Dogs suffering from heat stroke can have elevated breathing rates, dry or sticky gums, abnormal gum color, bruising in the gums, lethargy, disorientation, and seizures. The most common cause of heat stroke or hyperthermia is leaving a dog in a car with inadequate ventilation. The dog's body temperature in this situation can elevate very rapidly, often within minutes. It is important to remember that dogs cannot control their body temperature by sweating, as humans do, because dogs have a relatively small number of sweat glands located in their footpads. Panting is their primary way of regulating body temperature. Other common causes of heat stroke include being left in a yard without access to shade or water on a hot day, being exposed to a hair dryer for an extended time, and excessive or vigorous exercise during hot temperatures. Excited or excessively exercised dogs are sometimes at risk even if the environmental temperature and humidity does not seem high, particularly if they are kept in a poorly ventilated environment or a dog house. Dogs with a restricted airway, such as brachycephalic breeds, are at even greater risk. In these breeds, clinical signs of heat stroke can occur when the outside temperature and humidity are only moderately elevated. Dogs that are muzzled can also be at greater risk, since their ability to pant is restricted by the muzzle.