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Overhydration?


Jenn202
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I thought I would throw this out to you guys..its kind of off of Dizzygirls last post......

I'm curious to know what the problems with Overhydration would be besides Hyponatremia which can easily be monitired with electrolite work ups to make sure sodium levels are stable....

Does anyone know of any other health concerns that overhydration can cause?

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I honestly do not know of what problems can be caused by over hydration.. only that my pcp said tht it an cause some electrolyte imbalances.. other then that i dont know what it can do.. I'[m at a loss.. maybe some of the others can shed some light on htis..as I am curious too as to what others have to say!!

dizz

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Hi,

It happened to me once when I was on DDVAP. I woke up in the middle of the night and could hardly breath because I had water on my lungs. I took a diuretic and within 2-5 hours I felt better. I went to see my PCP the next day and he told me to stop the DDVAP. It never happened again.

I never happend when I have IVs because I am being moniitored by the nurses and doctors.

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I'd never heard of this so now I'm wondering...

I drink about 3-4 liters of fluid a day, but also have a high salt diet. I know this is a common habit among us, so are we at risk? Does the extra salt keep us from overhydrating? and how much fluid is "too much"?

I tried looking this stuff up, but couldn't find any answers.

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i dont know my thought was well.. when they admitt us to the hospital.. they run a constant stream of iv fluid even if you are there 2-3-4-5 days.. so how can that hurt verse.. one lonely liter a week or as needed? I guess I dont understand either.. b/c there are some who say we should drink a gallon of fluid a day.. and other that say a few liters.. I dont know !! i'm confused!!

but the thought of over hydration.. hmm ya got me!.. my friend denise.. she has pots.. she runs 2 liters of Iv fluid thru her a day on top of what she drinks.. I think my doc is just nervous...

i still dont see how a liter once to twice a week is going to hurt..especially if I'm not able to keep fluids down...I cant wait to get the letter from grubb's office!! then maybe things wont be such a pain in the rear to get!!

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Guest Belinda

when I was in hospital reently they gave me a bolus of IV's beause I hadn't peed for quite some time and I was on fluids almost the whole time I was in there except for short time in the beginning..I was told a story once by a doc. that she was working in the ER and they had a guy come in that was dehydrated and she gave him IV's and killed him becasue his kidneys weren't working correctly and it put him into hyperervolemic shock. I think that that is uncommon but I think that is the kind of risk docs are afraid of..

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Thanks for all the replys :)

I looked it up last night and from what I gathered if you have a kidney problem, or other organ problem that causes your body to not properly elmunate fluids then it can be dangerous, like what Belinda wrote about the guy in the ER.

Other than that the only info I got was about Hyponatremia which I have had,and know that it can bemonitored with blood work to make sure electrolites are ok especially sodium levels.

Ernie: When I was on DDAVP I had a terrible time with fluid retention and "overhydration" although I know the fluids were not going to the proper place..going in to the tissue instead of the cells where I needed them thus mamking me dehydrated anyway...... I went off of it last year and so glad I did , but I wonder if the DDAVP did not do something permanent to my Pituitary b/c After going off My body now collects fluid in the tissues.

I am seeing another Endo and Nephrologist so I will bring it up.

I make sure to run IV fluids no quicker then every 8 hours perliter of fluid.

Dizzyirl - I agree 100%... A liter a few times a week is nothing and I cant inagine doing ANY harm ulesss you had big time kidney problems......

I guess Dr's are so afraid of lawsuits nowadays that they dont want to take ANY risk as slight as it may be, but that does not help us...

Then on the flip side they will give patients prescription drugs, many with bad side effects and TONS of possible interactions and think nothing of it HMMMMMmmmmmmmmmmm :)

Just dont get it.

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In convalescent homes, where elderly people who get easily dehydrated are often treated with IV fluids, they always ask about congestive heart failure. I think if the heart is weak, it doesn't pump the fluids out of the lungs and that is a risk for them. Younger folks are less vulnerable from what they have said.

The other thing to watch, however, is that water-soluble vitamins -- especially members of the B-complex -- wash out with fluids: more fluids, less B. I have had periods in my life where I was told to take more B because I have always enjoyed drinking lots of water.

OLL

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Hmm--yeah kidney failure would make sense for the whole filtering process.. but my kidneys work good! one thing in my body that hasnt gone haywire!...

Bev wrote out my order that i recieve no more then i liter in a 24 hour period.. so I really think it'd be ok!!

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Dizzygirl - Thats what I get when I need IV and I do fine.... 1 liter a day is nothing...

SO glad you got the script!!!!!! Now you dont have to worry when you need hydration :blink:

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I have a RX for IV fluids at the hosp. PRN, my PCP agreed to this readily-- he is not a dysautonomia specialist, but said it made "intuitive" sense to him that dysautonomia would affect my body in weird ways that medical science hadn't figured out yet the why's & how's to. (Others, docs, RNS have told me pretty much the same thing when I ask them) (Still no word from Dr. G.) My PCP didn't have a problem with 1 litre/24 hr. There's not too much bad that a litre, when needed, can do to you.

But, yep, it's true, too much too quick can make congestive heart failure worse; back up in your lungs & make it hard/hurt to breathe (I've had it happen, too, Ernie); plus it can wash out electrolytes & watersoluble vitamins. But those of us who need fluids know when we need them, at least I can always tell...I start feeling really really POTSy.

Like others here, I just really don't get this. I am supposed to/do drink at least a gallon/day (most days), & it's not going into the tissues instead of my bloodstream, my kidneys are fine & my lab values are good enough that my insurance won't pay for procit. But then i've seen where it's not recommended for H-type POTS. Why do I have sxs of dehydration/hypovolemia with my H-type POTS, it's not typical? So what's the dilly? I'm still totally confused on this. Maybe there won't be answers in my lifetime? This unproven 'intuitive" theory makes about as much sense to me as anything else. It makes me crazy what we don't know.

I do want to get a port, though, if this IV fluid need keeps up. I go about every 2 days & my veins are getting bruised & hurt. It looks like track marks. But I am so glad that I have a scrip for fluids now when I need them. & I am really glad others here do, too! It makes such a difference, doesn't it?

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Strangest thing I had ever heard came from my cardiologist's nurse, who (when I had severe edema from fluodrocortisone) told me NOT to drink too much water, that it encouraged the body to hold onto it. I had always thought that if you were retaining water, you pushed the fluids to get rid of it, ie. , the best diuretic was water itself.

I was surprised the first course of treatment for NCS seems to be midodrine and/or fluodrocortisone, neither of which worked for me as I have a tendency to swell anyway -- have all of my life.

What I have found so exasperating is the "try and see" approach to these disorders. After a few really bad experiences, I find myself less and less willing sometimes "to try" anything.

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