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Heat and environment

Heat exhaustion: symptoms, how long it lasts and what to do

Heat exhaustion is when the body overheats, causing tiredness, dizziness, headache, nausea, heavy sweating with pale clammy skin, cramps and thirst. Move to a cool place, remove extra clothing, drink water and cool the skin; most people feel better within 30 minutes. If they are still unwell after 30 minutes, or show signs of heatstroke, call 999.

Last checked: 2026-10-11

Key facts

At a glance.

  • What it is

    The Red Cross says heat exhaustion happens when the body gets too hot, usually in a heatwave or hot temperatures, and it can also happen indoors.

  • Main symptoms

    Tiredness, dizziness, headache, feeling or being sick, heavy sweating with pale clammy skin, cramps, a high temperature, thirst and feeling irritable.

  • How to cool down

    Move to a cool place, remove unnecessary clothing, drink plenty of water, cool the skin with water and fans, and stay with the person.

  • How long

    The NHS says someone should start to cool down and feel better within 30 minutes. It does not usually need emergency help if you can cool down within 30 minutes.

  • Heatstroke

    The NHS says heatstroke is a medical emergency: a very high temperature, hot skin without sweating, fast breathing and heartbeat, confusion, fits or loss of consciousness. Call 999.

  • Children

    The NHS says the symptoms of heat exhaustion are often the same in adults and children. Babies and children aged 5 and under are more at risk.

What are the symptoms of heat exhaustion?

The NHS lists the symptoms of heat exhaustion as follows. It says they are often the same in adults and children, and that if someone shows signs of heat exhaustion they need to be cooled down and given fluids.

  • Tiredness.

  • Dizziness.

  • Headache.

  • Feeling sick (nausea) or being sick (vomiting).

  • Excessive sweating and skin becoming pale and clammy (a change in skin colour can be harder to see on brown or black skin).

  • Cramps in the arms, legs and stomach.

  • A high temperature.

  • Being very thirsty.

  • Feeling irritable.

What to do for heat exhaustion

The NHS says that if someone has heat exhaustion, follow these 4 steps and stay with them until they are better.

Cooling steps from the NHS
StepWhat to do
1Move them to a cool place
2Remove all unnecessary clothing, like a jacket or socks
3Give them plenty of water to drink; an isotonic sports drink or oral rehydration powder mixed with water helps replace salt lost through sweating
4Cool their skin by spraying or sponging them with cool water and fanning them; cold packs wrapped in a cloth under the armpits or on the neck are good too

How long does heat exhaustion last?

The NHS says a person with heat exhaustion should start to cool down and feel better within 30 minutes, and that heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes.

If they are still unwell after 30 minutes of resting in a cool place, being cooled and drinking fluids, the NHS says to call 999 because this can be a sign of heatstroke. The British Red Cross advises seeking medical advice even if the person appears to recover fully.

Heat exhaustion or heatstroke: how to tell the difference

The NHS says heat exhaustion can turn into heatstroke, which needs to be treated as an emergency. Heatstroke is a medical emergency, and you should get immediate medical help if someone has symptoms of heatstroke.

Heat exhaustion compared with heatstroke, from the NHS
Heat exhaustionHeatstroke
TemperatureA high temperatureA very high temperature
SkinExcessive sweating, skin pale and clammyHot skin without sweating (may look red)
Breathing and heartNot listed among the NHS symptoms of heat exhaustionFast breathing and a fast heartbeat
MindIrritable, dizzy, headacheConfusion, restlessness, lack of coordination
Severe signsNot listed among the NHS symptoms of heat exhaustionSeizure (fit) or loss of consciousness
What to doCool down and drink fluids; NHS 111 if you are struggling to treat itCall 999

When to call 111 or 999

The NHS says to get help from NHS 111 now if you or someone else have symptoms of heat exhaustion that you are struggling to treat, or you need advice.

Call 999 now if you or someone else have signs of heatstroke, including being still unwell after 30 minutes of resting in a cool place, being cooled and drinking fluids, a very high temperature, hot skin that is not sweating and might look red, a fast heartbeat, fast breathing or shortness of breath, confusion and lack of coordination, a seizure or fit, or loss of consciousness. Do not drive yourself to A&E.

While waiting for help the NHS says to wrap the person in a cool, wet sheet, or fan or sponge them with cold water. If they lose consciousness, put them in the recovery position and tell the ambulance service, check their breathing and pulse, and carry out CPR if they show no sign of life.

Heat exhaustion in children and babies

The NHS says the symptoms of heat exhaustion are often the same in adults and children. The British Red Cross says a child or baby with heat exhaustion might have been in the sun or heat for a long time, and might be sweating, have ashen, cool skin, a headache or dizziness, and feel sick.

