Tag: wellness

heat stroke

Taking it Seriously…and Preventing Heat Stroke

Heat stroke is something most folks have heard of…but may think is not a risk for themselves. But with the summer months and heat index in full swing, it’s something everyone should know about.

We tend to think of serious athletes – marathon runners, for example – or maybe even people who work in landscaping or farming as being the kind of people susceptible to heat stroke. The reality is that the average person, in the right conditions, could suffer from heat stroke.

 

So what causes heat stroke?

Heat stroke occurs when your body can no longer regulate your core temperature. When you become overheated, those natural processes can fail and your body can’t cool itself. This is due to high temperatures, excessive physical activity or a combination of both.

Biologically, our bodies release heat by sweating. First, our blood vessels begin to swell, or dilate, causing our skin to look red. Blood then flows close to the surface of our skin so that we transfer heat from our skin into the air. As well, our muscles cause our body hair to lay down flat to further increase heat loss. Then our glands secrete sweat onto our skin in order to increase heat loss by evaporation. This process continues until our body temps return to normal.

But in heat stroke, we sweat so much that we become dehydrated. When our bodies run out of fluids to sweat and we haven’t been drinking enough water to supply more fluids, our body temperature will continue to rise. At that point, heat stroke symptoms kick in.

 

Symptoms

It’s really important to be aware of the signs of heat stroke so if you are outside in the heat and are struggling to cool down, you can get the help you need. Heat stroke typically has a few warning symptoms to let you know it’s coming. Be aware if you begin to experience any of these:

  • Fainting – also known as heat syncope occurs when your blood vessels dilate so much that it reduces blood flow to your brain. You may not completely pass out but feel dizzy, light-headed and even nauseous.
  • Muscle cramps – may occur even if you aren’t doing anything strenuous. This is also a warning sign of dehydration.
  • Heat exhaustion – is simply feeling ill from the heat…nauseous, weak, head aching, clammy and even like you may throw up. Your skin may actually become dry, due to lack of fluid for sweating. If left untreated, heat exhaustion can easily advance to heat stroke.

Full-on heat stroke is a serious medical emergency. It can lead to brain damage, organ failure and even death, if untreated. Aside from the warning signs previously mentioned, sufferers of heat stroke may experience confusion/delirium. Their urine turns a dark-brown color. They may have a seizure. They may have shallow breathing.

 

Prevention

The obvious solution, once you start experiencing the warning symptoms, is to get out of the heat. As well, you’ll need to get access to water quickly. Before you begin any activities outdoors, you should know if you have any risk factors that make you more prone to heat stroke.

But in general, heat stroke is preventable…in many very commonsense ways.

For starters, drink plenty of water – not just during your activity but the day before. Hydrating your body well in advance is half the battle. You can also eat more hydrating foods, such as watermelon, tomatoes, and avocados as a means of getting more water into your body. Avoid alcohol and caffeine, as they have a tendency to dehydrate the body.

If you can avoid direct sunlight, you should. Limit your outdoor time on particularly hot days to the hours when the sun is less severe. Get into the shade to take breaks from the sun and heat. Use an umbrella for protection. And make sure the clothing you wear is lightweight but can provide some protection from the bright sun.

Know your medications. Some medications may affect your ability to deal with higher temperatures. Antibiotics are one such example. So are antidepressants, antipsychotics, antihistamines, laxatives, diuretics and medications for heart disease, blood pressure, cholesterol and seizures. Talk to your physician if you take any of these medications and learn what your risks may be.

Get cool. On some days, you will just need to avoid the heat altogether and stay indoors with good air conditioning (fans may not be enough). If you must be outdoors, take breaks and get into an air-conditioned space to allow your body time to cool down. You may even want to take a quick, cool shower or get cool cloths and apply them to your neck during your breaks.

RELATED: Is the Farmers’ Market Really That Good for You?

 

Final thoughts

Please watch out for others in your life – especially the elderly – who may be susceptible to heat stroke. If you’re with someone who is displaying heat stroke symptoms, call 911 immediately. Then move the person to a cool place, apply cool compresses and wait for the medical professionals to arrive.

Heat stroke is a serious medical emergency. Immediate treatment is vital. So be aware this summer for your own sake and for those you love.

Dr. Sharman

get quality sleep

What to avoid and embrace to get quality sleep – part two

Last month, we established some strategies for comfort, part one of our sleep series. How else can we create good quality sleep?

