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Dehydration Danger

By Tom Watson

"All day I've faced a barren waste without the taste of water, cool water.
Old Dan and I with throats burned dry and souls that cry for water-
Cool, clear, water."
- From the classic country-western song "Cool Water" by Bob Nolan  

It's a required scene in nearly every Hollywood western - a parched and ragged form crawling along the desert, past a half-buried sun-bleached skull, hopelessly seeking a drop of water to moisten his cracked, flaking lips.
Dying of thirst!

Most water related activities probably don't even conjure images of being thirsty in the first place, even though the need is clearly there as well. At least with fresh water beneath our hulls, most inland paddlers have a quick, if not cautious, fix when the thirst meter starts to redline.

The perception of thirst as depicted in the movies is much more dramatic than the reality of becoming dehydrated in the real world - adventurous or complacent. In fact, most humans are already into the mild stages of water deprivation before they even know it.
 

What is "dehydration" anyway? Obviously it means being de-hydrated, without hydration; without water. Basically our body is dehydrated when more water has left the body than has entered it. It's important because sixty-seventy percent of the human body is composed of this liquid of life. Nearly every system in our body depends upon water - it's our principle chemical component. It's contained in our blood, digestive juices, urine, and perspiration as well as in our bones, lean muscles and fat. Some of the main functions of water in our body include:
  • The integrity and health of every cell; delivering nutrients and oxygen;
  • Maintaining flowing fluidity of the bloodstream;
  • Eliminates by-products of body's metabolic processing, excess electrolytes, urea (formed through processing dietary protein);
  • Lubricating/cushioning joints;
  • Keeping mucous membranes (lungs, throat, nose) moist;
  • Moisturizer for skin texture and appearance;
  • Shock-absorbing fluid inside eye and spinal cord
Unlike camels, the human body doesn't hold large reserves of water. We need to make sure we keep our body's adequately supplied - in intracellular spaces, in blood vessels and even in the spaces between our cells.
 
Dehydration Facts

• Men have a higher body water content than women

• Water content decreases with age

• Eating provides about one liter of water - the rest you must drink - and don't wait until you feel thirsty.

• Unlike a camel, humans do not store water

• In a survival situation, don't eat much if you don't have water


Mechanisms of Water Loss
In his survival book, 98.6 - The Art of Keeping Your Ass Alive, survivor instructor, Cody Lundin explains that a person at rest needs about 6 cups of water daily while that same person can lose up to 16 cups (a gallon) in just one hour of heavy sweating!


Even the sedate couch potato loses water just sitting around - through breathing, perspiration, and urine/bowel functions. Add illnesses that cause vomiting and diarrhea and the water loss goes up. In general, the average rate of loss of water in humans depends upon many factors including metabolism, activity levels, the weather and even the food we eat.

Our Body of Water Some of the common causes of dehydration include:

  • Sweat
    The body's air conditioning, used to cool itself down. A brisk walk could generate a pound of water loss. Environment and activity are among several factors affecting the onset/duration/intensity of sweating.

  • Diarrhea
    losing excess amounts of water; a prolonged attack makes it hard to replenish water loss;

  • Vomiting
    also hard to replenish if nausea prevents the victim from keeping water or other liquids down.

  • Burns
    waters seeps into wound and out of the body.

  • Frequent urination
    diabetes, alcohol and some medications cause excess urination.

  • Eating foods high in protein that require a lot of water as part of the metabolic process.
Symptoms
By the time you feel thirsty the dehydration process is already underway. While thirst is an indicator of water need, steps to re-hydrate should begin before thirst sets in. Symptoms vary from person to person, influenced by factors such as age, environment, physical condition, etc.

So what are the symptoms of dehydration? It manifests itself in three stages:

Mild
2% total body fluid loss:
  • Thirst
  • Loss of appetite
  • Dry skin/dry mouth
  • Skin Flushing
  • Dark colored urine
  • Fatigue/weakness
  • Chills
  • Headaches
  • Weakness in muscles
  • Dizziness
Moderate
5% total body fluid loss:
  • Increased heart / respiration rates
  • Decreased sweating / urination
  • Increased body temperature
  • Extreme fatigue / muscle cramps
  • Headache
  • Nausea
  • Tingling of the limbs
Severe
10% total body fluid loss:
  • Muscle spasms
  • Vomiting
  • Racing pulse
  • Shriveled skin
  • Dim vision
  • Painful urination
  • Confusion
  • Difficulty breathing
  • Seizures
  • Chest/Abdominal pain
  • Unconsciousness
(Requires immediate emergency assistance)

NOTE: one way to determine if a paddler may be dehydrated is to drop in behind their boat and see if they are wavering from course at all - could be a sign of dizziness associated with lack of water.

