Your kidney does not generally stop functioning all of a sudden, it is a gradual process. So, the symptoms indicating the disease also grow from being subtle to intense. Based on the extent of damage in your kidney, chronic kidney disease is divided into five stages which run from slight damage up to kidney failure.
Stages of Chronic Kidney Disease
Stage 1: It’s hard to know of any damage through overt symptoms. High blood pressure might be an indicator, but only imaging techniques and blood tests can reveal any real damage.
Stage 2: Even during stage 2, symptoms might not be visible. But if you do get diagnosed, you have the chance to stop the damage or slow it down.
Stage 3: As the degeneration proceeds to Stage 3, some symptoms like swelling of legs, general weakness might come up.
Stage 4: In addition to the discomforts felt during the third stage you will also feel nausea, loss of appetite, numbness in you fingers and toes. Some people face difficulty in concentrating.
Stage 5: All the symptoms will become extreme. More swelling in the body and the amount of urine passed will be close to none. Changes in skin colour can also be seen. When you are going through a disease as serious as chronic kidney disease, diet becomes as important as medicines.
You need to watch what you eat. More often than not, you nephrologist will help you make you a diet chart or refer you to a nutritionist. The dietary advice will vary from patient to patient as per the cause and stage of the CKD. It is essential to follow the advice of your doctor regarding your diet. However, here is a general idea.
What should you eat if you have a kidney disease?
Eating the right amount of protein, sodium, potassium or phosphorus may help control the buildup of waste and fluid in your blood. This will ensure that your kidneys are not overworked in order to remove the extra waste and fluid. You could also consider the following:
- Limit your protein intake. Avoid red meat.
- Adapt to a low salt diet. Avoid table salt, processed foods and canned foods.Do not use salt substitutes.
- Drink adequate water as per the expert’s guidelines. Because, more water is not always better. Sometimes, fluid restriction is recommended.
- Eat more vegetables and fruits which are rich in potassium. Too much or too less potassium is dangerous for the health. Hence, regulate its intake as per the instruction of the doctor.
- Vitamin and mineral supplements should be taken as per the advice of the doctor.
Diet during dialysis
Dialysis is an artificial way of flushing out the toxins and wastes from your blood. It is taken by those whose kidney functioning is severely low or those who are awaiting a kidney transplantation. Needless to say, you need to be serious about what you can or cannot eat during your treatment.
- Eat more high quality protein foods.
- Eat low salt diet.
- Choose right fruits and vegetables for you to keep the check on potassium, and phosphorus levels.
- Restrict fluid intake and learn how much fluid you can safely drink (including coffee, tea, and water).
Dealing with a kidney disease is a matter of seriousness. Talk to your doctor in excruciating details on what you can eat and what you should avoid. Make a chart of your fluid intake which includes all water, juices, soup, other beverages and even juicy vegetables like tomato etc. Keep your doctor’s contact number on speed dial and never hesitate to call your doctor if you face any doubt.
About Dr. Archana
Dr. Archana is a Consultant Nephrologist, working at Sunshine Hospital, Gachibowli. She is a qualified Nephrologist with an experience of more than 8 years. She is trained in the management of various kidney diseases and performs verious procedures like dialysis access, hemodialysis, peritoneal dialysis, kidney biopsy, renal transplantation etc. Critical-care nephrology and delaying the progress of CKD are her areas of interest.
About Sunshine Hospitals
A Multi Super Speciality Institution, 500+ bedded Sunshine Hospitals (Paradise Circle, Secunderabad) is promoted by globally reputed Joint Replacement Surgeon Dr. AV Gurava Reddy (Orthopedic Doctor) and like-minded associates who share the objective of making world-standard healthcare available, affordable and accessible to the common man.