From how frequently you shower to how regularly you do your grocery, the COVID-19 pandemic has made many changes to our everyday schedules, including how we approach drinking water. With plans changing so regularly, it's not difficult to neglect routines like keeping a water bottle in your work area that used to be essential for your everyday life.
Our body is around 60% water, so guaranteeing we're focusing on our water intake is essential, regardless of what is happening around us. Hydration is a vital foundation to ideal wellbeing and nourishment. Getting the perfect amount of liquids is critical for controlling internal heat level, supporting digestion, absorbing nutrients, eliminating waste from the body, protecting tissue and the spinal cord, just as keeping organ systems working fit.
How much do you need to drink every day?
A healthy individual must drink around 25 to 30 milliliters of liquid per kilogram of body weight daily to remain hydrated.
Someone weighing 60 kilos should drink at least 1.5 liters (6 cups) of liquid, while someone weighing 80 kilos should drink 2 liters (8 cups).
Yet, that is not all. Your body likewise loses water in specific circumstances - like sweating in hot weather, from exercise or a fever, or through diarrhea and vomiting- which additionally should be restored.
In case you have a fever (a key symptom related to COVID-19), it is suggested to drink an additional 500 ml (2 cups) of liquid daily. What's more, if you have diarrhea or vomiting, you ought to ensure you're restoring that lost water by drinking more water as the day progresses.
Symptoms of Dehydration
- Dark yellow and strong-smelling urine
- Peeing little and fewer than four times a day
- Dry mouth and skin
- Poor concentration
- Feeling tired and dizzy
- Confusion and agitation
Dehydration in COVID Patients
Assessing hydration status is challenging, as hematological and urinary biomarkers don't generally mirror a patient's actual state until severe dehydration grows. Mild dehydration might be missed, misdiagnosed, or misused. The latter is seen in older patients being admitted for social reasons.
Moreover, infection and dehydration regularly exist together at diagnosis, making it hard to build up, which grew first. Various research has shown that COVID-19 patients regularly present with dehydration or 'hypernatremia' (where an individual has an excess of sodium in their blood), here and there, without different indications. Fluid insufficiency is a typical reason for hypernatremia, and young and old patients are at the highest risk. Hypernatremia has been documented in paediatric4 and more seasoned COVID-19 patients, just as in other age groups. Studies additionally reported that hypernatremia at admission was a prognostic factor for higher morbidity and mortality.
Dehydration can likewise grow later as the development advances. One review point-prevalent study of hypernatremia in 17 ICU patients with SARS-CoV-2-induced acute respiratory distress syndrome (ARDS) detailed that nine individuals became hypernatremic following admission to ICU. The authors reasoned that since urine osmolarity was in a typical reach and patients were kept up with no fluid balance, and dehydration likely happened because of insensible liquid loss through skin and breathing. This isn't unexpected in patients who were reasonably pyrexic.
Well-qualified assessment contrasts, yet some suggest as much as 500ml of extra liquid per one level of fever. Notwithstanding, it may very well be contended that patients created hypernatremia because of impaired kidney function coming about because of infection. Kidneys have been accounted for to be disproportionately influenced by the SARS-CoV-2 virus, and unusual sodium reabsorption with expanded urine yield has additionally been described. However, the authors of the above overview likewise revealed that urine osmolarity was typical and the sodium admission was similar to different patients, affirming that hypernatremia was because of liquid deficit.
The risk of drinking too much water.
While staying hydrated, be mindful so as not to try too hard. Drinking extreme amounts of liquid doesn't work on your wellbeing or 'flush out an ailment,' and it tends to be exceptionally risky.
Water intoxication, if untreated, can prompt seizures, loss of consciousness, coma, and even death.
In case you've been drinking a surprisingly large amount of fluid, like a couple of liters of liquid consistently for quite some time, pay special mind to these signs of overhydration:
- Muscle cramp, spasm, and weakness
- Feeling sick and vomiting
- Feeling tired and dizzy
- Confusion and agitation
Some of these signs are the same as those of dehydration. However, the critical distinction is the color and volume of your urine. Drinking a ton of water will cause frequent peeing, and your pee will be exceptionally pale, nearly water-like.
Is rehydration the appropriate response?
Shockingly, one more element of COVID-19 might be 'hyponatremia,' something contrary to hypernatremia – low sodium levels in the blood.
A few studies showed that in COVID-19 patients, hyponatremia was more common than hypernatremia at admission and that it was fundamentally more common at admission than in non-COVID-19 patients giving comparable indications. Studies assessed that hyponatremia was likewise a risk for disease severity and mortality when contrasted with COVID-19 patients with typical sodium levels. Confronted with a great extent of hyponatremic patients, clinicians might hesitate to give extra liquids to COVID-19 patients.
Nonetheless, one study demonstrated that patients encountered a gradual increase in serum sodium levels after hospital admission and that some hyponatremic patients later turned hypernatremic. Experts also revealed that these patients whose sodium levels expanded after hospital admission were more likely to die. Curiously, they additionally revealed that hyponatremia was not related to raised mortality besides in one group of patients who were likewise hypovolemic, in this way recommending that it isn't the electrolyte imbalance yet liquid deficit which is a danger factor for higher mortality.
COVID-19, like other infectious illnesses influencing the respiratory tract, generally brings about dehydration. This is most likely because of reasonable and apathetic liquid losses, just as the inability of certain patients to restore lost liquids. Liquid shortage appears to grow gradually in COVID-19 patients and might be available in people paying little heed to their electrolyte status. This makes it especially challenging for clinicians to diagnose and manage; however, doing so will undoubtedly save lives.
Stay Hydrated During Covid-19
Below are how to best stay away from dehydration during these trying times.
1. Be aware of your needs.
2. Choose food sources that aid you with achieving your fluid intake.
- Brussels Sprouts
- Bell Peppers
- Green Cabbage
3. Pay attention to your body's signs.
4. Keep it creative.
5. Hydrate even at party time.
While many routines have changed, there are as yet adequate freedoms to refreshingly hydrating for the day. Whether you center around food varieties, refreshments, or both, the many advantages of appropriate hydration make these sound changes beneficial.
Start little, keep tabs on your development, and appreciate feeling good, looking better, and realizing that you're showing extra concern for your hard-working body.