Consuming & Diet for Peritoneal Dialysis

Hemodialysis | NIDDK
April 18, 2021 0 Comments

On this web page:

How does what I eat and drink have an effect on me whereas on peritoneal dialysis?

Your selections about what to eat and drink whereas on dialysis can have an effect on how you are feeling and the way effectively your therapies work.

Wholesome kidneys stability the salts and minerals—resembling calcium, phosphorus, sodium, and potassium—in your blood. Peritoneal dialysis removes wastes and further fluid out of your physique however doesn’t keep an ideal stability.

The consuming plan for peritoneal dialysis could also be much less strict than the one for hemodialysis. Since you do peritoneal dialysis day by day, there’s much less time for wastes and further fluids to construct up between therapies than between hemodialysis therapies.

How can I be taught what I ought to eat?

Discuss with a dietitian at your dialysis middle to plan your meals. Renal dietitians have particular coaching in caring for the meals and diet wants of individuals with kidney illness. Your dietitian will assist you select meals that you simply get pleasure from whereas additionally assembly your well being wants.

The data on this web page may help you discover ways to eat proper to really feel proper on peritoneal dialysis. Print the Ideas for Consuming Proper with Kidney Failure (PDF, 94.1 KB) and take it with you subsequent time you meet along with your dietitian.

Dietitian talking to couple.
Meet with a dietitian to create an consuming plan that can work effectively for you.

Why ought to I restrict how a lot liquid I eat or drink?

It’s possible you’ll really feel higher in case you restrict how a lot liquid you eat and drink. An excessive amount of fluid can construct up in your physique and will trigger

  • swelling and weight achieve between dialysis therapies
  • modifications in your blood strain
  • your coronary heart to work more durable, which might result in severe coronary heart hassle
  • fluid buildup in your lungs, making it onerous to breathe

Your dietitian may help you determine how a lot liquid is best for you. Your nephrologist can change your dialysis prescription.

Which meals rely as liquid and why?

Meals which are liquid at room temperature, resembling soup, comprise water. Gelatin, pudding, ice cream, and different meals that embody lots of liquid within the recipe additionally rely. Some vegatables and fruits, resembling watermelon, comprise lots of water. While you add up how a lot liquid you’ve got in a day, make sure to rely these meals.

Bowl of chicken soup.
Most meals which are liquid at room temperature comprise water.

Set each day objectives for liquids

Work along with your dietitian to set a aim for the way a lot liquid you may have every day. Hold monitor of the fluids that you simply eat and drink. I can have a complete of ________ ounces of liquid every day.

Every day plan:

I can have _____ ounces of ______________ with breakfast.

I can have _____ ounces of ______________ within the morning.

I can have _____ ounces of ______________ with lunch.

I can have _____ ounces of ______________ within the afternoon.

I can have _____ ounces of ______________ with supper.

I can have _____ ounces of ______________ within the night.

TOTAL: _______ ounces. This quantity ought to equal the aim that you simply set along with your dietitian.

What do I must learn about potassium?

Potassium helps your nerves and muscle tissue work the correct method. Wholesome kidneys preserve the correct amount of potassium in your blood to maintain your coronary heart beating at a gentle tempo. Peritoneal dialysis can take away an excessive amount of potassium out of your blood, so chances are you’ll must eat extra high-potassium meals resembling bananas, oranges, potatoes, and tomatoes.

Eat the correct amount of potassium

Your dietitian will assist you select meals you want which have the correct amount of potassium. She or he will even provide you with extra particular details about how a lot potassium is in numerous meals. Make a meals plan that features meals with potassium. Begin by noting the high-potassium meals you eat.

Set each day potassium objectives

I can have _____ serving measurement(s) of ______________.

I can have _____ serving measurement(s) of ______________.

I can have _____ serving measurement(s) of ______________.

What do I must learn about phosphorus?

An excessive amount of phosphorus in your blood could make your bones weak and prone to break. An excessive amount of phosphorus additionally could make your pores and skin itch. Peritoneal dialysis could not take away sufficient phosphorus out of your physique, so that you in all probability might want to restrict meals, that are excessive in phosphorus.

It’s possible you’ll must take a phosphate binder to manage the phosphorus in your blood. Frequent phosphate binders embody sevelamer, calcium acetate, lanthanum carbonate, and calcium carbonate. These medicines bind to the phosphorus in meals whereas in your intestines and preserve it from being absorbed.

Restrict phosphorus

Meals makers usually add phosphorus to processed and packaged meals, resembling lunch meats. It is best to keep away from these meals. Poultry, fish, nuts, peanut butter, dried beans, cola, tea, and dairy merchandise are excessive in phosphorus.

