30/06/2025
The Ministry of Health recommends avoiding these beverages that "promote dehydration" and prioritizing water intake.
One of the most repeated but least listened to recommendations for dealing with extreme heat has to do with a change in eating habits, which in many cases is not only not applied but actually does the exact opposite. The Ministry of Health and many other health authorities actively recommend "avoiding caffeinated, alcoholic, or sugary drinks" during days of extreme heat, since the consumption of these substances can "promote dehydration" and increases the risk of heat stroke. Following this recommendation, then, during these days, we should avoid tinto de verano (summer red wines) or sun-dried beers and prioritize water intake.
The explanation is simple. Alcohol has a diuretic effect on the body. That is, it increases urine production. This is because the ethanol contained in alcoholic beverages inhibits the release of a hormone known as vasopressin, which is a signal substance that the brain uses to tell the kidneys to retain and process ingested fluids. In this situation, the body is forced to expel water more quickly and frequently through urine, and in doing so, it loses fluids (as well as electrolytes such as sodium and potassium) at a faster rate than usual. Hence, with glass after glass, there is a marked increase in the risk of dehydration.
Heat Stress
Under normal circumstances, alcohol consumption already causes significant fluid loss in the body. This can be seen in the sensation of a dry mouth after several drinks. Or the symptoms of migraines or even hangovers, which are often directly related to a lack of water. In extreme heat, the impact of this phenomenon is even greater. This is especially true when you consider that the body is already exposed to significant heat stress and is already losing fluids through other mechanisms such as sweating. In these circumstances, the fluid loss resulting from the diuretic effect of alcohol can lead to even more severe dehydration.
Another factor to keep in mind is that alcohol intake also increases the perception of heat (not body temperature). This is because, on the one hand, alcohol itself causes vasodilation of the blood vessels, increases blood flow to the surface, and causes people to feel hotter and redder. This is why many people turn red when they are drunk. On the other hand, alcohol is also known to have a direct impact on the central nervous system, and this, in turn, can also distort the perception of body temperature. Therefore, it is not surprising that when people get drunk, they feel hotter than normal, fan themselves, or remove items of clothing.
Alternate glasses of water
The ideal recommendation, supported by all specialists and health authorities, would be to completely avoid consuming alcoholic and sugary beverages during extremely hot days. However, if you do, experts recommend taking precautionary measures to minimize the risk of dehydration and heat stroke. The most repeated advice is to drink plenty of water before, during, and after drinking alcohol. For example, alternating a glass of water with each glass consumed. It is also recommended to limit alcohol intake (i.e., not overindulge in too many drinks), avoid direct sun exposure while drinking, seek shelter in cool places, and avoid excessively heavy meals.
The last recommendation, and perhaps the most important, is to be especially careful if symptoms of dehydration or heat exhaustion appear while drinking. These include dizziness, nausea, dry mouth, excessive sweating, fatigue, hyperventilation, or headache. If you detect these warning signs, it is recommended to stop drinking alcohol immediately, seek shelter in a cool place, drink plenty of water, and, in the most serious cases, seek medical attention. This recommendation is especially important for people over 60 and those with chronic illnesses that may worsen in the heat.