Weight: Under the premise of regular diet and no food retention, measuring the weight on an empty stomach every morning, if it increases, it means that the body is more water (friends also pay attention to don't be affected by the clothes on the body), this time to limit the amount of water. The first thing you need to do is to take a look at the color of your skin and the color of your skin.

Urine: Every time you urinate, record the amount of urine. How long does it take? It's easy to use a bottle like a mineral water bottle or any other bottle that we know the capacity of in our daily lives, and then put urine in it so you know how much you're peeing each time.


After knowing the 24-hour urine output, you can calculate the total water intake in 24 hours. If the total water intake minus 500 ml is greater than the 24-hour urine output, then it means that there is excess water in the body, and there is a possibility of water retention, so you need to limit your water intake at this point in time.

Oedema level: This is a common and easy way to measure the level of oedema by pressing the skin of the tibialis anterior every day, and if the indentation deepens, or if the indentation increases, the oedema is aggravated, and you have to limit the amount of water you drink.

Other things to note is that, in addition to drinking less water in the above situation, like sugar porridge, fruits, etc. are also foods that contain more water, and should be avoided to eat more. Salt should also be strictly limited to avoid thirst which leads to drinking more water. In short, like edema, oliguria, a large number of proteinuria, drinking water is to have a "forewarned" mentality, rationing a glass of water a day to take medication, no longer supplemented, and at the same time there is a thirst can be appropriate to "sip, sip", sip point, so as to control the amount of water. This can control the amount of water.

Above, is how I should drink water for kidney disease, the problem of the view, although easy to understand, but are standing in the scientific rigorous point of view, to analyze. On this side also remind everyone, kidney disease how to drink water is very important. If you drink the wrong, it is easy to lead to disease aggravation, especially oliguria, edema of this type of patients, to strictly control the water, if too much water in the body, the body volume load increases, will increase the probability of heart failure, respiratory distress, but also disrupt the body's electrolyte balance, so we have to recognize the hazards of the right to drink, to reduce the burden of medical care, to improve the quality of their own lives, and strive for an early recovery!

Water is an important part of the human body, accounting for about 60% of body weight, timely hydration helps to reduce the concentration of harmful substances in the kidneys, and plays an important role in protecting the kidneys. For the body metabolism, it is very important to consume enough water every day, because too little water supplementation will reduce the amount of urination, which in turn leads to higher concentrations of toxic substances in the urine. The kidneys are important organs for the excretion of water, and for some patients with kidney disease, adequate hydration is more conducive to promoting the elimination of wastes.

There are many things that people with kidney disease need to pay attention to and take care of, and there is a big difference in water intake for people with different kidney diseases. Only by adopting the appropriate drinking method can we effectively protect our kidneys. Details about the drinking methods and precautions for people with different kidney diseases are as follows:

The kidney is the main organ of the body to excrete water and metabolic wastes, and can excrete 30 40 grams of solid metabolites per day. Since 15 milliliters of water is required to dissolve 1 gram of solute, the normal human urine output is 800 1300 milliliters per day. Even if the kidneys compress the concentration of metabolic wastes to the maximum, the daily urine output is at least 500 600 milliliters.

When the daily supplemental water is too little, the amount of urine will also be reduced, which will lead to an increase in the specific gravity of urine and increase the burden on the kidneys. Therefore, more attention should be paid to hydration on weekdays to promote the excretion of metabolic waste in the body.

How should patients with kidney disease be hydrated?

Patients with chronic kidney disease

Patients with renal insufficiency should drink more water if they do not have obvious edema, because this can increase the amount of urine, which is conducive to the body's metabolic waste and toxins out of the body.

Patients with kidney disease who have edema

Patients with kidney disease who have edema, such as acute nephritis, nephrotic syndrome, pyelonephritis, etc., should monitor their weight and urine output every day. Drinking water should follow the principle of "in and out balance", i.e., the daily water intake is yesterday's urine volume + 500 ml, but not more than 1,000 ml. In addition, the water in food should also be counted, such as porridge, ravioli and other foods that contain more water. When thirsty, you can drink a small amount of cornhusk water, watermelon water or winter melon soup to help urinate and reduce edema.