Take phosphorus binders along with your meals and snacks.

Your dietitian provides you with extra particular details about phosphorus and protein meals parts.

  • Meat, poultry, and fish: A cooked portion needs to be about 3 ounces, or in regards to the measurement of a deck of playing cards.
  • Dairy meals: Hold your parts to 1/2 cup of milk or yogurt, or one skinny slice of cheese.
  • Beans and lentils: Parts needs to be about 1/2 cup of cooked beans or lentils.
  • Nuts: Hold your parts to about 1/4 cup of nuts.

I can have _____ serving measurement(s) of ____________________________.

I can have _____ serving measurement(s) of ____________________________.

I can have _____ serving measurement(s) of ____________________________.

Packaged meals could have added phosphorus. Search for phosphorus, or for phrases with “phos,” on meals labels. Select a special meals when the ingredient checklist has phrases with “phos.”

Components:

Potatoes, Vegetable Oil (Partially Hydrogen Soybean Oil), Salt, Dextrose, Disodium Dihydrogen Pyrophosphate…

What do I must learn about protein?

Dietitians encourage most individuals on peritoneal dialysis to eat high-quality protein as a result of it produces much less waste, which must be eliminated throughout dialysis. Excessive-quality protein comes from meat, poultry, fish, and eggs. Keep away from processed meats resembling sizzling canine and canned chili, which have excessive quantities of sodium and phosphorus.

Fish, beef, chicken, eggs.
Dietitians encourage most individuals on
peritoneal dialysis to eat high-quality protein.

Eat the correct amount of high-quality protein

Strive to decide on lean, or low-fat, meats that are also low in phosphorus, resembling hen, fish, or roast beef. Should you’re a vegetarian, ask about different methods to get protein.

Low-fat milk is an effective supply of protein. Nevertheless, milk is excessive in phosphorus and likewise provides to your liquid consumption. Discuss to your dietitian about how to decide on the correct mixture of protein meals for you.

I can have _____ serving measurement(s) of ______________________.

I can have _____ serving measurement(s) of ______________________.

I can have _____ serving measurement(s) of ______________________.

If milk is in my meals plan, I’ll drink ______ ounce(s) of milk a day.

What do I must learn about sodium?

Sodium is part of salt. Sodium is discovered in lots of canned, packaged, frozen, and quick meals. Sodium can be discovered in lots of condiments, resembling mustard and ketchup, and in seasonings and meats. An excessive amount of sodium makes you thirsty, which makes you drink extra liquid.

Dried herbs and spice jars.
Discuss along with your dietitian about spices you need to use to taste your meals.

Restrict sodium

To restrict sodium, attempt to eat contemporary, naturally low-sodium meals. Purchase contemporary meals extra usually; cook dinner from scratch; and use spices, herbs, and salt-free seasonings as an alternative of salt. Search for merchandise labeled “low sodium.” Rinse canned meals to take away salt. Discuss along with your dietitian about spices you need to use to taste your meals. Your dietitian may help you discover spice blends with out sodium. Checklist them right here

As a substitute of _________, I can use this spice _________.

As a substitute of _________, I can use this spice _________.

As a substitute of _________, I can use this spice _________.

As a substitute of _________, I can eat _________.

As a substitute of _________, I can eat _________.

What do I must learn about energy?

All meals present power measured in energy. Some meals, resembling oily and sugary meals, are excessive in energy. Your physique can take in the dextrose out of your dialysis answer, which might improve your calorie consumption. Taking in additional energy than you utilize could make you achieve weight over time. It’s possible you’ll discover that you could soak up fewer energy to forestall weight achieve. Your dietitian may help you create and comply with an consuming plan to remain at a wholesome weight.

Examine meals parts.

Ought to I take vitamin and mineral dietary supplements?

It’s possible you’ll not get sufficient nutritional vitamins and minerals as a result of it’s a must to keep away from some meals. Peritoneal dialysis additionally removes some nutritional vitamins out of your physique. Your well being care supplier could prescribe a vitamin and mineral complement designed particularly for individuals with kidney failure.

Warning: By no means take vitamin and mineral dietary supplements you should buy over-the-counter (OTC). OTC vitamin and mineral dietary supplements could also be dangerous to individuals with kidney failure. For security causes, discuss along with your well being care supplier earlier than taking any medicines, vitamin and mineral dietary supplements, or probiotics that she or he hasn’t prescribed for you.

Woman talking with pharmacist.
Discuss along with your well being care supplier earlier than utilizing probiotics, dietary dietary supplements, or medicines.

Leave a Reply

Your email address will not be published. Required fields are marked *