I’ve noticed for years if it’s hot, after a few hours I’ll hit a wall and really slow down. I thought it was just that I’m getting old. Also, at night I’ll get leg cramps – I have to carefully stretch my leg before I can get up.
Then I started taking a diuretic (hydrochlorothiazide) and it was much worse.
I took my blood pressure meter on a couple trips and noticed my systolic blood pressure got down to 90 when I was hitting a wall. The diuretic causes the kidneys to remove sodium from blood, which lowers BP – that’s how it works. When I sweat a lot on top of that, it removes more sodium from blood which lowes BP more – that’s the problem.
The solution I found is to half my dose of the diuretic for days I hike a lot and it’s warm. My BP might be a little high initially, like 125. I try to keep it below 120.
If I exert a lot and it’s hot then I’ll take electrolytes. 1/4 teaspoon of lite salt which has 300 mg of sodium and potassium. In a pint of water. Maybe repeat with a second dose. Over the day.
Also, when I’m backpacking, I tend not to eat that much salt, so I add about 1/4 teaspoon each to my breakfast, lunch and dinner. That along with nuts and stuff will give me my nominal 2000 mg of daily sodium.
That has worked pretty good to avoid that low BP and hitting the wall. And severe leg cramps.
If I don’t take enough electrolytes and get severe leg cramps at night, I’ll skip the diuretic the next day.
I could just take the normal does of diuretic and take a little more electrolyte during the day – I think that would be equivalent.
I’ve had leg cramps at night forever – for decades. I thought it was just that I was over exerting my muscles or something. Not that bad so I didn’t worry about it. I could have been taking electrolytes. I try to get up to pee, but it is too painful, but if I relax and stretch for about a minute then it’s okay. Once I get up and walk around, no problem.