Hypovolemia is a condition that occurs when your body loses fluid, like blood or water. Fluids are essential to keep your organs functioning. Symptoms of hypovolemia include weakness, fatigue and dizziness. Treatment with IV fluids rehydrates and replenishes the fluid your body lost.
Hypovolemia occurs when you don’t have enough fluid (blood) volume circulating in your body. A low volume of fluid could include water, blood (plasma) in your circulatory system and/or lymphatic fluid. Lymphatic fluid is a liquid substance full of white blood cells that helps remove toxins and waste from your body.
About 50% to 60% of your body consists of fluid. If you have hypovolemia, you lose more than 15% of the total volume of fluid within your circulatory system.
Immediate treatment for hypovolemia is necessary to prevent life-threatening complications like organ damage, shock or death.
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Hypovolemic shock is the most severe form of hypovolemia that needs emergency treatment. This condition occurs when you lose a significant amount of fluid or blood, which prevents your heart from pumping blood throughout your body. Hypovolemic shock can cause your organs to stop functioning.
People who experience hypovolemic shock lose more than 20% of the amount of fluid in their body, which could be from a severe injury (cuts or burns), internal bleeding, vomiting or diarrhea.
Hypovolemia can affect anyone. The exact rate of occurrence is unknown but hypovolemia is common among people who have illnesses with a sudden onset, a severe injury or among people who are critically ill.
Your body needs a certain amount of fluid (blood) to keep your organs functioning. Like the plants in your garden, your body needs fluids to stay alive. If there is a drought and your garden doesn’t get enough water from rain, your plants will wilt. Your body needs fluids to keep you from wilting too. When you’re diagnosed with hypovolemia, your healthcare provider will give you supplemental fluids to replace the fluid you lost in the same way that you use a watering can to water the plants in your garden when it doesn’t rain.
Symptoms of hypovolemia range in severity for each person. Signs of hypovolemia include:
Severe symptoms of hypovolemia that could indicate life-threatening hypovolemic shock include:
If you experience any of these symptoms, especially after an injury, visit the emergency room immediately.
Loss of bodily fluid or blood causes hypovolemia. There are several ways that your body can lose blood or fluid including:
After taking your medical history, your healthcare provider will give a physical exam and offer diagnostic laboratory tests to check your fluid and sodium levels. Low sodium in your body can be a sign of hypovolemia. After tests and a hypovolemia diagnosis, your provider will pinpoint the source of your loss of fluid, which will lead to immediate treatment.
Your provider may offer several tests to confirm a diagnosis including:
Immediate treatment leads to the best outcome for people diagnosed with hypovolemia. The goal of treatment for hypovolemia is to increase the amount of fluid volume in your body via fluid replacement (fluid resuscitation). During this procedure, an IV (intravenous) tube injects fluids into your vein. Depending on what type of fluid your body needs, your fluid replacement could include:
In addition to fluid replacement, your provider will treat the cause of your hypovolemia, which could include:
Hypovolemia lasts until your body can replenish the amount of fluid lost. This could take a couple of days to a few weeks. Once treatment begins, it will progress in steps to make sure your body receives enough fluid to maintain blood flow and prevent life-threatening symptoms. At first, you might receive a larger amount of IV fluid, and once your fluid volume gets closer to 100%, the amount of fluid you receive will decrease until your fluid volume stabilizes and your symptoms go away.
While you can’t always prevent external factors that cause hypovolemia, you can take steps to reduce your risk by:
The prognosis varies for people diagnosed with hypovolemia. Each case is dependent on treating and stopping the cause of blood or fluid loss. If hypovolemia receives an early diagnosis and treatment, the prognosis is usually good. Untreated cases or delayed treatment can have a life-threatening outcome that can cause permanent organ damage or death.
Once treatment begins to replenish the fluid lost in your body, symptoms will decrease and go away when your fluids reach their normal capacity.
After a hypovolemia diagnosis, you can take care of yourself by:
Visit the emergency room immediately if you have symptoms of hypovolemia, especially if your symptoms occur after:
An activity or event that caused you to sweat more than normal.
Hypovolemia and hypervolemia are both conditions that identify how much fluid or blood is in your body. The root “hypo” in hypovolemia means “under” and “hyper” means “over.” If you have hypovolemia, you don’t have enough fluid in your body. If you have hypervolemia, you have too much fluid in your body.
A note from Cleveland Clinic
Blood or fluid loss is a serious condition that needs immediate treatment. If you recently had an injury or illness and you experience symptoms of hypovolemia, visit the emergency room immediately. If you have very mild symptoms, contact your provider to discuss ways you can replenish the amount of fluid your body lost, like staying hydrated and resting. While your diagnosis might be a temporary delay to your normal activities, treatment for hypovolemia can get you back on your feet and feeling better as soon as your body’s fluids reach their normal capacity.
Last reviewed by a Cleveland Clinic medical professional on 05/10/2022.
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