The NHS heatwave advice lists babies and young children aged 5 years and under among the people most at risk. It advises checking on children, older people and people with long-term health conditions during hot weather, as they are more at risk of heat exhaustion and heatstroke.

Who is most at risk?

A heatwave can affect anyone, but the NHS says some people are more vulnerable.

  • Older people, especially those aged 65 and over.

  • Babies and young children aged 5 years and under.

  • People who are pregnant or have serious long-term conditions such as heart or breathing problems, dementia, diabetes, kidney disease, Parkinson's disease, mobility problems, mental health problems, or drug or alcohol addiction.

  • People who live alone and may be unable to care for themselves.

  • People on multiple medicines, or medicines that may make them more likely to be badly affected by hot weather.

  • People who are already ill and dehydrated, for example from diarrhoea and vomiting.

  • People who are homeless, or who work or spend a lot of time outside, particularly if physically active, or whose jobs involve manual labour.

How to prevent heat exhaustion

The NHS says there is a high risk of heat exhaustion or heatstroke during hot weather or exercise. It suggests the following to prevent heat exhaustion and heatstroke, which will also prevent dehydration.

  • Drink more cold drinks, especially if you are active or exercising.

  • Wear light-coloured, loose clothing.

  • Avoid the sun between 11am and 3pm.

  • Avoid drinking too much alcohol, and avoid extreme exercise.

  • Indoors on a very hot day, close curtains and windows if it is hotter outside than in your home, and turn off electrical equipment and lights that get hot.

  • Have cool showers, keep your living space cool and use fans if the temperature is below 35 degrees.

NHS and private pathways

Most heat exhaustion is dealt with by first aid and does not need hospital care. NHS 111 can advise if you are struggling to treat it, and 999 is the route for heatstroke. Your GP or pharmacist can advise whether your medicines make you more vulnerable in hot weather.

There is rarely a role for private care in the acute episode, but people who are repeatedly affected, such as outdoor workers or athletes, can discuss medicines and routines with their GP or an occupational health service.

Frequently asked

Questions people ask.

Quick, plain-English answers to the questions we hear most.

  • What are the symptoms of heat exhaustion?

    The NHS lists tiredness, dizziness, headache, feeling or being sick, excessive sweating with pale clammy skin, cramps in the arms, legs and stomach, a high temperature, being very thirsty and feeling irritable.

  • How long does heat exhaustion last?

    The NHS says someone should start to cool down and feel better within 30 minutes once cooled and given fluids. If they are still unwell after 30 minutes, it could be heatstroke and you should call 999.

  • What should I do if I think I have heat exhaustion?

    The NHS says to move to a cool place, remove unnecessary clothing, drink plenty of water, cool your skin with water and a fan, and stay with the person until they are better.

  • What is the difference between heat exhaustion and heatstroke?

    Heatstroke is an emergency. The NHS says signs include a very high temperature, hot skin without sweating, fast breathing and heartbeat, confusion, a fit or loss of consciousness. In heat exhaustion, the skin is clammy and sweating, and they usually improve within 30 minutes.

  • Is heat exhaustion an emergency?

    It does not usually need emergency help if you can cool down within 30 minutes, says the NHS. It becomes an emergency if it turns into heatstroke, so call 999 if they are still unwell after 30 minutes or show heatstroke signs.

  • What are the symptoms of heat exhaustion in children?

    The NHS says they are often the same as in adults. The Red Cross says a child may be sweating, have ashen cool skin, a headache or dizziness and feel sick. Babies and children aged 5 and under are more at risk.

  • What should I drink for heat exhaustion?

    The NHS says plenty of water. You can also give an isotonic sports drink or oral rehydration powder mixed with water to help replace salt lost through sweating.

  • Should I see a doctor after heat exhaustion?

    The Red Cross says to seek medical advice even if the person appears to recover fully, and to call 999 if their condition gets worse. The NHS says to call 111 if you are struggling to treat symptoms.

  • How can I prevent heat exhaustion?

    The NHS advises drinking more cold drinks, wearing light loose clothing, avoiding the sun between 11am and 3pm, limiting alcohol, avoiding extreme exercise and keeping your home cool.

  • Who is most at risk of heat exhaustion?

    The NHS lists older people aged 65 and over, babies and children aged 5 and under, pregnant people, people with long-term conditions, those on certain medicines, those who live alone, and people who work or exercise outdoors.

Where this comes from

Sources and checking.

This guide is for information, not medical advice.

Your GP or consultant knows your history and can tell you which parts apply to you. If your symptoms are severe, rapidly worsening, or come with red-flag features, seek urgent medical care. Figures and availability change, so treat them as a guide and confirm with the provider.

Published 2026-10-11, next review 2027-10-11.