Dehydration

Risk factors

Anyone can become dehydrated. But babies, children, and older adults are at the greatest risk. Older adults who must stay in one place are at especially high risk. They are unable to get up to get something to drink. It can be a bigger problem if they can't communicate.

You are most likely to lose fluids with severe vomiting, diarrhea, or a fever. Exercising or working hard—especially in hot weather—can also cause extra fluid loss. Using certain medicines such as water pills (diuretics) that make you pee more can also raise your risk. The risk can be higher in the hot summer months.

What to do

Drinking liquids is the best way to prevent dehydration. Water is best. But juice or frozen pops can also help. For adults, don't drink liquids that contain caffeine or alcohol to rehydrate. These drinks will cause you to pee more. This raises your risk for more fluid loss. Your healthcare provider may suggest drinking electrolyte solutions. These put back electrolytes that may be lost along with the fluid.

When to go to the emergency room (ER)

Go to an ER right away for these symptoms:

Adults

• Very dark urine and little or no urine output

• Dizziness, weakness, confusion, or fainting

Children

• Sunken eyes

• For babies, sunken soft spot (fontanelle) on the head

• Little or no urine output. For babies, no wet diaper in 8 hours.

• Very dark urine

• Skin that doesn't bounce back quickly when pinched

• Crying without tears

• Lethargy, decreased activity, or increased sleepiness

What to expect in the ER

Your blood pressure, temperature, and heart rate will be checked. You may have blood or urine tests done. The main treatment for dehydration is fluids. You may be given these to drink. Or you may get them through a vein in your arm. You also may be treated for diarrhea, vomiting, or a high fever.