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How I Almost Died of Dehydration
What I remember most is the moment I realized something was very wrong.
About a decade ago, I became seriously ill and ended up hospitalized with sepsis. During that time, I could barely eat or keep fluids down, and the dehydration became severe enough to affect my kidneys.
What I remember most vividly is the moment I realized something was very wrong. I looked down and saw that my urine was almost fluorescent orange — an alarming sign that my body was under enormous stress.
Thankfully, medical treatment restored my health, and my kidneys are fine now. But the experience completely changed the way I think about caring for my body, especially when it comes to staying hydrated.
Rethinking What “Hydration” Means
There was a time when I honestly thought most hydration advice was overblown. Everywhere you look, someone is carrying a giant water bottle or insisting we need eight glasses of water every day. I assumed hydration was mostly wellness-culture hype, and as long as I wasn’t parched, I was doing okay. Now, in my late 50s, I view this very differently.
What surprised me most after recovering was how much better I felt once I became more intentional about hydration. I had more energy. My headaches became less frequent. My digestion improved. My skin looked healthier. Even my joints felt less stiff. Instead of feeling perpetually drained by late afternoon, I felt steadier and more clearheaded throughout the day. It reminds me of watching thirsty plants revive and thrive after being watered properly.
That does not mean hydration is magic, of course. But it is foundational. Our bodies simply work better when they have the fluids they need. Hydration also supports many of the systems that become more sensitive with age: kidney function, digestion, circulation, temperature regulation, cognitive clarity and joint comfort.
Why Hydration Becomes More Important With Age
But staying hydrated can be challenging. It’s estimated that up to 40% of adults over 65 may be chronically dehydrated. One reason is that our sense of thirst changes over time. Older adults often do not feel thirsty as quickly or as strongly as younger people do, which means dehydration can sneak up gradually. By the time you feel parched, your body may already be running low on fluids.
And it’s easy to underestimate the effects of dehydration because the symptoms can feel so ordinary at first. Many of us simply assume we are tired or blame it on aging, but ignoring those early symptoms can mean more serious consequences later. Even mild dehydration in older adults has been associated with fatigue, poorer physical performance, confusion and increased hospitalization risk.
For women, there is another important consideration: urinary tract infections. Many of us remember UTIs as uncomfortable but fairly routine problems in our younger years, easily treated with antibiotics. But UTIs can become more serious as we age, especially after menopause, when hormonal changes affect the urinary tract and vaginal microbiome.
Research and clinical guidance highlight that urinary infections can progress more quickly in later life and can lead to more serious complications, including confusion or worsening cognitive symptoms in some adults. Adequate fluid intake helps support urinary tract health by flushing bacteria from the system and supporting healthy kidney function.
Unlike me, you don’t have to experience a health scare to take better care of yourself. In fact, the healthiest habits are usually the consistent ones we practice long before anything goes wrong.
Getting Hydrated — and Staying Hydrated
Staying hydrated is also more flexible than I once believed. I assumed fluids only “counted” if they came from plain water. But herbal teas, broths, soups, milk and sparkling water can all contribute to your daily fluid intake. And, good news: we don’t have to give up coffee and moderate amounts of alcohol to stay hydrated! According to the 2023 study Hydration Status in Older Adults: Current Knowledge and Future Challenges, “Solid evidence supports that neither coffee nor alcoholic drinks of up to 4% alcohol have a dehydrating effect.”
The old “eight glasses a day” guideline is also far from universal. Our fluid needs vary depending on body size, activity levels, medications, weather and overall health. What matters more than hitting an exact number is consistency and paying attention to your body’s signals.
Now, I think of hydration less as a wellness trend and more as a basic form of daily maintenance — one of the simplest ways to support long-term health and well-being. I no longer wait until I am extremely thirsty. I pay attention to subtle signals instead: headaches, low energy, dry mouth, darker urine and sluggishness. Usually, my body is telling me exactly what it needs.
And thankfully, staying hydrated does not have to be complicated. Here are five simple ways to make hydration part of everyday life:
1. Start the day with fluids.
After several hours of sleep, the body naturally wakes up somewhat dehydrated. A glass of water, tea or juice first thing in the morning can help replenish fluids early.
2. Reach for water-rich snacks.
The Mayo Clinic notes that fruits and vegetables with a high water content can make a meaningful contribution to daily fluid intake. Choose water-rich snacks instead of reaching for a salty bag of chips or crackers. Watermelon, strawberries, cucumbers, celery and grapes all help with hydration while also providing vitamins, fiber and minerals that support overall health.
3. Keep fluids nearby.
Most people drink more consistently when water or tea is visible and easy to reach. A reusable water bottle or pitcher nearby can make hydration feel automatic rather than an effort.
4. Pair hydration with daily habits.
One helpful strategy is to “anchor” hydration to something you already do regularly — like drinking a glass of water every time you check your phone, finish a cup of coffee or return from a walk. Small cues like these help make hydration an automatic habit.
5. Pay attention to urine color.
This is probably the easiest way to keep track of hydration over the course of the day. Pale yellow urine usually signals good hydration, while darker yellow or amber can indicate the need for more fluids.
Looking back, that frightening moment a decade ago — seeing fluorescent orange urine and realizing how depleted my body had become — was a wake-up call in more ways than one. It taught me that health is often about the small things we do every day to take care of ourselves.
How many glasses of water do YOU try to drink each day? Let us know in the comments below.
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