Chronic kidney disease combined with heart failure patients

If chronic renal failure patients have a significant reduction in urinary output, it is necessary to strictly control the amount of water. Drinking water should also follow the principle of "in and out balance", and the amount of water consumed should be calculated according to yesterday's urine volume +500 ml. The first thing you should do is to take a small amount of water before you go to bed and not drink a lot of water at once.

Patients with urinary tract infections

If you have a urinary tract infection, you should make it a habit to drink water regularly, because it can flush the urethra and prevent bacteria from multiplying. For patients with urinary tract stones, it is also appropriate to drink more water to facilitate the discharge of stones in the body. Generally speaking, as long as the daily water intake of 2500 milliliters, can promote the rapid discharge of urine, so that some of the body's calcium and impurities out of the body, so that the body is more healthy.

Patients with heart disease and abnormal liver function with ascites should not drink more water

Patients with heart disease, especially those with heart failure, will not be able to remove water from the body due to abnormal renal blood flow and perfusion, so it is easy to appear the symptoms of generalized edema. If you drink too much water, it will increase the burden on the heart, lungs and other organs, and even induce hyponatremia, nausea, vomiting and convulsions, and severe coma.

Liver function abnormalities in addition to their own inability to synthesize blood proteins, other causes can also lead to edema. Therefore, after the blood osmotic pressure is lowered, water tends to accumulate in the tissues, and the phenomenon of water retention in the abdomen and chest often occurs. Patients with the above conditions should also not drink more water, as this will worsen edema . Therefore, people with abnormal liver function who have edema should reasonably limit their daily water intake according to the edema.

Regarding the amount of water to drink, the more common saying is "eight glasses of water a day", which does not need to be followed completely. Medical data suggests that a normal adult's daily water intake is about 2,000 milliliters, generally as long as not less than 1,500 milliliters, and should not exceed 2,500 milliliters at most. Of course, the specifics should also be based on the environmental temperature, seasonal changes, and the amount of exercise to consider.

We know that everything has a degree, drinking water is no exception, if a short period of time a large amount of water can also cause health hazards. Drinking too much water will increase the burden of metabolism, resulting in excessive water in the body can not be discharged in a timely manner, when a large amount of water retention in the body, it is easy to cause edema. If the situation is more serious, there will be abdominal pain, and also stimulate the kidney function, resulting in kidney function is impaired.

When the water intake is too much, the water flow of the kidneys increases dramatically, and then the metabolic wastes in the body are diluted, but it will also affect the detoxification function of the kidneys, resulting in a greater burden on the kidneys. In this way, the diluted toxic substances and excessive water can not be discharged from the body in a timely manner, triggering water intoxication. Water intoxication can seriously jeopardize the health of the kidneys, and it is easier to induce dehydration and hyponatremia, which will lead to metabolic disorders, renal failure, urinary frequency and urgency, weakness, decreased resistance, and yellowing of the face and other symptoms.

A study in the UK and Canada showed that for people with kidney disease, drinking an extra 4 or 6 glasses of water a day does not slow down the rate of decline in kidney function. The researchers said that while it is widely recognized that drinking more water can slow down kidney disease, there is little specific research on the optimal amount of water to drink. Although the benefits of drinking more water have not been directly verified, there is growing evidence that drinking more water may improve kidney function by inhibiting the release of antidiuretic hormone .

The randomized clinical trial reportedly studied 631 patients with stage 3 kidney disease at the London Health Sciences Center and several other hospitals in Ontario, Canada. It is important to realize that stage 3 patients lose up to 70 percent of their kidney function. Half of the participants in this trial were asked to drink more water (1,000 1,500 milliliters per day, depending on gender and weight), while the control group maintained their normal water intake or reduced it by 250 500 milliliters per day.

The results showed that the group that drank more water did not slow the loss of kidney function. However, they found that increased water intake inhibited the release of antidiuretic hormone, especially in patients who had previously consumed very low amounts of water. This study suggests that for most people with non-dialysis chronic kidney disease, increasing water intake will not prevent further loss of kidney function, but may allow us to focus on other potential treatment options.

