How much fluid is a good guideline? I am 5’6″ and weigh 240lbs. I am having to cut back on my bumetanide dosage to once a day.

Talk to your doctor about whether or not you need to follow a fluid restriction. A good guideline for your daily fluid intake is 32oz day plus how much you urinate. It is important to know the signs of having too much fluid swollen ankles, increased shortness of breath when walking, and/or difficulty breathing when lying flat. If you notice these call your doctor, and decrease how much fluid you consume until meeting with your doctor. Living with a fluid restriction can be difficult. Coming up with practical strategies can help you manage your fluid intake. Some find it helpful to have 4, 8oz bottles of water per day to help them manage their fluid intake while others choose to fill a 32oz cup once daily to to manage their fluid intake. If you still urinate, try collecting your urine for a full 24 hours to measure how much urine you make. That will give you a good idea of how much fluid you are getting rid of. You can add some of that volume into your daily fluid allowance – to be on the safe side only add back half the volume. For example, if you urinate 30oz in a day, you can add back 15oz in fluid. Other things to keep in mind when managing your fluid: limit your salt and sugar intake. When eating foods high in salt and sugar, your thirst increases and salt will make your body hold on to water. Also remember some foods are considered fluids: soup, ice cream, ice, gelatin, anything that is liquid when it is room temperature. If you are diabetic, it is important to keep your blood glucose (sugar) in range. High blood sugar increases your thirst. And lastly make water your choice of beverage. Water is the best at hydration and keeping your thirst quenched. Other beverages that may contain caffeine, sugar, salt can be dehydrating and increase your thirst.