- 1/2 cup egg substitute or 2 egg whites
- 1 Rice Idli
- 1 tablespoon unsalted butter
- 1 tablespoon Cilantro Chutney
- 1/3 cup sambar
- 1/2 cup Cream of Wheat
- 1/4 cup nondairy creamer
- 1 tablespoon sugar
- 1/2 cup tea
- 3/4 cup Dal Fry
- 1 piece roti or naan bread
- 1/2 cup cauliflower and potato sabji (leached potatoes)
- 3/4 cup India salad (leaf lettuce, spinach leaves, mint leaves, cucumber, red onion, green pepper, chili pepper, fresh cilantro leaves, fresh lemon juice, olive oil)
- 1/2 cup mixed pineapple and grapes
- 1 cup chai tea (tea, cardamom, cloves, sugar, nondairy creamer)
- 2 Vegetable Cutlets
- 1 tablespoon Mango Chutney
- 1 Fillet Mango Ginger Mahi Mahi
- ½ cup Cranberry Rice Pilaf
- ½ cup Zucchini Stir-Fry
- 1 piece Peach Pie
- 1 cup lemon lime soda
- 3 Corn Idlis
- 1 tablespoon Cilantro Chutney
- 1 cup cold water with lemon
- Vegetable Cutlets
- Zucchini Stir-Fry
Restrict or Recommendations Diet for Dialysis (chronic kidney Disease )
Some people with kidney disease have trouble processing protein and may need substitutes. When a low-protein diet is suggested by a healthcare professional, you will need to replace those calories from protein with fruits, bread, grains, and vegetables. There are even cases where you can consume high-calorie desserts as long as you limit items that are made with dairy, chocolate, nuts, or bananas.
Let’s look at some important recommendations, including chronic kidney disease diet restrictions:
- Fats – Use monounsaturated and polyunsaturated fats such as olive oil, canola oil, and safflower oil.
- Protein – Just prior to starting dialysis, a low-protein diet may be helpful. Once you’ve started dialysis, you will likely need to eat more protein to replace muscle and tissue that you lose. About eight to 10 ounces of high protein foods per day is recommended.
- Calcium and phosphorus – Limiting some dairy foods may be suggested, since they can contain large amounts of phosphorus. Colas and soft drinks also have a lot of phosphorus. Calcium supplements may be a good idea to help prevent bone problems.
- Sodium – Do not add salt to any food. Read food labels to find hidden salt and avoid those foods that contain a lot of salt, sodium, or MSG. Be careful with salt substitutes, as many have high amounts of potassium.
- Potassium – It is best to choose low potassium fruits such as apples, pears, plums, and blueberries. Vegetables, such as bean sprouts, cabbage, green beans, and lettuce are also low in potassium.
- Fluids – As kidney disease gets worse, you may have to limit fluid intake, so keep track of how much you drink and find ways to reduce fluids if you need to. Remember soups, gelatin desserts, and ice cream are all considered fluids.
4 Nutrients to Restrict for Dialysis
- Sodium : It is necessary for maintaining blood pressure and fluid balance in the body. However since kidneys are unable to filter the excess sodium , it leads to high blood pressure, water retention and swelling on face, legs and hands and put a stress on the heart. Salt is one of the highest sources of sodium intake. Discuss with your dietitian on the amount of salt allowed per day. In general, avoid the ready-to-eat foods, pickles, bread, cheese, aerated drinks, papad, butter, biscuits, soy sauce and readymade masalas. Savour your food with herbs and other spices instead.
Potassium: The most important function of potassium is to control the functioning of nerves and muscles. The excess potassium build up puts the heart at risk. It can cause irregular heartbeats and heart failure. Hence potassium restriction is necessary. Most fruits and vegetables are a good source of potassium. Avoid mango, banana, potato, avocado, plum, melon, sweet potato, spinach, kale, mushroom, kiwi, broccoli and dairy products. However if you wish to use the vegetables mentioned in the ‘No’ list, one option is to follow the procedure of leaching. It involves removing some amount of potassium by soaking in water. Peel them and soak in water for an hour. Cut them and again soak in water for 4 to 5 hours and drain them. Wash them with water and cook them in excess water and drain that water again.
3. Phosphorus: is a mineral which works closely with calcium to build strong bones and with B vitamins to maintain normal heart rate. Since excess phosphorus is not always removed by dialysis, keeping a track of what you eat becomes very important. Foods rich in phosphorus are dairy foods, chocolate, nuts, soya and whole grains like oats, whole wheat, bajra, jowar etc. along with pulses and dals. Amongst dals masoor dal in limited quantities is suggested. Since most foods are a good source of phosphorus people undergoing dialysis are often supplemented with phosphate binders which prevent its build up in the blood by avoiding the absorption from food. Talk to your doctor about these binders and follow the prescription to the core. Excess phosphorus can lead brittle bones and some heart problems.
4. Fluids : One major function of kidneys is to remove waste by way of urine. When this is hampered, excess fluids in the blood leads to water retention (called edema) usually seen in the hands and feet. This may even lead to breathlessness. Some amount of excess fluid is removed during dialysis, but again removal of all of the excess fluid doesn’t get accomplished by dialysis. Hence it is truly essential to monitor the amount of water you drink. Do follow the suggestions mentioned by your doctor / dietitian. This limited amount should be enough to keep you well hydrated.
Recipes for Dialysis Diet
Kidneys are a pair of important organ of our body mainly responsible for the removal of wastes and maintenance of fluid balance in our body. When the kidneys stop functioning or fail completely as it is termed as, the waste products build up in the body and hence dialysis is suggested by doctors. Dialysis is procedure which replaces the kidneys functions and filters the unwanted wastes from the body.
The two types of dialysis are haemodialysis and peritoneal dialysis. Weather former or later option is chosen by the patient, following a good dietary regime definitely helps avoid any further complications and help one live a superior life. The major nutrients to focused in a dialysis diet are sodium, potassium, phosphorus and fluid intake. The key here is to restrict the intake of all of these 4 nutrients and monitor your fluid intake closely with your doctor or a nephron dietitian.
Overall these vegetables and fruits are the best to opt while on Dialysis :
|Fruits you can have when on Dialysis|
|Vegetables you can have when on Dialysis|