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Could I have done some damage to myself?

136 replies

twoisplenty · 10/02/2010 08:24

I really really struggle to drink enough, even to the point of not drinking for upto 2 days (that was last week, no food or drink for 48 hrs) and not yesterday either (but ate thick soup). (recovering anorexic, please don't judge)

Today I have woken with mild, regular pains in my lower abdomen, with some pains in my arm.

What does long-term dehydration do? Could I have done some harm?

OP posts:
Buda · 10/02/2010 10:50

You poor thing. You have been through the mill haven't you?

If the feel of liquid in your mouth is an issue would a straw help. If you put the straw a fair way into your mouth and just take a mouthful and swallow it down quickly you will not feel any liquid I think.

TrinityIsFallingApart · 10/02/2010 10:50

lol, I cant seee to type today either

thanks

Flightattendant · 10/02/2010 10:54

Oh I so get where you are coming from.

It can be an association from how something feels, the liquid thing is a very powerful sensation
there were times I longed to be given fluids through an IV or something, to avoid having to drink...crazy really. But being under enormous mental stress can really make something seem un-doable, I know.

Yes, the counselling may take a while but will kick in....meantime you will have good and bad days for sure. I would have days when I could try and drink a glass of water and then several months where I couldn't. People saying it was stupid really made it worse...I longed to be able to do it.

I wonder if hypnotism might help you...it can take away the association, ie the feeling of liquid in your mouth making you scared. My dad had it for dentist phobia and has never looked back...that was when he was a boy.

Also dear if you ARE dehydrated, which you are obviously likely to be at the moment,
One thing, your body will try and conserve as much water as possible - it can adapt a bit but not really long term, probably. But it will do its best!
Secondly it is going to make liquid seem appalling...when I am dehydrated, the very thought of water can make me want to throw up, it's hideous. That is a classic sign of dehydration ime.
I never understood why!! Seems stupid doesn't it. You would think you would crave water, but no.

So what I do is either the salty food trick, or I have something milky or a bit of yogurt or as you say, soup...anything you can bear. Then try the sipping of a drink again.

Once your fluid intake is up again you will start to stop feeling so revolted by the idea of liquids. Really - it works, I promise. It's just getting over that hurdle.

Good luck xx

luciemule · 10/02/2010 10:55

Hi Twoisplenty - if you like weak juice, that's fine. I hardly ever drink pure water and there is no need to. I also drink diluted apple and orange juice.
The body can last for weeks without food (not a good thing to be saying to you obviously) but only 2/3 without water of some kind. Don't forget there is water in food too. You defo don't want kidney stones though and not drinking liuid of some kind could result in stones and numerous other problems.

As someone else said, you don't have to drink a whole glass at a time either - regular sipping of a drink you do like, will be great.
Eating soup is fab too - think how much water there is in soup.
Could you perhaps too - try some protein shakes? They're thick and will 'feed' you at the same time?

Flightattendant · 10/02/2010 10:59

Lucie is right, juice is fine...I survived on milkshakes when I was pg, and I still never drink actual water as I hate it! Just squash, juice, milk, decaf tea etc. Fizzy water is good too. Just drink whatever you can. (obv avoid coke, neat squash etc - I used to drink very acidic things, and suck ice lollies made with squash, and wrecked my teeth!)

you just need to survive for now and that means having whatever you can manage. Don't beat yourself up.

MerlinsBeard · 10/02/2010 11:19

TRin, it's you, it's fiiine to say that.

Don't want to take over TIPs thread so start another hollering for me if you want to DOn't mind talking about it at mo.

MerlinsBeard · 10/02/2010 11:20

TIP, any advice i have is probably warped a bit but please do listen to what these other lovely ladies are saying. Esp the shake idea, will get liquids AND goodness in you

Take care - will keep popping back x

weegiemum · 10/02/2010 11:28

I hope you can get this sorted out. I have to drink a great deal of water due to a kdiney problem - not the same as you, but I do look at (yet another) glass and think "how am I ever going to drink this?". I find drinking cold water from the fridge helps, and keep a bottle in there. Also ice, as many have suggested.

