"The first step to preventing
heat-related problems," counsels Stuart Rose, M.D., author of
the International Travel HealthGuide, "is to recognize
that you are at risk. Anyone, including the young and the
healthy, is vulnerable to the ill effects of heat exposure."
However, those with conditions such as diabetes or chronic
heart failure as well as those with circulatory, high blood
pressure, or respiratory problems need to be especially vigilant
as they have an increased risk for serious heat-related health
problems.
Here is Dr. Rose and other experts’ advice to travelers for
preventing heat-related problems:
- Drink water—at least two to three quarts or more
each day—even if you don’t feel thirsty. Thirst
is a poor indicator of your true water requirements; drink
beyond your thirst level to stay well hydrated.
If you’ve got a fever or an illness that includes diarrhea or
vomiting, which can lead to rapid fluid loss, you should
increase your daily fluid intake to compensate for the fluids
you’ve lost.
- Increase your intake of water and fluids prior to a
flight—and drink at least eight ounces of water for each
hour of flight.
Don’t reach for the ubiquitous iced-tea or coffee. Such
caffeine-laden drinks act as stimulants and increase heat
production in the body.
Avoid beverages laced with alcohol or caffeine (they’re
diuretics) and carbonated or salty drinks that only fuel your
thirst.
- Make sure you have access to drinkable water.
Unless you regularly tote multiple bottles of water, it’s
surprisingly easy to find yourself without access to drinkable
water. Bottled water may be sold just about everywhere, but
you’d be surprised how often you can find yourself without
easy or quick access to a retail outlet with water!
- Review your medications. Taking antihistamines,
antidepressants, antispasmodics, tranquilizers, sedatives
(including over-the-counter sleeping pills) or popular
cholesterol-lowering drugs can block or restrict your ability
to sweat, while using amphetamines increases the production of
body heat.
- Check with your physician if you take prescription
diuretics. You may need to alter your dosage or the
frequency to compensate for dehydration as a result of heat
exposure.
- Heed the body’s warning signals: If you feel
disoriented, lightheaded, or dizzy, or if you have a severe
headache or nausea, or experience clamminess or chills, get
out of the heat and cool down. Slowly drink cool water.
Taking a moment
to rest and cool down is infinitely preferable to
fainting—something that happens more frequently then road
warriors (male and female) would like to admit.
WARNING! If
you’ve stopped sweating and your heartbeat is rapid, you’re
experiencing the early signs of heat exhaustion. Get
immediate aid.
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- Never treat heat-induced edema (swelling) with
diuretics. They won’t reduce this type of swelling and
will only increase dehydration.
- Don’t work out or run alone. Even if you recognize
that you’re experiencing heat exhaustion or stroke, you may be
unable to take action. Pair up with a buddy for extended
outdoor activity.
TIP: To avoid overheating, the American College of Sports
Medicine advises drinking about two glasses of water two hours
before exercising and cool (but not cold) water during a workout
to avoid dehydration, which strains the heart.
- Modify your fitness routines. Don’t over-exercise
or over-exert yourself physically, particularly if you are not
in very good shape.
In cities with high altitudes, poor air quality, or high heat
and humidity, curtail your workout (length and intensity) and
give yourself time to acclimate to local conditions.
Consider moving your workouts to an air-conditioned venue. If
you insist on being outdoors, look for shaded areas and time
your activity to avoid the highest heat and pollution of the
day. In most locations that means very early a.m. or late
evening workouts.
- Replace salt. After several days of heavy or
copious sweating, some people lose significant amounts of salt
that need to be replaced. Drink a sports drink or salted water
(a half-teaspoon of slat in one quart of water) instead of
plain water to reduce the risk of heat cramps.
You can also eat salty foods. (If you have a salt-restricted
health problem, check with your doctor.)
- Avoid salt tablets. Instead, opt for a sports drink
or the lightly salted water mixture noted above.
- Don’t overdress or wear restrictive clothing. In
the age of ultra-casual work attire, it’s hard to imagine
anyone having to admonish a traveler to "take it off." But
some suit-and-tie-wearing folks wouldn’t dream of doffing a
jacket while some travelers are wearing very tight and
constricting clothing that only adds to discomfort in hot
weather.
Serious physical
discomfort and worse are a poor trade-off for looking
professional or trendy. Unless you’re being photographed for a
magazine, get comfortable. You’ll be more productive.
TIP: Opt for
light-colored, lightweight (and loosely woven), loose-fitting
clothing made from natural (linen and cotton) rather than
synthetic fabrics. Synthetics can make you feel hot and clammy
and trap sweat, which only adds to your overall discomfort.
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Suffering by
Degrees:
Recognizing—and
Treating—Hot-Weather Health Risks
Minor heat
illnesses include heat stress (which, when ignored, can
lead to more-serious heat exhaustion), heat cramps
(spasms, which may be caused by insufficient salt levels),
heat edema (swelling of feet and ankles), and heat
syncope (fainting, which can occur after a sudden change in
posture or from standing in the heat and/or sun for prolonged
periods).
If you experience heat exhaustion, you’ll feel weak,
dizzy, tired, nauseated, and thirsty. You may have a headache or
cramps. Your temperature will rise (to as high as 104 degrees).
Stop whatever you are doing, get out of the sun or heat and get
inside—preferably to an air-conditioned room, or sit or lie down
in front of a fan. Drink a quart or more of water or an
electrolyte-replacement sports drink until symptoms are relieved
and urine flow is restored. Avoid strenuous physical
activity.
Unchecked, heat exhaustion can turn to the more serious and
life-threatening heat stroke. The onset can be sudden,
with some people lapsing into comas or seizures. Severe cases
can result in damage to the brain, kidneys, or liver, and
untreated victims can die in a matter of hours.
The symptoms are the same (but more severe) as for heat
exhaustion. Victims are confused or disoriented and temperatures
can exceed 104 degrees. Some (not all) people stop sweating,
with the skin becoming hot and dry. The key is swift action:
Treat the person until you can get professional assistance.
Place him/her in an upright position and bring the body
temperature down by removing as many clothes as possible, and by
wetting the body (Lightly mist the body with water, wrap in wet
cloths or sheets, or give a sponge bath.). Place the individual
in front of a fan (or fan him) to encourage heat evaporation.
Don’t place the person in ice or ice water. This
induces shivering, which causes the body to warm itself.
To quickly rehydrate him, get him to slowly drink cool water.
A minimum of a quart (four cups) is needed.◄