Chronic kidney disease, also called chronic kidney failure, describes the
gradual loss of kidney function. Your kidneys filter wastes and excess fluids
from your blood, which are then excreted in your urine. When chronic kidney
disease reaches an advanced stage, dangerous levels of fluid, electrolytes and
wastes can build up in your body.
In the early stages of chronic kidney disease, you may have few signs or
symptoms. Chronic kidney disease may not become apparent until your kidney
function is significantly impaired.
Symptoms may start to become present in CKD:
Fatigue
Fluid retention, swelling (edema) of extremities and shortness of breath:
Urination changes (foamy; dark orange, brown, tea-colored or red if it
contains blood; and urinating more or less than normal)
Kidney pain felt in their back
Sleep problemsdue to muscle cramps or restless legs
Diet and CKD
For CKD patient, a healthy diet is likely to consist of:
Eating high-quality protein and potassium (if blood levels are above
normal)
Consuming a some grains, fruits and vegetables (potassium and phosphorus are
at normal levels)
Limiting phosphorus to help PTH levels remain normal, prevent bone disease
and even preserve existing kidney function
Lowering calcium consumption
Cutting back carbohydrates for those with diabetes
Decreasing saturated fats to help lower cholesterol
Lowering sodium for people with high blood pressure or fluid retention by
cutting out processed and pre-packaged foods
Limiting calcium if blood levels are too high
Taking water soluble vitamins such as C (100 mg per day) and B complex, or
completely avoiding over-the-counter dietary supplements (unless approved by the
nephrologist)
It’s helpful to work with a registered renal dietitian because as the stages
of CKD change, so will the diet.
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