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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:
Thread gallery
9
BlarneyGirl · 22/03/2025 18:36

I look after a lady with dementia but getting her to drink fluids is very hard, so we bought Jellydrops which are 95% her daily fluid intake

ClarasSisters · 22/03/2025 18:36

Disscombobulated · 22/03/2025 17:44

Are you a urologist? respecting your position as a doctor please tell me why you know more than numerous medical professionals who have been apprised of his specific condition and informed us that he should consume 3L?

I am somewhat frustrated at the number of people telling me that I am wrong on this thread. I didn’t actually ask for medical diagnosis, I asked how I can get him to drink more as his medical team have advised he should.

I understand you're frustrated, but I agree with@Destiny123 - patients I've worked with who have late stage kidney failure are often fluid restricted. That doesn't mean @Destiny123 thinks they know better than the team supporting your fil, nor does it mean you haven't been told to ensure he has 3 litres a day.

Hopefully you're able to try some of the ideas you've picked up and fil will up his fluid intake.

Disscombobulated · 22/03/2025 18:29

ArtTheClownIsNotAMime · 22/03/2025 17:48

I don't know how you've been so calm with all these idiots who can't be bothered to read the thread or think they know better than his doctors. You're a better woman than me.

I have been here since ‘09, back then it was usual to get helpful advice on any subject.
on this thread I have been constantly told I am wrong, been interrogated as to my medical qualifications and practically accused of abuse, oh and also someone suggested I put him in a home as they didn’t think we were compatible … FFS, he is practically my dad, I love and cherish him, all I wanted was a bit of bleeding help
to encourage him to drink fluids!!!

OP posts:
Disscombobulated · 22/03/2025 18:24

Grandame · 22/03/2025 17:51

I’m elderly and have been told to drink more water because of heart problems. One of my friends advised me to buy an ioniser and drink ionised water. I can offer no logical explanation but have found it easier to drink ionised water - I don’t feel as bloated as I do when I drink tap water.

Interesting thanks - I will try anything

OP posts:
Grandame · 22/03/2025 17:51

I’m elderly and have been told to drink more water because of heart problems. One of my friends advised me to buy an ioniser and drink ionised water. I can offer no logical explanation but have found it easier to drink ionised water - I don’t feel as bloated as I do when I drink tap water.

ArtTheClownIsNotAMime · 22/03/2025 17:48

Disscombobulated · 22/03/2025 17:44

Are you a urologist? respecting your position as a doctor please tell me why you know more than numerous medical professionals who have been apprised of his specific condition and informed us that he should consume 3L?

I am somewhat frustrated at the number of people telling me that I am wrong on this thread. I didn’t actually ask for medical diagnosis, I asked how I can get him to drink more as his medical team have advised he should.

I don't know how you've been so calm with all these idiots who can't be bothered to read the thread or think they know better than his doctors. You're a better woman than me.

Ilovelowry · 22/03/2025 17:47

KnickerlessParsons · 22/03/2025 09:47

3L is crazy. If I drank 3 litres of water every day I’d never get anything done. I’d be going to the toilet every 10 minutes.

You get used to it. I drink 4L a day with tea and coffee on top.

I probably go 8-10 times a day from waking till bed. I drink this much to avoid constipation and because I take laxatives. I do have an electrolyte tablet in one of the pints too.

That said I am able to down my water, a pint or two pints in one go. I'm not constantly sipping, which is probably the challenge that the OP has with her father. My parents would never down a a pint of water, never mind two.

Disscombobulated · 22/03/2025 17:44

Destiny123 · 22/03/2025 11:47

To be honest, as a Dr, he has kidney failure doesn't make any sense, the vast majority of patients at the more severe end of kidney failure are actually put on daily fluid restrictions as the kidneys struggle to get rid of water and it accumulates. Most with kidney failure are fluid restricted to 750ml-1l / day intake

Are you a urologist? respecting your position as a doctor please tell me why you know more than numerous medical professionals who have been apprised of his specific condition and informed us that he should consume 3L?

I am somewhat frustrated at the number of people telling me that I am wrong on this thread. I didn’t actually ask for medical diagnosis, I asked how I can get him to drink more as his medical team have advised he should.

OP posts:
Laurmolonlabe · 22/03/2025 17:43

I know many old people who don't drink enough, the excuse is that they fear being caught short with no toilets nearby.

Destiny123 · 22/03/2025 11:47

ArtTheClownIsNotAMime · 21/03/2025 17:24

HE HAS KIDNEY FAILURE

I need to hide this thread before I have a blood pressure failure.

To be honest, as a Dr, he has kidney failure doesn't make any sense, the vast majority of patients at the more severe end of kidney failure are actually put on daily fluid restrictions as the kidneys struggle to get rid of water and it accumulates. Most with kidney failure are fluid restricted to 750ml-1l / day intake

KnickerlessParsons · 22/03/2025 09:47

3L is crazy. If I drank 3 litres of water every day I’d never get anything done. I’d be going to the toilet every 10 minutes.

gloriousrhino · 22/03/2025 08:06

My mum is not keen on plain water, but finds herb teas more palatable. She makes a litre of camomile or lemon & ginger (one tea bag is enough to make it all taste) and drinks it hot or cold depending on how long it lasts.

Ilovelowry · 22/03/2025 07:27

{mention:stayathomer}@stayathomer Apols this isn't for you I messed up doing a quote.

