Sickle cell disease is a genetic condition that causes red blood cells to become malformed and break down easily, resulting in a variety of health issues. While there is no full proof cure for sickle cell disease, there are treatments available to help control symptoms and enhance quality of life. Hydration is an important part of sickle cell disease therapy that is frequently disregarded. Water consumption has been demonstrated to improve the health of patients with sickle cell disease, from lowering the chance of painful crises to increasing general kidney function. In this post, we’ll look at the connection between hydration and sickle cell disease and offer advice on how to stay hydrated for maximum health. Now, get a drink of water and let’s get started!

What is sickle cell disease?

Sickle cell disease is an inherited blood disorder that affects the production of hemoglobin, a protein in red blood cells that carries oxygen throughout the body. People with sickle cell disease produce abnormal hemoglobin, which causes red blood cells to become stiff and misshapen. These cells can get stuck in small blood vessels, leading to a range of health problems, including pain, fatigue, and organ damage.

Sickle cell disease is most common in people of African, Middle Eastern, and South Asian descent, but it can affect people of any race or ethnicity. It is estimated that sickle cell disease affects millions of people worldwide, with about 4-6 million people living with the disease in Nigeria.

So how does hydration affect sickle cell disease?

Everyone needs to stay well hydrated, but those living with sickle cell disease need it more than anyone. Dehydration can make the blood become more viscous (thick), which can increase the likelihood of sickle cells clumping together and blocking blood vessels. This can lead to a range of complications, including pain, organ damage, and even strokes.

In addition to reducing the risk of painful crises, staying properly hydrated can also improve overall kidney function in people with sickle cell disease. Dehydration can lead to kidney damage, which can further exacerbate the health problems associated with sickle cell disease.

Moreover, maintaining hydration can enhance SCD patients’ overall health outcomes in addition to crisis prevention. Children with SCD who drank more fluids had fewer hospitalizations and lower rates of acute chest syndrome (a dangerous lung-related consequence of SCD) than those who drank less, according to a study published in the Journal of Pediatric Hematology/Oncology.

The importance of water for people with sickle cell disease-

Water is necessary for all biological processes, and people living with sickle cell disease need it even more. In addition to enhancing kidney function and lowering the risk of other sickle cell disease-related health complications, proper hydration can help avert excruciating crises.

Getting enough water can also assist in lowering the blood’s hemoglobin concentration, which lowers the likelihood of becoming ill. Nonetheless, many sickle cell disease sufferers still find it difficult to consume enough water, either because they dislike the taste or because they are unaware of the significance of staying hydrated. Those with sickle cell disease need to emphasize drinking water and make sure they do so consistently throughout the day.

How much water should people with sickle cell disease drink?

The amount of water that people with sickle cell disease should drink depends on a variety of factors, including their age, weight, and activity level. A general guideline is to drink at least eight glasses of water per day, but this can vary based on individual needs.

It is also important to note that people with sickle cell disease may need to drink more water during periods of physical activity or when the weather is hot. This is because they are more likely to become dehydrated during these times, which can increase the risk of painful crises and other health problems.

Tips for staying hydrated-

Staying hydrated can be challenging, especially for people with sickle cell disease. Here are some tips to help you stay properly hydrated:

  • Carry a water bottle with you throughout the day and sip on it regularly.
  • Flavor your water with lemon, lime, or other fruits to make it more appealing.
  • Set reminders on your phone or computer to drink water at regular intervals.
  • Eat foods that have high water content, such as watermelon, cucumbers, and celery.
  • Avoid sugary drinks and caffeine, as they can dehydrate your body.

By following these tips, you can help ensure that you are staying properly hydrated and reducing your risk of painful crises and other health problems associated with sickle cell disease.

Foods that help with hydration-

In addition to drinking water, there are many foods that can help with hydration. These foods have high water content and can help keep you hydrated throughout the day.

Some examples of hydrating foods include:

  • Watermelon
  • Cucumbers
  • Celery
  • Strawberries
  • Grapefruit
  • Cantaloupe
  • Pineapple
  • Peaches
  • Tomatoes
  • Lettuce

Incorporating these foods into your diet can help you stay hydrated and improve your overall health.

