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Medindia » Consumer Health » Health Information » Dialysis - Diet & Drugs

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Dialysis / Haemodialysis / Continuous Ambulatory Peritoneal Dialysis
What role does Diet & Drugs Play In Haemodialysis

Text

With Haemodialysis a diet plan should be followed and fluid restriction should be discussed with your doctor.

Haemodialysis is an excellent method of removing waste products from the body but it cannot act as a complete substitute to the kidneys. So, you would need to follow a diet plan - eat the right kind of food and watch the quantity of fluid that you drink. You would also regularly need to take all the drugs that your doctor prescribes- blood pressure tablets, multi -vitamins and any others.

You will find more details on diet & drugs later in the booklet.

RECOMMENDATIONS ON INTAKE ON BASIS OF FOOD GROUPS AND NUTRIENTS:

ENERGY:	2000 Calories of -
CARBOHYDRATES:	75% of total calories [375 grams]
FAT:	20% of calories [45 grams]
PROTEINS:	40 grams[Minimum for an average adult
SODIUM:	0.4 grams [i.e. no added salt category] POTASSIUM, CALCIUM & POTASSIUM meeting the minimum requirement.

INCLUDE FOOD GROUPS IN THE FOLLOWING QUANTITIES:

150 grams:	Cereals - rice, wheat, ragi, barley, jowar, Maize, vermicelli etc.
150 grams:	Starch - sago, tapioca,corn, arrowroot.
60 grams:	Pulses, legumes and lentils - bengal gram [whole, dhal roasted or sprouted], black gram dhal, cow pea, field bean, green gram [whole dhal roasted or sprouted], peas [green,dry or roasted], rajmah and red gram.
100 grams:	Green leafy vegetables [agathi, amaranth, cabbage, coriander leaves, curry leaves, drumstick leaves, fenugreek leaves, gongura, mint, manathakkali, parappu or ponnanganni leaves, spinach]
75 grams:	Other vegetables [gourds - ash, bitter, bottle, ridge, snake], ladies finger, bean [broad, cluster, double, field, pink], brinjal, cauliflower, papaya , green cho-cho marrow, cowpea pods, cucumber,drumstick, giant chillies, knol -khol, pumpkin [fruit], plantain[flower, green, stem], tomato [green].
40 grams:	Roots [beet, carrot, radish]
40 grams:	Tubers [colocassia, onion, potato, turnip, yam]
60 grams:	Fruits [ apple, banana ripe, grapes - blue, green variety, guava, jack fruit, jambu fruit, lime - sour or sweet, mango ripe, water melon orange, palyra fruit ripe, pears, pineapple, plum, pomegranate,raisins, sapota, seethaphal, tomato ripe, wood apple.
300 ml:	Milk, and milk products.
50 grams:	sugar, jaggery, honey, syrups
40 grams:	Fats & oil [ ghee, butter, cooking oils]
20 grams:	Pulses
30 grams:	Non vegetable [mutton, fish, egg]

Foods to be avoided include those that have high potassium content. Food Sources of Potassium ranked by milligrams of potassium per standard amount, also showing calories in the standard amount. (The AI for adults is 4,700 mg/day potassium.)

Food, Standard Amount	Potassium (mg)	Calories
Sweetpotato, baked, 1 potato (146 g)	694	131
Tomato paste, - cup	664	54
Beet greens, cooked, - cup	655	19
Potato, baked,flesh,1 potato (156 g)	610	145
White beans, canned, - cup	595	153
Yogurt, plain, non-fat,8-oz container	579	127
Tomato puree, - cup	549	48
Clams, canned, 3 oz	534	126
Yogurt, plain, low-fat, 8-oz container	531	143
Prune juice, - cup	530	136
Carrot juice, - cup	517	71
Blackstrap molasses, 1 Tbsp	498	47
Halibut, cooked, 3 oz	490	119
Soybeans, green, cooked, - cup	485	127
Tuna, yellowfin, cooked, 3 oz	484	118
Lima beans, cooked, - cup	484	104
Winter squash, cooked,- cup	448	40
Soybeans, mature, cooked, - cup	443	149
Rockfish, Pacific, cooked, 3 oz	442	103
Cod, Pacific, cooked, 3 oz	439	89
Bananas, 1 medium	422	105
Spinach, cooked, - cup	419	21
Tomato juice, - cup	417	31
Tomato sauce, - cup	405	39
Peaches, dried, uncooked, - cup	398	96
Prunes, stewed, - cup	398	133
Milk, non-fat, 1 cup	382	83
Pork chop, center loin, cooked, 3 oz	382	197
Apricots, dried, uncooked, - cup	378	78
Rainbow trout, farmed, cooked, 3 oz	375	144
Pork loin, center rib (roasts), lean, roasted, 3 oz	371	190
Buttermilk, cultured, low-fat, 1 cup	370	98
1%-2% milk, 1 cup	366	102-122
Honeydew melon, 1/8 medium	365	58
Lentils, cooked, - cup	365	115
Plantains, cooked, - cup slices	358	90
Kidney beans, cooked, - cup	358	112
Orange juice, - cup	355	85
Split peas, cooked, - cup	355	116
Yogurt, plain, whole milk, 8 oz container	352	138

Source: Nutrient values from Agricultural Research Service (ARS) Nutrient Database for Standard Reference, Release 17 adapted from those in 2002 revision of USDA Home and Garden Bulletin No. 72, Nutritive Value of Foods.

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If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.

Posted by: sukhpreet15(Guest) Posted on: 09/21/2011

my daddy age 71 yrs showing createnine 3.8 in apr,4.2 in june,4.8 in aug and 7.3 in sept.But not showing any clinical symtoms.plz any one can guide me what to do.

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Posted by: seadog Posted on: 07/12/2010

Can chronic kidney disease at stage 3b cause vagueness or confusion?

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Posted by: Satkam(Guest) Posted on: 05/29/2010

Are there medical facilities to do these procedures for people living in small towns of India? How expensive will it be?

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Posted by: guest Posted on: 06/11/2010

yes.. facility is available even in smaller towns in india in private hospitals.. just check out govt. hospitals @ district headquaters as dialysis facility is available in most of them and a bit low priced.. exact charges vary

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Posted by: joyce(Guest) Posted on: 10/31/2009

why patient have giddiness while dialysis

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