Much of sleep quality comes down to do’s and don’ts – basically, what you should avoid and what you should embrace. And while many are small and seemingly insignificant, my recommendations can individually and cumulatively have a large impact on how well you sleep.

 

What you should avoid

For starters, think about what you are eating and drinking before bedtime. No large meals or foods that cause indigestion too close to bedtime. Research suggests avoiding caffeine, alcohol or other sleep interfering chemicals at least four hours before bedtime. Chemicals to avoid include:

  • Antihistamines – can cause daytime drowsiness
  • Nicotine – can cause insomnia and result in light sleeping
  • Beta blockers – often cause decreases in the amount of REM and slow-wave sleep*
  • Alpha blockers – may increase daytime sleepiness*
  • Antidepressants – can promote insomnia

*Speak with your prescribing physician about how the timing of these medications may impact your sleep.

Long and late afternoon napping can also impact your sleep quality. Studies show that a 10 to 30 minute power nap during the day can have positive affects but anything longer than that can interfere with your sleep cycle. If you must nap to get through your day due to health problems, take your nap early in the day.

As hard as it may be in this day and age of smart phones, avoid using electronics at least 30 minutes before bed. Electronics reduce melatonin and keep the brain alert. This also includes readers, tablets and even television.

Believe it or not your water intake can impact your sleep quality. Don’t be so busy during the day that you fail to drink enough water causing you to “catch up” with water at night. This may create the urge to go to the bathroom in the middle of the night. Balance out your water intake throughout the day instead.

Finally, avoid being a “clock watcher” if you are struggling to fall asleep. This will just cause stress and anxiety. Instead, try to find a comfortable position and focus on how lovely it is to rest your body and mind through relaxation, even if it isn’t sleep. That in itself will help you to stop stressing enough to relax and fall asleep.

 

What you should embrace

Especially if you are someone who regularly struggles with falling asleep or waking up in the middle of the night, you’ll want to consider embracing some behaviors and rituals to promote better sleep.

Remember last month how I talked about having the right bed and mattress? That’s’ a part of creating a soothing and relaxing sleep environment. Go out of your way to create such an environment. Start by allowing your room to be dark, quiet and cool. I think investing in bedding that is super-comfortable is well worth the extra expense.

get quality sleepI also believe that a pre-sleep routine is very helpful. My personal favorite includes taking a nice warm Epsom salt bath with essential oils. Other ideas include reading before bed, doing relaxation exercises or rubbing on some essential oils. You can read more about essential oils for sleep. One company that makes a quality essential oil product is doTERRA (I actually have a doTERRA account, so you can purchase yours from us if you like).

Establishing a consistent sleep schedule is also a huge benefit. People often make the mistake of staying up past the time they are naturally tired. In these cases, people often get a second wind due to adrenal imbalances and then they cannot shut off their mind when they have stayed up too late and truly need to go to bed. Some people enjoy a guided meditation for sleep or even biofeedback devices to relax in preparation for sleep.

 

What to do if you still struggle

If you try everything I’ve already mentioned and still struggle, there are some safe, natural products you can use for sleep – and we sell many of them in our office.

Lunora This product contains melatonin, a natural hormone that helps usher the onset of the body’s natural circadian sleep cycle and valerian root, a plant based herb known to assist in sleep.

Vasayo Microlife Sleep Micromyst This is a product that has a unique delivery system for its ingredients. It is a spray that is used in the mouth. Vasayo uses liposome technology which are like spheres or bubbles that surround nutrients. This helps the ingredients get through the digestive system intact for better absorption and use by the body. The key ingredient is

Melatonin, a natural hormone that helps usher the onset of the body’s natural circadian sleep cycle.

How do you choose between natural sleep products? We often start with Lunora as it is a very simple product with just two ingredients and is priced very affordably. That usually does the trick. However, if that doesn’t work, we stop the Lunora and move on to the Vasayo product which is a bit more expensive.

Some other options include:

GABA This supplement is a neurotransmitter that inhibits nerve activity in the brain, allowing it to slowly relax and support the normal sleep cycle.

NAC This supplement is an amino acid that decreases other compounds that stimulate the brain.

Vitamins B2 and B6 Finally, these vitamins help support normal neurotransmitter and hormone function.

I’m hopeful that with some of these recommendations you start to get the quality sleep that you deserve!

Dr. Sharman