This article was co-authored by Claudia Carberry, RD, MS and by wikiHow staff writer, Janice Tieperman. Claudia Carberry is a Registered Dietitian based in Little Rock, Arkansas. Claudia specializes in kidney transplants and counseling patients for weight loss. She works at the University of Arkansas for Medical Sciences center, and has been working there since 2015. Before her current role, she worked as a Clinical Nutrition Manager at Jefferson Regional Medical Center. She is a member of the Arkansas Academy of Nutrition and Dietetics. Claudia received her MS in Nutrition from the University of Tennessee, Knoxville, where she completed her 1200 hour dietetic internship. She received a BS in Nutrition Sciences from Southeast Missouri State University.
There are 10 references cited in this article, which can be found at the bottom of the page.
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Oral Rehydration Salts or an Oral Rehydration Solution (ORS) is a special drink made with clean water, sugar, and salt that can help replace fluid loss from severe diarrhea and/or vomiting. While medical professionals officially recommend using premade ORS packets and drinks, it is possible to make a homemade version with just 3 simple ingredients. We’ll walk you through the recipe for an ORS (including some homemade alternatives), and even provide some guidance on how much adults, kids, and toddlers should drink.
Things You Should Know
- Prepare a homemade ORS drink with 4 1⁄4 c (1.0 L) water, ½ tsp (3 g) of table salt, and 2 tbsp (25 g) of sugar.
- Alternatively, stir ¾ tsp (4.5 g) of table salt into 4 c (0.95 L) of a sports drink.
- Sip 100 mL (3.4 fl oz) of an ORS every 5 minutes. The total amount of an ORS you need (in mL) is your weight (in kg) multiplied by 75.
Steps
How to Make and Use an ORS
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Mix clean water, salt, and sugar together to make a homemade ORS. Stir ½ tsp (3 g) of table salt and 2 tbsp (25 g) of sugar into 4 1⁄4 c (1.0 L) of water. To improve the flavor, mix in some water flavoring.
- If you have a premade ORS packet: Stir a packet of premade ORS into 1 L (34 fl oz) of water.[1]
- Warning: Medical experts advise against using a homemade ORS solution unless there are no other options available. Premade solutions are your best bet at fighting dehydration.[2]
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Drink 100 mL (3.4 fl oz) of your ORS about every 5 minutes. Multiply your weight (in kg) by 75—this is the amount of an ORS you need to drink over 4 hours (in mL). Continue to sip your ORS every few minutes, or until you no longer show signs of dehydration (for example, being able to pass urine, no longer feeling thirsty, and having a strong pulse).[3]
- Examine your symptoms after drinking your ORS for 1 hour, then continue checking once every 1-2 hours as you rehydrate.[4]
- Alternative dosage: Babies under 2 years old can drink 1⁄2 L (17 fl oz) of ORS per day; children under 10 years old can drink 1 L (34 fl oz) of ORS per day; and children over 10 years old and adults can drink 3 L (100 fl oz) of ORS per day.[5]
Expert Q&A
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QuestionWhat ingredients should I avoid in store-bought electrolyte drinks?
Arvind MadanArvind Madan is a Nephrologist based in Orlando, Florida. With over 23 years of experience, Arvind works as a Physician at Central FL Kidney Specialists and is the Principal Investigator of the research division there. Arvind is certified by the American Board of Internal Medicine, with a sub-specialty in Nephrology. He is an Assistant Professor of Internal Medicine at the University of Central Florida’s College of Medicine. He is also an Assistant Professor of Medicine at Orlando College of Osteopathic Medicine (OCOM). He received his MD from Maulana Azad Medical College at Delhi University and completed his residency at Nassau County Medical Center.
Nephrologist
If you are seeing more than basic salt, glucose, and water, there are too many ingredients that you probably do not need. Granted, there can be a little bit of magnesium or electrolytes, but once you start reading the label and get into preservatives and flavor enhancers, or if it takes two or three words to describe one compound in it, that means it’s processed. You do not need that, and it's best to drink plain water. -
QuestionWhat are some good ways to replenish electrolytes?