Finally, it is important to note that beverages should never be used as a substitute for plain or plain water for hydration. This is because the phosphates and sugar in the drinks promote calcium deposition, and when calcium levels in the urine increase, kidney stones can easily form. In addition, carbonated beverages contain substances that increase blood pressure and damage the kidneys, so drinking a lot of carbonated beverages can have a negative impact on your health.

Hello, Sanno Sugar is pleased to answer your question!

Patients with kidney disease should choose whether to drink more or less water according to their personal health conditions. For most patients with kidney disease, the recommended water intake is:

Total daily water intake Hidden water loss - endogenous water Conspicuous water loss The previous day's urine volume. If the patient has no overt water loss (vomiting, diarrhea, or drainage fluid, etc.), the daily fluid intake is 500 ml The previous day's urine volume. If the patient is febrile, the amount of occult water loss (via lungs and skin) increases by 10-15% for each degree of temperature increase.

Patients with chronic kidney disease stage 1 and 2, the kidney function has not yet appeared substantial damage, or the damage is mild, and the glomerular filtration rate is generally more than 60m/min, meet these conditions of the renal friend, drink water without too much restriction, as usual, at least 2000 ml of water intake per day.

Situations that should drink less water: such as nephrotic syndrome, acute nephritic syndrome and other conditions that produce edema; acute renal failure, chronic renal failure, and other conditions may lead to oliguria or anuria; dialysis patients.

For example, normal people drink at least 2000 milliliters of water per day, but the daily water intake of patients with mild edema is usually 1000 milliliters, and the daily water intake of patients with severe edema should be less than 1000 milliliters.

Situations in which you should drink more water: when you have a cold, especially if you have a fever, diarrhea, dehydration, etc.; high uric acid; have an imaging test; have urinary stones; and when you sweat too much. It is best to drink more than 2000 milliliters of water.

The kidney is actually a modest organ, but it is of great importance to human beings, because our daily metabolites are mainly excreted through the kidneys. This is something that I think is felt even more by patients who have renal failure, because the main purpose of each dialysis is to remove metabolic wastes using artificial devices.

At the same time, the kidneys also have the function of reabsorption. The main reason is that not all of the urine is useless, like glucose, amino acids, electrolytes and other useful substances for the human body are reabsorbed into the body through the kidneys. People can filter up to 180L of fluid per day, but the amount of urine per day is very small, about 1500ml. in addition, the kidneys also have endocrine function, it can secrete renin, active vitamin D and erythropoietin, and so on. In order to let you know more about the kidney, let me share some knowledge about it.

Actually, it's not very easy to answer about this question because kidney disease is a bigger concept, which includes glomerulonephritis, nephrotic syndrome, renal vascular disease, pyelonephritis and so on. Because of the wide range of kidney diseases, it is not entirely clear that people with kidney disease should drink more or less water.

It may be in everyone's mind that people with kidney disease should control their water intake, but this is not necessarily the case. Take pyelonephritis as an example, it is a urinary tract infection, and people with this disease have normal kidney function, so there is no restriction on water intake. On the contrary, patients with acute pyelonephritis should also increase the amount of water, which can increase the amount of urine, which can play a role in flushing the urethra and promote the role of bacterial excretion.

But for other kidney diseases, the need to control water intake is also a personal decision. For those patients who have more obvious edema and reduced urine output should be appropriate to reduce the amount of water, otherwise it will aggravate the burden on the kidneys and promote the disease to become heavier. If the patient should have a normal urine output, and there is no obvious edema, in this case only need to drink normal water. For patients with kidney disease should not have how much water to drink and there is no clear rules, if you do not need to control the amount of water, you can intake 2000 ~ 2500ml of boiled water per day, if it is necessary to control the amount of water, you need to combine with their own situation, can not be generalized, the specifics of which can be consulted with their own bedside doctor.

In fact, many kidney diseases are chronic, and modern medicine is not easy to cure, in this case personal life care is more important.