Children are especially vulnerable to dehydration. Some of the common symptoms that suggest kids need water are: dry or sticky mouth, few or no tears when crying, eyes appearing sunken, lack of urine for 12 hours (or small amounts of dark yellow urine), and dry or cool skin.

Prevention and Treatment
The best and most obvious way to prevent or treat dehydration is simply to drink plenty of water. How much depends on several factors but the general quantities most often recommended are at least six to eight, 8-ounce glasses of fluid each day. The Institute of Medicine recommends an adequate intake for men is to drink about 3 liters of total beverages daily - that's about 13-15 cups or nearly a gallon. Women need about 2.2 liters or 9-11 cups - almost 3/4 of a gallon. Shorts bouts of exercise may require up to an additional 2.5 cups of liquid.

Drinking water before and after an activity as well as several times each hour at intervals also helps keep you hydrated. If you are nauseous and can't keep large amounts of water down, try sipping liquid instead. Try to avoid caffeine (coffee, sodas, tea) as it is a diuretic and you don't need to be losing water through peeing!

Another situation that can lead to dehydration is activity at higher altitudes. For paddlers that may only mean that the opportunity may arise at a mountain lake or paddling across Lake Titicaca?

Dehydration Test Eating fruit for its water is better than drinking fruit juices because they contain as many calories as sugar sweetened sodas. Fruit also has nutritional value and fiber content. Food can provide up to 20% of one's daily water requirement (but digesting protein rich foods requires more water than other types).

Sports drinks (such as popular Gatorade ) that contain minerals such as sodium and potassium and drinking them helps restore those lost minerals to regain and maintain an electrolytic balance in our system. Those levels can come out of balance during more strenuous activities. That being said, "mineral" waters may contain too much salt that can cause the body to retain so much fluids that it causes swelling. The human body does rid itself of excess sodium which, in turn, results in less fluid retention. Fluids containing no more than 30mg of sodium/100 ml of water are recommended.

If too much water is drunk, our blood can become diluted, our kidneys can't excrete enough. This results in the sodium in the blood to drop dangerously low - a term called hyponatremia. Most of the time eating some salty foods will be enough to replenish levels in the body.

A brimful of advice
The best and most basic treatment for dehydration is to simply drink water. Plain, ordinary water. Some survival experts have their own methods, including Cody Lundin who suggests "Four Factors for accelerated maximal hydration":

  1. Drink an adequate volume - you want to flush a large amount of water into your large intestines so it will get to work immediately (not stuck in the small intestines where nutrients and other goodies are slowly pulled out)
  2. Drink tepid water (body temperature), but hot drinks for chill, cool drinks to chill are okay, too.
  3. Drink water that doesn't have a lot of "food" in it (see why at #1 above). You can always add some sugar-free powdered flavorings to improve taste.
  4. Drink carbonated water - pressurized to shoot past the small intestines (see #1 again). Non-aspirin Alka-Seltzer works.
If you generally don't feel thirsty during the day and can urinate at least six cups of clear or light yellow urine, you are probably adequately hydrated.

As a paddler, for your own health and the health of others, make sure you carry plenty of water. Our boats offer ample space for several days under most conditions. Learn how to find water in emergency situations and make sure you are equipped with adequate and accessible water during your outing.

The bottom line on dehydration may have been best summed up by Mark Twain:

"Water, taken in moderation, cannot hurt anybody."

Be safe, have fun and stay hydrated out there!

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Tom Watson is an avid sea kayaker and freelance writer. For more of Tom's paddling tips and gear reviews go to his website: www.wavetameradventures.com He has written 2 books, "Kids Gone Paddlin" and "How to Think Like A Survivor" that are available on Amazon.com.




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