What is the quickest and easiest method for checking skin turgor?

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Doggy dehydration is an all too common problem in the summer months. Dehydration can make your hairy friend feel lethargic and has the potential to cause severe problems with the kidneys and other internal organs if untreated.

How do you tell if your dog is dehydrated?

The three key steps to assess your pet’s hydration are:

Step 1 Check the tongue and gums:  Are the tongue and gums moist or dry? If they are dry, there is a chance your dog may be dehydrated. Is the saliva thick or ropey? Normally, saliva is quite watery and hardly noticeable.

Step 2 Check the eyes: Are they bright and shiny or do they sink into their sockets? Sunken or dry eyes may indicate dehydration and warrant veterinary attention.

Step 3 Do the skin turgor test: To perform this test, take a generous pinch of the skin on your pets back, gently pull upwards to form a tent and release it quickly (note: avoid the neck skin as in some breeds it may be too thick for an accurate test). Watch the skin as it returns to its resting position. In normally hydrated individuals the skin will snap back into position quickly. In dehydrated pets the skin will return slowly or remain slightly tented – this is a sign of possible dehydration.

What is the quickest and easiest method for checking skin turgor?

What you SHOULD DO if you think your pet is dehydrated:

  • For moderate or severe dehydration immediately seek assistance from your local veterinarian.
  • For mild dehydration in the absence of vomiting, give frequent, small amounts of water; 1 teaspoon per hour for a  small dog, 1 tablespoon – ¼ cup for a medium to large dog every 1-2 hours.
  • If your pet is sleepy and reluctant to move, in pain or hasn’t eaten for 24 hours go to your regular veterinarian or nearest emergency centre (for after-hours care) for assistance.
  • If you are unsure about your pet’s hydration seek help from your local veterinarian.

What you SHOULD NOT DO if you think your pet is dehydrated:

  • Do not allow your pet to have free access to large amounts of water or other liquids. Instead give small, frequent volumes as described above.
  • Do not feed your pet any dry food unless your veterinary professional has advised you it is safe to do so.

For Further Reading:

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What is the quickest and easiest method for checking skin turgor?
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Doughy skin; Poor skin turgor; Good skin turgor; Decreased skin turgor

Skin turgor is the skin's elasticity. It is the ability of skin to change shape and return to normal.

Considerations

Skin turgor is a sign of fluid loss ( dehydration ). Diarrhea or vomiting can cause fluid loss. Infants and young children with these conditions can rapidly lose lot of fluid, if they do not take enough water. Fever speeds up this process.

To check for skin turgor, the health care provider grasps the skin between two fingers so that it is tented up. Commonly on the lower arm or abdomen is checked. The skin is held for a few seconds then released.

Skin with normal turgor snaps rapidly back to its normal position. Skin with poor turgor takes time to return to its normal position.

Lack of skin turgor occurs with moderate to severe fluid loss. Mild dehydration is when fluid loss of 5% of the body weight. Moderate dehydration is 10% loss and severe dehydration is 15% or more loss of body weight.

Edema is a condition where fluid builds up in the tissues and causes swelling. This causes the skin to be extremely difficult to pinch up.

Causes

Common causes of poor skin turgor are:

Other conditions that can affect the elasticity of the skin are:

  • Connective tissue disorders such as scleroderma and Ehlers-Danlos syndrome

These connective tissue disorders do not have to do with fluids.

Home Care

You can quickly check for dehydration at home. Pinch the skin over the back of the hand, on the abdomen, or over the front of the chest under the collarbone. This will show skin turgor.

Mild dehydration will cause the skin to be slightly slow in its return to normal. To rehydrate, drink more fluids -- particularly water.

Severe turgor indicates moderate or severe fluid loss. See your provider right away.

When to Contact a Medical Professional

Call your provider if:

  • Poor skin turgor occurs with vomiting, diarrhea, or fever.
  • The skin is very slow to return to normal, or the skin "tents" up during a check. This can indicate severe dehydration that needs quick treatment.
  • You have reduced skin turgor and are unable to increase your intake of fluids (for example, because of vomiting).

