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Measures to prevent heat strokes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I need help but does this cost money?                                                            
Doctor :   Hi
Doctor :   iam .Dr.
User :   Hello, I have typed two inquiries and it seeme dthat the systenm was done with me.
User :   Forgive spelling, I am disabled and hands dont work well
Doctor :   ok
Doctor :   please proceed
User :   I had what everyone thinks was heatstroke yesterday. I am 5.1, 208 lbs. Car broke down in the road at the bottom of 1640 ft driveway. I had to hustle up driveway for fear someone would have an accident. Then in course of other problems I had to do it again. Driveway is VERY steep
Doctor :   did you apply an sunscreen
User :   I had bad headache, heat in the head after being back in AC, what felt like stinging in left breast
Doctor :   Victims of heat stroke must receive immediate treatment to avoid permanent organ damage
User :   I was expecting to be in my car so no I had no sunscreen. I laid in cool water for over half an hour and while bp is down a more, my pulse was still 106 this morning and I am very fatiqued
Doctor :   did you apply tepid water and some cooling immediately
Doctor :   ice packs under armpits and groin is also good
Doctor :   did you go to an hospital
Doctor :   did they check ur temp
User :   I dont have any money to see a doctor. Yes as I said above I laid in a cool bath for 40 min to include my scalp as it was very hot
Doctor :   The most important measures to prevent heat strokes are to avoid becoming dehydrated and to avoid vigorous physical activities in hot and humid weather.
Doctor :   ok good
User :   No doc No hospital... I am on public assistance but with no medical benefits
Doctor :   ok
User :   What can I do about the high pulse
Doctor :   If you have to perform physical activities in hot weather, drink plenty of fluids (such as water and sports drinks), but avoid alcohol, caffeine, and tea which may lead to dehydration.
User :   Is that dehydration?
Doctor :   yes it can be
Doctor :   so you need to rehydrate
Doctor :   Your body will need replenishment of electrolytes (such as sodium) as well as fluids if you sweat excessively or perform vigorous activity in the sunlight for prolonged periods.
Doctor :   Take frequent breaks to hydrate yourself. Wear hats and light-colored, lightweight, loose clothes
User :   I was stuck at the bottom of a hill and it was the only way to get inside.
Doctor :   ok
Doctor :   Heat stroke is a medical emergency and can be fatal if not promptly and properly treated.
User :   Being stuck in the sun was not be choice. But I will take another bath to cool and hydrate. I take atenolol but wasnt working on pulse
Doctor :   Cooling the victim is a critical step in the treatment of heat strok
Doctor :   ok so you have high bp
User :   Was the stinging sensation in left breast area probably chest pains
User :   High Bp yes but much related to stress as well as weight
Doctor :   yes
Doctor :   it can be cramps
User :   But pulse always follows bp after medication and this time didnt
Doctor :   due to salt and water loss
Doctor :   and even cardiac
Doctor :   problem can come due to poor blood volume
User :   Was a stinging sensation
Doctor :   so you have to be
Doctor :   extrmely careful
Doctor :   ok
Doctor :   he most important measures to prevent heat strokes are to avoid becoming dehydrated and to avoid vigorous physical activities in hot and humid weather.
Doctor :   you may have slightly elevated blood pressure at first that falls later during heat stroke
Doctor :   People who are taking many types of blood pressure, allergy, or depression medication may also be particularly at risk and should avoid hot environments.
Doctor :   The prognosis is related to the severity of the heat exposure and the patient's general medical condition.
Doctor :   In general, the prognosis with heat exhaustion is excellent, with full recovery expected.
Doctor :   However, with heat stroke, permanent nerve, heart, liver, or kidney problems, or even death, can occur.
Doctor :   Si i would advise you to get examined by a local physician
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