POZ Community Forums
Main Forums => Living With HIV => Topic started by: blondbeauty on September 04, 2006, 07:08:22 am
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Since starting meds I decided to follow the advise of many people in this forums. I am drinking much more water than before. Maybe 4 or 5 litres a day. But I have read that amount of water can wash away all the vitamins and minerals from the body and there is a name for people who drink such amount of water: potomaniacs.
But the more I drink the more I get used to it.... My pee is no longer yellow. It looks just like water. Only in the mornings it has some colour (maybe because of the meds...) :-\
I am affraid so much water can clear the meds from my blood and lower the levels to un unsafe threshold...
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I think the rule of thumb with water is, what ever your weight is, divide that by half, and that's how many ounces you should drink in a day. For instance, if you weigh 150 pounds, you would need to drink 75 oz a day.
I try to drink as much as I can, and enough to keep my pee clear. In the mornings, it will always be more concentrated.. that's normal.
Try to keep a healthy balance and not drink way too much water. That's not good either.
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Hello ,
Too much of anything, including water may not be good for you. This link will give you some more ifo also:
http://www.cnn.com/HEALTH/library/NU/00283.html
HOW MUCH WATER DO YOU NEED?
Every day you lose water through your breath, perspiration, urine and bowel movements. For your body to function properly, you must replenish its water supply by consuming beverages and foods that contain water.
A couple of approaches attempt to approximate water needs for the average, healthy adult living in a temperate climate.
Replacement approach. The average urine output for adults is 1.5 liters a day. You lose close to an additional liter of water a day through breathing, sweating and bowel movements. Food usually accounts for 20 percent of your total fluid intake, so if you consume 2 liters of water or other beverages a day (a little more than 8 cups) along with your normal diet, you will typically replace the lost fluids.
Dietary recommendations. The Institute of Medicine advises that men consume roughly 3.0 liters (about 13 cups) of total beverages a day and women consume 2.2 liters (about 9 cups) of total beverages a day.
Even apart from the above approaches, it is generally the case that if you drink enough fluid so that you rarely feel thirsty and produce between one and two liters of colorless or slightly yellow urine a day, your fluid intake is probably adequate.
Factors that influence water needs
You may need to modify your total fluid intake depending on how active you are, the climate you live in, your health status, and if you're pregnant or breast-feeding.
Exercise. The more you exercise, the more fluid you'll need to keep your body hydrated. An extra 1 or 2 cups of water should suffice for short bouts of exercise, but intense exercise lasting more than an hour (for example, running a marathon) requires additional fluid. How much additional fluid is needed depends on how much you sweat during the exercise, but 13 to26 ounces (or about 2 to 3 cups) an hour will generally be adequate, unless the weather is exceptionally warm.
During long bouts of intense exercise, it's best to use a sports drink that contains sodium, as this will help replace sodium lost in sweat and reduce the chances of developing hyponatremia, which can be life-threatening. Fluid also should be replaced after exercise. Drinking 16 ounces of fluid per pound of body weight lost during exercise is recommended.
Environment. Hot or humid weather can make you sweat and requires additional intake of fluid. Heated indoor air also can cause your skin to lose moisture during wintertime. Further, altitudes greater than 2,500 meters (8,200 feet) may trigger increased urination and more rapid breathing, which use up more of your fluid reserves.
Illnesses or health conditions. Signs of illnesses, such as fever, vomiting and diarrhea, cause your body to lose additional fluids. In these cases you should drink more water and may even need oral rehydration solutions, such as Gatorade, Powerade or Ceralyte. Certain conditions, including bladder infections or urinary tract stones, also require increased water intake. On the other hand, certain conditions such as heart failure and some types of kidney, liver and adrenal diseases may impair excretion of water and even require that you limit your fluid intake.
Pregnancy or breast-feeding. Women who are expecting or breast-feeding need additional fluids to stay hydrated. Large amounts of fluid are lost especially when nursing. The Institute of Medicine recommends that pregnant women drink 2.4 liters (about 10 cups) of fluids daily and women who breast-feed consume 3.0 liters (about 12.5 cups) of fluids a day.
Beyond the tap: Other sources of water
Although it's a great idea to keep water within reach at all times, you don't need to rely only on what you drink to satisfy your fluid needs. What you eat also provides a significant portion of your fluid needs. On average, food provides about 20 percent of total water intake, while the remaining 80 percent comes from water and beverages of all kinds.
