How can dialysis patients manage their fluid intake?

 Dialysis patients need to manage their fluid intake to avoid fluid overload, which can cause swelling, high blood pressure, and other health problems

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. Here are some tips for managing fluid intake:

• Limit fluid intake to the amount recommended by your healthcare team. Most dialysis patients need to limit fluid intake to about 32 ounces or 4 cups per day
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• Track your fluid intake. Use a container that you can mark or keep a journal of every liquid you have on a daily basis
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• Manage your thirst. Your dietitian can help you find ways to manage your thirst, such as sugar-free hard candies, ice chips, or frozen grapes. This will help you avoid drinking too much fluid between dialysis treatments
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• Limit your sodium intake. Sodium, in the form of salt, causes your body to hold on to water. Too much salt in your diet will increase your chances of fluid overload and make it more difficult to remove fluid during dialysis
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• Adjust your dialysis. If fluid overload becomes a concern, talk with your healthcare team about adjusting your dialysis treatment
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It's important to work with a renal dietitian to create a food and fluid plan that guides your daily choices

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. Your nutrition needs may vary depending on the type of dialysis treatment you receive

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.Remember that each person's fluid intake needs may be a little different, so it's important to talk with your healthcare provider about your specific fluid intake needs

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. If you have any questions or concerns about your fluid intake, be sure to talk to your healthcare provider or a renal dietitian.

Sources

1. Journal of Renal Nutrition: Tips for Dialysis Patients With Fluid Restrictions
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2. National Kidney Foundation: Fluid Overload in a Dialysis Patient
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3. Journal of Renal Nutrition: Tips for Dialysis Patients With Fluid Restrictions (PDF) 
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4. Fresenius Kidney Care: Managing Fluid Intake on Dialysis
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5. Dialysis Dietitian: Fluid Restriction On Dialysis
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6. National Kidney Foundation: Thirst Tips for Dialysis Patients
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7. Nephrology Associates of Michigan: Fluid and Sodium Restriction for Hemodialysis Patients
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8. DaVita: Fluid Control for Kidney Disease Patients on Dialysis
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9. PMC: Fluid and hemodynamic management in hemodialysis patients: challenges and opportunities
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10. PMC: Patient Perspectives on Fluid Management in Chronic Hemodialysis
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11. American Dialysis Centers: Tips to Control Your Fluid Intake During Dialysis
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12. ESRD NCC: Your Fluid Intake Matters! (PDF) 
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13. Health Systems Inc.: Fluid Intake for Dialysis Patients with Renal Dietitian Manager
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