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What is an "ideal" hydration intake?

Hi,

I am wondering what is the ideal hydration intake per day? Most days, I manage to take in 2L which is rather difficult enough after years on dialysis. My tx team once said, "that's all?" and I was under the impression to drink more. Some days, I make it to 4L but that seems like awfully much and I feel sick. (Mostly water btw, always water.) So, what have your teams suggested for a good intake post kidney transplant? I am a small average sized female. Thank you.

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  • I drink when I a.m. thirsty 

  • How much water to drink post-transplant is a question I have repeatedly asked the surgeons, nephrologist and other medical professionals at my Tx center. The general consensus appears to be between 2-4 liters per day, this number includes fluid from all sources, like vegetables, soups, and stews. Guidelines differ for women than males and obviously would take into account, one's stature.

    I found a link, from a trusted source, that elaborates further.

    Mayo Clinic article

    Water: How much should you drink every day?
    Know how much water to drink to stay healthy and hydrated.
    • Thanks for the link.

      Water: How much should you drink every day?
      Know how much water to drink to stay healthy and hydrated.
  • Thanks Coravh. If I do 1 oz per kg, I also come up at around 2 L. And honestly, this seems to be my tolerance. (Though, I do aim for a little bit more after the "that's all?" comment.)

    I know this is something to be discussed with the tx team but after trying for 4 L yesterday, I thought this battle was lost.

  • I was told by my team that the ball park goal should be about 1 ounce of fluid per kilogram of bodyweight. So for me that works out to about 2 L per day. I  don't always make it, but I also have gastroparesis and sometimes it's a choice between fluid and food. Or just being sick.

     

    I think the2 L mark is a bit of a minimum. I know people that manage 4, but that's simply not possible for me. Like everything else, it's kind of individual.

    • Over the years, your comments and information are always appreciated. 

       

      Take care.

  • My two cents:

    1. In general, it should be 2L a day.
    2. Remember we have only ONE kidney.
    3. If it’s a big person, he should drink a little more.
    4. It’s not good for the kidney if drink too much or too little.

    I’m glad many of us share and learn the information on this board. 

    Take care. 

  • I think nothing less than 5L should be taken. Atleast 1L right when you get up in bed in morning(In Canada,1L Hot water).

    During summers,it should be 6-7 L.

    Water keeps the blood pressure as well as Creatinine normal.

    Best Of Luck.

    • You shouldn't give blanket advice like this. My kidney is actually quite slow. That much fluid would end up on my lungs and around my heart. I'd probably get pneumonia or have a heart attack (and had both happen because the doctors put that much fluid into me via IV)

       

      • Respected Sir,

        The measurement is what my Nephrologist has suggested and my weight is 54 kg.

        I stay in India and we have hot summers out here so I regularly drink at least 5L of water. Other liquids like milk/juice is extra.

        For Canada, I suggested hot water.

        Sorry but I suggested what I thought should be.

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