Dehydration Dangers at Altitude: Recognising & Preventing It

Altitude Dehydration Prevention Tips & Risks

Trekkers trekking the Himalayas at altitudes above 2,500 meters often focus on altitude sickness; however, many overlook an equally significant yet less obvious threat: dehydration. At Trekup in India, we’ve witnessed experienced trekkers struggling with dehydration due to not drinking enough water while trekking through mountain ranges. Being dehydrated at high altitudes not only causes unpleasant effects; it may also increase your chance of altitude-related medical syndrome (AMS), impair decision-making skills and limit physical performance.

Why Dehydration Is More Common at High Altitudes?

  • High altitude environments can have numerous detrimental effects on our bodies and systems.
  • At higher elevations, air can become increasingly humid with reduced levels of water content, increasing sweating and exhalation to release fluids out of your system. Furthermore, more fluid can escape via exhalation than via sweating alone.
  • Urination Rate Increases at Altitude. The altitude causes diuretics that lead to more frequent urine output, thus increasing the frequency of urine production.
  • Low thirst response. Colds tend to reduce our desire to drink fluids even when we need them most.
  • Sun Exposure and Exercise Can Lead to Fluid Loss on Steep Trails, Carrying Bags. Exposure to UV Rays can contribute to fluid loss without you realising it.

Early Detection of Dehydration at Altitude

Recognising early warning signs of dehydration is of utmost importance at altitude, especially if altitude sickness is suspected.

Some indicators include: Cracked lips and cracked mouth

Headaches can often be mistaken for symptoms of Acute Myeloid Leukaemia (AML).

Dark yellow urine indicates low volume urine output.

Lightheadedness or dizziness (lightheadedness or dizziness)

Find yourself feeling exhausted or fatigued more often than expected?

Symptoms that indicate abnormality can include unusual tiredness or fatigue.

Muscle cramps, instability or confusion, rapid heart rate and trekking up tips. When your urine doesn’t pass at least three times each day or appears dark-colored, drinking more water is important.

Prevention: How to Stay Hydrated the Right Way

  1. Maintain an Adequate Water Intake

It is advised to consume 3-4 litres of drinking water each day at high elevations.

Divide Your Meal: Drink small portions frequently rather than swallowing large volumes all at once.

Implement a water bladder or water bottle equipped with an easily visible scale marking to monitor your consumption of liquid.

  1. Stay Hydrated Before Trekking

Start each day off right by sipping 500ml of water first thing in the morning before breakfast is consumed. This will get your day going in a hydrating-friendly direction.

Add glucose or lemon for flavour and energy when you aren’t thirsty.

  1. Smartly Use Electrolytes

Take oral rehydration salts (ORS) or electrolyte tablets every day to counter the loss of salt through sweat.

Sugar or coconut water sachets make excellent natural options.

  1. Avoid Dehydrating Agents

In high altitude locations, caffeine and alcohol may contribute to fluid loss, and should be limited as much as possible in order to ensure adequate hydration levels in your system.

Be mindful that Diamox increases urination; compensate with extra fluid intake to balance this out.

  1. Eat Hydrating Foods

Include juicy fruits like apples or oranges as snacks to stay hydrated.

Soups, stews and Dals in camps provide both nourishment and hydration.

Trekup India's Hydration Checklist :

Item

Purpose

2L+ water bottle or hydration pack

Track and carry water efficiently

ORS / Electrolyte tablets

Replenish salts lost through urine

Thermal flask (for warm water)

Encourages drinking in cold weather

Reusable straw/filter bottle

Safe drinking from streams

Lip balm & moisturizers

Combat external dehydration signs

Conclusion

Dehydration at high altitudes is preventable yet potentially hazardous; staying vigilant about drinking enough fluids, monitoring urine colour and replenishing electrolytes will allow trekkers to avoid its debilitating effects. Hydration doesn’t just mean drinking water; rather, it means maintaining body equilibrium even under extreme circumstances.

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