Dehydration occurs when your body does not have as much water and fluids as it should.
Dehydration can be mild, moderate, or severe, based on how much of your body's fluid is lost or not replaced. Severe dehydration is a life-threatening emergency.
Causes of Dehydration
You can become dehydrated if you lose too much fluid, don't drink enough water or fluids, or both.
Your body may lose a lot of fluid from:
- Sweating too much, for example, from exercising in hot weather
- Vomiting or diarrhea
- Urinating too much (uncontrolled diabetes or some medications, like diuretics, can cause you to urinate a lot)
You might not drink enough fluids because:
- You don't feel like eating or drinking because you are sick
- You are nauseated
- You have a sore throat or mouth sores
Older adults and people with certain diseases, such as diabetes, are also at higher risk for dehydration.
Signs of mild to moderate dehydration:
- Dry or sticky mouth
- Not urinating much
- Darker yellow urine
- Dry, cool skin
- Muscle cramps
Signs of severe dehydration:
- Not urinating, or very dark yellow or amber-colored urine
- Dry, shriveled skin
- Irritability or confusion
- Dizziness or lightheadedness
- Rapid heartbeat
- Breathing rapidly
- Sunken eyes
- Shock (lack of blood flow through the body)
- Unconsciousness or delirium
Tests and Exams
Your health care provider will look for these signs of dehydration:
- Low blood pressure
- Blood pressure that drops when you stand up after lying down
- White finger tips that do not return to a pink color after your doctor presses the fingertip
- Skin that is not as elastic as normal. When your health care provider pinches it into a fold, it may slowly sag back into place. Normally, skin springs back right away.
- Rapid heart rate
Your doctor may do lab tests:
- Blood tests to check kidney function
- Urine tests to see what may be causing dehydration
- Other tests to see what may be causing dehydration (blood sugar test for diabetes)
Treatment of Dehydration
To treat dehydration:
- Try sipping water or sucking on ice cubes.
- Try drinking water or sports drinks that contain electrolytes.
- Do not take salt tablets. They can cause a serious complication.
- Learn what to eat if you have diarrhea.
Dehydration caused by a stomach virus should get better on its own after a few days.
If you notice signs of dehydration and treat it quickly, you should recover completely.
If untreated, severe dehydration may cause:
- Permanent brain damage
When to Contact a Health Professional
You should call 911 if:
- The person loses consciousness at any time.
- There is any other change in the person's alertness (for example, confusion or seizures).
- The person has a fever over 102 °F.
- You notice symptoms of heatstroke (like rapid pulse or rapid breathing).
- The person's condition does not improve or gets worse despite treatment.
Prevention of Dehydration
- Drink plenty of fluids every day, even when you are well. Drink more when the weather is hot or you are exercising.
- If anyone in your family is ill, pay attention to how much they are able to drink. Pay close attention to children and older adults.
- Anyone with a fever, vomiting, or diarrhea should drink plenty of fluids. DO NOT wait for signs of dehydration.
- If you think you or someone in your family may become dehydrated, call your health care provider. Do this before the person becomes dehydrated.
Chen L. Infectious diarrheal diseases and dehydration. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, PA: Elsevier Mosby; 2009:chap 171.
Greenbaum LA. Deficit therapy. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Mosby; 2011:chap 54.
Santillanes G. Claudius I. Rehydration techniques in infants and children. In: Roberts JR, Hedges JR, eds. Roberts and Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 19.
|Review Date: 8/22/2013
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.