الجفاف
مراجعة من قبل الدكتور كولين تايدي، MRCGPآخر تحديث بواسطة الدكتورة توني هازيل، MRCGPآخر تحديث 30 Jul 2024
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في هذه السلسلة:الغثيان والقيءدواء الغثيان
على الرغم من أن الجفاف يمكن أن يكون خفيفًا وعادة ما يتطلب منك شرب سوائل إضافية، إلا أنه يمكن أن يكون شديدًا جدًا ويهدد الحياة.
نظرة سريعة
Dehydration means your body does not have enough fluid.
Symptoms can include thirst, dark urine, dizziness, and tiredness.
Causes can include not drinking enough, vomiting, or diarrhoea.
Babies, young children, and the elderly are at higher risk.
Drink plenty of fluids to treat dehydration.
Seek urgent medical help for signs of severe dehydration.
What is dehydration?
Dehydration means your body does not have enough fluid. This may be because you haven't drunk enough fluid to replace the fluids you have lost, such as when sweating or in your wee (urine). If dehydration isn't treated it can get worse and become a serious problem.
Signs and symptoms of dehydration
The symptoms include:
Feeling thirsty.
Dark yellow and strong-smelling wee (urine).
Feeling dizzy or light-headed.
Feeling very tired.
Dry mouth, lips and eyes.
Weeing less urine and less often.
However the symptoms and signs vary depending on age and the severity of dehydration.
Signs in adults
Thirst.
Dry or sticky mouth.
Not peeing very much.
Dark yellow pee.
Dry, cool skin.
الصداع.
تشنجات العضلات.
Signs of severe dehydration
Not peeing, or having very dark yellow pee.
Very dry skin.
الشعور بالدوار.
Rapid heartbeat.
Rapid breathing.
Sunken eyes.
Sleepiness, lack of energy, confusion or irritability.
Fainting.
Severe dehydration is a medical emergency and needs immediate treatment.
What are the causes of dehydration?
The causes include:
Not drinking enough fluids.
Being exposed to the sun in hot weather for long periods ('sunstroke').
Drinking too much alcohol.
Taking certain medicines called diuretics that reduce the amount of fluid in your body.
Babies, young children, the elderly and people with diabetes are at increased risk of dehydration.
Do coffee and tea dehydrate you?
Coffee and tea contain caffeine, which has a slight diuretic effect (making you want to wee more). However, you would have to drink large amounts of each for this to be significant. The fluid in the tea or coffee will usually counteract this effect.
What are the treatments for dehydration?
Drinking lots of fluids
If it's difficult to drink or you keep being sick (vomiting) then keep taking small sips of fluid and gradually drink more if you can.
Rehydration sachets
These are only recommended for those who are at increased risk of dehydration - for most people, drinking normal fluids such as water is fine.
When to see a doctor for dehydration
Speak with your doctor or nurse for advice if your symptoms don't improve or you have any concerns. Call 111 (in the UK) if you can't speak to your GP or don't know what to do next.
Call 999 (in the UK) or go to Accident and Emergency (A&E) if you have any signs of severe lack of fluid in the body (dehydration), such as:
Feeling very weak and tired.
Feeling confused or disorientated.
دوار.
Not having passed wee (urine) for eight hours.
Your pulse feeling weak and rapid.
Babies and young children with dehydration
It's quite common for young children to become lacking in fluid (dehydrated). It is often mild but can be serious if it's not dealt with quickly. Babies and young children need plenty of fluids to avoid dehydration.
Signs of dehydration in babies, infants, toddlers and young children
The signs of dehydration include:
Dry mouth and tongue
No tears when crying
Dry nappies for over 3 hours
Sunken eyes and cheeks
Sunken soft spot on the top of the skull (fontanelle) in babies
Sleepiness, lack of energy, or irritability
Treatment of dehydration in babies and young children
You should continue breastfeeding or using formula. Give smaller quantities of milk more often than usual. Don't make formula weaker by diluting it with water.
Give small children their usual diet.
Give frequent small sips of extra water.
Rehydration powder sachets are only needed if the child is at increased risk of dehydration - normal fluids are fine for most children.
Contact your doctor urgently or call an ambulance if your child displays any of the following signs or symptoms of dehydration:
Seems drowsy.
Is breathing fast.
Has a dry mouth.
Has dark-yellow wee.
Has cold and blotchy-looking hands and feet.
اختيارات المرضى لـ علامات وأعراض أخرى

