Brief Answer:
low protein and Low phosporous diet

Detailed Answer:
Hi,

Thank you for the reports.

As the reports indicate your creatinine and phosphorous levels are elevated and the diet should primarily focus on managing their levels. Potassium is also on the higher end.

Creatinine levels are directly dependent on the protein intake. To bring it down, you have to consider calculating the total protein intake of the day. Protein rich foods are milk, its products, beans, legumes, non vegetarian food, pulses and eggs. Divide these foods into small portions and never combine two protein rich foods in one meal. For example, avoid taking milk with omelet or cheese with beans salad.

Foods like soy, beef, beans, salmon, pork and some varieties of cheese contain more phosphorous. Be careful while you buy these foods. It is important that you ensure reading the food labels every time you buy any new food, this would help you in making a safer choice.

As previously suggested, to manage potassium, you are required to limit the intake of fruits to the ones which contain lesser potassium. The best choices for you are apple, pear, guava and papaya.
Green leafy and citrus vegetables are to be completely avoided. These would include spinach, XXXXXXX cabbage, cilantro, grasses of vegetables and grains etc. lemon and coconut and all it's products to be eliminated from the diet.
leaching the vegetable before cooking would further reduce the potassium load of your meal. But it causes loss of other vital nutrients as well, therefore make sure that you manage a liberal intake of the leached vegetables.

You may consult your doctor and ask if phosphorous and potassium binders are required at this stage.

Avoid ready to eat / ready to cook foods, fresh is the key to healthy diet. The ideal fluid intake ( including water, all types of beverages and liquid medicines) for you would be total urine output plus 500 ml. i.e. if you pass approx. 1000 ml of urine in a day, then you are allowed to take 1000 ml + 500 ml of water and other fluids in total.

Hope this helps, Kindly feel free to come back for further discussion over your diet.

Meenakshi

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Brief Answer:
You are most welcome

Detailed Answer:
Hi,

Thank you for the feed back.

Romaine lettuce is a leafy vegetable and hence is on the restricted food list. However, since your potassium level is within range ( towards the higher end though!!), you may take it once in 10 days and be sure that you choose the sausage and other ingredients with care.

100 g of Pineapple provides approximately 110 mg of potassium. This value is quite high for a single serving of fruit. Also, most coffees are rich in phosphorous. Therefore, the coffee intake should be limited to a single cup ( approx 150 ml) per day. You may also divide it into two smaller portions and take it twice daily. Use Non Dairy milk substitutes to make your coffee.

Protein rich preserved foods are to be strictly avoided, and hence, Canned Kidney beans are not recommended. You can use rice milk in your food preparations.

With a smarter food choice and right combinations you will be able to keep the creatinine, sodium, potassium and phosphorous levels under check.

You may contact us for further discussion.

Regards,
Meenakshi

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Brief Answer:
You are most welcome

Detailed Answer:
Thank you for the Feedback

Meenakshi

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Brief Answer:
Moderate potassium diet required

Detailed Answer:
Hi,

It is important to make smart choices in food to keep the serum potassium levels under check. At present your kidneys are not capable to maintain the optimum levels of this mineral in the blood and therefore the responsibility of managing the potassium levels lies with you.

As discussed in the previous reply, almost all foods contain potassium in varying amounts; the success of a low potassium diet depends on how you combine the different foods in one meal. A working knowledge of high and low potassium foods would help you manage the potassium intake.

Potassium Rich Foods include -apricots, mustard, beets, mushroom, XXXXXXX and its products, all greens, tomato, cantaloupe, salt substitutes, coffee ( 1 cup per day is allowed), lemons etc. and all fruits except those mentioned in low potassium fruit list.

While foods that have low potassium content are fruits, mostly apple, pear, papaya and guava. You may also take watermelon and cherries once in a while, but in small quantities.

Remember, it is important to manage the potassium count of the whole meal, and not of any one food item. A wrong combination of 3-4 low potassium foods would result in a high potassium meal. Make it a daily habit to leach the vegetables before cooking.

As far as serum pH is concerned, I don't see the pH values here.

Dietary changes bring in gradual changes on your serum reports. I would suggest you to my views with the treating doctor and implement it. I really wish my online opinions should facilitate necessary care to you quickly and not delay it further. So please work on it.

Meenakshi

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