
Thinking of trying wild swimming? Read this first
Peer reviewed by Dr Colin Tidy, MRCGPAuthored by Victoria RawOriginally published 22 Jun 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
- Add to preferred sources on Google
Wild swimming, put simply, is swimming in natural water rather than in a pool or controlled environment such as your local baths. While it can be a great way to exercise, unwind, and spend time in nature, it also comes with a few extra drawbacks. That's especially true in the UK, where the weather can be unpredictable, and water temperatures often stay surprisingly cold, even during the summer.
In this article:
Video picks for Exercise and physical activity
When summer comes around, ‘wild swimming’ tends to pop up all over social media with images of friends and influencers plunging into lakes, rivers, and the sea. Wild swimming is popular with people who enjoy the freedom of slipping into open water without the formality of a swimming pool, and instead spending time out in nature.
Continue reading below
Health benefits of wild swimming
There’s some research suggesting it can have real mental health benefits, including helping to ease symptoms of anxiety and depression. Cold water exposure may also help your body become more resilient to stress, with potential longer-term effects on cortisol regulation and how we cope with pressure.
Although swimming in itself can be great for your health, there are some important safety precautions to keep in mind when wild swimming in the UK.
Dr Opel Baker, a GP at Mayfield Clinic in Brighton and Hove, talks us through some of the most common things you should watch out for when heading into open water.

