Heat Cramps (cont.)

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What causes heat cramps?

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While it was thought that dehydration and electrolyte imbalance was the cause of muscle cramping, there are alternative theories as to why muscles cramp when the body is exposed to heat.

Since heat cramps begin after significant exercise in a hot environment where the affected individual begins sweating profusely, the theory was that muscles were depleted of water and sodium affecting their ability to contract and relax. Some new research suggests that as the muscles tire from excess activity and work, the ability for the muscle to regulate its own contraction is lost and this is called altered neuromuscular control. Regardless of the cause, the diagnosis and treatment for heat cramps remain the same.

What are the signs and symptoms of heat cramps?

Heat cramps are the earliest symptoms of the spectrum of heat-related illness. There is usually significant sweating with involuntary spasm of the large muscles in the body. The muscles that cramp are usually those that have been stressed. Runners and football players tend to get leg muscle cramps, but people who lift can get cramps in the muscles of the arms or the core trunk muscles like the abdominal muscles (rectus abdominus). Heat cramps usually begin after significant activity has occurred but they can occur after the activity has been completed.

Individuals with heat cramps tend only to have muscle cramps. If an individual has other signs or symptoms such as lightheadedness, weakness, nausea and vomiting, and headache he or she may be suffering from heat exhaustion. Affected individuals who have stopped sweating or who develop a fever and become confused may have heat stroke which is a true medical emergency.

Reviewed by William C. Shiel Jr., MD, FACP, FACR on 6/9/2011

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