But what I wanted to reassure you about was your GP. I'm a GPs wife. We used to live in a small community so I knew pretty much every patient my husband had - certainly all my pupils and their parents were his patients. And I never, ever knew anything about their health, unless they told me (little old ladies used to assume I knew and ask me for their blood test results in the street, and call me "Mrs Doctor!). He would sometimes come home stressed about work and talk in a general way but he never identified his patients and if it was someone I knew beyond a passing acquaintance he never mentioned anything. Our childminder was almost 4 months pregnant before she realised I didn't know - she just assumed he had said, when he had said nothing!!!

No doctor will talk in an identifiable way about a patient - they can get into massive trouble! So get the help that you need and hopefully things will settle down a bit for you soon - it sounds awfully hard going for you!

ShowOfHands · 10/02/2010 11:41

I just wanted to mention that it doesn't have to be water necessarily, although if you're dehydrated already, it's undoubtedly the best thing for you in order to rehydrate.

Caffeine is a diuretic, yes, but the amount of fluid you gain from drinking a cup of tea for example, is absolutely not negated by the small amount of water you lose due to its diuretic properties. It's a commonly touted myth. While you're dehydrated it is best to avoid drinks that are diuretics, but otherwise there is no reason why you can't maintain hydration with a cup of tea or coffee or a can of coke.

This is quite interesting and contains links about this subject. There's a lot there, but here's some of it:

?What people need to remember is that fluid is a general term and doesn't refer solely to water. Tea, coffee, squash and milk for children are all equally good fluid replacers. A lot of nonsense is spoken about water being the best way to hydrate, but it simply isn't true.?

  • Catherine Collins, chief dietician at St George's Hospital, London; Independent on Sunday 20 July 2003.

?Any evidence that caffeine promotes the loss of water from the body has been greatly overplayed in recent years. It is not based on scientific fact. If you are already dehydrated and consume heavily caffeinated drinks, then there might be a very mild risk of it getting worse. But generally it makes no difference if people drink coffee, tea, cola or water.?

  • Ron Maughan, professor of human physiology, University of Aberdeen Medical School; same source as above.

?Maughan and his colleagues have also looked at the effects of alcohol, considered to be another diuretic, and found that, in moderation, it too has little impact on the average person?s state of fluid balance. His results, published in the Journal of Applied Physiology, showed that alcoholic drinks with an alcohol content of less than 4 per cent such as light beer and lager can be used to stave off dehydration.? - same source.

?Though doctors don't recommend it, many of us could cover our bare-minimum daily water needs without drinking anything during the day.
"Whenever I go to the airport I see all these people carrying around bottles of water, and I wonder, 'What's behind this?' " says Jurgen Schnermann, a kidney physiologist at the National Institutes of Health. "Certainly not science."
The way it's almost always stated, in books, magazines and newspapers, the 8-by-8 rule specifically discounts caffeinated beverages, such as coffee. This is flat wrong. Caffeine does cause a loss of water, but only a fraction of what you're adding by drinking the beverage. In people who don't regularly consume caffeine, for example, researchers say that a cup of java actually adds about two-thirds the amount of hydrating fluid that's in a cup of water. That is to say, one cup of coffee equals about two-thirds a cup of water--if you're not a regular caffeine drinker.
Regular coffee and tea drinkers become accustomed to caffeine and lose little, if any, fluid. In a study published in the October issue of the Journal of the American College of Nutrition, researchers at the Center for Human Nutrition in Omaha measured how different combinations of water, coffee and caffeinated sodas affected the hydration status of 18 healthy adults who drink caffeinated beverages routinely.
"We found no significant differences at all," says nutritionist Ann Grandjean, the study's lead author. "The purpose of the study was to find out if caffeine is dehydrating in healthy people who are drinking normal amounts of it. It is not."
The same goes for tea, juice, milk and caffeinated sodas: One glass provides about the same amount of hydrating fluid as a glass of water. The only common drinks that produce a net loss of fluids are those containing alcohol--and usually it takes more than one of those to cause noticeable dehydration, doctors say.?

