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Know when you are Dehydrated
By: Michael Blume, MD, CCFA & IANY
The human body is composed of more than 50% water. Drinking adequate amounts of water is essential for maintaining adequate blood volume and its flow to such vital organs as the brain and the kidneys. Also, it is important for maintaining optimal function in the cells of the body. Dehydration can be defined as a significant decrease in the total water content of the body. It occurs when the rate of water intake (mostly by mouth) is lower than the rate of losing water from your body (urine, skin, lungs, gastrointestinal tract). When you lose a significant quantity of water, you begin to develop symptoms and signs of dehydration. Some of these are nonspecific, such as dizziness upon sitting or standing up from a lying position. Why should you be worried about becoming dehydrated? The major reason is that it is important to avoid the complications of dehydration. When you become dehydrated, the volume of circulating blood decreases, and this in turn decreases the flow of blood to your vital organs. Not only is the blood flow a major problem, but as you become dehydrated, you lose water and two minerals (potassium and sodium), which are essential for optimal functioning of the body. If dehydration is mild, you might try to rehydrate yourself by taking Gatorade or a similar drink slowly. In addition to water, Gatorade contains important electrolytes (sodium and potassium) that the body loses through vomiting or diarrhea. When must you seek medical attention for dehydration? All situations which indicate concern about maintaining adequate hydration are significant. These include, but are not limited to, profuse diarrhea, protracted vomiting (unable to keep down liquids) and a very high fever. Obviously, if you develop any of the signs of dehydration you should be concerned. Urgent attention to the problems should involve not only treating the underlying causes, but replacing the liquid and electrolyte losses with intravenous liquids, if adequate replacement by mouth is not feasible. While there are no clear-cut guidelines as to when you should seek medical attention, if any of the above concerns exist, the best advice is to check with your doctor before complications develop.


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