Advice from the experts

The heatwave: congestion, oedema and cramps – here are the risks and tips to avoid them

According to the Society of Environmental Medicine, extreme weather conditions can lead to health problems, particularly among the most vulnerable. However, it is possible to protect oneself by taking certain precautions

by Pietro Menzani

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

Cramps, oedema and congestion are just some of the problems one might experience due to the scorching heat. The first real heatwave of the year has hit the peninsula, with temperatures up to 10 degrees higher than the seasonal average, and experts from the Italian Society of Environmental Medicine (Sima) are warning the public about the health risks associated with extreme weather conditions: excessive heat, in fact, as Sima’s president Alessandro Miani explains, ‘causes health problems as it can disrupt the body’s temperature regulation system’.

The risks of excessive heat

Among the most common heat-related ailments, heat exhaustion tops the list; it can cause rashes or burns, sometimes accompanied by symptoms similar to those of heatstroke. Cramps are also very common; these are physical pains caused by a loss of sodium due to sweating and a consequent change in the water-salt balance. Extreme temperatures can also cause oedema, resulting from fluid retention in the lower limbs as a consequence of prolonged peripheral vasodilation.

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But that’s not all. Closely linked to sudden rises in temperature are conditions such as congestion (caused by drinking ice-cold drinks when the body is overheated), which presents symptoms such as sweating and chest pain, and dehydration, which can lead to thirst, weakness, dizziness, palpitations, anxiety, dry skin and mucous membranes, muscle cramps and a drop in blood pressure.

Finally, high temperatures increase the incidence of heatstroke, which occurs when the body’s natural ability to regulate its temperature is compromised. Among the most recognisable symptoms – which vary in intensity depending on the severity of the condition – are a sudden feeling of general malaise, followed by headache, nausea, vomiting and dizziness, and can progress to confusion or anxiety.

How to protect yourself

However, it is possible to protect yourself and prevent these problems from arising by taking a few precautions. To protect yourself from extreme temperatures, Sima recommends, first and foremost, to avoid exposure to the heat and sun, only leaving the house during the cooler hours of the day. It is also essential to ensure adequate air circulation in the home by making use of natural ventilation. It is also vital to ensure that the rooms in your home stay cool by shading windows exposed to the sun with roller shutters, louvres or curtains. Windows should, in fact, be kept closed during the day and then opened in the evening and at night.

Hydration, too, is of primary importance, according to the Italian Society of Environmental Medicine. In fact, SIMA recommends taking frequent baths and showers with lukewarm water, drinking at least 1.5–3 litres of water throughout the day, avoiding alcohol and opting for foods with a high water content, such as fruit and vegetables.

Finally, when you go out, you should protect your eyes with sunglasses and prevent sunburn by using high-factor sun cream, wear clothes made from natural fibres such as linen or cotton and breathable fabrics (preferably light-coloured), and avoid outdoor sports during the hottest part of the day.

‘No cause for alarm’ in A&E

The rise in A&E visits due to the heatwave that has hit Italia and Europe remains modest for the time being. “There is no cause for alarm; we can estimate this increase at around 10–15 per cent in the A&E departments of major cities,” explains Fabio De Iaco, former national president of Simeu (the Italian Society of Emergency and Urgent Medicine).

To manage the issues arising from heatwaves, hospitals also activate ‘heat codes’, ‘a priority and differentiated care pathway for anyone exhibiting signs and symptoms caused by discomfort and illness linked to high temperatures, of varying severity and intensity’. According to De Iaco, “peaks in admissions due to the heat mainly affect hospitals and A&E departments in large cities, where the heat is felt more acutely due to environmental and urban planning factors”.

The expert’s opinion

‘The human body,’ emphasises Alessandro Miani, ‘cools itself through sweating, but under certain environmental conditions this is not enough: excessive humidity prevents sweat from evaporating, causing body temperature to rise rapidly and potentially damaging vital organs and the brain. Excessively high temperatures can cause mild symptoms such as cramps, fainting and oedema, but also serious problems, ranging from congestion to dehydration, thereby worsening the health of people with pre-existing chronic conditions.”

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