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Suggest a diet plan for a end-stage renal disease patient

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Posted on Mon, 31 Jul 2017
Question: Hi doctor, I am a Dialysis kidney patient aged 64 yrs. started on dialysis recently. S.Creatine before and after dialysis is 11.0 and 5.8 ; I am having hypertension since more than 20 years but no diabetes. My daily urine output is about 2 litres. Please guide me with a "proper" diet plan. I am using medicines for BP, uric acid and thyroid level control.
doctor
Answered by Dr. Ravi Bansal (41 hours later)
Brief Answer:
Diet in ESRD on HD is protein rich without juices

Detailed Answer:
Hi,

Diet in hemodialysis incorporates the following principles

Proteins- 1.2 gm/Kg body wt/day

calories- 25 to 30 kcal/Kg/day

Liquids 2 liter per day ( as you are passing 2 liter urine per day)

No juices and juicy fruits as they are rich in phosphorus and potassium.

Add less salt . do not add table salt . use less salt while cooking.

do not take any special salt which contain potassium instead of sodium.

So with these guidelines we have to see what food stuffs you are taking for your meals and calculate the amount which you are allowed to have.

This is the work of a dietitian to sit down and interview you for the same.

Broadly you have to avoid foodstuffs rich in potassium and phosphorus.

if you have any other query please write in

best wishes
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ravi Bansal (7 hours later)
Hi doctor, thank you for your guidelines and advise regarding dietician consultation. However can you please clarify one or two points to me? I will be much thankful.
1) what are the "best" sources of protein for me ? I am a "pure" vegetarian.
2) Can I consume Wholewheat bread/ butter/ kova sweets/ laddus / dry fruits like almonds/walnuts/ Brazilnuts / Namkeens (Non-branded locally made ones ) in moderation occassionally ?
I expect your answer with much eagerness.
doctor
Answered by Dr. Ravi Bansal (8 hours later)
Brief Answer:
Protien from pulses and paneer

Detailed Answer:
Hi

1. protein from pulses and paneer. even soya can be taken. there wont be much difference in protein quality.

2.do not take nuts and dry fruits as they are rich in phosphorus and you must be already using phosphate binding tablets.

3. you can take sweet and ladoos if you are not a diabetic.
4. whole weat bread can be taken but please avoid namkeen as they have extra salt content and can increase blood pressure

best wishes

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 359 Questions

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Suggest a diet plan for a end-stage renal disease patient

Brief Answer: Diet in ESRD on HD is protein rich without juices Detailed Answer: Hi, Diet in hemodialysis incorporates the following principles Proteins- 1.2 gm/Kg body wt/day calories- 25 to 30 kcal/Kg/day Liquids 2 liter per day ( as you are passing 2 liter urine per day) No juices and juicy fruits as they are rich in phosphorus and potassium. Add less salt . do not add table salt . use less salt while cooking. do not take any special salt which contain potassium instead of sodium. So with these guidelines we have to see what food stuffs you are taking for your meals and calculate the amount which you are allowed to have. This is the work of a dietitian to sit down and interview you for the same. Broadly you have to avoid foodstuffs rich in potassium and phosphorus. if you have any other query please write in best wishes