Showing posts with label hyponatremia. Show all posts
Showing posts with label hyponatremia. Show all posts

Wednesday, September 5, 2012

Hyponatremia - like the Bizarro Super Man of Hydration. Or some crazy crap like that


Moderation, jackass

Now that you know all there is to know about proper hydration, and the harmful effects of dehydration, allow me to throw at you physiology’s curve ball: HYPONATREMIA.

Hyponatremia is the complete, total opposite of dehydration. It is the infrared to dehydration’s ultraviolet. The right to its left. The Superman to the Bizarro Superman.




Hyponatremia is when you saturate your body with water while losing sodium in the blood. In other words, is a good ole fashioned water logging.

It happens when you sweat and replace fluids with water and do not replace sodium. Hyponatremia causes fatigue, weakness, cramping nausea, vomiting, bloating, dizziness, headache – and death! Yes, death!

Because its symptoms are actually similar to dehydration, it used to be misdiagnosed. And for the runner who does not regularly jog with a physician, mistaking it for dehydration can be exacerbated by innocently consuming more water.

Hyponatremia occurs most often in hot, humid, long races, especially to runners running longer than 4 or more hours, though it can happen in short races too.

What do you do?

  • Stick to sports drinks after 1 hour of running
  • Don’t drink more than you sweat – so limit drinks to 1 to 2 cups per water station.
  • Be sure to consume sodium – sports drinks -- late in the race. Since sports drinks are mostly water, there is little threat of getting dehydrated.

Another of my friends trained for and ran in her first Marine Corps Marathon, almost 10 years after my buddy and I ran our first. Like most new runners, she was warned of the possible threat of dehydration. Accordingly, she consumed buckets of water before and during the race. There was no “after” because she was hospitalized and nearly died from Hyponatremia. In fact, just re-read the anecdote above about by friend who suffered from dehydration, and substitute that word with Hyponatremia. The stories are virtually the same except while he drank too little water, she drank too much.

Wednesday, December 14, 2011

Worst. Run. Ever. 19.25 miles of misery.

Well, actually 14 miles of powerful, determined running, another 3-ish of plodding, and a final 3-ish of ugly loping and puttering. When I started this morning it was great, probably because the temperatures were moderate... in the 50s. By the time 14 and 16.5 miles rolled around the temps had climbed nearly 20 degrees. I wilted. Folded like a beach chair. Spent like casino quarter. It was the ugliest run I can remember... at least the finish was.

This is exactly what happened at the 2010 Chicago Marathon when the temps started very cool for a Great Lakes fall morning then climbed into the 70s late in the morning. You know, the time you need your strength the most to finish the race.

On top of it all, I foolishly drank two cups of coffee early in the morning. By mile 14 I had to stop for a drink of water, but by then it was too late: I was already dehydrated. I thought a lot about proper hydration and even gave thoughts to hyponatremia (dehydration's polar opposite evil twin). Fortunately, I finished, hydrated, showered and ate.

I have been feeling sick to my stomach since I finished. Have you ever experienced this? I don't know what it is or if it has anything to do with running. I'm not sick, but I am oogie.

Still, I finished the 19-mile long run. Next stop, 22 miles. But this time I will start early, early in the morning to avoid overheating and dehydration.