Your kidney is as important as your heart to live a healthy life. Some special tips to keep these two organs healthy

Kidneys are important organs in our body that act as filters for blood and other fluid excretion. These two bean-shaped organs right above the waist serve to maintain the chemical homeostasis of our ancestors. Some essential information to keep these organs healthy are as follows.

Kidney problems can be detected through these tests.

– Blood test

– Urine test

– Kidney scan

– Kidney Biopsy

Kidney X (to check for pulmonary edema – fluid accumulation in lungs)

– Glomerular Filtration Rate (GFR) – This test is used to measure the glomerular filtration rate. It compares the levels of waste elements in the patient’s blood and urine. GFR measures how many millilitres of waste liquid the kidneys filter in a minute. Can do.)

Symptoms of kidney problems

Common signs and symptoms of kidney disease are as follows

– Anaemia

– Blood in urine

– Dark urine colour

– Decreased mental fitness

– Decreased urination

– Edema- Swelling of feet, hands and heel (swelling on face when problem is severe)

– fatigue

– Hypertension (hypertension)

– Insomnia

– Itching in the skin may occur frequently

– Loss of appetite

– Failure to achieve sexual arousal in men (erectile dysfunction)

– Frequent exposure, especially at night

– Muscle stiffness

– Muscle cramps

– Lower back or side pain

 breathlessness

– Protein in the muscle

– Sudden change in body weight

– Unprovoked headache

Types of kidney diseases

1- Glomerulonephritis

2- Nephrosis

3- acute renal failure

4- Chronic Renal failure

5- Renal transplant

6- Kidna Stone or Uni Calculari

Dietary changes to avoid kidney disease

Renal diet means a diet suitable for kidney health, low in sodium, phosphorus and proteome. High-quality protein is used in its diet and usually reduced liquids. Some patients may also have to reduce potassium and calcium. Every person’s body is different. The need for diet and nutrition changes according to the type and condition of renal disease.

Protein

The person suffering from this disease is advised to take easily digestible high quality protein. According to the patient’s condition and the state of the disease, the quantity may be more or less. Neutral nitrogen balance can be achieved in the nonadialysis condition in stable nonacidotic patients with a minimum of 0.6 grams per kg of biological value protein daily if sufficient calories are given.

Kidney Friendly Protein Source

Chicken

cottage cheese

Egg omelette

Egg white

fish

curd

Phosphorus

The National Kidney Foundation recommends that serum calcium phosphorus products should be kept at 55 mg per dl to prevent soft tissue calcification (tissue tightness). Calcium from phosphorus binders should be kept below 1500 mg per day and the total calcium intake (including supplements and diet) should not exceed 2000 mg per deciliter.

Phosphorus can be found in many food items. Therefore, patients suffering from kidney problems should seek the help of a Renal Dietician to maintain phosphorus levels.

Main items of low phosphorus diet

Italian, French and Sourdough Bread

Corn or rice and wheat cream

Faded popcorn

Light colored soda and lemonade

Avoid these foods with excessive phosphorus

Whole grain bread

Bran Serials and Oatmeal

Nuts and sunflower seed

Dark cola

Sodium

Generally, the amount of sodium in the diet of people suffering from severe kidney disease is limited to 2000-4000 mg per day. This can avoid hypertension, excessive thirst, and limit fluid consumption in patients with hypoparathyroidism. Salt substrates usually contain potassium chloride. Patients are prohibited from taking these as they may cause hyperkalemia (excess potassium in the blood). Most patients with severe renal disease in nondiolized sodium and water balance are given by giving 1000-3000 mg of sodium and 1500-3000 mL of fud. The need for sodium and water varies. There is different attention for each patient.

Patients suffering from kidney disease may suffer from excessive sodium as their kidneys fail to remove excess sodium and water from the body. Sodium and fuse freeze in the tissue and blood stream, which can cause these problems.

– Excessive thirst

Edema – swelling on legs, hands and face

–       high blood pressure

Heart disease- Due to excessive fluid in the blood stream, your heart has to put extra effort. This makes the heart big and weak

Difficulty in breathing- Fluid accumulates in the lungs, causing difficulty in breathing.

How can patients monitor sodium intake

– Always read food labels. If sodium is there then

Always read food items labels. If sodium is listed on it

– Pay attention to the amount of food served

– use fresh meat

– Use fresh fruits and vegetables

– Avoid processed and packaged food in can or tin

– Compare brands and adopt brands with minimum sodium

– Use spices that do not contain salt in their names (choose Garlic Powder instead of Garlic Salt)

Potassium

Patients who require hemodialysis have to take a maximum of 2000–3000 mg of potassium daily in the diet. The maximum dose for patients in need of peritoneal dialysis is 3000–4000 mg.

Why should kidney patients pay attention to the amount of potassium in the diet.

The kidneys are not able to remove excessive potassium when they go bad. This causes the body to increase potassium. Excess of potassium in the blood leads to hyperkalemia. This can cause these problems.

–       muscle weakness

– Irregular heart rate

– Slow pulse

–       heart attack

– death

 How can patients monitor the amount of potassium in the diet.

When the kidneys are not able to regulate potassium, patients should pay special attention to the amount of potassium in the food so that the amount of potassium in your blood remains within a safe range. For this you will have to take these measures.

1- Reduce excessive potassium diet

2- daily no more than 8 ounces (227 grams) of milk and its product

3- Choose citrus fruits and vegetables

Avoid salt sauce and potassium sauce

5- Read packaged food labels and avoid potassium chloride

6- Keep in mind the amount of food served.

Fluids

Feud control is important for patients with severe kidney disease because consuming fluids can increase fluid in the body, which can be dangerous. Urination is reduced in patients with dialysis. Tis increases unnecessary pressure on the heart and lungs by increasing fluid in the body.

These measures should be taken to control fluid

– Do not drink more than the doctor’s advice

– Should have room temperature food

– The amount of water in cooking should also be reduced

Kidney stone

Kidney stone is like a stiff lump which is made of crystals in the muscle.

A dietary change is recommended to prevent stone formation.

1- Drink plenty of water – 2-3 liters daily

– It includes all types of fluid ie water, coffee and sorbet. Sorbet is considered beneficial especially grapes fruit juice and soda.

– It helps in producing less concentrated urine and ensures good urination (at least 2.5 liters per day).

2- Reduce High Oxalate Foods

Remove spinach, various types of berries, chocolate, wheat husk, nuts, beets, tea and rhubarb from your diet.

3- Take enough calcium in food

– Taking dairy products three times a day reduces the risk of calcium stone formation.

4- Avoid taking extra calcium supplements

– Calcium supplements should be taken only when your physician or kidney dietician advises.

5- Take protein in small amount of food

– By consuming more protein, the kidneys will produce more calcium. This will cause more stones to form in the kidney.

6- Avoid eating too much salt

– Taking more sodium increases calcium in the urine, which increases the risk of stone formation.

– To control blood pressure it is important to take less salt in food.

7- Do not take an overdose of vitamin C supplements

It is recommended to take up to 60 mg of vitamin C daily based on US dietary reference intake.

– 1000 mg or more per day increases the oxalate in the body.

Dr Vijay Kher Nephrologist has worked in multi-specialty Kidney hospitals in Delhi and companies, as well as community nutrition camps.