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This Summer Heat -Tips on Water Intake for Kidney Patients on Dialysis

7/17/2019

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 Keep your kidneys healthy by being “water wise.” This means drinking the right amount of water for you. According to The National Kidney Foundation (NKF) a common misconception is that everyone should drink eight glasses of water per day, but since everyone is different, daily water needs will vary by person. How much water you need is based on differences in age, climate, exercise intensity, as well as states of pregnancy, breastfeeding, and illness.

About 60-70% of your body weight is made up of water, and every part of your body needs it to function properly. Water helps the kidneys remove wastes from your blood in the form of urine. Water also helps keep your blood vessels open so that blood can travel freely to your kidneys, and deliver essential nutrients to them. But if you become dehydrated, then it is more difficult for this delivery system to work. Mild dehydration can make you feel tired, and can impair normal bodily functions. Severe dehydration can lead to kidney damage, so it is important to drink enough when you work or exercise very hard, and especially in warm and humid weather.

 Is It Hot-Hot-Hot? This Summer Stay Hydrated!

As the summer arrives, make a conscious effort to increase your fluid intake to counteract the warmer temperatures and elevated humidity. Be sure to check in on the elderly and pets. A good starting point for anyone would be to Drink 1/2 your body weight in ounces of water per day.
Tips for staying hydrated
  1. Keep a bottle of water with you during the day. …
  2. If you don’t like the taste of plain water, try adding a slice of lemon or lime to your drink.
  3. Be sure to drink water before, during, and after a workout.
  4. When you’re feeling hungry, drink water.
Know the Signs- Avoid Dehydration
If feeling thirsty, your body is needing fluids. Listen to your body and drink water throughout the entire day during the hot summer days. Always watch for potential signs of dehydration:
  • Dark yellow or amber-colored urine (urine that is clear or very light in color is an indicator that you are hydrated).
  • Constipation
  • Feeling thirsty
  • Constant fatigue or sleepiness
  • Headache or lightheadedness
  • For infants, no wet diapers for three hours

Water Intake for Kidney Patients on Dialysis
​
Before being diagnosed with End Stage Kidney Failure (ESRD) stage 5, I truly enjoyed a good cold glass of water. However, all of that has changed being on in-center hemodialysis dialysis three times a week for 4 hours. Dialysis works to remove excess fluid from your blood, so it’s important to manage your fluid intake. Fluids are typically limited on a dialysis diet, but the exact amount you should have each day may depend on your health and the type of dialysis you’re on. People on at-home peritoneal dialysis may have fewer fluid restrictions, while people on in-center hemodialysis generally have greater limitations to their fluid intake. Talk to your doctor or dietitian about how to manage your fluids and feel your best.

According to Fresenius Kidney Care-We are told the healthy body normally needs up to eight glasses of water a day to maintain fluid balance. However for people in the later stages of chronic kidney disease (CKD), and kidney failure these normal amounts of fluid can build up in the body and be quite dangerous. 


HOW FLUID AFFECTS YOUR WEIGHT: Excess fluid in your body shows up on the scale. Therefore, your body weight can be an important indicator of how well your treatments and fluid management are working together. Your dietitian will teach you how to monitor fluid gains and track what you’re drinking to help you feel your best.

Why your fluid intake matters on dialysis -Limiting fluids will help you feel better and stay healthier. Once you’re on dialysis, you may urinate very little—or not at all. Any extra fluid must be removed by dialysis, and consuming too much fluid may cause buildup between dialysis sessions, resulting in the following:
  • Headaches and low energy
  • Swelling in your face, hands and feet (edema)
  • Trouble breathing from fluid in your lungs
  • Heart damage from stretching your heart with too much fluid
  • High blood pressure that can lead to a stroke

Less salt = less thirst = feeling better Consuming less salt will help you:
  • Control your thirst.
  • Avoid swelling in ankles, fingers, waist or under eyes.
  • Keep your heart stronger.
  • Breathe easier.
Gain some simple way to mange and limit salt intake

Tips to Measure and track your liquid intake

Measure and track your liquids People on a dialysis fluid restriction diet should typically limit fluids to 32 oz or less each day. Your doctor or dietitian will discuss your specific fluid requirements. To help you monitor your fluid intake, write down how much you’re drinking or eating throughout the day. It may also help to think about your day to plan what you’re going to drink and when. For instance, if you have a special occasion in the evening, consume less fluid throughout the day.
What does 32 ounces of fluid look like?  32OUNCES = 4CUPS=1QUART=946MILLILITERS=1LITER

5 tips for quenching your thirst and limiting fluids 
Controlling how much you drink isn't always easy. Try these ideas for managing your fluid intake.
  1. Eat a piece of cold or frozen fruit, like grapes, strawberries or blueberries.
  2. Freeze your favorite beverage in a bottle and sip as the fluid melts.
  3. Suck on a piece of sugar-free hard candy or chew sugar-free gum.
  4. Drink from small cups or glasses.
  5. Rinse your mouth with mouthwash.

​Learn more Tips and Tricks to for fluid management and your dialysis diet

Tips for managing your thirst

Your dietitian, as well as fellow patients,can give you many helpful hints to manage your thirst. Here are some tips from  Davita Kidney Care  to get you started:

  • Limit the amount of sodium and spicy foods in your diet.
  • Be aware of hidden fluids in foods. Foods with high water content include gelatin, watermelon, soup, gravy and frozen treats like PopsiclesTM and ice cream.
  • Stay cool. Keeping cool will help reduce your thirst. Try drinking cold liquids instead of hot beverages.
  • Sip your beverages. Sipping will let you savor the liquid longer. Use small cups or glasses for your beverages.
  • Try ice. Many patients find that ice is more satisfying than liquids. Try freezing your allotted amount of water into an ice tray. You can also try freezing approved fruit juices in ice trays for a special treat. Remember to include the ice you consume when tracking your fluid intake.
  • Take your medicines with your meal, if possible. Try swallowing pills with applesauce instead of liquids.
  • Battle dry mouth by using mouthwash or brushing your teeth. Sucking on hard candy or a wedge of lemon or lime will also help.
  • If you have diabetes, maintain good blood glucose levels. High blood glucose levels will increase your thirst.



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1 Comment
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    "Be Engaged, Be Empowered, Be Inspired to Move Forward in this Journey Called Life." This is Lá Tanyha Boyd Certified Kidney Health Coach | Certified Patient Advocate | Award Winning Author |Minister of The Gospel | Empowerment Coach. Lá Tanyha has also begun a social media campaign to empower women to ‘Live Your Best Life…A Better You One Day at a Time.’

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