The role of electrolytes in hydration-

Electrolytes are minerals in your body that help regulate fluids and maintain proper hydration. They include sodium, potassium, magnesium, and calcium. When you become dehydrated, your electrolyte levels can become imbalanced, which can lead to muscle cramps, fatigue, and other health problems.

For people with sickle cell disease, it is especially important to maintain proper electrolyte balance. This can be achieved by drinking sports drinks or consuming foods that are high in electrolytes, such as bananas, avocados, and leafy greens.

Hydration and exercise for people with sickle cell disease-

Exercise is important for everyone, but it can be especially beneficial for people with sickle cell disease. Regular exercise can help improve cardiovascular health, reduce the risk of painful crises, and improve overall quality of life.

However, it is important to stay hydrated during exercise to prevent dehydration and other health problems. Drinking water before, during, and after exercise can help maintain proper hydration levels and reduce the risk of painful crises.

Common myths about hydration and sickle cell disease-

There are many myths and misconceptions about hydration and sickle cell disease. Here are a few common ones:

  • Myth: Drinking too much water can be harmful for people with sickle cell disease.
  • Fact: While it is possible to drink too much water, it is generally safe for people with sickle cell disease to drink plenty of water throughout the day.
  • Myth: Sugary drinks and caffeine can help with hydration.
  • Fact: Sugary drinks and caffeine can actually dehydrate your body and should be avoided.
  • Myth: People with sickle cell disease do not need to drink as much water as other people.
  • Fact: People with sickle cell disease actually need to drink more water than other people to prevent dehydration and other health problems.

Conclusion-

The importance of staying hydrated for people with sickle cell disease can not be overstated. hydration plays a crucial role in the management of sickle cell disease. Proper hydration can help prevent vaso-occlusive events and reduce the concentration of hemoglobin in the blood, making sickling less likely. SCD patients should aim to drink enough water and avoid becoming dehydrated, in addition to other measures to manage their condition. By drinking plenty of water throughout the day, incorporating hydrating foods into your diet, and staying mindful of electrolyte balance, you can help ensure that you are staying properly hydrated and improving your overall health.





References

National Heart, Lung, and Blood Institute. (2021). Sickle Cell Disease. Retrieved from https://www.nhlbi.nih.gov/health-topics/sickle-cell-disease

Hsu, L. L., Champion, H. C., Campbell-Lee, S. A., Bivalacqua, T. J., Manci, E. A., Diwan, B. A., Schimel, D. M., Cochard, A. E., Wang, X., Schechter, A. N., Noguchi, C. T., & Gladwin, M. T. (2007). Hemolysis in sickle cell mice causes pulmonary hypertension due to global impairment in nitric oxide bioavailability. Blood, 109(7), 3088-3098.

Adegoke, S. A., Adekile, A., Adegoke, O. A., & Abioye-Kuteyi, E. A. (2018). Dehydration and the Clinical Severity of Sickle Cell Anaemia. Journal of Clinical Medicine Research, 10(10), 791-797.

Aygun B, Odame I. A global perspective on the sickle-cell disease. Pediatric Blood & Cancer. 2012; 59(2):386-390. doi:10.1002/pbc.24175.

Jain, S., Bakshi, N., & Krishnamurti, L. (2017). Acute Chest Syndrome in Children with Sickle Cell Disease. Pediatric allergy, immunology, and pulmonology, 30(4), 191–201. https://doi.org/10.1089/ped.2017.0814

Centers for Disease Control and Prevention. (2021). Living well with sickle cell disease. Retrieved, March 14 2023, from https://www.cdc.gov/ncbddd/sicklecell/healthyliving-living-well.html#:~:text=People%20with%20sickle%20cell%20disease%20should%20drink%208%20to%2010,activity%20to%20help%20stay%20healthy.

Potassium, Sodium, and Chloride Levels in Sickle Cell Disease Patients and Healthy Controls: A Case-Control Study at Korle-Bu Teaching Hospital, Accra. Biomarker insights, 14, 1177271919873889. https://doi.org/10.1177/1177271919873889

Kandola, A. (2019, August 7). What to know about sickle cell disease. Medical News Today. https://www.medicalnewstoday.com/articles/325958