What To Do If Kidneys Are Failing
What To Do If Kidneys Are Failing – From basic kidney disease terminology to risk factors and treatment options that are right for you, Family Health Services has all the detailed information that CKD patients and care partners need.
Understanding kidney disease or kidney disease is the first step in taking control of your health. When you have kidney and kidney disease, you can’t effectively remove waste from your body or balance your fluids. The accumulation of waste can change your body chemistry, causing some symptoms you may notice and others you may not.
What To Do If Kidneys Are Failing
In the case of kidney diseases, the first symptoms may not be felt by you, but they appear in the tests prescribed by your doctor. Common problems are weak bones, high blood pressure and anemia.
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Finding a kidney doctor (also known as a nephrologist) is really important. Work closely with your doctor and health care team as soon as possible.
The kidneys—two pear-shaped organs located in the lower back—make up the body’s filtration system, removing waste and excess fluid from the body and producing and balancing chemicals.
Eating a kidney-friendly diet, managing health conditions like diabetes and high blood pressure, and not smoking can help your kidneys work better and longer, even if you have kidney disease.
Chronic kidney disease (CKD) comes in stages, and it’s important to know your stage to decide on treatment. CKD consists of five stages, from near-normal kidney function (stage 1) to kidney failure requiring dialysis or a kidney transplant (stage 5).
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Understanding your stage can help you learn how to manage the progression of your kidney disease. Stages of kidney disease are not based on symptoms alone. Instead, they use an equation that assesses kidney function known as the glomerular filtration rate (GFR), which reflects how efficiently the kidneys remove waste from the blood. A simple blood test is needed to determine GFR. The best places to play online Albuquerque
High blood pressure and diabetes are the main causes of kidney disease. عربح Another form of CKD is glomerulonephritis, a general term for many types of kidney inflammation. كيفيه لعب البوكر
Genetic disorders (such as polycystic kidney disease, or PKD), autoimmune disorders, birth defects, acute kidney failure, and other problems can also cause kidney disease. They filter blood, remove waste from urine, produce hormones, balance minerals and maintain fluid balance.
There are many risk factors for kidney disease. The most common are uncontrolled diabetes and high blood pressure.
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When the kidneys are damaged and not working properly, fluid can build up in the body and waste can build up in the blood.
However, avoiding or limiting certain foods in your diet can help reduce waste build-up in the blood, improve kidney function, and prevent further damage (
For example, people in the early stages of chronic kidney disease will have different dietary restrictions than those with end-stage kidney disease or kidney failure.
People with end-stage kidney disease who require dialysis will also have different dietary restrictions. Dialysis is a type of treatment that removes excess water and filters out waste.
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Most people with late-stage or end-stage renal disease must follow a kidney-friendly diet to prevent certain chemicals or nutrients from entering the bloodstream.
In people with chronic kidney disease, the kidneys are no longer able to properly eliminate sodium, potassium, or phosphorus. As a result, the risk of increased blood levels of these minerals is greater.
A kidney-friendly diet, or kidney diet, typically limits sodium to below 2,300 mg per day, as well as potassium and phosphorus.
The most recent National Kidney Foundation Kidney Disease Outcomes Quality Initiative (KDOQI) does not set specific limits for potassium or phosphorus (3).
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Potassium and phosphorus are always a concern for people with kidney disease, but they should work closely with their doctor or dietitian to determine personal limits for these nutrients, usually based on lab results.
Affected kidneys may also have difficulty filtering waste products from protein metabolism. Therefore, people with CKD in all stages, especially stages 3–5, should limit the amount of protein in their diet unless they are on dialysis (3,
In addition to the calories and sugar that soda provides, there are additives that contain phosphorus, especially dark soda.
Many food and beverage manufacturers add phosphorus during processing to improve flavor, extend shelf life, and prevent discoloration.
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Unlike natural phosphorus, supplemental phosphorus is not bound to protein. Instead, it is in salt form and is highly absorbed from the intestinal tract (
More phosphorus can be found in the product’s ingredient list. However, food manufacturers are not required to list the exact amount
Although the content of added phosphorus varies depending on the type of soda, most black sodas are thought to contain between 50 and 100 mg per 200 ml serving.
According to the US Department of Agriculture (USDA) Food Database, 12 ounces of cola contains 33.5 mg of phosphorus (
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SUMMARY Dark carbonated drinks should be avoided in a kidney diet because they contain phosphorus that is absorbed by the human body in large quantities.
Although avocados are usually a healthy addition to the diet, people with kidney disease may need to avoid them.
This is because avocados are a very rich source of potassium. A medium-sized avocado provides 690 mg of potassium (
By reducing the portion size of avocados by a quarter, people with kidney disease can still include this food in their diet while limiting potassium if necessary.
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If you have been told to watch your potassium intake, avocados, including guacamole, should be limited or avoided on a renal diet. But remember that different people have different needs, and your diet and health goals are the most important things to consider.
SUMMARY If your doctor or a dietitian has advised you to reduce your potassium intake, consider avoiding avocados on a kidney diet.
Canned foods such as soups, vegetables, and beans are often purchased because they are cheap and convenient.
However, most canned foods are high in sodium because salt is added as a preservative to increase shelf life (
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Due to the sodium content of canned goods, people with kidney disease are often advised to avoid or limit consumption.
In addition, washing and rinsing canned goods such as canned beans and tuna can reduce sodium content by 33-80%, depending on the product (
SUMMARY Canned foods are often high in sodium. Avoiding, limiting, or buying low-sodium varieties is best for reducing your overall sodium intake.
Whole grain bread may be a more nutritious choice due to its higher fiber content. However, white bread is usually recommended over the whole wheat variety for people with kidney disease.
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This is due to its phosphorus and potassium content. The more bran and whole grains the bread has, the more phosphorus and potassium it contains.
For example, 1 ounce (30 grams) of whole wheat bread contains about 57 mg of phosphorus and 69 mg of potassium. In comparison, white bread contains only 28 mg of phosphorus and potassium (
Eating one slice of whole-wheat bread instead of two can help lower potassium and phosphorus intake without giving up whole-wheat bread.
Note that most breads and pastries, whether white wheat or whole wheat, contain relatively high amounts of sodium (
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It’s best to compare the nutrition labels of different types of bread, choose a lower-sodium option if possible, and watch your portion sizes.
SUMMARY White bread is usually recommended in the kidney diet over whole grain bread because of lower levels of phosphorus and potassium. All bread contains sodium, so it’s best to compare food labels and choose the lowest sodium variety.
Like whole grain bread, brown rice is a whole grain with higher potassium and phosphorus content than white rice.
One cup of cooked brown rice contains 150 mg of phosphorus and 154 mg of potassium, while 1 cup of cooked white rice contains only 69 mg of phosphorus and 54 mg of potassium (16, 17).
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You can include brown rice in a renal diet, but only if this portion is controlled and balanced with other foods to avoid excessive daily intake of potassium and phosphorus.
Bulgur, buckwheat, pearl barley, and couscous are nutritious, low-phosphorus grains that are good substitutes for brown rice.
SUMMARY Brown rice is rich in phosphorus and potassium and should be portion controlled or limited in the renal diet. White rice, bulgur, buckwheat and couscous are good alternatives.
If you have been instructed to limit your potassium intake, this may be difficult to do if bananas are a daily staple.
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However, pineapples contain much less potassium than other tropical fruits and may be a more convenient but tastier alternative (19).
SUMMARY Bananas are a rich source of potassium and should be limited in renal diets. Pineapple is a kidney-friendly fruit because it has less potassium than other tropical fruits.
For example, 1 cup (240 ml) of whole milk provides 222
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