NoBinturongsHereMate · 21/03/2025 23:40

Disscombobulated · 21/03/2025 20:41

Thanks everyone - there have been some really good ideas here and I will be trying the following:
jelly drops (ordered)
alcohol free stout
more ‘wet’ meals, soup etc
Ensuring that there is always liquid to hand - I do this but because is he very independent it sometimes feels patronising so I will reflect on how to do it better.

what I won’t be doing is
putting him in a home, avoiding difficult conversations or ignoring the advice of his medical team.

thanks again for everyone’s input.

You mentioned he likes, but isn't allowed, whisky. That's also now available in alcohol-free versions. https://www.standard.co.uk/shopping/esbest/food-drink/wine-spirits/best-non-alcoholic-whisky-b1135423.html

Not as much liquid content per glass as an alcohol-free beer, but it's one more option.

Best non alcoholic whiskies in 2024, taste tested

Going against the grain

https://www.standard.co.uk/shopping/esbest/food-drink/wine-spirits/best-non-alcoholic-whisky-b1135423.html

DinoLil · 21/03/2025 23:14

I've not read the whole thread, so these have perhaps already been suggested, but have you tried Jelly Drops? I've tried to link, but can't but I'm sure you'll find them if you Google. They're sweets which are 95% and have vitamins and electrolytes, designed for the elderly.

ginnitonic · 21/03/2025 22:20

I get through 2 litres a day - 3 takes quite a lot of effort and concentration I find. I have a stoma, had my bladder removed because of cancer and keep a close eye on the colour of my wee. I hope I can think about it clearly as I get older!
I don't find 2 litres a problem, got into the habit when I was breastfeeding. DH is supposed to drink the same since he had kidney stones.
However MIL was in the habit of never drinking a lot, and when she had to go into a home she got numerous UTIs as a consequence. We used to take her fruit, like strawberries, which she loved and was easy to eat.
Could you ply him with beer, maybe? Probably the alcohol will do him less harm than the dehydration.

Bigearringsbigsmile · 21/03/2025 22:16

Disscombobulated · 21/03/2025 19:02

Yes indeed - this is a great idea and I will try it.

May I ask why you think my DH should be speaking to him about showering etc?

Because it's HIS father! And it also might be better received man to man.

Disscombobulated · 21/03/2025 22:05

Gall10 · 21/03/2025 21:49

Are you medically trained? If you aren’t then I doubt that you were changing his catheter. Emptying his bag maybe…but NOT changing his catheter.

Indeed I haven’t been changing his catheter, changing the bag, washing him, dealing with his stoma etc… I have been with him to every medical appointment for the last 4 years. Sorry that this wasn’t clear.

OP posts:
Disscombobulated · 21/03/2025 22:03

Emanresuunknown · 21/03/2025 22:00

I don't believe numerous medical professionals have told him he must drink 3L of water a day. We get lots of water from the food we eat he almost certainly does not need to be drinking 3L a day unless he's extremely active or it's very hot weather.
OP are you yourself a bit of a water obsessive thus telling him he must drink more? NHS recommendations are 6-8 glasses a day which is more like 2 litres not 3.
If he isn't a fan of water you are better off trying to tempt him with lovely juicy fresh fruit like melon or strawberries. The water in these is just as valid as the water in the tap.

He has a renal condition, the water consumption is required to manage that condition, this is absolutely what he should have and nothing to do with my water obsession!!

OP posts:
Emanresuunknown · 21/03/2025 22:00

I don't believe numerous medical professionals have told him he must drink 3L of water a day. We get lots of water from the food we eat he almost certainly does not need to be drinking 3L a day unless he's extremely active or it's very hot weather.
OP are you yourself a bit of a water obsessive thus telling him he must drink more? NHS recommendations are 6-8 glasses a day which is more like 2 litres not 3.
If he isn't a fan of water you are better off trying to tempt him with lovely juicy fresh fruit like melon or strawberries. The water in these is just as valid as the water in the tap.

Gall10 · 21/03/2025 21:49

Disscombobulated · 21/03/2025 17:55

Oh and just to add - those saying it’s a fear of accidents are very valid - however he recently had a catheter (which I changed and emptied, so required no effort from him) for four months and the situation did not improve.

Are you medically trained? If you aren’t then I doubt that you were changing his catheter. Emptying his bag maybe…but NOT changing his catheter.

Gall10 · 21/03/2025 21:47

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?

Have they really told him to drink 3000mla day?
Try to encourage him to eat foods with high fluid content…fruit, veg, yoghurt, ice lollies, herbal teas, soups etc
3000ml a day is A LOT for anyone!

carrotsandtomatoes · 21/03/2025 21:25

Oldrunner · 21/03/2025 20:33

Try Jelly drops- each sweet contains 50 ml water. Developed to help precisely your problem

Pretty sure 9 sweets equals 50ml water.

Hooliewhat · 21/03/2025 21:24

Try offering more liquid containing foods…soup, cucumber, lettuce, cereal with (lots of) milk, thin stews, citrus fruits, watermelon, tinned fruit salad in fruit juice, ice cream, lollies. Tinned tomatoes Offer drinks in small glasses ..less daunting. If water doesn’t float his boat, serve OJ with breakfast, apple juice with other meals

StMarie4me · 21/03/2025 21:19

Try him with orange squash? Or Ribena? Ginger beer? It may be he doesn’t like water. The carrying round of water battles is only in the last 30 years!