Altitude Sickness /Motion Sickness / Jet Lag
It is ALL dehydration

By Dr. Keith Kantor


There is scant attention given to it. Most passengers overlook it. Some shrug it off. While others simply don’t know about its effects in the airplane. The problem? Passenger dehydration. Most folks are unaware of its devastating effects and symptoms, which can increase the risk of health-related incidents and mood changes, even during a mildly warm day. So, in order to heighten general aviation’s awareness of this often-overlooked condition, the Federal Aviation Administration (FAA) has recently added pilot dehydration to its list of physiological conditions found in the latest Practical Test Standards—its symptoms, causes, effects and corrective actions. It believes that educating pilots about dehydration will not only decrease aircraft incidents, but also save your life one day. The same applies to the most precious cargo…you, the passenger.

Most people associate dehydration with thirst and assume that an easy fix is just to drink any type of liquid. This is not always the case. A person’s dehydration condition can be caused by a lack of water within the body cavity due to high body temperatures, a dry aircraft environment, excess caffeine, antihistamines, inappropriate fluid intake and other factors. Many soft drinks, teas and juice drinks do not constitute good hydration substitutes, as they contain caffeine and sugar that may compromise absorption of the water content.

Hot cockpits and flight lines also cause dehydration. The 130-degree ramp at Phoenix, Arizona., for example, is an obvious cause of dehydration. But what about the 72-degree cockpit? Pilots should concern themselves in that environment, too, since average humidity in the aircraft is low, causing a dramatic increase in fluid loss.
Everyone must be aware that un-replaced water losses equal two percent of body weight and will impact your body’s ability to regulate heat. At three percent loss, there is a decrease in muscle cell contraction times. When fluid losses equal four percent of body weight, there is a five to 10 percent drop in overall performance, which can last up to four hours.

According to the Spring 2000 edition of the Federal Air Surgeon Bulletin, there are three stages of heat exhaustion that lead to dehydration: Heat stress, when the body temperature is at 99.5 to 100 degrees Fahrenheit; Heat exhaustion, when the body temperature is at 101 to 105 degrees Fahrenheit; and Heat stroke, when the body temperature is more than 105 degrees Fahrenheit. There’s a possibility that there’s a subtle change between one stage to another, so you need to be extra careful and continually monitor your condition when flying in hot-weather conditions.

The symptoms of dehydration go beyond thirst.
In an effort to respond to the brain’s need for fluid, the kidneys reabsorb water through the urine, creating fluid retention and frequent urges to visit the bathroom.
Dry skin is also an indicator of dehydration, as the skin gets most of its moisture sub dermally.
The brain is 75 percent water and, when it needs to replace lost fluid, it can manifest certain symptoms, such as headaches, light-headedness and fatigue.
Dehydration also contributes to fuzzy thinking, poor decision-making, dizziness and muscle fatigue. Long-term effects include wrinkled skin, impaired memory function, dry hair, brittle nails, constipation, susceptibility to colds and, because of extremely dry nasal passages, sinus infections.

So how do you avoid dehydration in the cockpit? You’ll need to permanently attach yourself to a water bottle and drink from it regularly. The Federal Air Surgeon Bulletin suggests drinking cool, 40-degree Fahrenheit water before feeling thirsty. This will help you stay ahead of the game, keeping you hydrated before the “thirst mechanism” sets in.

But for some, plain bottled water might be offensive. So, one alternative to water is to simply drink mineralized (electrolyte) water. Electrolyte drinks, more commonly known as sports drinks, are generally designed to replace the fluids (water) and electrolytes (sodium, potassium, chromium, manganese, etc.) lost during stress, body temperature regulation and exercise. Most contain sugars which may lower a person’s systemic blood-sugar levels and precipitate fatigue.

The FAA also suggests staying away from coffee, sodas and teas—otherwise called diuretic drinks. These beverages contain caffeine, alcohol and carbonation, which causes excess urine production or decreased voluntary fluid intake—a sure sign of dehydration. In addition, don’t over-exercise before a flight, since it can cause a large amount of body fluid loss that is difficult to replace quickly.

You also need to keep in mind that acclimation to a major change in weather takes one to two weeks, which can drastically affect your flying abilities. Monitoring personal effects of aging, recent illness, fever, diarrhea or vomiting can also help you in gauging whether or not you’re dehydrated.

But, perhaps, the most important factor in preventing dehydration is to continually be aware of your physiological and environmental conditions. This will help to maintain your rehydration water intake and prevent you from progressing into heat exhaustion and even heat stroke. It’s a good plan for a problem that can easily be avoided—all with just a few gulps of water.

