Q. What diet can a chronic kidney disease patient follow?
Hello doctor,
I am a 67-year-old male with a weight 65 kg and height of 171 cm. I have been suffering from chronic kidney disease and post PTCA care for 17 years. I was diagnosed 15 months back with serum creatinine to be around 5 and am on medications for 15 months. I am a non-diabetic. In the last 15 months, I have lost 14 kg. Monthly renal lab tests are being done. Six months ago, my serum creatinine was 4.4, hemoglobin was 12.9, uric acid 3.7.
I want to know about my diet. I am a non-vegetarian. Presently I am taking 50 to 60 g of chicken or one egg white or two small pieces of fish thrice a week. I am on restricted use of pulses, tamarind, lemons, milk products, fruits in any form, limited to one liter of water per day, very less salt, no cool drinks, outside food, spices, sweets. I am hungry all the day. My urine output is 1500 mL per day. Protein is 2+.
Please advise me the suitable diet particularly non-veg. I am at present on rice in lunch and rice items for both breakfast and dinner with vegetables like capsicum, bottle guard, ladies finger, cauliflower, carrot, and cabbage. I do not take chilies. How can I improve the quality of life and eating? I am able to walk slowly for 30 minutes daily. I am not able to stand in a queue for not more than five minutes. If I sit for five minutes I am alright.
I am on the following medicines:
- Tablet KetoCheck two tablet three times daily.
- Tablet Sevanix 400 mg three times daily.
- Tablet Nocidos 500 mg three times daily.
- Tablet Celerab 20 one daily.
- Capsule Nephrovit-Fe one daily.
- Capsule Lobun Forte one daily.
- Capsule Calci CZ one daily.
- Tablet Febuget 40 mg once daily.
- Met XL 50 mg once daily.
- Clopilet 75 mg once daily.
I have also enclosed recent lab reports for your reference. Please advise.
Hello,
Welcome to icliniq.com.
I have gone through the attachments (attachment removed to protect patient identity)
Your reports are fine. Albumin is good that shows that your nutritional status is fine.
Potassium is low that accounts for generalized weakness. So now decrease your food restrictions by 20%.
You increase the intake of fruits by one a week.
Regarding non-vegetarian diet what you are taking is more than enough because above that it will increase your phosphorus.
You can increase the intake of pulses.
There are specific books that you can read to cook food for a CKD (chronic kidney disease) diet.
You should give maximum focus on salt restriction rather than other things.
Chillies can be used as per flavor. THere is no harm.
Need to take water in summers and should take at least 1.5 liters of water that is equal to your urine output.
In winters, the intake should be slightly less.
Medications are all fine. The mainstay to control CKD progression is strict blood pressure control.
So keep your blood pressure checked at home in the mornings and evenings and keep a target of less than 130/80.
For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
Thank you doctor,
I want to know your remarks about protein level, the intake, and protein loss. Can I take egg whites and potatoes more?
Hello,
Welcome back to icliniq.com.
Potatoes can be taken. Protein intake should be 0.8 g per kg per day.
First class protein is 60% of the egg white that would be fine but not more.
The exact calculation will need a help of a registered dietician. Follow the below:
- Protein 0.8 g per kg per day.
- Low salt 4 to 6 g per day.
- Moderate potassium restriction.
- Fluids as per urine output.
- Low phosphate.
For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
How to Extend Your Healthy Life Years!!!
If we shortlist these disorders, we are left with the most common and dangerous causes of death ... Major risk factors for stroke:Hypertension, deranged lipid profile, tobacco consumption, no physical activity, substandard diet, age of the person- ri... Read full
My mother is suffering from chronic kidney disease. Can she avoid dialysis?.. reviewed your query. There are specific indications for dialysis in patients with chronic kidney disease. They include low creatinine clearance, high potassium, patient becoming acidotic, symptoms of uremia (increased urea in the blood), loss of a... Read full
If a person with chronic kidney disease receives Toradol 60 mg,can that lead to acute renal failure?.. Ketorolac. It is known to cause worsening of kidney functions. But usually what is seen is that, it is the administration for a longer duration which causes the increased probability of renal failure and not a single dose. A famous study reveals t... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Malaria Prevention Using Monoclonal Antibodies
A recent phase 1 study proved monoclonal antibodies effective in preventing malaria. Read the article to know more. Read more»
Surgical Ostomy - Types, Causes, Procedure, and Complications
This article briefly discusses ostomy, a surgical procedure where an opening is created between the segment of the gastr... Read more»
Rotavirus Infection - Symptoms, Diagnosis, and Treatment
Rotaviruses are among the most common causes of severe diarrhoeal disease in young children worldwide. Read the article ... Read more»
Ask your health query to a doctor online?
Ask a Nephrologist Now* guaranteed answer within 4 hours.
