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Dec 27, 2021

Excessive Salt Intake Causing Swollen Ankles and Feet?

This topic is about managing salt intake and dealing with ankle and foot swelling after having an ileostomy, which is a surgical procedure that creates an opening in the abdomen to allow waste to exit the body. This can be a big adjustment, especially when it comes to diet and hydration.

Here are some helpful insights and advice:

1. **Fluid and Electrolyte Loss with Ileostomy**
- Normally, the large intestines reabsorb fluids, but without them, you need to replace extra sodium, potassium, and magnesium.
- Signs that you need more salt include dizziness and muscle cramps, while too much salt can cause ankle and foot swelling and high blood pressure.

2. **Amount and Sources of Sodium**
- Consuming 2 teaspoons of salt daily is quite high, especially if you eat salty processed foods. Try reducing the amount and see if the swelling decreases.
- Instead of snacking, generously salt your regular meals if you find it hard to graze.
- Bone broth, whether homemade or store-bought, can be a tasty, low-sugar source of sodium.
- Natural salty foods like olives, pickles, and mustard can help satisfy cravings and provide sodium.

3. **Electrolyte Replacement Products**
- Sports drinks like Gatorade can be diluted with water to reduce sugar content.
- Products like Pedialyte and Drip Drop are recommended for quick electrolyte replacement during illness.
- Consider using oral rehydration sachets like Dioralyte or sugar-free electrolyte tablets like Hydro.
- Electrolyte powders with potassium, such as Dr. Berg’s Electrolyte Powder, can be beneficial.
- Bottled waters with added electrolytes, like SmartWater, are praised for taste.

4. **Monitoring and Medical Checks**
- Consider buying a home blood-pressure monitor to track your blood pressure if swelling occurs.
- Request a full blood panel, including sodium and potassium levels, from your doctor.
- If swelling persists, explore other potential causes like lymphedema or kidney issues, and consider using compression socks or wraps.

5. **Sugar Considerations**
- Many sports drinks are high in sugar, which can raise glucose and liver enzyme levels.
- Opt for sugar-free or low-sugar drinks, or make your own salted water to taste.

6. **Practical Hydration Tips**
- Mix half-strength Gatorade or flavor plain water with sugar-free drink mixes that also provide potassium citrate, which helps prevent kidney stones.
- Carry electrolyte tablets or powders when outside drinks are restricted, and use venue water fountains.
- Listen to your body: increase salt if you experience leg cramps or dizziness, and reduce it if swelling returns.
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