Tiffany Jumaily, MDDr. Tiffany Jumaily is a Board Certified Pediatrician and a fellow of the American Academy of Pediatrics (FAAP) based in Los Angeles, California. With over a decade of experience in the medical field, Dr. Jumaily specializes in identifying the root cause of symptoms and presenting manifestations of disease. She holds a BA in Biology from Boston University and an MD from Boston University School of Medicine. Her dedication to combining evidence-based allopathic medicine with complementary and alternative therapies has led to her being featured and cited in various platforms including U.S. News & World Report, Forbes, and CBS Los Angeles.
Board Certified Pediatrician
The best way to replenish electrolytes is to drink them in the form of Gatorade or an oral rehydration solution. Another thing people can do is get an IV, especially if they're extremely sick and dehydrated or can't drink electrolytes. Sometimes, people like to replenish their electrolytes with an Epsom salt bath, which helps restore their muscles and absorb some of the electrolytes through the skin.
Video
Tips
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Medical professionals officially recommend using ORS packets (like Trioral or DripDrop).[11] You can also purchase premade ORS drinks (like Pedialyte).Thanks
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The BRAT diet (bananas, rice, applesauce, and toast) can help individuals rebound from bouts of diarrhea and vomiting since these foods are nutritious and easy on your stomach.[12]Thanks
Warnings
- Be sure to use clean water when preparing an ORS drink.[13]Thanks
- Don’t give a child with diarrhea medication unless your doctor recommends or prescribes it.[14]Thanks
- Call your doctor right away if your child experiences any serious symptoms like bloody stool, abdominal pain, a lack of tears, infrequent urination, high fever, intense thirst, weight loss, and/or frequent vomiting.[15]Thanks
- A typical case of diarrhea goes away within a week. Call your doctor if you experience diarrhea for longer than this.[16]Thanks
References
- ↑ https://www.cdc.gov/cholera/treatment/
- ↑ https://travel.gc.ca/travelling/health-safety/rehydration
- ↑ https://www.cdc.gov/cholera/treatment/
- ↑ https://www.cdc.gov/cholera/treatment/
- ↑ https://www.cdc.gov/global-water-sanitation-hygiene/media/pdfs/11_229310-j_ors_print-africa.pdf
- ↑ https://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-ors-recipes.pdf
- ↑ https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2020/03/ORS-Parrish-March-2020.pdf
- ↑ https://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-ors-recipes.pdf
- ↑ https://www.cdc.gov/global-water-sanitation-hygiene/media/pdfs/11_229310-j_ors_print-africa.pdf
- ↑ https://www.niddk.nih.gov/health-information/digestive-diseases/food-poisoning/treatment
- ↑ https://travel.gc.ca/travelling/health-safety/rehydration
- ↑ https://www.cuh.nhs.uk/patient-information/dietary-advice-for-children-and-young-people-with-common-gastro-intestinal-symptoms
- ↑ https://travel.gc.ca/travelling/health-safety/rehydration
- ↑ https://kidshealth.org/en/parents/diarrhea.html
- ↑ https://www.hopkinsmedicine.org/health/conditions-and-diseases/diarrhea-in-children
- ↑ https://my.clevelandclinic.org/health/diseases/4108-diarrhea
About This Article
An oral rehydration salts drink, or ORS, is a special solution that you can use to rehydrate after severe diarrhea or vomiting. To make your own ORS drink, wash your hands with soap and water and grab a clean pitcher or bottle. Mix together ½ teaspoon (about 2 g) of table salt and 2 tablespoons (25 g) of granulated sugar in your container, then add 1 liter (about 4 cups) of clean drinking water. Stir the mixture vigorously for about 1 minute, or until all the salt and sugar are dissolved. Store any of the mixture that you don’t drink right away in the fridge for up to 24 hours. To learn how to prevent severe dehydration with an oral rehydration salt drink, scroll down!
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"Very informative and helpful for us in time when there's no medicine available in every household, much more if you're living far away from the cities. This could save our lives. Thank you for this very informative article in a very clear presentation."..." more








