The amount of water you need doesn’t increase as you age, but your body’s ability to conserve water is reduced and your sense of thirst weakens.  Its therefore important to make sure you stay hydrated even if you aren’t thirsty.  Most of you know the signs of dehydration: yellow urine, dry mouth, and feeling thirsty. It’s important that you recognize the less-obvious signs that often appear sooner, especially as you get older.

“Sometimes my older patients just don’t feel like eating or drinking much during the day, so it’s crucial to encourage healthy eating and drinking patterns,” says Spencer Nadolsky, D.O., a family physician. This is especially true in patients who are on diuretics for blood pressure or other conditions.”

The importance of water can’t be overstated. It makes up roughly two-thirds of our body weight and is responsible for a variety of functions, including digestion, blood flow, and temperature regulation. “When your body is low on fluids, all systems must work harder to function properly. This not only leaves you feeling fatigued, but if untreated, it can lead to dizziness when standing, kidney problems, or seizures due to electrolyte imbalances,” Dr. Nadolsky says.

That’s why it’s so important to prevent dehydration or catch it early. Here are five lesser-known signs you might be low on H2O.

  • Bad Breath – when you’re dehydrated, your body secretes less fluid. You already know that means decreased urination, but it’s also true for tears and saliva. Saliva is antibacterial, so if you’re not producing enough, it can lead to bacteria overgrowth in your mouth. That means bad breath. It’s also why so many of us experience morning breath, as saliva flow almost stops completely while we sleep.
  • Craving Sweets – Dehydration can mask itself as hunger, especially in the form of sugar cravings. When you’re low on fluid, your body uses glycogen (carbohydrate stored in muscle) at a faster rate, thus reducing your energy stores more rapidly. This is particularly common if you’ve been exercising. Your body will likely crave carbs to help replenish those glycogen stores. Before you reach for the sweets, drink some water. You might find it satisfies your craving.
  • Skin Feels Cold & Dry – When you’re approaching severe dehydration, your body starts to limit blood flow to the skin, says Bruce Bushwick, M.D., a family physician and chair of the department of family medicine at Wellspan York Hospital. Your body is doing what it can to conserve whatever fluid is left. The skin is the first place to be robbed of water.
  • You Fail the Pinch Test – if you pinch the skin on the back of your hand and it doesn’t snap back as quickly as usual, it might mean you’re dehydrated. Just don’t expect your skin to rebound as quickly as it did in your twenties.
  • Lightheaded or Dizziness – less water circulating in the body means less blood, too. This can lead to lower blood pressure and cause you to feel lightheaded, faint, or dizzy. One of the key signs of dehydration-related dizziness is a sudden rush of lightheadedness when you stand up too quickly. Drinking plenty of fluids helps reduce these symptoms in most cases. But if a person is dehydrated to the point of mental confusion—or have experienced vomiting or diarrhea—it warrants immediate medical attention.

There’s no set amount of water that every person needs. What you need depends on foods you’re eating, exercise time, intensity, and other health conditions you might have. Keep a water bottle with you whenever possible and drink a full glass of water with each meal. Remember that fluid-filled foods (such as fruit and soup) as well as beverages (including tea and fruit juice) hydrate you, too.

Listen to your body and watch for signs of dehydration—the five above plus more obvious ones like headache, fatigue, and yellow urine. And if you’re ever concerned about hydration or experience any unusual or ongoing symptoms, talk to your doctor.

Tivity Health, 4/2017