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September 12, 2016 | Sports Fitness and Physical Therapy
Specialties:Sports Fitness and Physical Therapy

We hear plenty about the importance of drinking enough water. But is it possible to drink too much?
Yes. While staying hydrated is important for your health, more water isn’t always better. Drinking excessive amounts of water—especially in a short period—can disrupt the balance of sodium and other electrolytes in your body and, in rare cases, become dangerous.
So, how much water should you drink every day, and how can you tell whether you’re getting too much or too little? Here’s what to know about healthy hydration.
You’ve probably heard the advice to drink eight 8-ounce glasses of water per day. That’s an easy rule to remember, but there isn’t one ideal amount that applies to everyone.
Your hydration needs can vary based on your age, body size, activity level, climate, diet, pregnancy or breastfeeding, medications and certain health conditions.
According to the National Academies of Sciences, Engineering, and Medicine a general guideline for daily water intake from all beverages and foods is:
Importantly, those numbers don’t mean you need to drink that much plain water. They represent total water intake, including water from other beverages and foods. Fruits, vegetables, soups, and many other foods contribute to your daily hydration.
For most healthy adults, thirst can also be a useful guide. Drinking when you’re thirsty and regularly consuming fluids throughout the day is often a better approach than trying to hit an arbitrary number.
A water intake calculator can provide a general estimate of how much fluid you may need, but it can’t account for every factor that affects hydration.
You may need more fluids when you:
Certain medical conditions and medications can also affect how much fluid you should consume. People with kidney, heart or liver conditions, for example, may receive specific fluid recommendations from their healthcare provider.
That’s why daily hydration recommendations should be viewed as guidelines rather than rigid goals.
Although uncommon, drinking too much water can be dangerous.
Your kidneys help remove excess water from your body. But when you consume water faster than your body can eliminate it, the extra fluid can dilute the sodium in your blood.
This condition is known as hyponatremia. Sodium is an important electrolyte that helps regulate fluid balance and supports normal nerve and muscle function. When sodium levels become dangerously low, water can move into your body’s cells and cause them to swell.
Severe hyponatremia can be a medical emergency.
Overhydration is more likely to occur when someone drinks very large quantities of water over a relatively short period. Endurance athletes can also be at risk if they replace large amounts of sweat with only plain water without adequately replacing electrolytes.
So, what are the signs of overhydration?
Early symptoms of an electrolyte imbalance caused by excessive water intake can be easy to mistake for other problems. Symptoms of hyponatremia may include:
Severe cases can cause seizures, loss of consciousness, or other life-threatening complications and require immediate medical attention.
Urine color can sometimes provide a general clue about hydration. Pale yellow urine typically suggests adequate hydration, while darker yellow urine may indicate that you need more fluids. Completely clear urine throughout the day can sometimes indicate that you’re consuming more water than you need, although urine color alone isn’t enough to diagnose overhydration.
There isn’t a single number that defines how much water is too much for everyone.
The amount your body can safely handle depends on factors such as kidney function, activity, environmental conditions, and how quickly you’re drinking.
The rate of consumption matters. Drinking several liters of water rapidly is much different from consuming the same amount gradually throughout an entire day.
Rather than forcing yourself to drink large quantities of water to reach a specific target, pay attention to thirst, activity, and other factors that influence your body’s fluid needs.
For most people performing normal daily activities, water and a balanced diet provide what the body needs for healthy hydration.
Sports drinks and electrolyte products aren’t necessary every time you exercise. They may be useful during prolonged or intense exercise, particularly when you’re sweating heavily for an extended period or exercising in hot conditions.
The goal is to replace both the fluids and electrolytes your body loses—not simply to consume as much water as possible.
The best way to stay hydrated is usually simpler than you might think. Instead of obsessing over an exact number of ounces, build regular hydration into your day.
Drink when you’re thirsty, keep water available throughout the day, and increase your fluid intake when you’re exercising or spending time in hot weather. Eating fruits and vegetables can also contribute to your fluid intake.
Most importantly, listen to your body. Both dehydration and overhydration can cause problems, and hydration needs aren’t the same for everyone.
If you’ve ever searched “how much water should I drink?”, the answer isn’t necessarily eight glasses—or a number generated by a formula.
Your ideal daily water intake depends on you.
For most healthy people, drinking according to thirst, consuming fluids regularly throughout the day, and adjusting for exercise, weather, and other circumstances can help maintain proper hydration. There’s generally no need to force yourself to drink large quantities of water simply to reach a predetermined goal.
If you’re frequently extremely thirsty, urinating much more or less than usual, struggling to stay hydrated, or unsure how much water you should drink because of a medical condition or medication, talk to a Revere Health primary care provider today. They can help determine a hydration strategy that’s appropriate for your individual health needs.
WRITTEN BY:
The Live Better Team

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This information is not intended to replace the advice of a medical professional. You should always consult your doctor before making decisions about your health.