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Patient: m*** ,69 Female, Barrackpur Connect
Last Seen : 1 Day Ago
Views : 48

Query: Guide me for diet for my mother suffering from CKD.
my mother creatine 2.12, uric acid 9.73 urrea 67, not diabatic ckd+htn. guide me diet chart, water restriction and drug suggest.


Reply: Dear Sir,
Kidney acts to maintain normal balance of water and electrolytes in our body. A raised creatinine, uric acid is an indication that kidney function is compromised. So to reduce the load on the kidneys, some modifications in the diet are necessary. Broadly speaking, the diet here has to be -low protein/low salt/low fluid/low potassium/low phosphorus.
Restriction of sodium reduces the high blood pressure as well as reduces the chances of peripheral edema. Sodium in the diet primarily comes from eating salt. The aim should be to eat no more than 2-3 g of sodium daily. Avoid adding salt to food when cooking or at the table. Also, try to avoid consuming foods which are high in salt, such as: Bacon and other cured meats, cheese, salted nuts/namkeens, pickles, instant soups, fast food,processed/canned foods, etc.
In the early stages, normal amount of water can be consumed. But later on, intake of water or fluid has to be reduced based on urine output/status of fluid retention.
Restrict eating high potassium containing dietary supplements such as tomato, potato,orange, banana, nuts and chocolates and also restrict eating food supplements with high concentration of phosphorus such as dairy products including milk, curd, cheese, shellfish, nuts, pork,etc.
Low protein diet is recommended to reduce creatinine level.
Eat small portions of protein foods. Protein is found in foods from both plants (beans, nuts, grains) and animals( chicken, fish, egg, dairy).

As a general guideline for fruits/vegetables -
It is advisable to take peaches, broccoli, onion, grapes, cabbage, pepper, cherries, cauliflower, apples, celery, berries, cucumber, pineapple, eggs, plums, green beans,lettuce, watermelon and pears.
Restrict the intake of oranges and orange juice, asparagus, avocado, kiwi fruit, raisins or other dried fruits, bananas, cooked spinach, potatoes, pumpkin, prunes, etc.

Medications like antihypertensives, vitamins, etc are to be taken in consultation with the local physician. Depending on the exact weight/height, symptoms, stage of CKD, activity level, other health conditions and dietary preferences, a more detailed diet chart including carbohydrate/protein/fat as per calorie requirement is to be prepared by a dietitian locally. Instead of deep frying, try to grill, broil, bake, roast, or stir-fry foods. Cook with nonstick cookware spraying only a small amount of oil.
Besides, avoid strenuous/vigorous exercise. Treat the underlying cause.
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Reply: Dear Sir,
Kidney acts to maintain normal balance of water and electrolytes in our body. A raised creatinine, uric acid is an indication that kidney function is compromised. So to reduce the load on the kidneys, some modifications in the diet are necessary. Broadly speaking, the diet here has to be -low protein/low salt/low fluid/low potassium/low phosphorus.
Restriction of sodium reduces the high blood pressure as well as reduces the chances of peripheral edema. Sodium in the diet primarily comes from eating salt. The aim should be to eat no more than 2-3 g of sodium daily. Avoid adding salt to food when cooking or at the table. Also, try to avoid consuming foods which are high in salt, such as: Bacon and other cured meats, cheese, salted nuts/namkeens, pickles, instant soups, fast food,processed/canned foods, etc.
In the early stages, normal amount of water can be consumed. But later on, intake of water or fluid has to be reduced based on urine output/status of fluid retention.
Restrict eating high potassium containing dietary supplements such as tomato, potato,orange, banana, nuts and chocolates and also restrict eating food supplements with high concentration of phosphorus such as dairy products including milk, curd, cheese, shellfish, nuts, pork,etc.
Low protein diet is recommended to reduce creatinine level.
Eat small portions of protein foods. Protein is found in foods from both plants (beans, nuts, grains) and animals( chicken, fish, egg, dairy).

As a general guideline for fruits/vegetables -
It is advisable to take peaches, broccoli, onion, grapes, cabbage, pepper, cherries, cauliflower, apples, celery, berries, cucumber, pineapple, eggs, plums, green beans,lettuce, watermelon and pears.
Restrict the intake of oranges and orange juice, asparagus, avocado, kiwi fruit, raisins or other dried fruits, bananas, cooked spinach, potatoes, pumpkin, prunes, etc.

Medications like antihypertensives, vitamins, etc are to be taken in consultation with the local physician. Depending on the exact weight/height, symptoms, stage of CKD, activity level, other health conditions and dietary preferences, a more detailed diet chart including carbohydrate/protein/fat as per calorie requirement is to be prepared by a dietitian locally. Instead of deep frying, try to grill, broil, bake, roast, or stir-fry foods. Cook with nonstick cookware spraying only a small amount of oil.
Besides, avoid strenuous/vigorous exercise. Treat the underlying cause.