Patients with kidney disease need to pay attention to not high protein diet, although many of these patients own low protein, this is mainly because a high protein diet will increase the glomerular hyperfiltration, able to aggravate kidney disease. When the body edema, should pay attention to low-salt diet.

There are many patients with kidney disease may also be combined with hypertension, diabetes, hyperlipidemia and so on at the same time, for this kind of people, it must be controlled, because these diseases mentioned above itself will also accelerate the progress of kidney disease.

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Pyelonephritis and kidney stones to drink more water.

Other kidney diseases to drink less water, do not increase the burden of renal blood flow, but also more rest.

Should people with kidney disease drink more water or less water? How to drink water? Today we talk about it.

We all know that the kidneys are one of the most important organs in the body, and the reason why people have two kidney sources is because it is important for the metabolism in our body. Even when there is only one kidney in the body, it can act as a "chemical plant", so that the body continues to maintain normal physiological functions.

In this can not be ignored is very, water is our source of life, it has a very close relationship with the kidney. For normal healthy people, in the latest version of the Dietary Guidelines for Chinese Residents, it is recommended that the total amount of water consumed per person per day should be within the range of 1.5L-1.7L.

If you drink too little water, you will also increase the burden of renal excretion, and even for letting the urine appear concentrated. Therefore, it makes sense to drink more water. Here some people say, if you have kidney disease, should you drink more water or less water?

As we all know, the metabolic products in our body and the substances that can pose a threat to the health of the body, they are eventually discharged either in the form of stools or from the urine. In this case, for people with kidney disease or kidney disease, the practice of drinking too little water is not desirable.

This will reduce the body's metabolite discharge, and in the long run, the body accumulates more and more products, then it is likely to cause harm to the whole body health. The first thing you need to do is to drink a lot of water, and that's a good thing.

For people with renal insufficiency, or those who have already suffered from chronic kidney disease, a large amount of water into the organism, there is a possibility that it will aggravate the burden of kidney excretion. When you observe the color of your urine, close to the transparent color, it means you drink too much water.

The best thing to do is to drink the right amount of water in moderation, and drinking the right amount of water is what is good for the kidneys.

How should you choose water?

People with bad kidneys can choose low-calorie plain water, tea, pure water, mineral water and so on. What is not recommended is sweet drinks, salt water and so on. Both of these typical representatives can aggravate the burden on the kidneys.

The range of sweet drinks is very large, in the market carbonated drinks, fruit juice, milk tea, etc., are regarded as a kind of sweet drinks, the most important feature of such drinks is that they contain a large amount of sugar, not only to the metabolism of the kidneys to bring the burden of the weight loss, but also will be the weight loss of people's fat. Whether the kidneys are healthy or not, it is not recommended to choose such water resources.

And salt water, for our people, only in the body dehydration has been very serious case, you can moderate supplement, the rest of the situation, it is not recommended to drink salt water, the kidneys can not regulate the balance of water and salt, there is a risk of aggravating the condition, and more is not a good way to support the kidneys.

I hope my answer can help you!

Water

is the source of life, but also closely related to kidney disease. But how much water you should drink every day is a matter of opinion. Some people say that drinking a lot of water increases the burden on the kidneys and accelerates the decline of kidney function; others believe that drinking more water helps toxin excretion and can prevent kidney disease. Admittedly, for normal people, drinking more water is a good habit, good for health; however, for patients with chronic kidney disease, we can not simply drink more or less good to judge, drink less may not be beneficial, but if you do not according to the condition, blindly pursue the theory of "eight glasses of water a day", I am afraid that it will lead to a big problem, and at this time, rational water consumption is the key. The first thing you need to do is to make sure that you have the right amount of water to drink.

