Dehydration in Adults
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Dehydration is
a condition that occurs when the loss of body fluids, mostly water, exceeds the
amount that is taken in. With dehydration,
more water is moving out of our cells and bodies than what we take in through
drinking.
We lose
water every day in the form of water vapor in the breath we exhale and in our
excreted sweat, urine, and stool. Along with the water, small amounts of salts
are also lost.
When we lose
too much water, our bodies may become out of balance or dehydrated. Severe dehydration can
lead to death.
Causes of Dehydration in Adults
Many
conditions may cause rapid and continued fluid losses and lead to dehydration:
- Fever, heat exposure, and too much exercise
- Vomiting, diarrhea, and increased urination due to infection
- Diseases such as diabetes
- The inability to seek appropriate water and food (as in the case of a disabled person)
- An impaired ability to drink (for instance, someone in a coma or on a respirator)
- No access to safe drinking water
- Significant injuries to skin, such as burns or mouth sores, or severe skin diseases or infections (water is lost through the damaged skin)
Symptoms of Dehydration in Adults
The signs
and symptoms of dehydration range from minor to severe and include:
- Increased thirst
- Dry mouth and swollen tongue
- Weakness
- Dizziness
- Palpitations (feeling that the heart is jumping or pounding)
- Confusion
- Sluggishness fainting
- Fainting
- Inability to sweat
- Decreased urine output
- Urine color may indicate dehydration. If urine is concentrated and deeply yellow or amber, you may be dehydrated.
When to Seek Medical Care
Call your
doctor if the dehydrated person experiences any of the following:
- Increased or constant vomiting for more than a day
- Fever over 101°F
- Diarrhea for more than 2 days
- Weight loss
- Decreased urine production
- Confusion
- Weakness
- Take the person to the hospital's emergency department if these situations occur:
- Fever higher than 103°F
- Confusion
- Sluggishness (lethargy)
- Headache
- Seizures
- Difficulty breathing
- Chest or abdominal pains
- Fainting
- No urine in the last 12 hours
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