Dehydration

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Common-
Dehydration is defined as the deficiency of fluid in your body that prevents its normal functioning (imbalance due to imbalance between intake versus losses). Some losses are excreted by the kidneys (hormone deficiency, intrinsic renal disorders), while others are extra-renal (skin, gastrointestinal, pulmonary or bleeding). The most common symptoms are low blood pressure, feeling thirsty, dry mouth, limited and concentrated urine, cold and dry skin, muscle cramps, headache, and in severe cases irritability, confusion, dizziness, rapid pulse and breathing, apathy, wrinkled skin, sunken eyes and signs of shock. It is diagnosed by medical history, physical examination and laboratory tests. It is vital to replace lost fluids and treat the underlying cause.
Bibliographic references
  1. Richard H Sterns, MD. Etiology, clinical manifestations, and diagnosis of volume depletion in adults. UpToDate. Feb 29, 2016.
  2. McGee S, Abernethy WB 3rd, Simel DL. The rational clinical examination. Is this patient hypovolemic? JAMA 1999; 281:1022.
  3. Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest 2008; 134:172.
  4. World Health Organization. Reduced osmolarity oral rehydration salts (ORS) formulation. UNICEF House, New York, NY 2001. Available at: www.who.int/child-adolescent-health/New_Publications/NEWS/Expert_consultation.htm (Accessed on January 18, 2006).
  5. Munos MK, Walker CL, Black RE. The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality. Int J Epidemiol 2010; 39 Suppl 1:i75.
  6. A. Torras. Alteraciones del metabolismo hidrosalino. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición. 1791- 1792
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Urinate less


    Rough skin


    Cramps in the calves


    Loss of appetite


    Passing little urine

Symptoms to watch out for

Irritability
Mental confusion
Palpitations
A feeling of shortness of breath

Self-care

Maintain a fluid intake of 6 - 8 cups per day.
If you have diarrhea, talk to your doctor about prescribing antidiarrheal medicine.
Use antiemetics if vomiting occurs.