The Three Stages of Heat Exhaustion
1.   Heat stress (99.5° to 100° F body temperature) reduces:
·        Performance, dexterity and coordination
·        Ability to make quick decisions
·        Alertness
·        Visual capabilities
·        Caution and caring
2.   Heat exhaustion (101° to 105° F body temperature) symptoms:
·        Fatigue
·        Nausea/vomiting
·        Giddiness
·        Cramps
·        Rapid breathing
·        Fainting
3.   Heat stroke (above-105° F body temperature) symptoms:
·        Body’s heat control mechanism stops working
·        Mental confusion
·        Disorientation
·        Bizarre behavior
·        Coma

When inhaling, you cannot compress air in your lungs to a higher pressure (or density) than the air outside. All you can physically do is increase the volume of your lungs and the difference in pressure created pushes air into your lungs. Your body extracts oxygen from the air whenever an oxygen molecule collides with the oxygen-accepting surfaces of your lungs.
At high altitudes, the air density decreases, so there are fewer air molecules in the volume of your open lungs.
There are just not enough collisions between oxygen molecules and the surface of your lungs to extract sufficient oxygen for bodily functions. Many people, especially those not accustomed to high elevation, begin to experience problems due to oxygen deficiency at altitudes well below 20,000 ft (altitude sickness).
Air pressure changes cause a build-up of gas in your body, which leads to bloating, constipation and other related gastrointestinal issues. Meanwhile, the lack of movement during a flight could cause the build-up of blood around the legs, heightening the risk of getting deep vein thrombosis.

Stay hydrated
Immobility in a cramped seated position causes fluid shifts within the body, moving fluid out of circulation and into the tissues (evident for example as ankle swelling during lengthy flights).
Most people should be drinking the equivalent of a liter of water during a six to eight-hour flight in order to remain well hydrated, but most people drink much less during a flight than they would on the ground. Consequences include headache, fatigue, constipation, and in women, an increased risk of cystitis.
There can be no doubt that aircraft cabins are peculiar places for humans to be. They are a weird environment where the air pressure is similar to that atop an 8,000ft-high (2.4km) mountain.
The humidity is lower than in some of the world’s driest deserts while the air pumped into the cabin is cooled as low as 10°C (50F) to whisk away the excess heat generated by all the bodies and electronics onboard.
The reduced air pressure on airline flights can reduce the amount of oxygen in passengers’ blood between 6 and 25%, a drop that in hospital would lead many doctors to administer supplementary oxygen.
For healthy passengers, this shouldn’t pose many issues, although in the elderly and people with breathing difficulties, the impact can be higher as the change in air pressure can also lead to passengers breaking wind more often.

And if the prospect of breathing in the bodily gases of your fellow passengers doesn’t make you feel awkward enough, it seems reductions in air pressure can also make passengers feel less comfortable. A study in 2007 showed that after about three hours at the altitudes found in airline cabins, people start to complain about feeling uncomfortable.
Combine this with the low humidity and it is little wonder we find it hard to sit still for long periods on flights. A study by Austrian researchers has shown that a long-distance flight can dry out our skin by up to 37%, and may lead to increased itchiness.

But Hinkelbein says the mild hypoxia we experience during flights can have other, more easily recognized effects on our brains – it makes us tired. Studies in hypobaric chambers and on non-acclimatized military personnel arriving in mountainous regions have shown short-term exposure to altitudes of at least 10,000ft (3km) can increase fatigue, but the effects could start at lower altitudes in some people.
Low levels of air pressure and humidity can also amplify the effects of alcohol and the hangover it produces the next day.
hypoxemia (low oxygen in your blood) can cause hypoxia (low oxygen in your tissues) when your blood doesn’t carry enough oxygen to your tissues to meet …
“Anxiety levels can increase with hypoxia,” explains Valerie Martindale, president of the Aerospace Medical Association at King’s College London.
Anxiety is not the only aspect of mood that can be affected by flying. A number of studies has shown spending time at altitude can increase negative emotions like tension, make people less friendly, decrease their energy levels and affect their ability to deal with stress.
“We have shown that some aspects of mood can be altered by exposure to cabin pressures equivalent to altitudes of 6,000-8000ft,” says Stephen Legg, professor of ergonomics at Massey University in New Zealand, who is studying the impact of mild hypoxia on people. This may go some way towards explaining why passengers often find themselves crying at films more mid-flight, but most effects in scientific studies seem to only occur at altitudes above those that commercial airline cabins are set to. Recently Legg also showed the mild dehydration that might be expected on a flight can also influence mood.

Water Re-imagined:
OH- (+) H+ is the new H2O
Hydroxide rich alkaline water concentrate will eliminate acidity by adding additional hydroxide ions to bond with the excess hydrogen ions that exist through a process called autoprotolysis.

How does hydroxide alkaline water eliminate acid and create more hydration?
The body has many acids that it uses in its daily operation that are beneficial. In fact, hydrogen protons themselves are key to many biological processes that take place in the body. The problem comes when outside acids are introduced or excess acids are produced and hydrogen protons build up. This is damaging to the body and robs it of it precious resources. Further, excess acidity contributes to inflammation in the body which adversely impacts any disease conditions.
Hydrogen protons and hydroxide ions do not like being separated and a strong electromagnetic bond attracts them to each other. When hydroxide (OH-) is introduced into an environment where excess acidity (H+) exists, it immediately seeks out the hydrogen protons to combine with and become water (H2O). This is why hydroxide is such a strong acid eliminator.

Increased Hydration
Not only does hydroxide alkaline water hydrate through the water that the hydroxide is suspended in, but it creates new water molecules when it eliminates acidity. This process is known as ultra-hydration and is only possible with hydroxide rich water.

