CKD Patients Can Increase Their Water Intake And Still Manage Their Fluid Restriction

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You may not be able to drink a full eight glasses of water every day to stay healthy as recommended for the general population, but water is still a better choice than drinks that have caffeine like soda, coffee or tea because these drinks can actually make you thirstier. Many Chronic Kidney Disease (CKD) patients wonder, "How much water should I drink?" You could probably identify with that sentiment if you are on dialysis because you need to limit your fluid intake. Often, individuals with CKD decide to maximize (or exceed) their recommended fluid allowances by splurging on coffee, tea, milk, gelatin, fruit/vegetable juice and drinking limited amounts of water. Substituting water for sugary juices and fruit punches, heavily caffeinated drinks, and other fluid intake is also a good idea so that you can capitalize on the beneficial effects of water in CKD patients.

Recommended Reading: Ways to Manage Fluid Gain, and Live Longer

Drinking water is essential to your personal health because you lose water daily from skin evaporation, stool, dialysis and just by breathing. Water losses must be replaced just as frequently to avoid dehydration and maintain your personal best health level. If you choose to drink water over a caloric beverage (juice, soda, coffee, tea) and eat a manageable renal diet you will be fuller and trim your caloric intake. People with CKD on a Kidney Transplant Waiting List or those who have received their Transplant but are still considered medically obese will find this extremely beneficial.  Adequate water hydration helps to maintain regular bowel movements and combats muscle fatigue. Also water can prevent your skin from looking dry and wrinkled. This is important to CKD patients who often suffer with chronic dehydration and have dry flaky skin that causes noticeable discomfort.

Recommended Reading: Fruits and Vegetables can Effectively Hydrate Individuals with CKD better than a Glass of Water


Typically people using Peritoneal Dialysis (PD) and In-Center Hemodialysis (HD) have some type of fluid limit while daily Home Hemodialysis (HHD) removes much more fluid which means that those patients may not need fluid limits. It is important that you abide by your fluid restriction and not rely on dialysis to remove all of your extra fluid because if you retain too much fluid you can become overloaded (more fluid going into your body than is coming out) and suffer severe heart issues as well as swelling (face, hands and feet), headaches, low energy, high blood pressure and even stroke. Your fluid limits will be dependent on how much urine you make (if any). recommends that you talk to your dietician about how much water you should personally drink before altering you current fluid intake habits to incorporate water.

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"Common Questions About Kidney Disease." American Kidney Fund.

"Controlling Fluids for Kidney Dialysis Patients." Fresenius Medical Care.

Kathleen M. Zelman, MPH, RD. "Why Drink More Water? See 6 Health Benefits of Water." WebMD.