FLUID RESTRICTION
There is usually no restriction in the amount of fluids you can drink until severe kidney disease (Stage 4 or 5) is reached. The amount of urine your kidneys can make will usually not decrease until it is almost time to begin dialysis. It is called “kidney failure” because eventually the kidneys fail to make urine.
PHOSPHORUS
Phosphorus is a mineral found in almost all foods. Normal kidneys will balance the amount of phosphorus in our bodies. However, when the kidneys fail to eliminate this in the urine, the phosphorus will increase in the blood. High phosphorus foods will need to be limited and/or avoided. A medication called a phosphate binder (such as Oscal, Phoslo and Tums) may be ordered by your physician to be taken every time you eat. This medication will bind the phosphorus in the food and eliminate it in the stool. Control of phosphorus is very difficult for kidney disease patients. Ignoring this problem can lead to bone disease with pain in the back and joints.
High phosphorus foods to eliminate are:
Milk (any kind) - Start learning to use a milk substitute like Cremora (powdered) or Coffeemate (liquid) - Beans (red, black, white), Black Eyed Peas, Lima Beans, Nuts, Chocolate, Yogurt, Cheese, Liver, Sardines, Desserts made with milk
ANEMIA
Healthy kidneys make a hormone that helps make red blood cells. One of the symptoms of kidney disease is anemia, which causes weakness, tiredness and shortness of breath. Your kidney doctor may give you an injection called “Procrit.” This may help improve your anemia. The doctor may also order iron injections because in order to make red blood cells, you will need enough iron. Unfortunately, in some people the special diet will not provide enough iron and iron pills would be taken.
VITAMINS
Diseases of the heart and blood vessels remain the number one health problem in the U.S. Recently, a new risk factor has been identified in kidney disease patients. It is an amino acid called homocysteine. Over 75 percent of dialysis patients have increased homocysteine levels. Too much homocysteine in the blood has been found to be associated with increased risk of heart disease, stroke and blood vessel disease. Studies have shown that homocysteine levels in the blood are strongly influenced by these specific vitamins: Folic Acid, Vitamin B12 and Vitamin B6. The American Heart Association has indicated that a reasonable therapeutic goal should be less than 10 micromoles per liter. Ask your kidney doctor if you should be taking a special vitamin to help prevent high levels of homocysteine.
DIABETICS
Since about 40 percent of all kidney disease patients are diabetic, it is important to know about good control of your blood sugar. There is a special blood test called a “hemoglobin A1C.” This test tells what your blood sugars have been in the past two to three months. The normal range is 4.5 to 6.0 percent. Poor control of blood sugar contributes to the progression of your kidney disease. Be sure to ask your doctor how you are doing with blood sugar control. It may be necessary to be referred to a diabetes educator for help.
Sample Menu: 40-50 grams protein
(For non diabetic man 5’7” tall and 150 pounds (70 kilos) with CKD)
BREAKFAST
• 1/2 cup (4 ounces) orange juice • 1 English muffin or 2 slices bread
• At least one tablespoon margarine with jelly
• Coffee or tea with non-dairy creamer and sugar
SNACK
• 2 canned pear halves in heavy syrup
LUNCH
• 2 slices white bread • At least 2 tablespoons mayonnaise with lettuce and tomato
• 1 ounce chicken (such as a small thigh) or 1 hard boiled egg
• 2 canned peach halves in heavy syrup
• 7-UP, lemonade or Hawaiian Punch
SNACK
• Baked apple with 1/2 cup non-dairy whipped topping
DINNER
• 3-4 ounces steak (weigh after cooking, without bone) , sauté in tablespoons olive oil
• 1 small baked potato with at least 2 tablespoons margarine
• 1/2 cup fresh green beans, carrots or broccoli with margarine
• Lettuce, onions, cucumbers, green pepper
• At least 2 tablespoons olive oil with vinegar or lemon
• 1/8 apple or cherry pie with 1/2 cup fruit sorbet (this is not sherbet)
• Iced tea with sugar and lemon or Sprite
MORE
I Am At 12% Kidney Function, But I Feel Fine. What Should I Do
If a patient only has 12% kidney function left, but there is no obvious symptom in his body, what should he do to deal with his condition? As we know, how much kidney function is left for patient with kidney disease is defined according to his glomerular filtration rate (GFR). And for patient who has 12% kidney function left, his GFR is about 15ml/min. Which means his is in stage 5 kidney failure.
http://www.kidneyservicechina.com/renal-failure-healthy-lifestyle/1615.html
I Am Going To Undergo Dialysis Soon. What Am I Facing
Dialysis is a kidney replacement therapy. For patient who is in the end stage of kidney failure, there will be much wastes and toxins accumulating in his blood, and to keep his health, he will be recommended to accept dialysis. Dialysis is an effective way to prolong patient’s lifetime, but there are some aspects that is worthing considering before patient accepting dialysis.
http://www.kidneyservicechina.com/renal-failure-treatment/1616.html
Does Foams In Urine Indicate Kidney Failure
Patient with kidney disease may have a lot of worry if he find he has foams in his urine, because that may be a indication of kidney failure. Does foams in urine always indicate kidney failure? Why does patient with kidney disease has foams in urine? It is necessary for patient to have a better understanding about this aspect.
http://www.kidneyservicechina.com/protein-in-urine/1617.html
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