Q. How to normalize abnormal urine parameters with the help of medications and diet?

Hello,

Welcome to icliniq.com.

I understand your concern regarding your CKD (chronic kidney disease) status and your willingness to get off dialysis. In ESRD (end-stage renal disease), once you are on dialysis it is not easy to immediately stop it. But yes with a good diet and lifestyle, it can be tapered down. Are you taking dialysis four times per week? Depending on your fluid status, and a rise in creatinine post-HD, the dialysis frequency can be reduced.

Diet plan for dialysis patients includes the following:

1) Low salt diet of fewer than five grams per day.

2) Water intake of not more than one liter per day.

3) Low-potassium fruits like apples, pineapple, grapes, raspberry, blueberry, and pear can be taken.

4) Low-phosphorous diet of not more than 900 mg per day, which means a low amount of milk products, dry fruits, and lentils like kidney beans and chickpeas.

5) Good amount of protein in diet around 65 gm per day.

Please send me your latest phosphorus, calcium, LFT (liver function tests), vitamin D level, and PTH (parathormone) reports. Also what medication are you taking at present?

Thank you.

Hello,

Welcome back to icliniq.com.

I would advise you to get the following tests done:

1. Iron studies.
2. Ferritin level.
3. Vitamin D3 levels.
4. iPTH level (intact parathyroid hormone).
5. Calcium.
6. Phosphorous.

Kindly answer the following questions:

1. What is your blood pressure and sugar status?
2. How much urine are you passing each day?
3. Do you have swelling in your legs?
4. What is your last dialysis prescription?

Get the investigations done so that I can further help you with the management.

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Yash Kathuria

Experience: 5 + Yrs

Family Physician

---

Related Questions:
How to decrease the Level of Creatinine in the Body?

If the kidney fails to eliminate creatinine, the concentration of the creatinine will be high and sometimes cause kidney failure ... Sometimes, the patient is asympt   Read full

Dialysis Disequilibrium Syndrome: Causes, Signs and Treatment

Conditions causing increased permeability of the blood-brain barrier, such as sepsis (extreme response to an infection), meningitis (inflammation of the brain and spinal cord covering), encephalitis (brain inflammation), hemo   Read full

Had dialysis, but there is no improvement in the kidney function of a liver cirrhosis patient. Why?

.. in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease.   Read full