What are risks of ignoring mild diarrhea symptoms during a hike?

Dehydration Risks

Dehydration is a silent killer in the backcountry. Mild diarrhea symptoms can quickly lead to severe dehydration, which can impair cognitive function, judgment, and motor skills. Dehydration can cause headaches, fatigue, and dizziness, making it difficult to navigate and make sound decisions. In severe cases, dehydration can lead to seizures, coma, and even death. To put this into perspective, even mild dehydration can cause a 5-10% drop in blood volume, which can lead to a 20-30% decrease in physical performance.

Assessing and Addressing Diarrhea

When assessing diarrhea, consider the color, consistency, and frequency of the stool. If it’s watery, frequent, and accompanied by blood or mucus, it’s a sign of a more serious issue. The Centers for Disease Control and Prevention (CDC) recommends rehydrating with oral rehydration solutions (ORS) that contain 75-90 mmol/L of sodium and 80-110 mmol/L of potassium. Aim for 1-2 liters of ORS per 4-6 hours of activity. For example, during a 12-hour hike, aim to consume 2-3 liters of ORS. In addition to ORS, consider consuming electrolyte-rich foods like bananas (potassium), avocados (potassium), and coconut water (electrolytes).

Prevention and Protocols

To prevent diarrhea, practice good hygiene, use hand sanitizer, and avoid contaminated water sources. When diarrhea strikes, have a plan in place. Carry a personal locator beacon (PLB) or satellite phone in case of emergency. Establish a buddy system, where you and your partner can monitor each other’s condition and provide assistance if needed. In addition to rehydrating with ORS, consider taking anti-diarrheal medications like loperamide or bismuth subsalicylate (Pepto-Bismol) under the guidance of a medical professional.