How to Eat While On Dialysis

By eHow Health Editor

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You'll have to change the way you eat when you have end-stage renal failure. Your protein, sodium, potassium and fluid intake may be restricted or modified. Follow the recommendations of a licensed dietitian, working in conjunction with a renal specialist.

Instructions

Difficulty: Challenging

Things You’ll Need:

Step1
Restrict protein intake per doctor's orders. Some will restrict protein intake to 18-22 grams of protein a day, while others allow up to 35 to 40 grams.
Step2
Use your imagination to make small protein portions look appealing and appetizing. For instance, add a small amount of egg and milk to a slice of bread for French toast.
Step3
Eat enough calories to fuel your body sufficiently. Try special low-protein products, particularly those made from wheat starch.
Step4
Restrict your potassium. Milk, potatoes, tomatoes, dried beans, oranges and bananas are high in potassium.
Step5
Eat plenty of fiber. This helps eliminate substantial amounts of potassium from the body.
Step6
Supplement your vitamin intake as ordered by your doctor.
Step7
Restrict your fluid intake. Ask your doctor how much you should drink.
Step8
Reduce your sodium intake. Read food labels. Avoid foods with labels containing the words "sodium," "salt" or "soda."
Step9
Buy a nutrition booklet that lists the protein values in foods, and familiarize yourself with the amounts in common foods: For example, there are 8 grams of protein in a medium egg; an ounce of beef, lamb or pork; or four to five clams.

Tips & Warnings

  • Any protein you eat should be of the highest biological quality, containing all the essential amino acids.
  • Try the "Cleveland Clinic Renal Cookbook" for enticing recipes. Call (800) 850-6987 to order a copy.
  • Wheat starch foods are heavy and sometimes unappetizing, and they can be expensive. Pick and choose your wheat flour products carefully.
  • If you have any questions or concerns, contact a physician or other health care professional before engaging in any activity related to health and diet. This information is not intended as a substitute for professional medical advice or treatment.

Comments

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zach

zach said

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on 12/25/2006 The protein limits are out of date for someone on dialysis. The National Kidney Foundation recommends 1.2 grams of protein for every kg of body weight per day. 1kg = 2.2 lbs.

I'm 77 kg, so the correct amount of protein for someone my weight is 92 grams of protein a day!

And there's nothing about phosphorus, probably the most difficult part of the diet to control.

This is why one needs to be cautious when using the internet to find information. Always double (and triple) check the facts.

Angie is correct in her suggestion, too.

angie

angie said

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on 10/1/2006 This article seems like it is confused about the difference between pre-dialysis ESRD and people finally on dialysis! People not yet on dialysis have to watch their protein yet people ON dialysis MUST have protein as usually dialysis patients blood work reveal their protein is too low.

When ever you read ANYTHING on the net make sure you consult with your doctors, dietitian and dilaysis team.

- angieskidney.com

Anonymous

Anonymous said

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on 6/30/2006 If you take a phosphorous binder, you do not need to restrict your protein! Some end-stage renal patients need a high protein diet, usually this is when you're down to about 5% function. Also, when taking in fluids, I found that using a small juice glass (about 6 ounces) with my meals allowed me to take care of my thirst without accidentally overdoing it. You can always drink more, but if you drink too much to start your treatment, it will be much harder to take afterward.

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eHow Article: How to Eat While On Dialysis

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Category: Health

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