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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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9
teraculum29 · 21/03/2025 19:57

ginasevern · 21/03/2025 17:38

3 litres of water a day is a bloody ridiculous amount for anyone, let alone someone old and sedentary. Are you sure that's what they recommended?

As a general guideline, a healthy adult needs around 35 ml of water per kilogram of body weight per day. For example, a 70 kg person should aim for about 2.4 litres (2400 ml) of water daily.

lljkk · 21/03/2025 19:56

You deal with your FIL's catheter on a regular basis???

RubaiyatOfAnyone · 21/03/2025 19:56

Yes i read it - i agree that it doesn’t state “made up by a journalist”, that was my paraphrase of the fact no scientific source could be found for it, but i’m not sure the passage you quote is quite the gotcha you think.

LucyMonth · 21/03/2025 19:52

RubaiyatOfAnyone · 21/03/2025 19:44

The 2l or 8 glasses of water a day was made up by a journalist, not extrapolated from rigorous scientific data.

Snopes have even investigated it and found no sound origin for it: https://www.snopes.com/fact-check/water-works-2/

even if you bought into that nonsense, 3l for an elderly, less active man with reduced bladder capacity (because every elderly man has some sort of prostate issues that might effect going to the loo) who will be dreading constantly having to get up to pee is just bonkers.

Did you read the snopes article you posted? It was not “made up by a journalist”.

From the article:

”The origins of the 8-10 glasses per day figure remain elusive. Some say the number was derived from fluid intake measurements taken decades ago among hospital patients on IVs; others say it's less a measure of what people need than a convenient reference point, especially for those who are prone to dehydration, such as many elderly people.”

StJulian2023 · 21/03/2025 19:49

OP jelly drops are sugar free

mindutopia · 21/03/2025 19:47

I mean 3L is quite a lot. I’m in my 40s with all my faculties about me and I’m advised to drink 2-2.5L a day because of medication I’m on. It is a conscious effort on my part.

333FionaG · 21/03/2025 19:47

I work in elderly care, and we give our patients jelly, ice-cream, custard, soup, milkshake, and regular cups of tea. We also make a fresh fruit salad served with pouring cream, and it all goes towards a healthy fluid intake.

My own mother, however, in her 80's, restricts fluids from 4pm onwards, because she doesn't like needing to wee during the night. It doesn't matter how much I tell her to drink more, she has capacity and she says she doesn't want to.

CurlyhairedAssassin · 21/03/2025 19:47

I don't think they move around fast enough to raise their body temperature and work up a bit of a sweat that might make their mouth feel a bit dry and like they need to take in some fluid.

Some people just don't have a strong thirst mechanism. I don't. I can go quite a few days drinking very little and then am surprised if I have a first morning wee and barely anything comes out and it's a very dark colour. So if dehydration can creep up on me I'm sure it happens easily for an elderly person.

LucyMonth · 21/03/2025 19:45

Can’t believe how many people are utterly gobsmacked at 3ltrs a day. 2ltrs is the bare minimum but in hot weather, pregnancy, illness, activate lifestyle/exercise then 3ltrs recommended.

Your body gets used to the amount and you don’t have the urge to urinate s frequently. It’s a super easy thing to do that free accessible to all and benefits every single cell in your body.

Also 3ltrs is not “gallons”…it’s 3ltrs…

RubaiyatOfAnyone · 21/03/2025 19:44

The 2l or 8 glasses of water a day was made up by a journalist, not extrapolated from rigorous scientific data.

Snopes have even investigated it and found no sound origin for it: https://www.snopes.com/fact-check/water-works-2/

even if you bought into that nonsense, 3l for an elderly, less active man with reduced bladder capacity (because every elderly man has some sort of prostate issues that might effect going to the loo) who will be dreading constantly having to get up to pee is just bonkers.

Do You Need Eight Glasses of Water Per Day?

Rumor: The average person needs to drink eight glasses of water per day to avoid being 'chronically dehydrated.'

https://www.snopes.com/fact-check/water-works-2/

MyUmberSeal · 21/03/2025 19:42

carrotsandtomatoes · 21/03/2025 19:27

I’m assuming you are British. Only in the UK have I ever heard anyone say they don’t like water. Or that it’s ‘boring’. It’s SO strange to me. Water is like air. It’s just what one drinks.

Yes, British.

