Dehydration

It is early May and I can feel the heat. I feel dry and thirsty most days. My urine is dark and concentrated. That means I am losing more water than I take in. Most of the water I am losing is during exercise and walking 18 holes on a golf course on a hot day.

Where am losing my water from?

A healthy individual loses water from exposure to high environmental temperature or from strenuous exercise. If you are not well then you may lose water because you are on a diuretic, you may have diarrhea or fever and you may be a diabetic or have kidney problems.

Earliest symptoms of dehydration are thirst and decreased output of concentrated urine. Thirst is not always a reliable indicator of dehydration. Urinary output and concentration is more reliable. Dark coluored or amber urine indicates our body needs more water.

Skin has an important role to play in water and electrolyte balance. Skin is the largest organ of our body and protects us from environment. Skin is constantly exposed to sun, wind and other injuries.

Skin has a capacity to excrete fluid and electrolytes. It plays an important role in maintaining body temperature. When a person feels hot the blood vessels in the skin dilate and sweat secretion increases. The body loses heat by radiation from the large amount of blood circulating through the dilated blood vessels in the skin and by evaporation of sweat.

Sweat glands are found in almost every part of the skin. They normally release a little fluid all the time, and as this fluid evaporates, our body cools off. If we need to cool off then these glands can get stimulated to be more active. They secrete even more fluid and help us cool off more thanks to skin temperature nerve endings.

Oil glands (sebaceous glands) produce oil secretion known as sebum. The sebum spreads on the skin. It prevents excess water loss, lubricates and softens the skin and hair.

Mild dehydration can cause symptoms such as weakness, dizziness and fatigue. Severe dehydration is a life-threatening medical emergency. Mild to moderate dehydration can be corrected by consuming more fluids. Severe cases of dehydration require immediate medical treatment.

To prevent dehydration one must consume plenty of fluids and foods high in water. It is best to start this the day before strenuous exercise. Producing lots of clear, dilute urine is a good indication that you’re well hydrated. Drink two glasses of water before your exercise. During the physical activity, drink more fluids at regular intervals, and continue drinking water or other fluids after the physical activity is done.

As we get into warmer days, a bottle of water should become your good friend. Again, remember, don’t wait to feel thirsty. Prevent dehydration before it gets to you.

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Dr. B Talks About No Scalpel Vasectomy

This is my second video blog.

No scalpel vasectomy is a procedure which I do in my office. For more information please view these links: What you should know about vasectomy? and Information/Instructions for No-Scalpel Vasectomy.

I hope you enjoyed this video! Comments may be left by clicking on the video above and leaving them on the Youtube website!

Thanks for watching!

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My first video blog!

This is my first video blog, as the title states. This is an introduction to this series. The next video should be coming soon with a more specific topic.

Comments may be left by clicking on the video above and leaving them on the Youtube website. Thanks!

Start reading the preview of my book A Doctor's Journey for free on Amazon. Available on Kindle for $2.99!

Mosquitoes Around Your Home

Dear Dr. B: The mosquito season is going to be here soon. How can I control mosquitoes around my home and how can I protect myself?

Answer: At this time of the year, it is quite appropriate to worry about mosquitoes. Mosquitoes carry many diseases worldwide. In North America, the real concern is the role of mosquitoes in spreading the West Nile disease. West Nile virus is carried by birds. Mosquitoes get infected by feeding on the blood of these birds. Infected mosquitoes then transmit the virus to humans when they bite us.

All mosquitoes need water to develop from their immature stages to adulthood. The life cycle takes less than 10 days to complete if the surrounding temperature is favorable. Once the adult mosquito is ready to fly then it looks for something to eat.

Nectar from flowers provides energy to both male and female mosquitoes. While male mosquitoes feed exclusively on nectar, the female mosquito needs blood to produce her eggs. The source of blood can be animals (including people) and birds.

According to Health Canada website, the female mosquito may live for as long as three weeks during the summer, and any female that lives long enough to feed on blood more than once has the potential to transmit blood-borne diseases from one animal or person to another. Although most mosquito species breed in clean water in the wild, many of the species that breed near your home tolerate polluted water. Most of the 75 mosquito species found in Canada survive the winter as dormant fertilized eggs.

The Health Canada website has many helpful suggestions on how to protect your home and yourself from mosquitoes. I will summarize that information here.

Certain species of mosquitoes breed around the home in containers like bird baths and eavestroughs. It is important to control the breeding sites around your home by preventing stagnation of water (flower pots, gardening cans, wheelbarrows, puddles, tire swings) even in small quantities. Boats and gardening containers can be stored upside down.

Cover any garbage, recycling or composting containers, to prevent water from accumulating in them. Empty your rain barrel if the water is more than a week old. Keep your swimming pool aerated, cleaned and chlorinated, even if it is not being used. Dump any water that collects on your swimming pool cover. For more ideas visit http://www.pmra-arla.gc.ca/english/consum/mosquitos-e.html

How to protect yourself?

During mosquito season (May to September for most of Canada), you should limit your outdoor activities between dusk and dawn, when mosquitoes are the most active. Minimize exposure of your skin by wearing long pants, long sleeves, socks and shoes when outdoors. Loose clothings will keep mosquitoes away from the skin. Use personal insect repellents. Very useful information on this subject is available in Health Canada’s fact sheet, Safety Tips on Using Personal Insect Repellents found at www.westnilevirus.gc.ca.

DEET-based repellents (considered to be most effective) at various concentrations offer different protection times. For example: 30 per cent concentration will provide six hours of protection compared to five per cent concentration which provides only two hours of protection from mosquito bite. Read the directions carefully before using DEET-based repellents especially in children and infants.

Enjoy your summer but don’t forget the sun screen and insect repellent.

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