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

Question

Hello doctor,

I have high creatinine levels due to polycystic kidneys. The level reaches up to 14 mg/dL. So the doctor suggested dialysis and I underwent four dialyses to date. Now the creatinine level is 6.73 mg/dL, urea is 91.69 mg/dL, BUN is 42.8 mg/dL, eGFR is 8.84 mL/min, and uric acid is 6.65 mg/dL. I want to discontinue dialysis. Please suggest the right medication and diet plan to reduce the above parameters.

Thank you.

Answer 1

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.