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Does dehydration cause muscle cramps?

Does dehydration cause muscle cramps?

Dehydration may be one cause of muscle cramps, and some evidence suggests that electrolyte imbalances also contribute to them.Muscle cramps are painful, involuntary contractions of the muscles that cause them to suddenly tighten. They are temporary, and stretching the affected muscle usually helps relieve them.Researchers are still not clear about the exact cause of muscle cramps, but dehydration and electrolyte imbalances may play a role.This article looks at dehydration and muscle cramps, other possible causes and risk factors, and how to manage and prevent them.How does dehydration cause muscle cramps?According to the American Academy of Orthopaedic Surgeons (AAOS), exercising in hot weather can increase the risk of muscle cramps. This is because the body loses fluids, salt, and electrolytes in sweat. The loss of these substances may cause the muscles to spasm and cramp.According to a 2019 article, there is inconclusive evidence on whether dehydration causes muscle cramps, but changes in water and salt balance may cause them.Heavy sweating, intense exercise, or exercising in hot weather may cause dehydration if people lose more water than they take in.Dehydration can lead to an electrolyte imbalance, which occurs if electrolyte levels in the body are too high or too low. Electrolytes are minerals such as potassium, calcium, and magnesium that support many important processes in the body.Drinking large quantities of plain water without replacing electrolytes may also cause muscle cramps, although there is not enough conclusive evidence to confirm this.What else can cause muscle cramps?Researchers do not know the exact cause of muscle cramps, but the following factors may play a role:muscle fatigue and inadequate stretching, which may cause abnormalities in certain processes that control muscle contractionpoor conditioning, which includes strength and flexibilityRegular stretching helps lengthen muscle fibers, allowing them to function better when exercising. The spinal cord produces automatic reflexes, including muscle responses. Poor conditioning can increase the likelihood of muscle fatigue and affect automatic reflexes.Overexertion reduces the amount of oxygen to a muscle, which can cause waste products to build up and cause a muscle spasm. As the cramp starts, spinal cord reflexes stimulate the muscle to continue contracting.A 2022 study of 98 marathon runners found that runners who experienced muscle cramps did not show greater levels of dehydration or electrolyte loss after the marathon, but had significantly higher biomarkers of muscle damage than those without cramps.The study suggests that muscle damage may contribute to muscle cramps and that strength training may have protective effects.How to manage dehydration crampsWays to help manage dehydration cramps include:stopping the activity that triggered the muscle crampmassaging and stretching the affected muscle, keeping it in the outstretched position until the cramping stopsapplying a warm compress to tight musclesrehydrating and maintaining hydrationafter exercise, replenishing electrolytes as necessary through consuming sports drinks, cow's milk, foods such as bananas, yogurt, lentils, and spinach, or an oral rehydration solution»More on this:How to treat and prevent leg muscle crampsHow to prevent crampsImproving overall fitness and conditioning may help prevent muscle cramps. People can increase their flexibility through regular stretching, particularly before and after exercise.Ways to prevent muscle cramps include:stretching out the muscle groups most prone to cramping, such as calf, hamstring, and quadricep stretchesavoiding overexertionstaying hydrated by sipping unsweetened soft drinks regularly, particularly during exercise and in hot weathermaintaining electrolyte balance by consuming foods or drinks with electrolytesRisk factors for muscle crampsRisk factors for muscle cramps include:illness or overweightoverexertioncertain medications, including diuretics, statins, and pseudoephedrine, which is a decongestantPeople who may have an increased risk of muscle cramps include:infants, young children, and people over the age of 65endurance athletesolder adults who carry out strenuous physical activityFrequently asked questionsWhat's the difference between taking electrolytes and plain water for cramp prevention?Drinking plain water may help prevent dehydration cramps, as it helps maintain fluid balance in the body.If someone anticipates sweating a lot, they can ensure they have a source of electrolytes to consume alongside plain water. Drinking too much plain water may cause an electrolyte imbalance. Drinking plain water may help prevent dehydration cramps, as it helps maintain fluid balance in the body.If someone anticipates sweating a lot, they can ensure they have a source of electrolytes to consume alongside plain water. Drinking too much plain water may cause an electrolyte imbalance. How quickly should I hydrate if I feel a cramp coming on?It is best to hydrate as soon as possible if people feel a cramp coming on, as a loss of fluids and electrolytes may contribute to muscle cramps.It is best to hydrate as soon as possible if people feel a cramp coming on, as a loss of fluids and electrolytes may contribute to muscle cramps.Why do I get muscle cramps at night?Nocturnal leg cramps may link to depression or heart problems. Other causes may include: dehydration pregnancy ageing certain medications, such as diuretics muscle overexertion liver diseaseNocturnal leg cramps may link to depression or heart problems. Other causes may include: dehydration pregnancy ageing certain medications, such as diuretics muscle overexertion liver diseaseHow much should I drink during exercise to prevent cramps?This depends on the person, the temperature they are exercising in, how much they sweat, how strenuous the activity is, and the duration of the activity.When exercising in the heat, people can aim to drink 8 to 12 ounces of fluid every 15 minutes. Staying well-hydrated may help prevent cramps.It is important to hydrate before and after exercise too. Avoid drinking more than 1.5 liters of water per hour to prevent low sodium levels. This depends on the person, the temperature they are exercising in, how much they sweat, how strenuous the activity is, and the duration of the activity.When exercising in the heat, people can aim to drink 8 to 12 ounces of fluid every 15 minutes. Staying well-hydrated may help prevent cramps.It is important to hydrate before and after exercise too. Avoid drinking more than 1.5 liters of water per hour to prevent low sodium levels. When to contact a doctorIt is important to contact a doctor if people experience muscle cramps that:are severeoccur frequentlydo not improve with home remedies such as stretchingare not due to an obvious cause, such as dehydration or strenuous exerciseMuscle cramps are generally harmless but may be a sign of a problem relating to:circulationnutritionhormonesmedicationsnervesmetabolismIn some cases, muscle cramps may be a sign of an underlying condition, such as:irritation or compression of the spinal nervesnarrowing of the spinal canalthyroid diseasechronic infectionhardening of the arteriesliver cirrhosisamyotrophic lateral sclerosis (ALS)SummaryMuscle cramps may occur due to dehydration and imbalances in water and electrolyte levels. Muscle fatigue and damage may also contribute to muscle cramps.Rehydrating, replenishing electrolytes, and stretching may all help resolve dehydration cramps. If muscle cramps are severe or frequent, it is important to contact a doctor to determine the underlying cause.
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Hidden two-letter code reveals if your plastic containers are toxic

