Dehydration is a serious problem among the elderly. It can actually be a cause of death in older people, so it is important to address the situation early. Drinking small sips throughout the day is the best way to combat dehydration, and water is the drink of choice. Of course, it is wise to check with your doctor before starting on any new plan to increase your fluids. If you have kidney disease or are on certain medications, your doctor might not want you to take in too much fluid. Ask him first to be safe.
Hydration and Elderly
The elderly are at high risk of dehydration for several reasons, one reason being because they do not experience thirst in the same way as younger people, according to "Strategies for Ensuring Good Hydration in the Elderly." There are also changes to the composition of body fat and muscle, kidney function and other physiological processes that affect how the elderly process and maintain fluids. Such factors as vision problems, cognitive deficits and medications that specifically cause dehydration put older people at higher risk for severe dehydration.
Hydration Recommendations
The University of Nevada recommends that the elderly get 48 to 64 oz. of fluids per day. Some hydration can come from food, such as fruits and vegetables, but concerns have been raised as to whether drinking too much water is bad for older kidneys. Ask your doctor if you need to be careful of your fluid intake. Because an older person does not feel thirsty until the situation has become critical, it is important to drink often. Sources such as water, juice, sports drinks, soup and gelatin are all recommended. Alcohol and drinks with caffeine should be avoided because they have a dehydrating effect.
Signs of Dehydration
Recognizing the signs of dehydration early might help save a life. If the weather is hot or you have been sick with a fever, you might be at increased risk for dehydration. Medications such as water pills also increase your risk. Dry mouth, sunken eyes and tiredness can indicate dehydration. One important detail to watch is your urine output. If you are not urinating or your urine is a very dark yellow, you might be dehydrated. Thirst is an advanced sign of dehydration and might not present for many older adults.
Hydration and Incontinence
One reason some older people suffer from dehydration is a fear of incontinence. Instead of running the risk of an embarrassing accident, you decide not to drink at all or to drink very little. This can lead to severe dehydration that could easily be prevented. If you are worried that you might have an accident, steps can be taken to prevent incontinence problems. Emptying your bladder whenever a bathroom is available can be a helpful strategy to avoid an accident. You can also get special undergarments that deal with the problem. According to the University of Nevada, your doctor can provide you with a list of pelvic floor exercises that might help you control your incontinence. Medications are available for overactive bladders that could be of use to you. Find a solution other than avoiding water. Hydration is important to your health.
