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What’s the difference between heat exhaustion and heat stroke? How each affects people, pets

Aniyah Buckner, left, and Stella Ervin seek relief from the heat under the shade of the trees at Freedom Park in Charlotte, N.C., on May 24, 2021. The first heat wave of 2022 is expected to “engulf” the region next week, the NWS warned.
Aniyah Buckner, left, and Stella Ervin seek relief from the heat under the shade of the trees at Freedom Park in Charlotte, N.C., on May 24, 2021. The first heat wave of 2022 is expected to “engulf” the region next week, the NWS warned. Observer file photo

Temperatures in Charlotte are projected to reach record highs this week, meaning there is a higher risk for heat-related illnesses, like heat exhaustion and heat stroke.

Monday’s high temperatures in the upper 90s were the hottest since 1958, The Charlotte Observer Reported.

Heat index values are projected to soar between 100 or 105 degrees Tuesday and Wednesday in Mecklenburg and surrounding counties, National Weather Service said.

The heat index is what the temperature feels like when humidity levels and temperature are combined.

According to the Environmental Protection Agency, an estimated 1,300 deaths per year in the U.S. occur due to extreme heat.

Here’s what you need to know about heat exhaustion and heat stroke, including symptoms, who is most at risk and ways to prevent it.

Are heat stroke and heat exhaustion the same?

Both ailments are caused by exposure to high temperatures. They both have similar symptoms, but one is more severe than the other.

Without prompt treatment, heat exhaustion can lead to heat stroke, which can damage your brain, heart, kidneys and muscles if left untreated, according to Mayo Clinic.

While heat exhaustion can usually be resolved by resting in a cool place and drinking water, heat stroke requires immediate medical attention, Mayo Clinic says.

What are the symptoms of heat stroke?

According to Mayo Clinic, symptoms of heat stroke include:

  • High body temperature

  • Altered mental state or behavior

  • Alteration in sweating

  • Nausea and vomiting

  • Flushed skin

  • Rapid breathing

  • Racing heart rate

  • Headache

What are the symptoms of heat exhaustion?

According to Mayo Clinic, symptoms of heat exhaustion include:

  • Cool, moist skin with goosebumps when in the heat

  • Heavy sweating

  • Faintness

  • Dizziness

  • Fatigue

  • Weak, rapid pulse

  • Low blood pressure when standing

  • Muscle cramps

  • Nausea

  • Headache

Who is most at risk for heat-related illnesses?

According to Mayo Clinic, you may be more at risk for heat-related illnesses if you:

  • Are over the age of 65

  • Take medications that affect your body’s ability to stay hydrated, like beta blockers and antihistamines

  • Are obese

  • Are not used to extreme heat

  • Live in a place with a high heat index

Can pets suffer heat-related illnesses?

Hot pavement can increase a dog’s body temperature, which can lead to heat stroke, according to the American Kennel Club.

When the outside air temperature reaches 86 degrees or higher, the asphalt can heat up to 135 degrees, making it too hot for your pets paws.

Here of signs of heat-related illness that you should watch for in your dog, according to the AKC:

  • Seeking shade

  • Limiting movement or restlessness

  • Choosing to sit or lie down

  • Uncontrolled panting

  • nausea and vomiting

  • Skin reddening

  • Excess saliva

Symptoms like bright red or purple gums, dizziness, seizure or loss of consciousness in your dog require immediate veterinary attention, according to the AKC.

To cool your dog, the AKC says you can find a shady spot for them, give them water, or a cooling mat to stand on.

Steps to prevent heat-related illnesses

You can take precautions to prevent heat-related illnesses including:

  • Wear loose-fitting, lightweight clothing

  • Use sunscreen to protect against sunburn

  • Drink plenty of water

  • Monitor heat-related problems caused by medication

  • Don’t leave anyone in a parked car

  • Avoid strenuous activities during the hottest part of the day

  • Take time to get used to hot weather

  • Be cautious if you’re at increased risk for heat illnesses

This story was originally published June 14, 2022 at 10:56 AM.

Evan Moore
The Charlotte Observer
Evan Moore is a service journalism reporter for the Charlotte Observer. He grew up in Denver, North Carolina, where he previously worked as a reporter for the Denver Citizen, and is a UNC Charlotte graduate.
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