Category Archives: Diet/Nutrition

Hello Doctor, I am 62 years old man having serum creatinine 1.56mg/dl, micro albumin 108.8 mg/l, Creatinine clearance in 24 hours urine is 54.50ml/min/1.73m2, Uric acid serum 6mg/dl, K4.8mmol/L. There is no symptoms of CKD. Ultrasound of Kidney & Renal Doppler is normal. I am concerned for raised creatinine level and microalbumin in urine. I am not diabetic and hypertension being take care of by Losar 50 and its controlled well. I need your advise for: 1) How to slow down the progression of CKD? 2) How serious it is? 3) How long will it take to reach stage 5? 4) Line of treatment?

Based on the information that you present, you appear to have early Stage 3 chronic kidney disease (CKD). The Losartan that you are taking should keep your blood pressure less than 130/80 and preferably less than 120/75. You should not … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

Hello doctor. How are you doing? Well I have a doubt regarding my recent ultrasound report. The concerned pathologist said that I have 4 to 5 small kidney stones of the size of approx. 2.8-3mm. I searched Google about the home remedies to cure kidney stones and I came to know about the daily consumption of apple cider vinegar. Can you kindly tell me whether I should start taking apple cider vinegar on an empty stomach every morning just by reading about it on Google? Like is it advisable by doctors as well? Thanks in advance.

The best diet to prevent kidney stones is the DASH diet. I also suggest a low salt diet. You can review the DASH diet at:  https://www.nhlbi.nih.gov/health-topics/dash-eating-plan Apple cider vinegar has been advocated by some to prevent kidney stones by changing … Continue reading

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

My husband has kidney problems. He has low calcium. Please let me know which food he can take to increase calcium. I really appreciate it. Thank you.

Milk, dairy products, beans and kale are high in calcium. For additional information about nutrition and kidney disease, please visit: https://www.kidney.org/nutrition/Kidney-Disease-Stages-1-4

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

I had a Ileostomy on May 2, 2017. My check up in January 31, 2019 stated I have decreased kidney function. I am concerned that my kidneys will be damaged because I only expel 6 or 8 oz. at a time. The fluid goes straight to my ileostomy. Do you have any advice and how long will my kidneys work under these conditions?

I am unable to make a specific diagnosis of kidney disease based on the information that you present. If this is a problem of dehydration related to increase water and fluid losses from your ileostomy, then drinking sports drinks such … Continue reading

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

I’ve been on dialysis since 2015. I was approached by a Transplant Center about getting off dialysis. I’ve always dismissed the idea, but decided to give it try. I went to the Orientation, sat through the slide presentation, gave more blood than I ever had, then the doctor came in and said they wouldn’t consider me unless I lost at least 100 lbs. He said it was to much fat to get in to. I didn’t mind him telling me that. I just could have handled it better knowing up front then I could have decided how to handle it. I now have a donor, but I’m told that this procedure still can’t be done because no Doctor would want to put me to sleep. Is there any truth to this?

It is true that there is increased risk to performing transplantation in people who are obese and specifically if there is severe obesity. This generally means that someone has a BMI that is over 38 kilograms per meters squared (kg/M2). … Continue reading

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

We are in Gujarat, India. My nephew’s son is of 14 years. His Creatinine level is 2.2. Can it be fatal anyway? What vegetarian diet can he be given to lower down the Creatinine?

I do not know of any vegetarian diet that will lower the serum creatinine. I do suggest a low salt diet. I suggest that your nephew limit his sodium intake to less than 2300 milligrams per day. I am unable … Continue reading

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

I am having problems finding proper nutrition counseling for stage 3 CKD. I am going to Davita’s website and sometimes get contracting advise. Specifically, what foods should I totally avoid?

I don’t think there are any foods that have to totally be avoided for Stage 3 chronic kidney disease (CKD). I do recommend limiting salt intake to less than 2300 milligrams per day. I am a strong proponent for the … Continue reading

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

Hello, and thank you for this great service! I wondered – is there any evidence to suggest any benefit in reducing salt intake for a young family with no medical conditions, hypertension or kidney problems? Should I be using salt freely in my home cooking (within reason), or limiting it as much as possible? Many thanks.

Your question is an interesting one, in that for a specific family with no known medical conditions, who are young and lead an otherwise healthy lifestyle, there is no specific evidence that decreasing salt intake will result in any better … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

How much protein should I eat after radical nephrectomy?

I am an advocate for the DASH diet for patients with a solitary kidney. I suggest you review the DASH diet at: https://www.nhlbi.nih.gov/health-topics/dash-eating-plan You should also avoid salt in cooking and avoid salt at the table. In general, I recommend … Continue reading

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

My father, age 86 years and has a failure in one of his kidneys. Now he has a 3.00-3.2 creatinine and 68-90 Urea nitrogen and his pressure sometimes is not stable. I ask for your help to know how to protect him and what is the best food program to treat his case. What must he avoid in terms of medications and foods? Best regards.

I am unable to make a specific diagnosis based on the information that you present. Recommendations for diet and medications would require that I perform a complete history and physical examination. Many elderly will have a hard time following a … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Kidney Failure, Kidney-Related Health Questions, Serum Creatinine