What to Expect at Your Office Visit

The provider will perform a physical exam and ask questions about your medical history, including:

  • How long have you had symptoms?
  • What other symptoms came before the change in skin turgor (vomiting, diarrhea, others)?
  • What have you done to try to treat the condition?
  • Are there things that make the condition better or worse?
  • What other symptoms do you have (such as dry lips, decreased urine output , and decreased tearing )?

Tests that may be performed:

  • Blood chemistry (such as a chem-20 )
  • CBC
  • Urinalysis

You may need intravenous fluids for severe fluid loss. You may need medicines to treat other causes of poor skin turgor and elasticity.

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Skin, hair, and nails. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination . 8th ed. Elsevier Mosby; 2015:chap 8.

Ferri FF. Ehlers-Danlos syndrome. In: Ferri FF, ed. Ferri's Clinical Advisor 2016 . Philadelphia, PA: Elsevier; 2016:451-451.

Gorgas DL, McGrath JL. Vital signs measurement. In: Roberts JR, ed. Roberts and Hedges' Clinical Procedures in Emergency Medicine . 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 1.

Greenbaum LA. Deficit therapy. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 57.

Van Mater HA, Rabinovich CE. Scleroderma and Raynaud phenomenon. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 160.

TikTok is home to some pretty bizarre trends, but sometimes health tips the app offers can actually be helpful. Case in point: Karan Raj, M.R.C.S., who goes by the TikTok username @dr.karanr, posted a video where he weighed in on a simple hack for seeing if you're dehydrated. You may already be gauging your hydration level by the color of your pee, but this test is even easier to conduct and won't require a trip to the restroom.

The test is referred to as "the skin pinch test," and Raj shares in his video that it's actually a reliable way to find out if you're dehydrated. To try it, you pinch the wrinkly skin on your finger at the midway point, where your finger can bend in half. If your skin returns to normal right after you pinch it, you're suitably hydrated. If it retains the pinched shape for a few seconds or longer, says Raj, you're dehydrated. (Related: The 16 Best Water Bottles for Workouts, Hiking, and Everyday Hydration)

Alicia Shelly, M.D., F.A.C.P., internist and expert with Testing.com, seconds Raj's notion that this is an accurate test to measure dehydration. "Skin pinching assesses for skin turgor, which is the elasticity of your skin," explains Dr. Shelly. A decrease in skin turgor is a sign of fluid loss, and health care practitioners will sometimes check skin turgor between patients' fingers or on their arm or abdomen, according to the National Library of Medicine.

"When you are dehydrated there is less fluid in the skin so it takes longer for the skin to return to its normal position (snap back in place) after pinching for 1-2 seconds," says Dr. Shelly. "If you are hydrated, your skin has no problem returning to normal after the skin pinching." (Related: This Coconutty Watermelon Cooler Is So Tasty, You'll Have No Problem Hitting Your H2O Goals)

While the skin pinch test is a reliable method for testing dehydration, you should also factor your age into your results, as over time, skin elasticity decreases, says Dr. Shelly. "An elderly person has 20 percent decreased elasticity in their skin, so the skin may not return to normal as fast as someone who is younger," she says.

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"If you don't trust the finger pinch method, there are other ways to test for dehydration, including urine osmolality [a measure of the concentration of particles urine which can be measured via urine test or blood test], fluid intake, and expressing fatigue," says Dr. Shelly. And the Centers for Disease Control (CDC) confirms that the color of your urine can indicate how hydrated you are; A pale or straw-colored urine means you're in the clear, while a darker urine color suggests you need to hydrate more. The amount that you pee, your heart rate, and whether or not your mouth feels dry aren't so helpful when it comes to cluing you in to whether you're dehydrated, says Dr. Shelly.

As to why you'd want to keep track in the first place, staying hydrated is crucial to your overall health. "Staying hydrated helps with lubricating joints, boosts skin health and beauty, flushes body water, and regulates body temperature," says Dr. Shelly. (All the more reason to invest in that jumbo motivational water bottle.) Daily water requirements are highly individualized, though, so it's helpful to keep tabs on the color of your pee or your skin's elasticity rather than assuming you should follow the classic eight glass rule. (Related: The Best Water Filters to Stay Hydrated at Home)

Consider this a sign to make drinking water a priority this summer — and to measure your success with the skin pinch test. Your body will thank you.

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