Hydration and panc

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Hydration and Chronic Pancreatitis

Kathianne Sellers, R.D.

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Proper hydration is important in the health of all people, but especially for

people with chronic pancreatitis. While many people with chronic pancreatitis

are aware of the need for fat restriction, few are aware of the need for

adequate hydration. Many of our patients at The Pancreas Center at Beth Israel

Deaconess Medical Center, in Boston, MA have flares (increased pain) when they

are dehydrated. While the exact reason is not known at this time, it is assumed

that the lack of fluid assists in the accumulation of pancreatic sludge. This

sludge can then lead to blockages which can irritate the pancreas. Dehydration

often occurs due to warm temperatures and excess water losses, air travel,

increased activity level, and inadequate intake. It is important to understand

that thirst is a sign of dehydration and therefore not a timely indicator of our

fluid needs.

Fluid needs can be met with any beverage that does not have caffeine or alcohol.

Caffeine and alcohol should be limited as they are diuretics and promote fluid

loss and can also stimulate the pancreas. Foods with a high water content such

as fruits, vegetables, and soups are also helpful in meeting fluid needs.

Remember that thirst is an indicator that you are already dehydrated. Be sure to

drink BEFORE you feel thirsty. Your best bet? Carry a water bottle with you!

Use the formula below to calculate your fluid needs:

Remember that on hot days or days of increased activity, your fluid needs may be

higher.

Body weight X 16 = number of 8oz. cups of fluid needed per day

240

for example:

125 pounds X 16 = 2000 mL

2000mL = 8 cups (8oz. Each) of fluid needed per day

240 mL/cup