Diet Chart For dialysis

Dialysis is the clinical purification of blood by dialysis, as a substitute of normal functioning of the kidney. They are responsible for purifying the blood by removing waste and excess fluid from the body. When the kidneys don’t work properly, dialysis is used to perform the function of the kidneys. The process is also known as renal replacement therapy. As the kidneys are incapable of doing their task, a dialysis machine replaces the work of kidneys. It is, therefore, necessary to inculcate a healthy dialysis diet that keeps the body rich of nutrients and energy.

Following are the four main things all dialysis patients need to be careful about in their diet:

1. Potassium: Fruits generally contain high Potassium levels. Many vegetables also contain high potassium. Vegetables can be leached to remove a lot of the potassium by placing it in water a day before consumption.
2. Sodium: People with kidney disease should, therefore, restrict the amount of sodium in their food. Common salt used in the food is a major source of Sodium in the food. Gradually reduce the amount of salt in your food. Slowly you will find it difficult to eat food with normal salt.
3. Phosphorus: Foods high in Phosphorus include milk, paneer, tofu, cheese, curd, chicken, eggs, fish, cola drinks, chocolate, nuts, soya foods, oats, ready to eat foods. Foods low in Phosphorus fresh foods, fresh vegetables, white bread.
4. Fluids: Never gulp down fluid, sip it. Drink fluids other than water. Reduce the amount of salt as more salt implies more thirst.

1. Processed Food- most of the processed foods contain sodium, Mono sodium glutamate, simple sugars for preservative purposes. They also contain potassium in high quantities. As these foods cause further damage to kidneys they have to be avoided.
2. Fast Food- These foods include pizza, burger etc., where they have high amounts of saturated and trans fat which harms the kidneys. These also contain MSG, high amounts of sodium and potassium which ahve to be avoided too. Protein- Foods high in protein should be avoided before the dialysis schedule.
3. Milk: Whole milk and milk products have to be avoided as they are rich sources of potassium. Fruits: Fruits such as banana, avocado, musk melon, strawberries has to be avoided as they are rich in potassium whose excess consumption is harmful to kidney heath in CKD.
4. Nuts, Seeds, Beans- They have to be avoided as the dried form of these foods has high levels of potassium.
5. Soft Drinks- carbonated beverages have to be avoided as they have high levels of phosphoric acid which can harm the kidneys in CKD.
6. Organ meats- Organ meats like liver, heart, kidney are rich sources of potassium and these have to be avoided.
7. Liquid intake- Over consumption of liquids has to be avoided as that might lead to high blood pressure. general liquid intake is 1000ml/day.

Do's:

1. Include sufficient protein in the diet after dialysis.
2. Eat Right
3. Opt for Leaching of Vegetables which are high in potassium.
4. Eat Fruits like Apple, Guava, Pear, pineapple and papaya.
5. Eat all gourd vegetables, tinda, capsicum, Cabbage, Cauliflower, Onion
6. Include foods rich in calcium such as milk, leached green leafy vegetables.

Don'ts:

1. Avoid water drinking water in large quantities at once, instead take sips.
2. Avoid high salty foods which might increase blood sodium levels.
3. Avoid fatty, smoked foods and frozen foods that contain preservatives.
4. Don't consume sugery foods/ beverages and alcoholic drinks too.
5. Avoid smoking.

1. Cereal: wheat, white rice, white bread and pasta.
2. Pulses: red gram, green gram, black gram, bengal gram (all leached) and beans like broad, cluster, french.
3. Vegetables: all gourds- snake gourd, ridge gourd, bottle gourd, ivy gourd, ladies finger, tinda,green leafy vegetables Fruits: Apple, guava, pear, papaya, cranberries, blueberries, raspberries, red grapes
4. Nuts & seeds: almonds, walnuts (2-3) (leached pieces)
5. Milk and milk products: low fat milk, low fat curd, low fat paneer.
6. Meat,fish & egg: Skin out chicken, egg white, fishes like salmon, sardines, trout, mackerel, tuna.
7. Oil: 2 tsp (10ml)
8. Sugar: 2 tsp (10gm)