العلامات والأعراض
أقدام متعرقة
يعاني العديد من الأشخاص من تعرق القدمين من حين لآخر. ومع ذلك، بالنسبة لبعض الأشخاص، فإن التعرق المفرط للقدمين يمثل مشكلة مستمرة يمكن أن تكون صعبة الإدارة ومحرجة. قد يؤدي ذلك إلى رائحة كريهة للقدمين، ولا أحد يحب القدمين ذات الرائحة الكريهة. يشرح هذا الكتيب سبب تعرق القدمين (وهو أمر طبيعي) وكيفية منع قدميك من أن تكون متعرقة أو ذات رائحة كريهة.
بقلم الدكتورة فيليبا فينسنت، MRCGP

العلامات والأعراض
الغازات المحبوسة، الغازات والانتفاخ
Trapped wind is common and happens when gas builds up in the stomach or intestines, causing bloating, burping, or farting. Everyone has a certain amount of gas in the gut but for some people, larger amounts of gas are produced.
بقلم الدكتورة هايلي ويلاسي، FRCGP
الأسئلة الشائعة
Does dehydration cause nausea?
The article does not mention nausea as a direct symptom or sign of dehydration. The listed symptoms include thirst, dark urine, dizziness, tiredness, dry mouth/lips/eyes, and reduced urination.
How much water do I need if I'm dehydrated?
The article advises drinking lots of fluids if you are dehydrated. If it's difficult to drink or you are vomiting, you should take small sips and gradually drink more. For most people, normal fluids like water are sufficient. Rehydration sachets are recommended only for those at increased risk of dehydration.
How long does it take to recover from dehydration?
The article does not specify a timeline for recovery from dehydration. It focuses on identifying symptoms, causes, and when to seek medical attention for worsening or severe dehydration.
What causes severe dehydration?
Severe dehydration is not listed with separate causes from general dehydration. The causes mentioned include not drinking enough fluids, vomiting, diarrhoea, prolonged sun exposure in hot weather, excessive alcohol consumption, excessive sweating, fever, and certain diuretic medications.
Can you be dehydrated and not know it?
The article suggests that symptoms like feeling thirsty, dark strong-smelling urine, dizziness, tiredness, dry mouth, and reduced urination are indicators of dehydration. While some specific signs might be subtle, these listed symptoms generally help in recognising dehydration.
قراءة إضافية ومراجع
- الإسهال والقيء عند الأطفال دون سن الخامسة; إرشادات NICE السريرية (أبريل 2009؛ تم التحديث في أكتوبر 2022).
- التهاب المعدة والأمعاء; NICE CKS، مايو 2024 (الوصول متاح فقط في المملكة المتحدة)
عن المؤلفعرض السيرة الذاتية الكاملة

الدكتورة توني هازيل، MRCGP
MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)
تخرجت الدكتورة توني هازيل من كلية الطب بمستشفى سانت ماري وأكملت تدريبها في مستشفى نورثويك بارك.
حول المراجععرض السيرة الذاتية الكاملة

الدكتور كولين تايدي، MRCGP
طبيب عام، مؤلف طبي
MBBS, MRCGP, MRCP (Paediatrics), DCH
الدكتور كولين تايدي هو طبيب في هيئة الخدمات الصحية الوطنية، ويعمل في أوكسفوردشاير.
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المراجعة التالية مستحقة: 30 يوليو 2027
30 Jul 2024 | أحدث إصدار

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