February 1, 2023

The Link Between Dehydration and Blood Pressure

Not drinking enough fluids can send your blood pressure on a rollercoaster ride

Someone feeling light-headed, seeing birds and stars.

The importance of maintaining a healthy blood pressure gets a lot of attention — and rightfully so. It’s key to keeping blood flowing so it can deliver oxygen and nutrients to every nook and cranny in your body.

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The good news? There’s something simple you can do to assist the process and keep your blood pressure stable: Drink plenty of fluids.

Being dehydrated can cause your blood pressure to plummet and then potentially skyrocket in response. In extreme cases, this wild fluctuation could send you into a life-threatening case of shock.

So, how can dehydration increase your risk of experiencing both low blood pressure and high blood pressure? Preventive cardiologist Luke Laffin, MD, explains.

How dehydration causes low blood pressure

Approximately 55% to 60% of your body is made of water. There’s water in your bones, water in your muscles and water in your brain. Basically, there’s a splash of H2O everywhere inside of you.

Not surprisingly, your blood is mostly water — which explains why it flows through your veins like a liquid and drips when you get a cut. There are usually about 5 quarts (1.25 gallons) of blood in your system.

Now let’s talk about dehydration.

When you’re dehydrated, it means that your body’s water supply is depleted. This can happen for any number of reasons, ranging from sweating a lot on a hot day, medications or simply not drinking enough.

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Whatever the cause, that loss of fluid is felt everywhere in your body — including blood volume. Low blood volume leads to low blood pressure, meaning your organs may not get the oxygen needed to function properly.

“In the simplest of explanations, you’re just not filling up the pipes enough for what your vascular system needs,” says Dr. Laffin.

In the most extreme cases, this drop can cause heart or brain damage or even death.

Signs of low blood pressure

Concerning symptoms of low blood pressure may include:

How dehydration causes high blood pressure

Your body has mechanisms in place to counteract when blood pressure drops to lower-than-optimal levels. That’s a good thing … unless the correction turns into an overcorrection, notes Dr. Laffin.

When you’re dehydrated, sodium levels in your blood typically rise. Your system responds by releasing more of a hormone called vasopressin, which works to help your body hang on to water.

Vasopressin also can cause your blood vessels to tighten, or constrict, which makes your blood pressure rise. (This becomes more of a concern if you’re already dealing with hypertension, or chronically high blood pressure.)

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Best advice? Stay hydrated

Want to avoid blood pressure issues related to hydration? Then, just make sure you’re drinking enough fluids during the day.

As a general guideline, the National Academies of Science, Engineering and Medicine recommends consuming 125 ounces (3.7 liters) of fluid per day for men and 91 ounces (2.7 liters) for women.

But your fluid intake needs may be greater, depending on factors such as weather, location and physical activity. Taking certain medications also may make you more prone to dehydration.

“Staying hydrated helps to keep your body in balance in many ways, including your blood pressure,” says Dr. Laffin. “Understanding that and being consistent about fluid intake can help keep you out of trouble.”

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