The following article has been written by Mango following his
experiences at WUC2000. It'll be particularly relevant for players
travelling to Hawaii.

Nicola-Jane (NJ)
UK Ultimate admin

email: [EMAIL PROTECTED]
Tel: 08451 202897

> -----Original Message-----
> From: Smith, Nick G [mailto:[EMAIL PROTECTED]] 
> Sent: 23 July 2002 14:26
> To: '[EMAIL PROTECTED]'
> Subject: Fluid / hyponatremia article
> 
> 
> FLUID INTAKE - Mango case study
> 
> Please can all participants take notice of the following information
> sent by Nick Smith (a.k.a. Mango, Catch 22 / Chevron Action Flash)
> regarding fluid intake. This information will be particularly
important
> to those players taking part in WUCC, Hawaii this August.
> 
> 
> Mango had a large seizure in Heilbron, Germany 1999 when representing
> Great Britain. He was sedated in a coma, unconscious for 3 days, and
> remained in intensive care for a week. By all accounts, he was very
> lucky to come back from Germany. These events resulted from a
condition
> called "hyponatremia"
> (please read below). It was a very long recovery process for Mango,
> which took the best part of a year. 
> 
> Please can all players adhere the below advice on fluid intake, the
> precautions and warning-signs of hyponatremia, and take responsibility
> for their own well-being. We do not want this to happen again to any
of
> our players.
> 
> 
> WHAT IS HYPONATREMIA?
> 
> Hyponatremia (sometimes called water intoxication) is a potentially
> fatal condition, in which blood levels of sodium sink dangerously low.
> Full-blown cases of hyponatremia are relatively rare, occurring with
> people who sweat steadily for hours in grueling, long-distance events.

> 
> Typically, conscientious athletes get in trouble because they adhere
too
> diligently to one recommendation - drink lots of fluids - but ignore
> another - keep electrolytes up. (Electrolytes are charged particles
such
> as
> sodium, potassium, calcium and bicarbonate that must be kept in
> near-perfect balance.) The real problem is drinking too much water,
and
> not failing to take in enough sodium.
> 
> Normally, the body tries to keep positively and negatively charged
> electrolytes in balance to keep cells electrically neutral. Though
> sodium is probably the most important electrolyte for endurance
athletes
> to worry about, an imbalance of any one of the electrolytes can be
> harmful. When the
> concentration in the blood gets too low compared to the amount inside
> cells - either because a person drank too much water, took in too
little
> sodium, or both - water rushes into cells. The result is dangerous
> swelling, particularly in the brain, that can lead to brain damage,
coma
> and death.
> 
> Curiously, hyponatremia can occur whether a person is dehydrated,
> normally hydrated or overhydrated because any of those conditions can
> happen while blood levels of sodium are too low.> 
> 
> OTHER RELATED ILLNESSES
> 
> The symptoms of hyponatremia can be easily confused with those of heat
> stroke and heat exhaustion. With heat exhaustion, people feel ill, get
> nauseous, have muscle cramps and may feel dizzy standing up quickly.
> With heat stroke, people have all those symptoms plus another one -
> mental-status
> changes; that is, confusion about who and where they are and what day
it
> is. People with genuine heat stroke also typically have extremely high
> body temperatures. With hyponatremia, people also feel very ill and
may
> have mental-status changes, but don't have the high temperatures of
heat
> stroke.
> They also vomit forcefully and repeatedly and, unlike those with heat
> exhaustion, do not feel better by resting and cooling off.
> 
> TREATMENT
> 
> Treatment of hyponatremia may involve restricting fluid intake and
> promoting urine production, but some people also need intravenous salt
> water with a high concentration of salt, until blood electrolytes
return
> to normal. Resetting the water-salt balance must be done carefully and
> slowly because
> overly rapid correction of electrolyte imbalance can cause further
> problems.
> 
> PREVENTION
> 
> To protect yourself against hyponatremia, start by paying attention to
> how much you sweat. In general, women sweat less than men and their
> ability to regulate core body temperature (and sweating) also may vary
> with different phases of the menstrual cycle.
> 
> 
> Individuals also vary considerably in how much sodium they lose in
> sweat. You may be a heavy sodium loser if your sweat burns your eyes,
> tastes salty or leaves a cakey-white residue on your skin.
> 
> You can also make sure you're getting enough sodium by drinking sports
> drinks such as Lucozade, Go, Gatorade, Accelerade, Cytomax, Gpush, and
> instead of plain water, during long events (check the labels for
sodium
> content; some brands have twice the sodium of others). Sports drinks
> also typically
> contain carbohydrates as well, which provides energy and helps with
> water and sodium absorption.
> 
> If you don't like sports drinks, you could take salt tablets, but they
> may make you nauseous. You can also mix your own drinks using
> concentrate and salt (check nutrition information regarding the
> suggested quantities involved). At the very least, you can eat salty
> foods prior to and during a big
> event.
> 
> 
> 
> 
> 
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> 


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