Remedies for deadly heat: More than just staying hydrated

Sang Tan

Runners cool down running through water sprays on the route during the London Marathon, London, Sunday, April 21, 2013.

Some parts of the country are experiencing record high temperatures this summer. Las Vegas hit 117 degrees and Phoenix topped the charts at 119 degrees. Salt Lake City also hit the triple digits as did several areas in California. Dry heat or not, residents and visitors were undoubtedly feeling it, and anytime the mercury gets remotely close to these temperatures, staying hydrated is of paramount importance.

This is especially the case for anyone participating in outdoor activities or any sort of exercise program. Our bodies produce sweat in order to regulate our core body temperature. As the moisture that appears on your skin evaporates, you cool off. In fact, human beings are the most effective mammal when it comes to regulating our body temperature. At the extreme, an adult can sweat as much as two to four liters per hour.

All of this water needs to be replaced, but remember that when you sweat you are not just losing water, you are also losing minerals such as sodium and potassium. According to Dr. David McCarron, adjunct professor at University of California, Davis, “You must replace the sodium and potassium along with the water. This is why athletes drink sports drinks like Gatorade, rather than just water. Replacing water without sufficient sodium can quickly produce hyponatremia, a potentially fatal condition.”

Hyponatremia symptoms are similar to those of heat exhaustion and heat stroke, and are often overlooked. Symptoms range from mild to severe and can include nausea, muscle cramps, disorientation, confusion, seizures, coma and death. To avoid this condition, medical authorities advise marathon runners to consume extra salt and this advice should also be considered by anyone exposed to excessive heat.

Sadly there have been several cases of illness and even deaths from hyponatremia over the past several years. According to the British Medical Journal, 16 runners have died as a result of too little sodium and over-hydration, and another 1,600 have become seriously ill. It is true that water intoxication is more commonly seen among extreme athletes but older individuals are also at high risk for several reasons.

As we age, our kidneys become less efficient at conserving salt when the body is stressed and common medications such as diuretics greatly increase that risk. That’s one of the reasons that during severe high temperatures news accounts most often refer to elderly victims of the heat.

The proper balance of electrolytes in the human body is essential for normal function of the cells and organs. Electrolytes help to regulate cardiovascular and neurological functions, fluid balance and oxygen delivery.

Ideally, anyone engaging in outdoor activity in the heat or even an indoor program should drink 8 to 12 ounces of fluid every 15-20 minutes.

Learn more about staying hydrated by visiting www.ALittleSalt.org.

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