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Elderly parents

Why do elderly people refuse to drink sufficient fluid?

290 replies

Disscombobulated · 21/03/2025 16:18

I care for my FIL, who lives with us. He has a number of complex medical issues, the most recent being kidney failure and the a UTI.

Despite years of nagging I simply can’t get him to take in sufficient fluids to stay hydrated. He is perfectly lucid (most of the time) but can’t grasp the concept of water improving his quality of life. I have tried literally every angle of discussion… including having pretty brutal conversations about him, his clothes and my house smelling because his urine is so concentrated. He just doesn’t seem to care, or have any respect for me who is dealing with the consequences, such as hospital admissions, clearing up after ‘accidents’ and all the additional cleaning involved.

numerous medical professionals have told him that he must drink 3L a day.

I am now at the stage where I am so frustrated that I don’t know if I can continue to do this.

Any advice would be appreciated, or do I simply let it go and let the worst happen?

OP posts:
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wendywoopywoo222 · 21/03/2025 17:19

I buy jelly drop sweets for my dad to up his fluid a little. They are 95% water. You will find them if you google jelly drop sweets for the elderly. Dad happily has a couple of packs a day.

Westfacing · 21/03/2025 17:19

He needs to drink at least 1.2 litres of fluids a day - not 3L!

Will he drink a beer a day?

Disscombobulated · 21/03/2025 17:19

faerietales · 21/03/2025 17:18

There must be some kind of liquid he likes - cuppa soups, fizzy drinks, fruit juice, squash, sparkling water, flavoured milk? It really doesn't matter what it is.

Only whisky I am afraid and he really isn’t allowed that!

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Disscombobulated · 21/03/2025 17:18

allthemiddlechildrenoftheworld · 21/03/2025 17:10

@Disscombobulated is he dribbling in his trousers to make your house smell?? are his trousers stained and does he bathe or shower regularly?

Unfortunately he does dribble, and have the odd accident - this is no big deal and I always tell him it’s not a problem - the problem is that he is so dehydrated all the time the urine smell is much worse than it should be. He wears incontinence underwear.

The washing is another battle - I expect him to shower every day, he can manage to do this just fine but is profoundly lazy, and sometimes skips it if he thinks he can get away with it, or doesn’t use and soap. Likewise hand washing is a constant battle.

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faerietales · 21/03/2025 17:18

There must be some kind of liquid he likes - cuppa soups, fizzy drinks, fruit juice, squash, sparkling water, flavoured milk? It really doesn't matter what it is.

Hippobot · 21/03/2025 17:18

There are ways to get fluids in that don't involve drinking loads of water though. Fruits like watermelon or vegetables like cucumber are good to add in. Juices and flavoured waters would be better than nothing (although obviously not healthy). But I'd try the food route as well. Ice lollies can be helpful, tinned fruit where you serve the juice that the fruit came in with the fruit. Even jelly and ice cream gets some fluid in.

Greybeardy · 21/03/2025 17:16

not many older folk at all need 3L of fluid a day. That much fluid (any fluid, but particularly water) could in fact be quite bad for the average older person. Gents of a certain age also suffer with their prostates a bit more than the average MN'er and if you're up to the loo every hour every night because you've drunk what your younger, prostate-less relative thinks you should, then life becomes pretty miserable.

Coffeeishot · 21/03/2025 17:16

Disscombobulated · 21/03/2025 17:13

Because he has had kidney failure through dehydration I guess. Unfortunately he doesn’t drink Tea or Coffee, I can occasionally tempt him with a hot chocolate, but that is rare.

So he never drinks anything?

Lovelysausagedogscrumpy · 21/03/2025 17:15

Pushmepullyou · 21/03/2025 16:26

Why on earth does he need to drink 3L of fluid a day? That’s a ridiculously high amount for most people. Can he have a couple of extra cups of tea or something to help sneak it up?

This is what I thought to be honest. My mum is 94 and has dementia. It’s very difficult to get her to drink water and the advice from continence services is a limit of 1.5 litres a day - which is enough to keep her hydrated, so her urine isn’t concentrated and kidneys are functioning normally. it wasn’t all recommended as water intake either - tea, fruit juice and whatever else she drinks all counted. Three litres is too much in my opinion and it’s no wonder he’s distressed.

Jane958 · 21/03/2025 17:15

This is a contentious subject.
My late husband's grandfather died because he was not given enough water after an operation.
My parents complained that they were "up all night" going to the loo, after drinking the local mineral water I provided, when they stayed with me.
Where I live, it is normal to drink bottled mineral water, I drink between 2 and 3 litres per day.
If you are in the UK and have to drink heavily chlorinated tap water, I can completely understand why this would not be so appealing.