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Expert says Adriana Smith's case goes beyond abortion politics
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timean hour ago

  • The Independent

Expert says Adriana Smith's case goes beyond abortion politics

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A medical perspective on rights Viewed through a medical lens, however, postmortem pregnancy is not violent or violating, but an act of repair. Although care teams have responsibilities to both mother and fetus, a pregnant woman's brain death means she cannot be physically harmed and her rights cannot be violated to the same degree as a fetus with the potential for life. Medical practitioners are conditioned to prioritize life over death, motivating a commitment to salvage something from a tragedy and try to partially restore a family. The high-stakes world of emergency medicine makes protecting life reflexive and medical interventions automatic. Once fetal life is detected, as one hospital spokesperson put it in a 1976 news article in The Boston Globe, 'What else could you do?' This response does not necessarily stem from conscious sexism or anti-abortion sentiment, but from reverence for vulnerable patients. If physicians declare a pregnant woman brain-dead, patienthood often automatically transfers to the fetus needing rescue. No matter its age and despite its survival being dependent on machines, just like its mother, the fetus is entirely animate. Who or what counts as a legal person with privileges and protections might be a political or philosophical determination, but life is a matter of biological fact and within the doctors' purview. An ethics of anti-opposition Both of the above perspectives have validity, but neither accounts for postmortem pregnancy's ethical and biological complexity. First, setting mother against fetus, with the rights of one endangering the rights of the other, does not match pregnancy's lived reality of 'two bodies, sutured,' as the cultural scholar Lauren Berlant put it. Even the Supreme Court recognized this entangled duality in their 1973 ruling on Roe v. 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This might involve recognizing pregnancy's unique ambiguities in advance directives, questioning default treatment pathways that may require harm to be done to one in order to save another, or considering multiple definitions of clinical and legal death. In my view, it is possible to adapt our ethical standards in a way that honors all beings in these exceptional circumstances, without privileging either 'choice' or 'life,' mother or fetus.

When the time comes to die, what end-of-life care would doctors choose for themselves?
When the time comes to die, what end-of-life care would doctors choose for themselves?

The Guardian

timean hour ago

  • The Guardian

When the time comes to die, what end-of-life care would doctors choose for themselves?

