
Respiratory problems. Asthma and allergies are among the main symptoms of dehydration. This is because with the loss of a large amount of fluid, the protection of the mucous membranes decreases. Because of this, the child may choke, actively sneeze and cough.
High blood pressure. An insidious symptom that does not manifest itself actively at the beginning. It can result in headaches, darkening of the eyes, nosebleeds. This is due to the fact that the amount of water in the blood decreases, and it begins to move more slowly.
Weight gain. Cells especially need energy, which they can take from water filled with hydrogen. If the body lacks moisture, it has to replenish energy from another source – food, and very high-calorie food, because it contains the most energy.
High cholesterol. Cholesterol is actively released during dehydration and literally “freezes” the cells so that they stop losing water. Cholesterol levels can only be determined using a blood test, so do not forget about a systematic health check-up.
Skin diseases. The lack of the right amount of water affects the retention of toxins inside the body, which can cause problems such as acne, dermatitis, psoriasis.
Digestive disorders. Ulcers, gastritis and acid reflux are the consequences of poor food processing. The body stops producing enough digestive juices because it contains little water and the digestive system cannot function fully ( read also : 5 Good Digestion Exercises You Can Do Every Day).
Problems with stool. Poor functioning of the digestive tract and, as a result, constipation and other disorders are also associated with a small amount of water in the body. Refusal to drink quality water can lead to the immobilization of waste products inside the large intestine.
Pain in the joints. The cartilaginous pad that sits between the joints and prevents them from rubbing against each other becomes thinner due to lack of water. Then the friction increases, which leads to pain.
Bladder or kidney problems. As with the skin, the body is unable to remove toxins from the organs, which contributes to infections, inflammation and pain. Increasing the level of fluid in the body to the required rate will eliminate this problem.
Premature aging. This is what the older generation is facing. Skin discoloration and early wrinkles occur due to lack of moisture in the body. But this is also true for those who are expecting a baby. Therefore, it is important to drink plenty of healthy water from natural sources or liquids filled with hydrogen.
Increased fatigue. Children’s activity in the summer, combined with the heat, can lead to dehydration. This process occurs at the chemical level – the reactions in the cells slow down, the child simply cannot be active. Therefore, you should not blame the child for laziness in such a situation.
How to deal with dehydration?
It is best to avoid folk prescriptions from the Internet and consult a doctor immediately . But the first aid immediately after discovering the problem is drinking plenty of water. To enhance the benefits, it is better to drink hydrogen water: it improves metabolism and helps beneficial substances to penetrate quickly and in full ( see also : Filtered, bottled or boiled: what is the healthiest water).
Do not turn a blind eye to the above signs, the consequences can be serious – from loss of consciousness to hospitalization. Self-medication can be harmful to the child, since only a doctor can determine whether it is necessary to restore salt metabolism.
Dehydration is often experienced not only because of the use of small amounts of water, but also because of its poor quality. The indicators of bottled water do not correspond to the parameters of the body, do not make it useful and do not protect against dehydration. Thanks to hydrogen water, the body is filled with antioxidants that protect the organs from harmful bacteria, and the cell membrane works efficiently – through it, useful substances completely get inside. A full-fledged work of all organs will be the key to a stable emotional state of the child and his good mood.
Dehydration in children
Changes in mood and emotional “swings” are signs of dehydration (dehydration) in children, since the body does not receive enough fluid, physiological processes are of poor quality, the child feels discomfort. Children lose fluid much faster than adults, because their system of water-salt metabolism is not so well established. Therefore, experts advise monitoring how often your child drinks and whether he uses quality water.
Not all liquids will be good for children. The body tends to perceive water with the same parameters as its own: redox potential (ORP), surface tension and the amount of active hydrogen. These factors in bottled water will not be equivalent to our body fluids, so it is important to drink water from natural sources or hydrogen water. Store-bought juices and lemonades are best excluded from the children’s diet.
The child constantly asks for water – is it worth sounding the alarm?
The desire to drink is quite natural, especially in the heat. To identify dehydration, you need to identify more significant signs that many do not even notice. My patients admitted that they did not even suspect that they were suffering from dehydration, and did not correlate the symptoms with this disease.
Thirst and dehydration are different things: the first is the need of the body, dehydration is a violation of the normal functioning of our organs, the most important of which consist of more than 75% water. Reducing the volume of water even by 2% will affect the well-being and normal life processes of the child.
Does pregnancy increase the risk of dehydration?
When a woman is pregnant, her body expends energy not only to maintain its condition, but also to develop and protect the fetus. Frequent urination and toxicosis in the early stages accelerate the process of removing fluid from the body.
The consequences can range from minor ailments to more serious things: disruption of the position of the fetus and the formation of the placenta, thickening of the blood, and even premature birth if dehydration caught up with you at a later date. Therefore, women who are expecting a baby should pay special attention to the right amount of healthy water in the body, which can be obtained thanks to ionizers.
Therapist-nutritionist, author of the body cleansing and detoxification program, member of the PreventAge association of doctors of preventive and anti-aging medicine, co-founder of the Vione water ionizer brand.
Photo: Getty Images
Scientists: If you’re thirsty, it means you’re already dehydrated this may occur for a banal reason: you drink little water. How the body hints at this, and what insufficient fluid intake can lead to, nutritionists said.
July 27, 2019
- Source:
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An obvious sign that the body does not have enough water is thirst. However, if you are thirsty, it means that the body is already beginning to experience dehydration. This condition is best prevented. It is believed that by default you need to drink 8 glasses of water per day (two liters). But experts say that there are no identical recipes for everyone. The main guideline is the color of the urine, which should be light yellow. If it’s darker, it’s time to drink.
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Insufficient water intake can lead to dry skin, headaches, dizziness, nausea and restless sleep. Craving for sweets may not be due to the desire for something tasty, but to the fact that the level of glycogen has decreased. This carbohydrate accumulates in the muscles and when dehydrated, the body consumes it more actively. Therefore, after sports training, you may suddenly want something carbohydrate – the usual sweet. But experts advise drinking water first: maybe you will crave candy later.
Another sign that you are not drinking enough water is bad breath. This is a consequence of the fact that little saliva is produced, which should clean the oral cavity and has a bactericidal effect. And if bacteria begin to multiply actively, the breath becomes stale.
Mood swings can also be attributed to lack of water. Dehydration causes irritability, an inability to concentrate, because water brings nutrients to the brain and flushes out toxins. If it is not there, then the brain has nothing to “reinforce itself”.
How do you remember to give your body enough water? You can set a timer, alarm clock or set a reminder on your phone, there are even special programs for smartphones. But if there is no water nearby, no bell will help.
Therefore, experts recommend placing a cup or bottle of water in the workplace and next to the bed. On the bottle, you can make serifs with time: how much water you need to drink by a certain time of the day. You can turn fluid intake into a game: linking to a specific action will allow you to develop a habit. A reliable way to maintain balance is to drink water immediately after going to the toilet.
If you do forget about the magic glass during the day, make sure you catch up at least at dinner. By the way, drinking before meals can save you from overeating.
To make the water taste better, it is recommended to add herbs such as mint or basil leaves. For a change, you can sometimes drink water with gas: purchased or carbonated at home.
See also
However, not all drinks are equally beneficial for hydrobalance. Alcohol is also served in a glass, but actually promotes dehydration. Alcohol is a diuretic, after drinking it, people begin to visit the toilet more often and believe that it is definitely not worth drinking additional water. But it’s not. Do not forget to drink water along with alcoholic drinks, without waiting for the morning “dry”.
Coffee, tea and energy drinks are weaker diuretics.