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Hyponatremia

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Hyponatremia is a condition known as "water intoxication."  It is the opposite of dehydration, and is often associated with long distance events like running and cycling.  Moreover, it’s not an unusual problem, and you can develop it in a few hours.

As you consume large amounts of water over the course of a day, blood plasma (the liquid part of blood) increases thereby diluting the salt content of the blood.  At the same time, your body also loses salt by sweating.  Consequently, the amount of electrolytes available to your body tissues decreases over time to a point where that loss interferes with brain, heart, and muscle function!  You have to replace these electrolytes!  They're essential to the normal electro-chemical operation of your nervous system.

 

Symptoms

  • Though the condition is opposite to dehydration, the symptoms generally mirror those of dehydration (apathy, confusion, nausea, and fatigue), although some individuals show no symptoms at all.

  • If untreated, hyponatremia can lead to coma and even death.

 

Prevention

  • The World Health Organization advises the best combination of electrolytes mixed in 1 liter of water (one typical-sized Nalgene™ water bottle) is as follows:

    • 20.0g  Glucose

    • 3.5g  Sodium Chloride

    • 2.9g  Trisodium Citrate

    • 1.5g  Potassium Chloride

 

  • Drink the RIGHT fluids!  If you can't mix your own solution of the above formula (or don't care for its taste), Pedialyteâ (or the generic equivalent) is a great source and its readily available at any market or pharmacy in a variety of flavors.  As a drawback, it is a little expensive.  As a cheaper alternative, some sports drinks are a fair source of replacement electrolytes -- though they tend to have excess sugar for that quick energy burst.  Look for brands such as Gatorade™ that try to match the body's natural levels of potassium, citrate and sodium chloride.

  • If you have to watch your sodium or glucose intake, consider taking sodium- and glucose-free electrolyte tablets called Electrol.  This is perhaps the least expensive option of all, but make sure you drink enough fresh water.  These tablets are available from the following company:

Otis Clapp and Buffington

Box 9160

Canton, MA. 02021

(617) 821-5400

custserv@otisclapp.com

 

  • Another option may be to eat a banana each day or so, and have a little extra salt with meals while on field excursions.  Note that bananas do not travel well in a daypack.

  • DO NOT drink soda, iced tea, coffee, or alcohol.  These are all diuretics and none contain the electrolytes you'll be in need of.

 

 

PARENT PAGE Hyponatremia Dehydration Purification

 

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