What to be aware of when wild swimming
Back to contentsLet’s be real - this isn’t Florida or the warm, turquoise waters you might picture off the Australian coast. This is the UK, and while we do get the occasional heatwave, our rivers, lakes, and seas are far from feeling like a hot tub.
Chances are, if you’re wild swimming in Britain, you’ll be plunging into water that’s lukewarm at best. Even on the hottest day of the year, water takes far longer to warm up than air, meaning the temperature of the sea, lake, or river rarely matches the weather's heat.
Cold water shock
That’s why even a baking hot summer’s day can still leave you vulnerable to cold water shock when you first get in.
According to Baker, cold water shock happens when your body suddenly enters cold water and triggers an involuntary “cold shock response”.
“Blood vessels in your skin rapidly constrict to preserve core body temperature, causing your blood pressure and heart rate to rise sharply,” he explains. “At the same time, many people experience an uncontrollable gasp reflex followed by rapid breathing or hyperventilation.”
Baker adds that this can make it harder to control your breathing, increasing your chance of inhaling water. For some people - particularly those with underlying heart conditions - the sudden strain on the cardiovascular system can trigger abnormal heart rhythms, chest pain, or, in rare cases, a cardiac event.
If you experience a gasping reflex, don’t thrash or swim.
Instead, lean back and use the ‘Float to Live’ position - arms and legs out - for 60 to 90 seconds to let your breathing settle and the shock pass.
Muscle coordination and exhaustion
Cold water doesn’t just affect your heart, lungs, and blood vessels, it can also impact your muscle coordination. In these situations, it doesn’t matter how fit you are - the cold can quickly overpower your muscles and affect your ability to swim properly.
“Cold water quickly reduces your muscle strength, coordination, and endurance,” says Baker. “As your muscles cool, your nerve signals travel more slowly, and your movements become less efficient.
“Even very fit swimmers can experience ‘swim failure’, where their arms and legs become too weak to maintain an effective stroke.”
He explains that this can happen surprisingly quickly, especially in cold water. It may leave you unable to stay afloat or make it back to shore, even if you’re physically fit on land.
“Fitness does not provide immunity against the physiological effects of cold-water immersion,” adds Baker.
Think twice before taking the plunge
If you have an existing health condition, wild swimming may carry additional safety concerns, so it’s important to check with your doctor beforehand.
Baker says this includes people with:
A history of heart disease.
Uncontrolled high blood pressure.
A history of stroke.
Epilepsy.
Significant lung disease.
“The cold shock response places additional stress on the cardiovascular system and can unmask previously undiagnosed heart conditions,” he cautions. “Anyone who has unexplained chest pain, dizziness, palpitations, fainting episodes, or breathlessness during exercise should speak to their doctor before entering cold water environments.”
Continue reading below
Infection
Back to contentsIt should go without saying that wild swimming means swimming in water that hasn’t been treated with cleaning chemicals, like you’d find at a swimming pool.
Lakes, rivers, and seas are comparatively uncontrolled environments and home to a large variety of animals, organisms, and bacteria that you’ll be sharing your swim with.
Baker explains that wild swimmers can be exposed to a range of infections, including gastrointestinal illnesses caused by bacteria, viruses, and parasites present in contaminated water.
“One of the more serious infections is leptospirosis - commonly known as Weil’s disease,” he says. “This is spread through water contaminated with infected animal urine, particularly from rodents.”
Early symptoms of Weil’s disease can resemble the flu, including:
Fever.
Headache.
Muscle aches.
Nausea.
Loss of appetite.
In some cases, the illness can progress and lead to:
Kidney issues.
Meningitis.
“Anyone who develops flu-like symptoms after freshwater swimming should mention this exposure to their healthcare professional,” Baker advises.
Beware the green stuff
Blue-green algae, despite its name, isn’t an algae at all - it’s actually a type of bacteria called cyanobacteria.
Cyanobacteria are found in a wide range of environments, including freshwater lakes, rivers, and reservoirs, as well as marine and coastal waters.
Blue-green algae isn’t always harmful, but certain types can produce toxins that are dangerous to humans, animals, and wildlife.
Baker warns that exposure to blue-green algae can cause:
Nausea.
Vomiting.
Diarrhoea.
Abdominal pain.
Skin rashes.
Eye irritation.
In rare cases, more significant exposure can also affect your liver or nervous system.
Baker recommends that you avoid entering water where algal blooms are visible or where warnings have been issued.
“If you sustain a cut or scrape while swimming, leave the water and thoroughly clean the wound with clean fresh water,” he says. “Apply antiseptic if available and monitor for signs of infection such as redness, swelling, warmth, increasing pain, or discharge. Open wounds can provide a route for waterborne bacteria to enter your body.”
Drinking alcohol and wild swimming
Back to contentsWe’ve all seen those TV shows where, after a few shots of tequila, someone shouts “pool!” and everyone jumps in together. In reality, while it might be a common party moment, getting drunk around water isn’t the safest idea - and it’s definitely not something to do when wild swimming either.
Baker cautions that alcohol and wild swimming are a particularly dangerous combination - essentially, don't drink and dive.
“Alcohol impairs your judgement, coordination, and reaction times, making it harder to assess risks and respond appropriately in an emergency,” he says. “It can also increase heat loss by causing the blood vessels near your skin to widen, while actually speeding up how quickly your body loses heat.
“In addition, alcohol increases the likelihood of reckless behaviour and can reduce your ability to recognise the early warning signs of hypothermia or exhaustion.”
Continue reading below
Know when to call it a day
Back to contentsThere are some warning signs that suggest your body has had enough during a swim, and it may be time to get out of the water and cut your session short.
Baker outlines the most common signs:
Uncontrollable shivering.
Difficulty breathing.
Dizziness.
Confusion.
Chest pain.
Palpitations.
Muscle cramping.
Extreme tiredness (fatigue).
Difficulty coordinating your movements.
“A noticeable reduction in swimming strength or the feeling that you are struggling to make progress is particularly important and should never be ignored,” he says. “These symptoms can indicate the onset of hypothermia, cold incapacitation, or cardiovascular stress and warrant prompt action.”
Warm up, don’t heat up
When entering cold water, it’s best to do so gradually, giving your body time to adjust to the temperature and allowing you to spot any symptoms of cold water shock before they become serious.
The same principle applies when you get out of the water. Rather than trying to warm up as quickly as possible, it’s safer to rewarm your body gradually.
Baker explains that the safest approach is to dry yourself off, remove any wet clothing, put on warm layers, and gradually raise your body temperature using blankets and warm drinks, as long as you're fully conscious and alert.
“Jumping straight into a very hot shower, bath, or sitting close to a powerful heater can sometimes be problematic because rapid warming of the skin causes blood vessels to dilate suddenly,” he says. “This can lead to a drop in blood pressure, dizziness, fainting and, in severe cases, place additional strain on your heart. Gradual rewarming allows your circulation to adjust more safely and comfortably.”
If you’re thinking of giving wild swimming a go this year, it’s worth checking with your doctor first if you have any concerns about an existing health condition. Make sure you're aware of potential hazards, such as cold water shock and harmful bacteria, and ease yourself into the practice rather than diving in at the deep end.
Wild swimming can offer plenty of benefits, from exercise and stress relief to spending more time in nature. But like any outdoor activity, it comes with risks. Taking a little time to understand them - and recognising your own limits - can help make sure your experience is both enjoyable and safe.
Patient picks for Exercise and physical activity

Healthy living
6 health benefits of swimming
Around 14 million people in England go swimming every year. Indoor swimming remains a popular activity, while open water swimming is steadily on the rise. Many children typically attend swimming lessons with their schools, and that's not counting the Brits who swim abroad while on holiday. While swimming can be fun, did you know it's actually improving your health at the same time?
by Lynn Stephen

Healthy living
Could cold exposure boost your health and wellbeing?
We tend to associate plunging winter temperatures with the cold and flu season. But did you know that cold showers and cold water swimming have proven benefits for health? We ask the experts about the dos and don'ts of cold exposure.
by Lynn Stephen
Continue reading below
About the authorView full bio

Victoria Raw
Feature Writer
BA (Hons), English Literature
Victoria is a content writer with Patient whose special interests focus on mental wellbeing, societal trends and the impact of technology on our health.
About the reviewerView full bio

Dr Colin Tidy, MRCGP
General Practitioner, Medical Author
MBBS, MRCGP, MRCP (Paediatrics), DCH
Dr Colin Tidy is an NHS Doctor, based in Oxfordshire.
Article history
The information on this page is peer reviewed by qualified clinicians.
Next review due: 22 Jun 2029
22 Jun 2026 | Originally published
Authored by:
Victoria RawPeer reviewed by
Dr Colin Tidy, MRCGP

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.