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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Cramps On Arms, Shoulder And Ribs

I have severe cramps (arms, shoulder, rib, legs) after heavy outdoor work in the heat. I was working outside for about 3 hrs...drank plenty of water and 2 bottles of Gatoraide. I have been cramping for about 3 hours now...after a shower and cool down at home in AC.
Tue, 28 Apr 2020
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General & Family Physician 's  Response
Hi,

Assuming a sweat rate of up to 1 litre per hour which can be possible in the heat, one would need to replace 1 litre at least per hour. However, the actual sweat rate can be higher and even up to 2 litres per hour.

This needs to be replaced with electrolytes. Gatorade is a good electrolyte replace but having at least 1 to 1.5 litre per hour would be useful.

Another thing that can be useful is to do a sweat hydration test. This can be done by checking the weight before a 1 hour workout. Post workout, measure the water intake.

The sweat rate in 1 hour would be the weight loss and the water intake. So, if one loses 1 kg of weight and drinks 1 litre of water and then the sweat rate would be 2 litres per hour. Then, one would have to drink water and electrolyte at this rate.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Vignan Rachabattuni
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Suggest Treatment For Severe Cramps On Arms, Shoulder And Ribs

Hi, Assuming a sweat rate of up to 1 litre per hour which can be possible in the heat, one would need to replace 1 litre at least per hour. However, the actual sweat rate can be higher and even up to 2 litres per hour. This needs to be replaced with electrolytes. Gatorade is a good electrolyte replace but having at least 1 to 1.5 litre per hour would be useful. Another thing that can be useful is to do a sweat hydration test. This can be done by checking the weight before a 1 hour workout. Post workout, measure the water intake. The sweat rate in 1 hour would be the weight loss and the water intake. So, if one loses 1 kg of weight and drinks 1 litre of water and then the sweat rate would be 2 litres per hour. Then, one would have to drink water and electrolyte at this rate. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Vignan Rachabattuni