  • www.yourpurelife.com/articles/water.php

?surveys of fluid intake on healthy adults of both genders, published as peer-reviewed documents, strongly suggest that such large amounts are not needed. His conclusion is supported by published studies showing that caffeinated drinks, such as most coffee, tea and soft drinks, may indeed be counted toward the daily total.?

  • miniurl

? recent study in the Journal of the American College Of Nutrition revealed coffee-drinkers had the same level of hydration as those who stuck to water. ?Caffeine does cause a loss of water but only a fraction of what you gaining by drinking the beverage,? says nutritionist Patrick Holdord.?

  • Daily Mirror, 14 October 2004.

Please be honest with your GP today. Are you receiving any other help?

ScreaminEagle · 10/02/2010 11:56

This reply has been deleted

Message withdrawn

luciemule · 10/02/2010 12:22

Forgot to say that drinking very cold water can mean it goes through your body very quickly, without being properly absorbed. Therefore, it's better to drink a cold drink at room temp so I usually pour myself a squash and leave it for a while- I find I'm not rushing to the loo as often too!
I know this from some study I read but can't remember where so no link.

twoisplenty · 10/02/2010 12:33

I'm back, thanks so much for all of the replies.

Very interesting ShowofHands, thanks for the time it took to source that for me, I have read it and it has helped to calm me down, but still obviously needing a bit of GP reassurance I suppose. Thanks weegiemum for that about GPs and confidentiality, that's immensely reassuring.

Although...I'm starting to wonder about going to the GP. Realistically though, even if I start to make real effort to drink more today, I will be back to minimal effort again in no time, it's how it works for me.

I do agree with the fact that, once I start putting proper fluids in, it will kick start the thirst feeling. But I override it. [stupid me emoticon].

I will eat some soup now. Aagh, its so frustrating.

I really appreciate your replies and care, thank you again.

OP posts:
mablemurple · 10/02/2010 12:42

Haven't had time to read all the posts, but all liquids that you drink, including tea and coffee (with or without caffeine) contribute positively to your fluid intake. Also, you can get a lot of liquid from foods - cucumber, melons, tomatoes that sort of thing, and jelly (made up, not the cubes straight from the packet) is a good way of getting fluid into you if you don't like drinking. The 8 glasses of water a day thing has no scientific basis, and with respect to whoever posted it, you do not need to drink an extra glass of water for every tea or coffee that you drink. I think you do need to make more of an effort to get more fluids into you, but it can be done in a variety of ways with food and drinks, so try not to stress too much about it.

twoisplenty · 10/02/2010 12:48

Jelly! I like jelly, and the feel of it would be fine I think. I would have to hide it from my dd! Ta for that mablemurple.

OP posts:
ShowOfHands · 10/02/2010 12:48

I think a trip to the GP is the best thing for you. Are you being offered help at the moment with the anorexia?

I think cramps around the body and stomach problems are the first signs that dehydration is affecting you more seriously than the mild dehydration that everybody gets from time to time. Headaches, dry skin etc too. The first effects of dehydration are reversible though and muscles and organs can recover but you must find out how much of an effect this has had so far and perhaps have it monitored in future to stop the same thing happening again. And don't google, it's just going to scare you and won't tell you a thing about you. You can write things down for the GP to read if you worry about talking.

Smoothies, soup and vegetables have lots of water in them, so if you can manage them consistency-wise, they will provide nutrients and water. Sipping a drink is much better than gulping too so all of the advice on here is right, don't think of it as a pint of liquid to 'get through' but one sip every 10 minutes or so, maybe through a straw so it's directed to the back of your mouth and down your throat so the experience of it isn't as intense.

I had a very good friend who had anorexia nervosa and struggled enormously with texture and particularly liquids and fruit. For her it had a very key trigger from childhood which they addressed through some very intensive therapy.

