Do you advise your patients with CKD to consume a set amount of fluids daily in an attempt to prevent disease progression?

Guidelines regarding the number of ounces or Liters per day of fluid intake are conflicting and may vary depending on comorbidity.

Answer from: at Academic Institution

No. I advise them to limit fluid intake and drink only according to thirst. There 3 caveats to this.Patients with a history of kidney stones need to drink more water.Patients with hypernatremia need to drink more water. Whether drinking more water will prevent bladder cancer has been debated, but I ...

Comments

at The Dialysis Center At Waltham
I agree, advising drinking extra water is dangerou...

at The Dialysis Center At Waltham
Also to reduce the risk of bladder cancer extra wa...

Answer from: at Community Practice

I do not. I advise them to drink as dictated by thirst and to avoid feeling "dehydrated".

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Do you advise your patients with CKD to consume a set amount of fluids daily in an attempt to prevent disease progression?

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