For example, many fruits and vegetables — such as watermelon and cucumbers — are nearly 100 percent water by weight. Beverages such as milk and juice are also comprised mostly of water. Even beer, wine and caffeinated beverages such as coffee, tea or soda can contribute, but these should not be a major portion of your daily total fluid intake. Water is one of your best bets because it's calorie-free, inexpensive and readily available.
Dehydration and complications
Failing to take in more water than your body uses can lead to dehydration. Even mild dehydration — as little as a 1 percent to 2 percent loss of your body weight — can sap your energy and make you tired. Common causes of dehydration include strenuous activity, excessive sweating, vomiting and diarrhea.
Signs and symptoms of dehydration include:
Mild to excessive thirst
Fatigue
Headache
Dry mouth
Little or no urination
Muscle weakness
Dizziness
Lightheadedness
Mild dehydration rarely results in complications — as long as the fluid is replaced quickly — but more-severe cases can be life-threatening, especially in the very young and the elderly. In extreme situations, fluids or electrolytes may need to be delivered intravenously.
Staying safely hydrated
It's generally not a good idea to use thirst alone as a guide for when to drink. By the time one becomes thirsty, it is possible to already be slightly dehydrated. Further, be aware that as you get older your body is less able to sense dehydration and send your brain signals of thirst. Excessive thirst and increased urination can be signs of a more serious medical condition. Talk to your doctor if you experience either.
To ward off dehydration and make sure your body has the fluids it needs, make water your beverage of choice. Nearly every healthy adult can consider the following:
Drink a glass of water with each meal and between each meal.
Hydrate before, during and after exercise.
Substitute sparkling water for alcoholic drinks at social gatherings.
If you drink water from a bottle, thoroughly clean or replace the bottle often. Refill only bottles that are designed for reuse.
Though uncommon, it is possible to drink too much water. When your kidneys are unable to excrete the excess water, the electrolyte (mineral) content of the blood is diluted, resulting in a condition called hyponatremia (low sodium levels in the blood). Endurance athletes — such as marathon runners — who drink large amounts of water are at higher risk of hyponatremia. In general, though, drinking too much water is rare in healthy adults who consume an average American diet.
If you're concerned about your fluid intake, check with your doctor or a registered dietitian. He or she can help you determine the amount of water that's best for you.
May 23, 2006
© 1998-2006 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "Mayo Clinic Health Information," "Reliable information for a healthier life" and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research. Terms of Use.
Take Care-----Ray
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Juan,
I drink two and a half bottles of water a day and doc says it is more than enough! I'm 1,75 tall and weigh 70kg.
Val
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Does water in the coffee count? Eep
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Val, how big are those bottles ::) ?
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My pee is no longer yellow. It looks just like water. Only in the mornings it has some colour (maybe because of the meds...
I always thought having yellow pee wasn't a good thing....that you wanted it mostly clear. I can't imagine HIV drugs would wash away. I don't think they work like that, so you're probably okay.
Your doctor will do normal blood tests every 3 months. If your sodium levels are too low then that may be an indication that you are drinking too much water. But I don't think this is a risk for most people, so I wouldn't worry too much about it.
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Juan, I would add if you're experiencing temporary insanity and/or giddiness that's hard to contain and clearly abnormal, those might very well be side effects of too much water.
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Joe,
I drink Contrex 1,5 Litres, and sometimes I switch to Evian (same size). Does size matter in this case? ;)
Val
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Since starting meds I decided to follow the advise of many people in this forums. I am drinking much more water than before. Maybe 4 or 5 litres a day. But I have read that amount of water can wash away all the vitamins and minerals from the body and there is a name for people who drink such amount of water: potomaniacs.
But the more I drink the more I get used to it.... My pee is no longer yellow. It looks just like water. Only in the mornings it has some colour (maybe because of the meds...) :-\
I am affraid so much water can clear the meds from my blood and lower the levels to un unsafe threshold...
Juan,
five liters might be above your needs but since you spend a lot of times in airplanes drinking a lot is good. The air inside an airplane is particularily dry. I go for about 3 to 3.5 liters a day of water. Coffee and tea hardly count as their effect is to dehydrate you (as do alcoholic drinks). Also, a lot of water will help your body flush toxins.
Pat
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Thank you Ray for that ecellent quality information. Izpoz, Val and Pat, thank you! The temperature here in Madrid is too high these days...