First of all

Chronic kidney disease patients should learn to self-check every day, observe their eyelids with or without edema, press the front of the shins and ankles with or without depression, whether the amount of urine is normal, for chronic nephritis, nephrotic syndrome remission, and chronic renal insufficiency in the early stage of the patient, if there is no discovery of edema, then we should go with the nature of the normal drinking water, do not have to intentionally limit water, especially in the case of diarrhea, heat, and water. Especially in the case of diarrhea and sweating in hot days, if you feel thirsty but still don't replenish water in time, prolonged lack of water will lead to decreased renal perfusion, which is not conducive to the recovery of renal disease. However, in the case of chronic nephritis, nephrotic syndrome combined with edema, chronic renal insufficiency, such as reduced urine output, drinking water can not be arbitrary, because drinking in the discharge, water retention in the body will aggravate edema and hypertension. Mild edema, the amount of water can be slightly controlled; however, in the diabetic nephropathy stage of massive proteinuria, nephrotic syndrome began to develop, or chronic renal insufficiency urine volume significantly reduced, patients often have more serious edema, and even chest tightness, breathlessness, abdominal distension and other symptoms, then you need to strictly control the amount of water, take "measure out for in" principle. In this case, it is necessary to strictly control the amount of drinking water, adopting the principle of "quantity out for quantity in". Generally speaking, you can use the previous day's urine volume +500ml to roughly calculate the amount of water needed that day. In case of fever, diarrhea, vomiting, or heavy sweating that leads to extra water loss, add the corresponding amount of water lost. Meanwhile, don't forget that some foods such as soup, porridge, fruits, milk, vegetables and fruits contain a lot of water, so we need to reduce the amount of water according to the situation of eating, so as to avoid excessive water intake and aggravate edema. Of course, not all kidney disease need to control the amount of water, for kidney stones, urinary tract infection patients can let go of the water, then drink more water to help discharge stones, control the infection.

In addition

There are also a few points to remind kidney disease patients, one is to fix the water cup, know their own day roughly the amount of water; two is to drink in time, do not drink water immediately before and after meals, get up in the morning, between meals are suitable for drinking water; three is not to wait for the thirst of the drink, to develop the habit of drinking water in small sips, many times; four is The first thing you need to do is to eat a light diet, salty cooked food is easy to cause thirst, is not conducive to controlling the amount of water; Fifth, often weigh, if there is a short-term unexplained weight gain, pay attention to observe whether the edema, in order to adjust the daily amount of water.

In short

For patients with kidney disease, drinking more or less is not completely correct, according to the presence or absence of edema, the amount of daily urine reasonable drinking water is the correct way to drink.

Hello, for kidney patients, how to drink a lot of water, replenish water does not only mean drinking water, but also includes fruits, vegetables, porridge and other foods in the water, should be based on the eating situation to increase or decrease the amount of water.

Early chronic kidney disease patients, should drink more water, accelerate metabolism, help detoxification. When feeling thirsty, the body is already in a state of dehydration. If you are chronically dehydrated, your kidneys will be damaged. Then how much water is appropriate to drink? The Chinese Nutrition Society recommends that you should drink at least 1500ml of water every day. However, it is not necessary to drink a full 8 glasses of water. If you eat more fruits and fluids on the same day, you can reduce the amount of water you drink appropriately. If there is diarrhea, fever, heavy sweating, etc., you should also increase the amount of water according to the severity of the situation. The principle of drinking water for patients with chronic kidney disease: measure out for in, a small amount of time.

The total amount of liquid intake to maintain: the previous day's urine + 500ml when there is a serious edema, or oliguria, drinking water can not be normally excreted, will be a large number of piles in the body, aggravate the burden on the heart and kidneys, serious heart failure, you need to limit the amount of drinking water. It is also important to decide on the amount of water to drink according to the individual's condition, physical status, and activity level to avoid taking in too much or too little water. When you are thirsty, you should quickly replenish water, and prolonged dehydration is harmful to the kidneys; don't drink more water when you're not thirsty, so as not to increase the burden on the kidneys.

Kidney patients who are already urine-free or on dialysis need to judge and adjust the amount of drinking water according to their own weight change condition. The way to measure the weight is to choose a fixed point in time to measure every day, such as after waking up, before meals, or before going to bed. The daily weight gain should not exceed 0.5% of body weight, and the weight gain during two dialysis sessions