DontWheeshtMe · 21/03/2025 19:41

Perhaps he’d benefit from moving to a care home.
You don’t seem suited living together OP

Discombobble · 21/03/2025 19:41

RuddyLongCovid · 21/03/2025 17:35

I second this - I get them for my mother in law, and they work

Redheadedstepchild · 21/03/2025 19:38

Redheadedstepchild · 21/03/2025 19:20

Well this is what I got the last time I was in hospital in France:

Breakfast:

Plain natural yoghurt with a sugar sachet.
Apple compote.
Packet of biscotte (crispbreads)
Pat of butter.
Set sugar syrup in a little plastic box that called itself:
a) Jam
b) Made by a Greek God.
Bowl of hot water with chicory powder.

Lunch:

Beetroot in mayonnaise.
Mystery meat in a sort of Maghreb related lot of sauce with chickpeas and couscous.
More plain yoghurt and sugar sachet.
More Apple Compote.
An individually wrapped triangle of Camembert.
A bread roll.

Dinner:

Grated carrots in vinaigrette. Amusingly named as if they had been a victim of SA.
Mystery meat with mushrooms in a lot of sauce that might have been bourguignon.
More plain yoghurt with sugar sachet.
A very frightened looking refridgerated banana.

I was in there for quite a while but that's just a typical day's menu. From what I remember.

It was the ever present plain yoghurt with sugar sachet and apple baby food compote that really made an impression on me.

I forgot the puréed vegetables. Also a big part of school dinners. Puréed courgette is snot on a plate and nobody can tell me otherwise.

DontWheeshtMe · 21/03/2025 19:37

Purplepostit · 21/03/2025 19:34

I can’t help but wince at you having “brutal” conversations with an elderly relative about him, his clothes and your house smelling of wee.

Agree

DontWheeshtMe · 21/03/2025 19:37

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?

Agree
I thought it was 2litres
The same for all of us

Nevertheless a lot of people are concerned they won’t get to the loo quickly enough.

Do you have a downstairs toilet OP, one tha5 he can use without difficulty that’s nearby.

katepilar · 21/03/2025 19:35

Why liters a day? Thats generally way too much for anyone, let alone for an old person who is not used to drinking enough. It needs to be upped slowly.

Purplepostit · 21/03/2025 19:34

I can’t help but wince at you having “brutal” conversations with an elderly relative about him, his clothes and your house smelling of wee.

Fizbosshoes · 21/03/2025 19:32

carrotsandtomatoes · 21/03/2025 19:27

I’m assuming you are British. Only in the UK have I ever heard anyone say they don’t like water. Or that it’s ‘boring’. It’s SO strange to me. Water is like air. It’s just what one drinks.

I hate drinking water, it's not like air because you (generally) breathe without having to make any effort to do so!
I started trying to drink more water (my aim is 1 litre/day) last year and it still feels like a effort!

I guess maybe if all I had drunk in childhood was water, maybe it would seem easier...

specialsauce · 21/03/2025 19:31

I could no way drink 3L of water a day.

6/8 cups of tea is plenty for me.

@Disscombobulated - how much does your FIL actually drink each day?

EnfysPreseli · 21/03/2025 19:29

I know people mean well, but some of the suggestions are unsuitable for someone with recent kidney failure or kidney disease. You need to take the advice of the renal nurse or your GP, OP. There are probably suggestions if you google too. My father was a renal patient for many years and was quite strict about what he ate and drank. No coffee was served on the renal ward, for example. He loved a proper cup of coffee, so that was a tough thing to give up. Barleycup is a good alternative though if your FiL enjoys coffee.

ERthree · 21/03/2025 19:28

Being on my way to being old i can tell you it's because the more you drink the more you wee and when you are old you can't hold on for 2 minutes never mind 5 and wetting yourself is embarrassing. I have just been on holiday and really had to limit my fluid intake, less than a litre a day, if i hadn't done that i wouldn't have been able to explore the area as there was a massive lack of public toilets in the towns and of course the coast and countryside have no toilets. Once you are old this is just part of normal life, you have to plan travel and daily life around the loo.

BountifulPantry · 21/03/2025 19:28

My grandma worries about leaks and getting up to go to the loo is a huge effort for her.

Poor her!

carrotsandtomatoes · 21/03/2025 19:27

MyUmberSeal · 21/03/2025 16:26

My Nan is 98, in reasonable health but does get frequent UTI’s and they can send her loopy lou for a few days. She says she doesn’t like the taste of water and can’t be assed having to go to the loo. We nag her about it regardless, but it’s in one ear and out the other.

I’m assuming you are British. Only in the UK have I ever heard anyone say they don’t like water. Or that it’s ‘boring’. It’s SO strange to me. Water is like air. It’s just what one drinks.

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