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Dehydration

- Summary
- About dehydration
- Types and differences
- Risk factors and causes
- Signs and symptoms
- Diagnosis methods
- Treatment options
- Prevention methods
- Questions for your doctor

Reviewed By:
Timothy Yarboro, M.D.
Susan Janoff, MS RD LD/N

Signs and symptoms of dehydration

Signs and symptoms of dehydration may vary, depending on the severity of fluid loss experienced. It is important to note that the body’s need for water is constant and not accompanied by symptoms such as thirst. By the time a person feels thirsty, they have already developed mild dehydration.

 

Severity

Symptoms

Mild

  • Thirst
  • Concentrated, dark yellow urine
  • Decreased frequency and amount of urination
  • Increased pulse
  • Vague discomfort
  • Fatigue

Moderate

  • Dry mouth, lips, tongue and other mucous membranes
  • Extreme thirst (polydipsia)
  • Low blood pressure
  • Little or no urine
  • Irritability or restlessness 
  • Increased fatigue
  • Decreased tears
  • Rapid heartbeat (tachycardia)
  • Lack of skin elasticity (poor skin turgor)

Severe

  • Extreme thirst (polydipsia)
  • Very dry mouth, skin, and mucous membranes
  • Inability to keep fluids down
  • No urine or tears
  • No appetite (anorexia)
  • Deep, rapid breathing
  • Altered mental status
  • Weak and rapid pulse
  • Skin that is cold and clammy, mottled or hot and dry
  • Shriveled and dry skin that lacks elasticity
  • Sunken eyes and/or fontanel (the soft spot on top of an infant’s head)
  • Lack of sweating
  • Low blood pressure
  • Rapid heart beat
  • Blood clots
  • Kidney failure
  • Brain swelling (cerebral edema)
  • Seizures
  • Coma

Complications (e.g., heat exhaustion and heat stroke) can develop if the cause of the dehydration is heat-related. Severe dehydration is a life–threatening condition requiring immediate medical attention. When not treated, a lack of fluid in the body prevents blood from getting to vital organs so that they may properly function. Prolonged dehydration can lead to shock and death.

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Review Date: 08-13-2007
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