What foods should a CKD stage 5 patient take & which to avoid? Having no dialysis, but protein in Urine ++.Why tomatoes not allowed ,cooked or uncooked? What about lemon and apple cider vinegar?

Dr. Sajeev KumarGeneral Physician32yrs exp

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1. Know your allotted protein amount and strive to eat that amount each day. Limiting protein helps reduce waste buildup in the blood and can help control uremia. However, a low-protein diet coupled with loss of appetite also puts you at high risk for malnutrition. The recommended amount of protein to eat in stage 5 is 0.6 to 0.75 grams of protein per kilogram body weight. A nutrition assessment by a registered dietitian will determine the right amount of protein for you. 2. Eat enough calories to maintain your weight, even if you are overweight. Inadequate calorie intake may occur in stage 5 CKD due to appetite troubles, gastrointestinal problems, aversion to certain animal proteins, chronic inflammation, medications, depression and other medical conditions such as diabetes or heart disease. Even if you are overweight, a low calorie intake and weight loss is not recommended in stage 5. Aim for adequate calories to prevent weight loss and to help preserve your body?s muscle stores. Ask your doctor or dietitian about a nutritional supplement for a CKD non-dialysis diet if you are experiencing poor appetite and weight loss. 3. Monitor potassium levels that may increase due to low urine output or from medications. Potassium builds up in the body when kidney function declines. Avoid the highest potassium foods and track your potassium level by getting regular blood tests. Tomatoes are thought to increase risk ofr stones in kidney by some people and proscribe it.  

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