Maia77 · 21/03/2025 17:14

He can get a lot of fluid from food - soups, stews, fruit, herbal teas...

Disscombobulated · 21/03/2025 17:13

Pushmepullyou · 21/03/2025 16:26

Why on earth does he need to drink 3L of fluid a day? That’s a ridiculously high amount for most people. Can he have a couple of extra cups of tea or something to help sneak it up?

Because he has had kidney failure through dehydration I guess. Unfortunately he doesn’t drink Tea or Coffee, I can occasionally tempt him with a hot chocolate, but that is rare.

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Hippobot · 21/03/2025 17:13

This is extremely common (have worked for years with elderly). The main reason I have found is that they don't want to have to go to the toilet; for various reasons e.g. poor mobility, worried they will wet themselves if they drink more or are just lazy and can't be bothered. Also, they come from a generation where people drank with meals and didnt constantly drink all day long like folk do now. They simply aren't used to drinking all day long - no carrying water bottles around with them when they were younger. They don't realise that they need more fluid as they age. Medications can mean they need to drink more, or their bodies don't metabolise as efficiently and they can be prone to constipation and UTIs. 3L seems excessive though and drinking that much could actually be dangerous and disrupt electrolyte balance.

allthemiddlechildrenoftheworld · 21/03/2025 17:10

@Disscombobulated is he dribbling in his trousers to make your house smell?? are his trousers stained and does he bathe or shower regularly?

BobbyBiscuits · 21/03/2025 17:09

I think the culture of constantly drinking water, having a water bottle next to you, is a generational thing. Even people in their mid 40s weren't brought up to have bottles of water and to drink two litres a day etc.
My elderly mum finds water very boring but does like tea and soup.
It could be to do with a medical problem with swallowing also?
Not to mention bladder weakness and incontinence which might discourage someone from drinking.
Just offer interesting liquids. Even ice cream is liquid of sorts!

Nevertrustacop · 21/03/2025 17:06

Please don't make him drink water. What does he enjoy drinking? Give him that. Squash, juice, tea, coffee, lollies, soup, salad, sorbets, fruits, milk even a shandy would be great.

MaryGreenhill · 21/03/2025 17:06

You could get him a urine bottle like they use in hospital if he's afraid to get to the loo in time .

faerietales · 21/03/2025 17:05

As you get older, it gets harder to recognise thirst.

You also have the issue of mobility (and getting to the toilet in time) and incontinence - many people would rather not drink than risk having an accident.

I would focus more on foods with lots of liquid - soup, stews, pasta with sauce, roast dinner with gravy etc, or even things like ice lollies. Drinks-wise it doesn't need to be water - tea, coffee etc. are all fine too.

stayathomer · 21/03/2025 17:04

3l?!?!? Fecking hell!! Op now I’ve had four kids and am 44. I am rushing to the toilet constantly after one litre and dreading going for the 2! I’d guess when you can’t rush to make it to the toilet life is all forms of hell. Blown away by 3l- surely they can do something better than that?

ps sorry to ‘when I was young’ you, but when I was young everyone just drank the odd glass of tap water, it was mostly milk and tea. There’s got to be a middle ground between the ridiculousness now. (Oh god I’m old and grumpy amn’t I?!?!?)

Lifestooshort71 · 21/03/2025 16:59

I'm in my 70s, active and go out most days but I restrict my fluids unless I know for a fact that there will be public toilets available that are clean and easy to find. I squeeze out every last drop on the loo at home and can then go for about 5hrs without a pee as long as I don't drink anything! Yes, I know it's bad for me. In the evenings I don't drink because I'm fed up with getting up twice in the night to pee - where does it all come from?! I don't know what the answer is tbh 🤷

varden · 21/03/2025 16:59

ArtTheClownIsNotAMime · 21/03/2025 16:54

This man has kidney failure and gets UTIs.

Fair enough, but does he need 3 litres of the stuff every day? If the hospital/medics think so and he is not doing it, then he should have a drip every so often I reckon to help his condition. I am sure there are ways around it other than forcing an ill man to drink that much if he doesn't feel like it, or doesn't want to. It's one thing drinking lots of water by choice but it's quite another if one feels forced to do it.

simpledeer · 21/03/2025 16:57

Obviously it’s to avoid the accidents.

borntobequiet · 21/03/2025 16:56

Three litres a day is bonkers.

Coffeeishot · 21/03/2025 16:55

My Aunt has dementia and I know her family struggle to get her to drink anything it's a sip of this or that, she is mobile so pours drinks down the sink saying she's finished,