Juliet Chinelo

Nov 11, 20194 min

Most headaches are stress or dehydration induced, paracetamol (acetaminophen) abuse is nephrotoxic.

Most of the time when we come down with headache, next thing on our mind is to take paracetamol instead of searching for the root course of the headache, whether it is dehydration, stress induced etc. Some people still adhere to the appropriate dosage regime, while many have adjusted to what they feel suit their body. Of course it is an OTC drug(over the counter), so readily available and also one of the commonest highly nephrotoxic drugs i know, hence, caution need to be applied while taking it especially when you can put up without it or explore other options.

The human body is roughly 75 percent water. Without this water, it cannot survive. A sophisticated water management system keeps our water levels balanced, and our thirst mechanism tells us when we need to increase fluid intake.

Although water is constantly lost throughout the day as we breathe, sweat, urinate, and defecate, we can replenish the water in our body by drinking fluids. The body can also move water around to areas where it is needed most if dehydration begins to occur.

Most occurrences of dehydration can be easily reversed by increasing fluid intake, but severe cases of dehydration require immediate medical attention.

Causes of dehydration
 

The causes of dehydration include:

  • diarrhea

  • vomiting

  • sweating

  • Inadequate water intake

Symptoms

The first symptoms of dehydration include thirst, darker urine, and decreased urine production. In fact, urine color is one of the best indicators of a person's hydration level - clear urine means you are well hydrated and darker urine means you are dehydrated.

However, it is important to note that, particularly in older adults, dehydration can occur without thirst. This is why it is important to drink more water when ill, or during hotter weather.

As the condition progresses to moderate dehydration, symptoms include:

  • dry mouth

  • lethargy

  • weakness in muscles

  • headache

  • dizziness

Severe dehydration (loss of 10-15 percent of the body's water) may be characterized by extreme versions of the symptoms above as well as:

  • lack of sweating

  • sunken eyes

  • shriveled and dry skin

  • low blood pressure

  • increased heart rate

  • fever

  • delirium

  • unconsciousness

Symptoms in children

  • in babies - a sunken fontanel (soft spot on the top of the head)

  • dry tongue and mouth

  • irritable

  • no tears when crying

  • sunken cheeks and/or eyes

  • no wet diaper for 3 or more hours

Causes

The basic causes of dehydration are not taking in enough water, losing too much water, or a combination of both.

Sometimes, it is not possible to consume enough fluids because we are too busy, lack the facilities or strength to drink, or are in an area without potable water (while hiking or camping, for example). Additional causes of dehydration include:

Diarrhea - the most common cause of dehydration and related deaths. The large intestine absorbs water from food matter, and diarrhea prevents this from happening. The body excretes too much water, leading to dehydration.

Vomiting - leads to a loss of fluids and makes it difficult to replace water by drinking it.

Sweating - the body's cooling mechanism releases a significant amount of water. Hot and humid weather and vigorous physical activity can further increase fluid loss from sweating. Similarly, a fever can cause an increase in sweating and may dehydrate the patient, especially if there is also diarrhea and vomiting.

Diabetes - high blood sugar levels cause increased urination and fluid loss.

Frequent urination - usually caused by uncontrolled diabetes, but also can be due to alcohol and medications such as diuretics, antihistamines, blood pressure medications, and antipsychotics.

Burns - blood vessels can become damaged, causing fluid to leak into the surrounding tissues.

Risk factors

Although dehydration can happen to anyone, but those at most risk include:

  • People at higher altitudes.

  • Athletes, especially those in endurance events, such as marathons, triathlons, and cycling tournaments.

  • People with chronic illnesses, such as diabetes, kidney disease, cystic fibrosis, alcoholism, and adrenal gland disorders.

  • Infants and children - most commonly due to diarrhea and vomiting.

  • The elderly; sometimes this occurs because they drink less water so that they do not need to get up for the toilet as often. There are also changes in the brain neurotransmitter meaning that thirst does not always occur.

Complications

If dehydration is not checked, it can lead to serious complications; these can include:

Low blood volume - less blood produces a drop in blood pressure and a reduction in the amount of oxygen reaching tissues; this can be life threatening.

Seizures - due to an imbalance of electrolytes.

Kidney problems - including kidney stones, urinary tract infections, and eventually kidney failure.

Heat injury - ranging from mild cramps to heat exhaustion or even heat stroke.

Diagnosis

A doctor will use both physical and mental exams to diagnose dehydration. A patient presenting symptoms such as disorientation, low blood pressure, rapid heartbeat, fever, lack of sweat, and inelastic skin will usually be considered dehydrated.

Blood tests are often employed to test kidney function and to check sodium, potassium, and other electrolyte levels. Electrolytes are chemicals that regulate hydration in the body and are crucial for nerve and muscle function. A urine analysis will provide very useful information to help diagnose dehydration. In a dehydrated person, urine will be darker in color and more concentrated - containing a certain level of compounds called ketones.

To diagnose dehydration in infants, doctors usually check for a sunken soft spot on the skull. They may also look for a loss of sweat and certain muscle tone characteristics.

Treatments

Dehydration must be treated by replenishing the fluid level in the body. This can be done by consuming clear fluids such as water, clear broths, frozen water or ice pops, or sports drinks (such as Gatorade). Some dehydration patients, however, will require intravenous fluids in order to rehydrate. People who are dehydrated should avoid drinks containing caffeine such as coffee, tea, and sodas.

Underlying conditions that are causing dehydration should also be treated with the appropriate medication. This may include medication available to purchase over-the-counter , such as anti-diarrhea medicines, anti-emetics (stop vomiting), and anti-fever medicines.

Prevention

Consuming plenty of fluids and foods that have high water content (such as fruits and vegetables) should be enough for most people to prevent dehydration.

People should be cautious about doing activities during extreme heat or the hottest part of the day, and anyone who is exercising should make replenishing fluids a priority.

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