Regarding Women | summer 2008

Thirst and Dehydration

Thirsty? Then your body is on its way to becoming dehydrated.

The average adult has 10 to 12 gallons of water in his or her body, accounting for 60 percent of body weight. That water plays a critical role in nearly every bodily process. And being a quart or two low can affect how you feel.

“Water is needed by virtually every muscle or tissue cell,” says David K. Brennan, an exercise physiologist at Baylor College of Medicine in Houston. “Regulating body temperature is one of the most important roles water plays in the body. Without a plentiful supply of water, the body can have difficulty maintaining a normal temperature.”

Everything you do during the day—typing, talking, walking, eating— requires energy. That energy, in turn, generates heat, which escapes the body through perspiration. Perspiration keeps the body cool.

Most adults lose about 1.5 liters of fluid a day in urine. An additional liter is lost through breathing, sweating, and bowel movements.

So on an average day, you should be drinking lots of water. In addition, these are situations that require you to drink more liquid:

  • Exercise Being in hot or humid weather Indoor heating during wintertime that causes dry air Being at a high altitude Illnesses that cause high fever, diarrhea, vomiting, or urinary tract infections Pregnancy or breastfeeding

Dehydration

Dehydration occurs when the body does not have as much water and fluids as it should. Dehydration can be caused by not drinking enough water or by losing too much fluid. Infants, children, the elderly, and people with certain illnesses are especially vulnerable to dehydration.

The loss of just 2 to 3 percent of body-water weight can affect some of the functions in the body. Dehydration is classified as mild, moderate, or severe, depending on how much fluid is lost or not replaced. Mild or moderate dehydration can be treated by drinking small amounts of fluid; drinking too much too quickly can cause vomiting. Severe dehydration is a life-threatening emergency and requires medical treatment.

These are symptoms of dehydration that mean you should call your health care provider:

  • Low or no urine output; concentrated urine appears dark yellow
  • Lack of tears
  • Sunken eyes
  • In an infant, markedly sunken fontanels (the soft spot on the top of the head)
  • Lethargic or comatose

Prevention

To guard against dehydration, drink up. Don’t depend on feeling thirsty, though. Thirst may not be a reliable guide to tell you when you are dehydrated, especially for older adults. Drink more when the weather is hot or when you are exercising or ill. Urine that is light yellow is a good indication that you are getting enough fluid.

This article is from the Memorial Medical Center E-cyclopedia. For information on a wide variety of health care issues, visit our Web site: www.mmcwm.com and click on “Health Info.” You’ll also find electronic versions of our newsletters, Regarding Women and Regarding Children.