Increased Detoxification
The body not only hydrates the cells with the water created but it also primes the detox pathways. This may result in increased urination as the acidic load on the body is reduced but will decrease over time.

Increased Energy
Energy production in the body creates hydrogen. By removing excess hydrogen (acidity) the body is able to produce more energy without stressing its systems.
This is a fantastic benefit while traveling by air as the energy needed for respiration increases, hydroxide alkaline water will enable the process to work more efficiently

Will hydroxide alkaline water have an effect on stomach acids?
The stomach is a very acidic environment and the hydroxide water is very alkaline. Logically one would assume the two cannot co-exist or operate in harmony but such an assumption would be in error. Although the stomach is a very acidic environment when food is present, it does not exist in a state of perpetual high acidity. Otherwise, it would digest itself. The stomach only produces acid when it needs it for digestion and otherwise returns to a lower acidic state. This is very helpful to reduce the stomach pain which comes with motion sickness.
Hydroxide Alkaline water will also assist in reducing the embarrassing “extra gas” or farting by eliminating the gases in the colon primarily formed from Hydrogen protons. This can be beneficial when on an airplane traveling in a closed cabin as pressure makes gasses expand

Increased Oxygen
Acidic load robs the body of resources that would be otherwise utilized for the transport and availability of oxygen. When the acidic load is eliminated rather than merely buffered, more resources become available for oxygen transport.
When traveling by air, hydroxide alkaline water in essence acts as an Oxygen additive. By removing H+ protons more O2 becomes more readily available.

Restored Harmony
When excess acidic load is eliminated rather than merely buffered, the body is able to operate more efficiently in all biological processes.
Conclusion
Altitude sickness, motion sickness and jet lag are caused by dehydration, lack of oxygen and inflammation caused by acidity (H+).
” The Cur” will eliminate these problems by removing the acids(H+) by using the Hydroxide ions (OH-) contained in “The Cur” to combine with the H+ creating water H+ OH- =H2O. By eliminated the acid and creating water the dehydration problem is solved. Also, the water created clears the Oxygen sites and pathways that were blocked allowing oxygen to move back into the cells. By eliminated excess stomach acid, stomach pain will be reduced helping the biggest symptom of motion sickness. This will also help reduce the stress which worsens all of these problems.
“The CUR” is 100% natural, made from limestone, the least expensive on the market and also contains vitamin B-12 and over 74 ionic trace minerals which will help with all the above problems and give a natural energy boost to combat the fatigue that usually accompanies the above problems.

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References:

https://www.feelthecur.com/

Understanding Alkalinity and Acidity

Understanding Alkalinity and Acidity

https://www.feelthecur.com/
Dehydration and the Pilot
http://www.avhf.com/html/Library/Medical_Info/Dehydration.pdf

Effects of changes in air pressure and density on the human body
http://www.atmo.arizona.edu/students/courselinks/fall14/atmo336/lectures/sec1/pres_effects.html

So, you think you can fly?
Determining if your emergency department patient is fit for air travel

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762297/

What happens to your body after boarding a flight

https://www.comparetravelinsurance.com.au/travel-insurance-tips/what-happens-to-body-on-flight

Effect of Aircraft-Cabin Altitude on Passenger Discomfort
https://www.nejm.org/doi/full/10.1056/NEJMoa062770#t=abstract

How to Tackle The Most Embarrassing Problem on Planes
http://www.bbc.com/future/story/20141218-why-do-we-fart-more-on-planes

Effect of Aircraft-Cabin Altitude on Passenger Discomfort
https://www.nejm.org/doi/full/10.1056/NEJMoa062770#t=abstract

Skin surface hydration decreases rapidly during long distance flights
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1600-0846.2011.00560.x

Effects of mild hypoxia in aviation on mood and complex cognition
https://www.sciencedirect.com/science/article/pii/S0003687015300879?via=ihub#bib0060

The Effect of Altitude on Cognitive Performance and Mood States
https://www.ncbi.nlm.nih.gov/books/NBK232882/

Some effects of alcohol and simulated altitude on complex performance scores and breathalyzer readings.
https://www.ncbi.nlm.nih.gov/pubmed/3579819

Syndrome of acute anxiety among marines after recent arrival at high altitude.
https://www.ncbi.nlm.nih.gov/pubmed/24806502

Effects of acute mild and moderate hypoxia on human mood state.
https://www.ncbi.nlm.nih.gov/pubmed/12212624

The Effect of Altitude on Cognitive Performance and Mood States
https://www.ncbi.nlm.nih.gov/books/NBK232882/

Effects of mild hypoxia in aviation on mood and complex cognition
https://www.sciencedirect.com/science/article/pii/S0003687015300879?via=ihub#bib0115

Impact of mental and physical stress on blood pressure and pulse pressure under normobaric versus hypoxic conditions.
https://www.ncbi.nlm.nih.gov/pubmed/24817135.

Hypohydration per se affects mood states and executive cognitive processing: results from a face-valid model for studying some consequences of ‘voluntary dehydration’
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580852/