Who Knew?

Total living transplant recipients in the U.S. = 183,222

Heart - 19,308
Heart/Lung - 244
Intestine - 678
Kidney - 109,500
Kidney/Pancreas - 7,225
Liver - 42,286
Lung - 6,731
Pancreas after Kidney - 1,593
Pancreas transplant alone - 860

source http://www.ustransplant.org/annual_reports/current/114_dh.htm

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  • Thanks Mark, I too pay no attention to the amount of water I drink but am forced to know how much goes out. :-). I thought the calculator would be a good place for a novice to start as most docs haven't a clue and don't give you a good target. I weigh 180 lbs so that a 135 lb person would need about 3/4 of what I would need - other things being equal. My daily outgo has varied from 1450 mls to 3200 mls and I felt absolutely no difference - so what I usually take is somewhere in the middle. Look forward to reading more of your posts.
  • Hi Mark, I just noticed your comment on swelling up and just wanted to let you know that I get swelling also, regardless of the amount of liquid I intake due to the Amlodipine, which you also are taking. If I walk for about an hour, I can get the excess liquid pumped up into my body, but only from the feet. Without amlodipine, i was never noticing swelling.
    My primary doc is also a nephrologist so we can discuss the kidney problems in detail. Incidentally, I notice almost no change in BP due to liquid intake but mainly from the time I take my BP meds (amlodipine, metoprolol and clonidine). Recently, I have been taking Provigil and venlaxafine for fatigue/apathy and these really have an increasing effect on the BP.
    Continued good health to you!
    • Thanks Bill. That is good information to consider. I've been reading your comments in this regard on another thread here and find that discussion to be very informative as well. Thanks for the benefit of your experience.

  • Hi Mark, thank you! I appreciate your informative inputs. Thought you would like these two sites to send people to who have questions regarding:
    1) how much liquid to consume each day?
    Nutrition.about.com/library/blwatercalculator.htm
    2) any questions regarding urinating, especially at night?
    http://mydoctor.kaiserpermanente.org/ncal/Images/Primary%20Nocturia...
    • Hello Bill. That is an excellent presentation from Kaiser on night time urine production. Very informative - thanks!

      I'm compelled to tell you though, that these water intake calculators, like the one from about.com, are dreamed up by bean counters whose job it is to create tools for people who have lost touch with their own body and how well it is already designed to help us regulate the intake of food and liquids. Put simply ... drink when you're thirsty.

      Myth No. 1: Drink Eight Glasses Each Day

      Scientists say there's no clear health benefit to chugging or even sipping water all day. So where does the standard advice of drinking eight glasses each day come from? "Nobody really knows," says Dr. Stanley Goldfarb, a kidney expert at the University of Pennsylvania.

      http://www.npr.org/2008/04/03/89323934/five-myths-about-drinking-water

  • My medications give me "Dry Mouth" so I do drink a lot of RO water each day. It has had no negative effects on me. You would have to drink a LOT of water to cause problems, usually electrolyte imbalance. If I do not drink enough it shows up on my blood tests and I get a call.

    We do organs backwards in the USA. All people should be an organ donor at birth. So everyone would be a donor unless they opt-out.

    Thanks for the info.

    • Maybe you're right but I would hate for the goment  to force anyone to do something they didn't want to. I know a man who refuses to be an organ donor stating...these are his words not mine..."the Jews would refuse him medical care just to get his organs" you simply cannot argue with soeone of that mentality. 

      • Nobody ever went broke underestimating the intelligence of the American public.
        H. L. Mencken
        US editor (1880 - 1956)
  • Too Much Water Could Be Harmful

    Drinking two liters of water per day may not benefit most individuals and even could be harmful, investigators say.

    At the Canadian Society of Nephrology annual meeting here, re-searchers from the University of Western Ontario, also in London, presented a study showing a significant correlation between excess urine production—which is usually caused by excess fluid intake—and proteinuria.

    The large population-based study un-covered a fivefold higher risk of proteinuria among people with polyuria than among those with normal urine volume, even after taking into account such factors as age, sex, and estimated glomerular filtration rate.

    If investigators replicate this finding, further research should be conducted to determine the renal consequences of drinking two liters of water per day, said lead investigator Jessica Sontrop, PhD, assistant professor in the department of epidemiology and biostatistics.

    “Such a finding would have important implications, given the silent nature of kidney disease and the widespread, but unsubstantiated, belief that drinking eight glasses of water per day is healthy.”

    http://www.renalandurologynews.com/too-much-water-could-be-harmful/...

    Drinking too much water called latest threat to health

    Canadian doctors are warning drinking too much water may cause loss of kidney function - something they discovered purely by accident.

    The study is published in this week's issue of the Canadian Medical Association Journal.

    "If you go on the Internet you'll get at least 500 hits on how healthy it is to drink as much water as humanly possible," Clark said. "Some health magazines recommend people drink a minimum of 12 to 15 glasses of fluid per day."

    But Clark said flushing the kidneys doesn't help kidney function.

    Even doctors believe the medical myth that people should drink at least eight glasses of water a day, according to an article published last month in the British Medical Journal, which traced the notion back to a 1945 recommendation from the U.S. Nutrition Council.

    Ignored in the original statement was that most of the fluid people need is found in food, especially fruits and vegetables, the researchers said.

    http://www.canada.com/montrealgazette/news/story.html?id=378f85de-2...

    Are You Damaging Your Kidneys Without Knowing It?

    Don’t force down 8-10 glasses of water per day unless your thirst dictates it

    Your body is not a long plumbing tube that gets cleaner by forcing more water through it. Every time you drink water that your body doesn’t need, your kidneys are forced to spend energy to filter out this excess water. This filtration process puts significant burden on the tiny blood vessels that line your kidneys, which can contribute to the development of chronic kidney disease.

    The amount of water that you need depends on a variety of factors. Eating lots of water-rich foods like vegetables and fruits decreases the amount of water you need to drink. Living in a warm climate, regular exercise, sweating, and eating salt all tend to increase your need to drink water. Ultimately, the amount of water you drink should be determined by your sense of thirst on a moment-to-moment basis.

    http://drbenkim.com/articles-healthykidneys.html

    Staying safely hydrated

    Generally if you drink enough fluid so that you rarely feel thirsty and produce 1.5 liters (6.3 cups) or more of colorless or light yellow urine a day, your fluid intake is probably adequate. If you're concerned about your fluid intake or have health issues, check with your doctor or a registered dietitian. He or she can help you determine the amount of water that's right for you.

    To ward off dehydration and make sure your body has the fluids it needs, make water your beverage of choice. It's also a good idea to: Drink a glass of water or other calorie-free or low-calorie beverage with each meal and between each meal. Drink water before, during and after exercise.

    Although uncommon, it is possible to drink too much water. When your kidneys are unable to excrete the excess water, the electrolyte (mineral) content of the blood is diluted, resulting in low sodium levels in the blood, a condition called hyponatremia.

    http://www.mayoclinic.com/health/water/NU00283/NSECTIONGROUP=2

     

    •     Good reading Mark.  You stated exactly what I have said all along.

      "The amount of water that you need depends on a variety of factors. Eating lots of water-rich foods like vegetables and fruits decreases the amount of water you need to drink. Living in a warm climate, regular exercise, sweating, and eating salt all tend to increase your need to drink water. Ultimately, the amount of water you drink should be determined by your sense of thirst on a moment-to-moment basis."

      On those occasions I have drank too much water I notice my blood pressure go up and swelling at the sock line. In fact when my BP used to be low I would drink extra to raise it up.  Thanks again, Mark..........later Will

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