The uncustomary quiet of a Sunday morning in the emergency department is broken by a universally relevant question. 'And if your heart were to suddenly stop beating, what would you like us to do?' Standing outside, all I hear is a garbled response. 'That's right,' the voice reassures. 'You wouldn't want us jumping on your chest, would you?' It seems to me that the doctor is having a one-way conversation, the kind I am about to have with my patient. Following a bad fall months ago, my patient can't speak or move. I wonder what 'further functional decline' could possibly entail but her nursing home has sent her to emergency. She has pneumonia and a high sodium level not compatible with life. Yet, when I stand next to her and take her hand in mine, she smiles at me, displaying not an iota of distress. The mild pneumonia might not take her life, but the untreated sodium level almost certainly will. What to do? Antibiotics and fluids or not? 'What would you like me to do?' I muse, hoping she will magically answer. She smiles benignly. I am torn. The doctor in the adjoining cubicle clearly doesn't want her patient undergoing CPR. I can't see how 'saving' my own patient from death would accord her better quality of life. Each doctor is making an irrevocable decision about a patient, its enormity compounded by the fact that both patients have limited capacity to participate in the conversation. But what if the patient asked, 'Doctor, if you were in my situation, what would you do?' Do doctors treat patients in the same way they would want to be treated at the end of life? A new study sheds some light on this issue. Researchers surveyed 1,157 doctors including GPs, palliative care physicians and other medical specialists working in diverse areas including Canada, Belgium and Italy, as well as the American states of Oregon, Wisconsin and Georgia, and the Australian states of Victoria and Queensland. These communities range from being socially progressive to religiously conservative to secular, with varying laws around assisted dying. The study presented doctors with two end-of-life scenarios. In one, they have Alzheimer's disease. They don't recognise loved ones, refuse oral intake and are more withdrawn. In the second, they have advanced cancer not amenable to treatment. They are experiencing severe pain and agitation, have a prognosis of no more than two weeks, and are competent to make decisions. In each case, a palliative care provider and the option of inpatient hospice is available. With preferences for end-of-life decisions including CPR, hydration, tube feeding, intensifying symptom alleviation, deep sedation until death and, where legal, assisted dying, doctors were asked to rate their own preferences from 'a very good option' to 'not at all a good option'. Across all jurisdictions, physicians universally rejected the idea of CPR and mechanical ventilation (preferred by less than 1%), tube feeding (less than 4%) and intravenous hydration (about 20%). Of all physicians, over 90% considered it important to intensify symptom relief and just over half considered euthanasia a good or very good option. Notably, a third of physicians would consider using medications at their disposal to end their own life. There are many interesting findings (regrettably, behind a paywall) but the bottom line is that when it comes to their own end-of-life care, doctors use their lived experience of medicine to choose differently, and arguably, more wisely. This should give patients and doctors food for thought. We are living in an era of medicine that often conflates more with better, an especially vexed issue at the end of life. In my own field of oncology, despite real concerns about time toxicity, overtreatment is believed to be a professionally sanctioned approach. No oncologist wants to be seen to 'do nothing' even if eschewing aggressive and harmful treatments in favour of quality of life is the opposite of doing nothing. But the more I look around, I can't help thinking that oncologists are unfairly cast as the worst offenders when evidence of futile interventions is rife across healthcare. How do grossly impaired patients end up being tube-fed? Why are frail, elderly people attached to ventilators? Why do unconscious patients receive antibiotics in their final days? Frankly, these events happen because patients or relatives demand them, and doctors find themselves unwilling or unable to say no. The desire for a good death is as universal as the fact of dying. The researchers of this study should be commended. If I were a patient, here is how I might use the study findings to help myself. Instead of directly asking my treating doctor(s) what they would do in my situation (and risk a non-answer), I would inquire what factors they would consider in reaching a crucial medical decision. I would acknowledge that personal preferences vary and explain that their library of experiences might deepen my understanding of what to do. As a physician, this study reminds me of the privilege of my role which gives me a sound basis for making highly consequential decisions. The question is how to use my knowledge and experience to empower my patients without blurring the line between personal bias and professional guidance. I believe this is possible by listening carefully to patients' stated goals and including the views of their loved ones. These conversations need time and trust, which is what underpins good doctor-patient communication. End-of-life decisions are a sensitive and complex situation, but one thing is evident to me. If doctors clearly favour less aggressive measures at the end of life, their patients deserve to know why. Ranjana Srivastava is an Australian oncologist, award-winning author and Fulbright scholar. Her latest book is called A Better Death

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