Dehydration (2024)

Dehydration occurs when your body loses more fluid than you take into your body.

Signs and symptoms of dehydration

Water makes up over two-thirds of the healthy human body.

It lubricates the joints and eyes, helps digestion,flushes out waste and toxins, and keeps the skin healthy.

When the normal water content of your body is reduced, itupsets the balance of minerals (salts and sugar) in your body.

This affects the way your body functions.

Signs of dehydration can vary depending on how much of your body weight is lost through fluids.

Early warning signs of dehydration include:

thirst
dark-coloured urine

This is the body's way oftrying to increase water intake and decrease water loss.

You should be able to reverse dehydration at this stageby drinkingmore fluids.

Dehydration canlead toaloss ofstrength and stamina.

It'sa maincause ofheat exhaustion.

Dehydration in children

Signs of moderate dehydration in a child include:

appears to be unwell or deteriorating
altered responsiveness (for example irritable, lethargic)
skin colour unchanged
decreased urine output
rapid breathing
- in a child of six to 12 months of age, of more than 50 breaths per minute
- over 12 months of age, of more than 40 breaths per minute
a faster heart rate than usual
- over 160 beats per minute is a fast heart rate in a child under one year of age
- over 150 beats per minute in a child one to twoyears of age
- over 140 beats per minute in a child two to five years of age

Signs of severe dehydration in a child include:

decreased level of consciousness
pale or mottled skin
cold extremities, (that is, hands and feet)
more rapid breathing
an even faster heart rate

Dehydration in babies

A baby may be dehydrated if they have:

a sunken soft spot (fontanelle) on their head
few or no tears when they cry
a dry mouth
fewer wet nappies
dark yellow urine
drowsiness
fast breathing
cold and blotchy-looking hands and feet

Dehydration in an adult

Signs and symptoms of mild dehydration in an adult include:

apathy/tiredness
loss of appetite
dizziness (light headedness)

Signs and symptoms of moderate dehydration in an adult include:

apathy or tiredness
dizziness
nausea
headache
muscle cramps

Your tongue may become dry and your eyes sunken.

You may notice you produce less urine (pee)and your pulse may speed up.

Severe dehydration

If dehydration is left untreated, it can become severe.

Severe dehydration is a medical emergency and requires immediate medical attention.

Ifseveredehydration is not treated immediately, it can lead to complications.

Contact your GP,or the GP out of hours servicestraight away if you or your child have any of the signs of severe dehydration.

Treating dehydration

Adults

The best way to treat dehydration is to rehydrate the body by drinking plenty of fluids - fruit juices and carbonated drinks should not be used.

If you are breast feeding your baby, continue breastfeeding, or if bottle feeding continue milk feeds.

A sweet drink can help to replace lost sugarand a salty snack can help to replace lost salt.

If you're finding it hard to keep water down because you're vomiting,try drinking small amounts more often.

Babies

If you think your baby is dehydrated, takethem to see your GPas soon as possible. They'll be able to recommend the right treatments.

Giveyour baby plenty of liquids, such as breastmilk or formula. It can often be better to give them smaller amounts of fluid more often.

If you use formula, don't dilute it. Babies who are formula-fedand those on solids can begiven extra water.

Avoid giving your baby fruit juice, particularlyif they have diarrhoea and vomiting,because it canmake it worse.

Giving your baby regular sips(a few times an hour) of oral rehydration solution as well as their usual feed (breastmilk, formula milkand water) will help to replace lost fluids, salts and sugars.

Infants and children

Infants and children who are dehydrated should notbe given just water, because it can dilute the already low level of minerals in their body and make the problem worse.

Instead, they should have diluted squash or a special oral rehydration solution .

If you or your child is finding it difficult to hold down fluids because of vomiting, take smaller amounts more often.

Oral rehydration solutions

Whenyou're dehydrated, you lose sugar and salts, as well as water.

Drinking a rehydration solutionwill help you to restore the right balance of body fluids.

Speak to your pharmacist about suitable oral rehydration solutions.

When to get medical help

You should see your GP if your symptoms continue despite drinking fluids.

You should get medical advice if your child appears to have moderate dehydration,and urgently if it appears severe.

Seek medical advice if you suspect that your baby or toddler is dehydrated.

You should also contact your GP if your child:

hashadfive or more episodes of diarrhoeain the past 24 hours
is one year or younger and has been vomiting for more than 12 hours
is under two years old and has been vomiting for more than 24 hours
is two years or older and has been vomiting for more than 48 hours

You should contact your GP if you

have diarrhoea lasting more than 10days
are vomiting for more than two days

Causes of dehydration

Dehydration is usually caused by not drinking enough fluid to replace what you lose.

Other factors that can contribute to dehydration include:

the climate
the amount of physical exercise you are doing (particularly inhot weather)
your diet
illness, such aspersistent vomiting and diarrhoea, orsweating from a fever

People at risk from dehydration

Anyone can become dehydrated, but certain groups are particularly at risk.

These include:

babies and infants– they have a low body weight and are sensitive to even small amounts of fluid loss
older people– they may be less aware that they are becoming dehydrated and need to keep drinking fluids
people with a long-term health condition– such asdiabetesor alcoholism
athletes– they can lose a large amount of body fluid through sweat when exercising for long periods

Preventing dehydration

You should drink plenty of fluids to avoid becoming dehydrated.

Most of the time, you can prevent dehydration by drinking water regularly throughout the day.

Be guided by your thirst.

However in hot weather, when exercising and during illness, you should drink more.

As a guide, passing pale or clear-coloured urine (pee) is a good sign that you're well hydrated.

Illness

If you, your child or someone you are caring is ill, particularly witha fever, vomiting ordiarrhoea, there's a high riskof becoming dehydrated.

It's important to start replacing fluid as soon as possible.

Advice for children

It is important for children to replace lost fluid, to prevent dehydration.

Like adults, children lose more water when they are in hotter climates and when they are physically active.

You should give your child healthy drinks as part of an overallhealthy, balanced diet.

How much you shoulddrink

Therecommended daily fluid intake can vary depending on the individual and factors such as age, climate and physical activity. There is no single recommended amount.

A good rule is to drink enough fluid so that you're not thirsty for long periods.

You should, steadily increase your fluid intake when exercising and during hot weather.

Passing clear urine (pee) is a good sign that you're well hydrated.

You should drink plenty of fluid if you havesymptoms of dehydration, such as feeling thirsty and lightheaded, or passing dark-coloured urine.

It is also important to replace fluid lost after an episode ofdiarrhoea.

Fluid guidance for children

The amount of fluid your child needs in a day to stay hydrated depends on their weight.

See below for guidance:

for a child who weighs 0 to 10kg, the amount of fluid required per day is 100 ml per kg, (for example, 500ml per day if the child weighs 5kg)
for a child who weighs 10 to 20kg, the amount of fluid required per day is 1000 ml plus 50 ml per kg for each kg over 10kg, (for example, 1250ml per day if the child weighs 15kg)
for a child who weighs more than 20kg, the volume of fluid required per day is 1500 ml plus 20 ml per kg for each kg over 20 kg, (for example, 1600 ml per day if the child weighs 25 kg
Dehydration