Category Archives: Diet/Nutrition

Can high amounts of salt at a early age be a factor in getting CKD? In the military, we were encouraged to take large amounts of salt tablets. Could that have been a factor in me having CKF?

A high salt intake can make blood pressure higher and result in more resistant high blood pressure.  High blood pressure can result in chronic kidney disease (CKD).  I do not know if taking salt tablets would ultimately result in kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

How much liter water should taken by hemodialysis patients?

The amount of water that should be ingested by a dialysis patient depends on many things, but mostly on the amount of urine that the dialysis patient makes per day.  The amount of urine should be measured.  I generally recommend … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist

Hello, as it is known in the last studies that caffeine is the only proven agent to increase the cyst size in the kidneys. Is that true, and what about the protein and the glutamine will they affect the cyst ?

There is research that shows that caffeinated beverages such as soda pop and coffee may increase cyst size and increase pain in patients with polycystic kidney disease (PCKD).  I advise patients with PCKD to avoid caffeinated beverages.  I am not … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Polycystic Kidney Disease, Symptoms and Side Effects, Treatments

My husband has just been diagnosed with stage 4 renal failure. His kidney function is at 25% and we want to do all that we can to help keep it from going any lower. I am struggling with how to adjust our diet and am seeing lots of conflicting information online. He is also diabetic. Is there a reliable resource to turn to for the best information on the foods he needs to avoid? We don’t see his doctor for another month and I refuse to wait that long to change what he is putting into his body. Any information would be greatly appreciated.

For Stage 4 chronic kidney disease (CKD), I recommend a low salt diabetic diet.  Further dietary adjustments have to be made by your husband’s physician or a dietitian based on the results of the blood testing that has been done … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I am a very rare person who has sarcoidosis and I lost my kidneys due to cancer June 2012. My phosphorus levels are high at 12. This was the last. I had my parathyroid removed in 2015 and it helped for a little while but now it keeps creeping up and at first I was snacking without my binders but for the most part I take them. I have bone pain and calcium buildup on my shoulders. I’m 51 years old and I’m watching what I eat and try to stay away from high phosphorus foods. My question is how can I bring down my levels once they gotten this high? I’m on peritoneal dialysis.

If you are on peritoneal dialysis and have a high phosphorus, you should be taking a phosphate binder with each and every meal.  I suggest that you discuss this with the dietitian who is assigned to your by your dialysis … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions

Can a CKD patient have one banana per day? or is too much for a CKD patient to have?

If your blood potassium level is normal, one banana per day is safe.  If you have a high potassium in the blood, you should not eat any extra bananas.  You should find out what your blood potassium level is and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions

My 88 year old mother has been recently diagnosed with stage III Kidney disease. Her potassium levels were found to be high. She’s already on warfarin to prevent clotting due to a genetic blood factor. The poor thing doesn’t know what to eat and is rapidly losing weight. Her urologist gave her a booklet which lists foods she can’t eat. Those foods coupled with the Vit K list of foods not to eat are leaving her with very little food choices. She’s not able to see a dietician for weeks. I’m afraid she’ll lose so much weight that her kidneys will fail. Can you help with a couple day menu of foods she can eat?

I am a strong advocate for the DASH diet.  The DASH diet will be the best thing for her chronic kidney disease (CKD).  Since she is taking warfarin as a blood thinner, it is important to eat consistently and avoid … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I was recently diagnosed with Stage 3a CKD, much to my shock. It is stable since last year, according to my doctor. He didn’t recommend anything specific other than healthy diet, exercise, no NSAIDs and monitor blood pressure. However, I read a lot about lowering protein and phosphates, etc. I also think I am at risk for osteoporosis and had been taking a lot of supplements, including calcium. I am wondering if I should see a nephrologist and/or dietician for advice at this stage. I would like to be proactive and delay worsening of this condition. I am 66. I would appreciate your input.

Your primary care physician is well qualified to care for early stage chronic kidney disease (CKD).  It is most important that you continue to see your physician regularly and have blood and urine testing for CKD.  If your blood pressure … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney-Related Health Questions, Laboratory Testing, Treatments

Have you looked into combining metformin and the HCG diet to help in maintaining the high levels of ketones in the ketogenic diet?

I am not familiar with the “HCG diet”.  As I understand the diet, you take injections of human chorionic gonadotropin (HCG) and then follow a low calorie diet.  I would not be comfortable with using hormone injections to supplement a … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Treatments

I am a 64 year old female and am in early moderate state PKD and because of my research on the internet I am confused as to what to eat as I see websites with conflicting information. I mentioned this to my doctor and he said that I can eat anything I want in moderation, which is a total contradiction to what I have read. When asked, he also said I don’t need a dietician. I believe that I do. What you you think doctor? Thank you for any information you could give me.

People with early Polycystic Kidney Disease (PCKD) should follow a low salt diet and maintain a healthy body weight.  This can be done by combining exercise with the appropriate amount of calories to maintain a healthy lifestyle.  I am a … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Polycystic Kidney Disease, Treatments