Category Archives: Diet/Nutrition

Hi, I am a 30 years old woman. I have been on dialysis for 4 years. The first year my weight was 55, the second year it was 45 and since the last two years my weight has been on the rise from 45 to now 61.5 kgs. Since the month of May this year, I have gone from 58.5 to 61.5 kgs (this is 3 kgs gain in 7 months). My problem and question is that I eat very little and have bouts of anorexia. Then why am I gaining weight? I have not changed my eating habits, in fact I have completely quit added sugar in my diet and have started exercising more. Can you please tell me if any chemicals used during dialysis can cause weight gain? Thank you

I am not able to make a specific diagnosis based on the information that you present. I would need to see you and examine for the cause of the weight changes. Your nephrologist should be able to provide you with … Continue reading

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

I am a kidney patient.What should be my daily nutrition supplement?

Rather that using a nutrition supplement, I am an advocate for a healthy diet. I believe that a low salt DASH diet is the best diet for patients with chronic kidney disease (CKD) as long as their blood potassium levels … Continue reading

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

Hello, I was diagnosed with Stage 3 CKD – my GFR is 51. I only see a GP – should I go to a renal dietician and see a nephrologist? My doctor didn’t act like this is serious and he didn’t say anything about a special diet, but I have learned a lot from the internet. I have Type 2 Diabetes also and take blood pressure medication – I am very concerned. I’m a 59 yr. old female – Is it possible for the GFR number to go up? Thank You

It appears that you have early Stage 3 Chronic Kidney Disease (CKD). In most cases, primary care physicians (PCP’s) are very well able to care for Stage 3 CKD. As far as diet, I am a strong advocate for a … Continue reading

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

I have been suffering IgA nephropathy about 30years. I am now 49 years woman. My disease is not severe, just protein and hematuria in my urine. I have ACE medicine, for keeping my blood pressure solid because I have no high pressure. I have read studies where it’s said, that they have found diet without gluten (maybe dairy and red meat too) has been useful and protein has decreased and the glomerulus has gotten better. Is it worth it to leave gluten and maybe dairy and red meat out on diet to help my kidneys?

There are many theories about the cause of IgA nephropathy that include dietary causes such as gluten and other foods in the diet (as you mention). These remain theories because no study has yet shown that adjusting the diet in … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Proteinuria

Hi. I have a proteinuria. Can you tell me about the diet which I can take in order to treat my disease. Regards.

Protein in the urine (proteinuria) does not tell me the cause of your kidney disease. Different forms of kidney disease may be treated very differently. If your kidney disease is relatively mild and your estimated glomerular filtration rate (eGFR) is … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, GFR, Kidney-Related Health Questions, Proteinuria

Dear Doctor, USG of my daughter aged 23 says, ” One calculus 4.8 mm at the left proximal most ureter”. Please advise about treatment and diet.

There appears to be a very small stone in the tube that connects the left kidney to the bladder (the ureter). It appears to be high up in the ureter. If it is not causing pain, the treatment consists of … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Urological Issues

Dear Dr Spry, I am a Dental surgeon living in Nairobi, Kenya. I am currently suffering from stage 3 b (serum creatinine 1.92 mg/dl as per a few months ago) kidney disease. I had a right radical nephrectomy in 2010. I am 5 foot 9 and 57 kg. I am currently on a kidney friendly diet, and am following recipes on the Davita site, as we do not have any renal dietitians in Kenya. I am planning to take part in a sprint triathlon in December, and am currently training for that. My question is, can I take any electrolytes during training for the triathlon itself, to make up for electrolytes lost by sweating? considering most electrolytes are high in sodium and potassium. My nephrologist in Kenya is not too sure. I humbly request for any direction on the matter. Regards.

I am also a strong advocate for the DASH diet in patients with Stage 3 chronic kidney disease (CKD). You can learn more about the DASH diet at: https://www.nhlbi.nih.gov/health/health-topics/topics/dash Training for a long distance run and triathlon can be challenging … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Nephrectomy / One kidney

I have Polycystic CKD with a GFR 42 – 46, BUN 27, Creatnine 1.7. I need to have a cardiac CTA with contrast in preparation for an A-Fib ablation. Could you help me understand the risks of CTA contrast? Thanks very much!

The use of iodinated contrast for computerized tomography (CT) scanning is a risk for patients with underlying chronic kidney disease (CKD). The risk is that patients will suffer acute kidney injury as a result of filtering the contrast through their … Continue reading

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

I was considering using the Xyngular program to lose weight. I also wanted to make sure doing this plant and herbal based diet would not harm my kidneys. I have stage 3 kidney disease, diabetes(controlled), problems with recurring DVT(warfarin controlled), high blood pressure(controlled). The seller of this product says they have never heard of a problem like this with other customers. Could you please give me your opinion on this regime? Thanks in advance.

I read through the link that you provided and I am not aware of any studies that have been done with this product in patients with chronic kidney disease (CKD). You are also taking warfarin for a blood thinner and … Continue reading

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

I am an 80 year old Caucasian female being treated with Synthroid for hypothyroidism. My blood tests indicate a low GFR: 43 in 2015, 47 in 2016, and 50 in 2017. Though the numbers have risen slightly, do they indicate an incipient kidney problem? What can I do, if anything, to help raise my GFR count? Thank you!

The estimated glomerular filtration rates (eGFR’s) that you mention are slightly low. The normal for eGFR is greater than 60 milliliters per minute per 1.73 meters squared. You should also have urinary testing for blood, protein and infection. The variability … Continue reading

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