I am CKD patient. Bp 156/95. Urea 60, Creatinine 3.3, Haemoglobin 10.8. What can I do? I am using calcigard retard 10 mg, Moxivas 0.2, minidress XL 5 mg, cardiovascular 3.125, Ivabrad 5 mg, Shelcal CT 500, Febuget 40 mg, Nodosis 500.

Dr. S SriramUrologist10yrs exp

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Respected Sir As per the details provided your estimated GFR is 22 ml/min/1.73 sq. M, comes under CKD Stage IV. 1.Kidney function is severely decreased in stage 4 CKD. Protein waste, toxins and minerals build up in the body and lead to uremia with symptoms such as nausea, vomiting, loss of appetite, abnormal taste, bad breath, nerve and sleep problems, difficulty concentrating and fatigue. Fluid retention due to a decrease in urine output may also occur. 2.Protein Restriction: A protein intake of 0.6g per kilogram of body weight is beneficial for glomerular filtration. Ensure you do not take more protein than recommended. 3.Fluid Restriction: Restrict the amount of fluids you consume. The total volume should be your daily urine output+ 500 ml. Suppose your daily urine output is around 500 ml, you should not take more than 1 litre of fluids (water and other fluids combined) per day. 4.Potassium Restriction: Avoid High potassium foods like bananas, prune juice oranges, orange juice, milk, tomato juice, prunes, nuts, chocolate, dried peas and beans. 5.Phosphorous Restriction: Foods containing high phosphorus are milk, beans, black eye peas, nuts, chocolate, yogurt, cheese of any kind, liver, desserts prepared milk. 6.Sodium Restriction: High sodium foods include salt, all types of frozen meats, corned beef, sausage, pizza, Chinese food, fast foods, cheese, pickles, soy sauce, potato chips and all types of canned soups. The above diet cannot obviously prove to be cure but it can increase your life quality and feeling of your well-being. Kidney Transplantation provides an improved quality of Life. Please consider going for Kidney Transplantation. Hope this helps Sir Get Well Soon.  

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