Fluid loss from diarrhea can increase the risk of dehydration in people with ulcerative colitis (UC).

UC is an autoimmune disorder that causes inflammation in the lining of the large intestine, or colon. Common symptoms of UC include abdominal pain, bloody stools, and diarrhea.

Frequent diarrhea can lead to dehydration, a potentially serious health condition. Dehydration occurs when the body loses more water or fluid than it takes in. People living with UC have an increased risk of dehydration.

Staying hydrated by getting enough water every day is important for overall health. Every cell, tissue, and organ in the body needs water to function properly.

Water plays many crucial roles in the body, such as:

  • regulating body temperature
  • lubricating joints
  • protecting the spinal cord
  • removing waste from the body

Taking in less water than the body loses causes dehydration, which can eventually lead to a number of complications, including:

  • heat injury
  • seizures
  • kidney problems
  • low blood volume

It is especially important for people with UC to drink plenty of water because they can lose fluid through frequent diarrhea.

But drinking water alone may not be enough. The body also loses electrolytes, such as potassium, magnesium, and salt, through urination and diarrhea. And as a 2017 study suggests, potassium can help calm inflammation in the colon.

The inflammation that characterizes UC can dramatically decrease the absorption of electrolytes, contributing to dehydration and the symptoms that accompany it.

There are many ways to take in more electrolytes. Sports drinks contain adequate amounts, but a person might prefer to purchase electrolyte powder and mix it into water.

The inflammatory nature of UC prevents the intestinal lining from absorbing enough fluids and nutrients to keep the body healthy. Instead of getting absorbed, water leaves the body as watery, runny stools. People with severe UC may have more than six bowel movements a day.

People with UC may develop dehydration if they do not take in enough water and electrolytes to replace those lost in bowel movements.

A person with UC is more likely to develop dehydration if they:

  • sweat profusely due to heat or exercise
  • drink coffee or alcohol, which can cause dehydration by encouraging the body to release extra fluids
  • have had their colon removed
  • have had an ileostomy, a procedure that diverts the small intestine through an opening in the abdomen

It is also important to limit or avoid carbonated drinks such as soda. Like coffee and alcohol, these can act as diuretics.

In addition, a 2017 meta-analysis found a link between the consumption of soft drinks, especially those with high sugar contents, and an increased risk of UC. The researchers also found that consuming soft drinks can worsen symptoms of UC.

Thirst is one of the main signals that dehydration has developed.

Other symptoms of dehydration include:

  • not urinating as often
  • tiredness
  • dark urine
  • dry mouth
  • a lack of energy

Severe dehydration can cause:

  • muscle cramps
  • pale skin
  • dizziness
  • sunken eyes
  • fast breathing
  • confusion
  • a high pulse

Anyone with symptoms of moderate to severe dehydration should receive medical care, as severe dehydration can be life-threatening.

The simplest way to stay hydrated is to drink plenty of water, at least 2 liters a day, preferably with electrolytes. This works out to about eight 8-ounce glasses.

Having urine that is light yellow or clear is a good indication of adequate hydration. Darker urine is a sign of dehydration.

Drinking the recommended amount of water should not increase the frequency of bowel movements for people with UC.

Carrying a refillable water bottle may make staying hydrated more convenient. People should drink more water on hot days and during exercise, especially if they are outside.

Water and sports drinks are not the only options for staying hydrated. Other sources of fluids include:

  • canned fruit
  • cantaloupe
  • honeydew melon
  • watermelon
  • nectarines
  • papaya
  • peaches
  • clear broth
  • fruit juice without the pulp
  • ice pops

People with UC should contact a healthcare professional if they have any questions about hydration.

Diarrhea is one symptom of UC, and it can cause dehydration. The best way to stay replace lost fluids and prevent dehydration is to drink plenty of water and beverages containing electrolytes.

In severe cases, dehydration can be life threatening, and anyone with symptoms should receive emergency medical care.

A healthcare professional can describe the best ways to manage diarrhea. It will be easier to stay hydrated when diarrhea is addressed.