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Aug 09, 2024

Struggling to Stay Hydrated with Kidney Disease and an Ostomy

This topic is about finding practical ways to stay hydrated for someone with an ileostomy and stage-3 kidney disease. The person struggles with dehydration, doesn't feel thirsty, and has a sensitive gut, making it challenging to find suitable drinks. Here are some helpful suggestions and insights shared by others:

1. Try to sip fluids continuously throughout the day. Use reminders like emptying your pouch, taking medication, or during TV commercials to prompt you to drink.

2. Remember that fluids aren't just water. You can include broth, Jell-O, soda, coconut water, and flavored ice pops if they are tolerated.

3. For flavor and texture, consider making a homemade smoothie with a banana, psyllium fiber powder, protein powder, and almond milk. Frozen fruits like cantaloupe, honeydew, and berries can also be refreshing.

4. For an Oral Rehydration Solution (ORS), mix 20-25 grams of glucose and 6-12 grams of sodium chloride per liter. A quick method is to split a 20-oz regular Gatorade into two bottles, add ½ teaspoon of salt to each, and top off with water.

5. Some commercial options that might be palatable include Liquid I.V. (Lemon-Lime), Nuun electrolyte tablets, and coconut water.

6. Consider the "eat your water" approach by focusing on hydrating fruits and vegetables and using quality sea salt.

7. Set daily fluid intake goals, such as 64–96 oz, including a 20-oz Gatorlyte every other day.

8. Follow the UF Health Ostomy Output-Reduction Protocol, which involves tracking intake and output, adding fiber, and possibly using medications like Loperamide and Lomotil.

9. Discuss with your doctor about possible medical options like a work-up for adipsia or home IV hydration if oral intake isn't enough.

10. Keep a log of your fluid intake and urine color. Dark urine is a sign to drink more ORS, and don't rely solely on thirst to guide your hydration.

These suggestions aim to help manage hydration effectively while considering the unique challenges faced by someone with an ileostomy and kidney disease.
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