Deux · 10/02/2010 12:49

I think show of hands post is great. I find this constant 'you must drink 8 glasses of water a day' nonsense tiresome. I'm not dehydrated and don't drink 8 glasses of water.

Some years ago I saw a renal specialist due to some kidney problems and I was getting myself in a stew about trying to consume water and he said it was all nonsense and overplayed! It's the fluid that counts and he said that full on caffeine coffee did count.

He said that checking the colour of your urine was a good way of finding out if you were dehyrated. Pale straw like colour good. Dark yellow or brownish tinge not good. Will be darker first thing in the morning. What colour is your wee?

ShowOfHands · 10/02/2010 12:49

Oh yes, jelly is a good one!

ShowOfHands · 10/02/2010 12:52

Yes, Deux. I'm always very interested in the colour of my wee [weirdo] as it's a great marker for dehydration (I run a lot and am careful about dehydration). Pale yellow is good, utterly clear means you're drinking a wee bit too much, dark yellow/orange/brown is dehydrated. Bright yellow if you take supplements, it's fascinating.

My SIL sadly died of renal failure (nothing to do with dehydration, I promise- she had another illness that resulted in renal failure) and it was her renal specialist that first talked to me about the myths surrounding hydration and urine as an indicator of hydration.

twoisplenty · 10/02/2010 12:56

Oh, I'm starting to feel upset now, in a "you are all being so kind" sort of way.

Am I getting help with anorexia? Yes, in that counselling is dealing with issues that really need addressing. Once these are aired and dealt with, the eating disorder will fade away. But, ona practical level, I am not being monitored for physical health issues (ie weight, blood pressure etc)

Colour of wee..I daren't say...well, it's dark, sort of brownish, and cloudy. Yuk. And I only need the loo in the morning and before bed. (on a bad day)

OP posts:
Deux · 10/02/2010 13:02

OP, I do think going to your GP is a good idea as you are anxious about these pains. Best to get it checked out and he can reassure you about your fluids.

Show of hands, so sorry to hear about your SIL. I find wee fascinating esp that limey green colour if I take supplements! My DH was terribly ill a few years ago and had acute kidney failure (not kidney disease or dehydration) and as his kidneys began to fail the urine was the colour of coca cola. hellish. He recovered thankfully. I so agree with you about these myths and I get quite cross. Just something else for us all to feel we are failing at! Plus too much water isn't good either.

BalloonSlayer · 10/02/2010 13:04

Re symptoms of dehydration I remember being dehydrated once (on a 12 hour coach journey and didn't want to use loo so I didn't have anything to drink) and I got the worst headache I had ever had in my life. It went as soon as I got some fluid down me.

for what you are going through twoisplenty. Hope the jelly helps. How are you with ice cream and sorbets?

twoisplenty · 10/02/2010 13:07

I'm so nervous about the GP appt...but seeing as these pains are still here since 6am, I suppose I should listen to my body for once (I get the irony!). List of symptoms:

fuzzy head, can't think straight
headaches
earache
pains around body
general feeling of muscles/joints seizing up
tired
was so exhausted at weekend, felt like flu but without temperature
always feel cold, fingers go numb sometimes (Raynauds I think)
chest hurts if really dehydrated

OMG, sounds awful when put together.

OP posts:
Deux · 10/02/2010 13:07

What about something that is a slush puppy type consistency? Or would that be too fluidy?

Deux · 10/02/2010 13:09

Sweetie, you know that you need to go to the GP. Do you have anyone who can go with you and help act as an advocate or even just wait for you?

twoisplenty · 10/02/2010 13:13

Thanks Deux. I have got to sort out childcare for my dd first, and I haven't done that. Can't think of anyone to help...I can't have her sit listening to the GP consultation. She's 6yo. Must sort it now. I shall ring my friend.

It would be lovely to have an advocate, but my sister would be best, but she's at work. I guess I could ring her to see if she could be around.

So scared. I will sound utterly ridiculous.

OP posts: