21. Renal Diet Introduction The renal diet is an helps you to feel well and avoids complicationslike fluid overload, high blood potassium, itching, bone disease and weight http://www.ika.ie/diet.html

Introduction The renal diet is an essential part of treatment - it helps you to feel well and avoids complications like fluid overload, high blood potassium, itching, bone disease and weight loss. Each person with renal disease is very different and obviously so are their needs. the dietary advice you are given depends on a number of factors including: the stage of renal disease, the type of treatment you are on, your blood results and the presence of other medical conditions e.g. diabetes mellitus, hypercholesterolaemia. There's no doubt that the renal diet is a challenge and requires planning, imagination and practical ideas. Hopefully this cookbook will help you enjoy your renal diet. Remember the diet sheet your dietian gave you is designed specially for you and you may need to adapt some of the recipes to suit your own special needs. We have highlighted recipes which are higher in potassium or fat. Potassium Because many renal patients are on potassium restriction the potassium content of recipes have been highlighted. If your blood potassium level is allowed to rise too high, it can affect the heart and in extreme cases cause it to stop. Vegetables are used in some of these recipes to make meals more appetising and interesting. If you have been advised to restrict your potassium intake, you will need to include these in your vegetable allowance. Salads must also be included as part of your daily fruit and vegetable allowance.

22. Renal Disease life after your transplant, and how diet, exercise and medication can aid in keepingyour new kidney healthy. Also includes information on renal disease. http://www.kidney-health.com/renal-disease.htm

23. Diet In Chronic Renal Failure Read about the history of diet in renal disease from our pages onthe History of Dialysis and Transplantation in Edinburgh. You http://renux.dmed.ed.ac.uk/EdREN/EdRenINFObits/Diet_CRF.html

Diet in Renal Failure from EdREN , the website of the Renal Unit of the Royal Infirmary of Edinburgh This page deals with What's In Food . To learn about diet at different stages of renal disease, click on these links: Diet for the failing kidney Diet on haemodialysis Diet on peritoneal dialysis Diet after a transplant What's in food? Kidney function is essential in dealing with the waste material from ingested food - urea is made from dietary protein and is excreted by the kidneys along with other substances such as sodium, potassium and phosphate. Impaired renal function can lead to a build-up of these substances in the body. Dietary restriction can modify this accumulation and its effects. Protein Sodium Potassium Fluid intake ... Diet after Transplant Potatoes are an important source of potassium Further information Protein Many renal units advise protein restriction for patients with renal failure. This is recommended for a number of reasons : relief of some of the symptoms of uraemia like nausea and vomiting may slow down the rate of progression of the renal disease reduces the phosphate load to help prevent bone and other problems in the future helps to control the acid level in the blood When should you start a reduced protein diet ?

24. EdRenHANDBOOK - Diet Patient information. diet and renal disease information for patients fromEdRenINFO. And see the Further Info section at the foot of that page. http://renux.dmed.ed.ac.uk/EdREN/Handbookbits/HDBKdiet.html

Diet Abbreviated medical protocols from EdREN , the website of the Renal Unit of the Royal Infirmary of Edinburgh Constituents of food important in renal disease Protein A typical daily intake in the UK is 60-80g; normal requirement is only 45-55g. The main sources of animal protein are meat, fish, cheese, eggs, and milk; and of vegetable protein are nuts,beans, pulses,soya milk. Food Protein content (g) 100g meat, poultry, cheese, peanuts 100g fish 1 large egg 100g butter beans 100g baked beans (in tomato sauce) 500ml soya milk Sodium Typical daily intake in the UK is 150 - 200mmol. Only around 10% of this is naturally-occurring in fresh food - the remainder is added as sodium chloride or sodium bicarbonate in cooking and food processing as well as table salt which may be sprinkled on the food after cooking. Foods rich in sodium cheese, bacon, ham, sausages, tinned meat/ meat products Oxo, Bovril, Marmite salty biscuits eg TUC, Cheddars effervescent drug preparations* * "Solpadeine" & effervescent "Tylex" contain >20 and 13mmol per tablet. A number of salt substitutes are available, but they consist mainly of potassium chloride and are therefore not usually suitable for patients with renal failure.

25. End-Stage Renal Disease: Choosing A Treatment That's Right For You This etext is for people whose kidneys fail to work. This condition is called endstagerenal disease (ESRD). It also discusses diet and paying for treatment. http://www.kidneydoctor.com/esrd.htm

End-Stage Renal Disease: Choosing a treatment that is right for you Ari Kostadaras, M.D. CONTENTS Introduction When Your Kidneys Fail Treatment Choices Hemodialysis Peritoneal Dialysis Kidney Transplantation Conclusion Paying for Treatment Other Sources of Information Introduction This etext is for people whose kidneys fail to work. This condition is called end-stage renal disease (ESRD). Today, there are new and better treatments for ESRD that replace the work of healthy kidneys. By learning about your treatment choices, you can work with your doctor to pick the one that's best for you. No matter which type of treatment you choose, there will be some changes in your life. But with the help of your health care team, family, and friends, you may be able to lead a full, active life. This etext describes the choices for treatment: hemodialysis, peritoneal dialysis, and kidney transplantation. It gives the pros and cons of each. It also discusses diet and paying for treatment. It gives tips for working with your doctor, nurses, and others who make up your health care team. It provides a list of groups that offer information and services to kidney patients. It also lists magazines, books, and brochures that you can read for more information about treatment. You and your doctor will work together to choose a treatment that's best for you. This etext can help you make that choice.

26. Kidney Options :: Kidney Disease more information about the causes of renal failure When it comes to kidney disease,getting a diagnosis diet and medications are important treatments for kidney http://www.kidneyoptions.com/kidneydisease.html

Kidney Disease Sometimes the kidneys become unable to perform their life-maintaining functions because of disease or physical damage. The kidneys are not able to remove extra water and waste products from the blood, causing you to feel sick. This is known as kidney or renal failure and it can be either acute or chronic. Acute Renal Failure is sudden, severe damage to or loss of kidney function. Acute renal failure can be caused by severe infections, extensive burns, chemical or drug poison, and injury or blockage to the kidneys. This condition can usually be reversed when the source of the problem is eliminated. People with acute renal failure sometimes go on dialysis temporarily until their kidneys recover. The term End Stage Renal Disease Some signs of kidney failure are: Extreme tiredness Nausea and vomiting Shortness of breath Difficulty sleeping Swelling in the hands, face, and feet

27. End Stage Renal Disease 90 percent of people undergoing dialysis suffer a bone disease called renal osteodystrophy.(Read about Bone Loss and Kidney disease ) Children suffer diet. http://www.stayinginshape.com/3osfcorp/libv/i44.shtml

HEART CANCER WOMEN CHILDREN ... LOOK IT UP End Stage Renal Disease Dialysis Transplants Your kidneys are crucial to your health. They filter out waste products from your blood, remove excess fluids and help balance certain chemicals in your body. (Read about " Kidney Disease ") When they are damaged by disease or injury, they lose the ability to do their job. Unfortunately kidneys can not heal themselves. Any damage is usually irreversible. We are lucky however, because we have more kidney power than we need. Most people are born with two kidneys, but can function easily with just one. However, if you lose 85 to 90 percent of your kidney function, you enter what is called end stage renal disease (ESRD). At that point you need help. There are only two choices according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), dialysis and transplantation. Causes of chronic kidney failure When the kidneys fail, it can be temporary (acute) or permanent (chronic). The number one cause of chronic kidney failure or end stage renal disease (ESRD), according to NIDDK, is diabetes. (Read about " Diabetes " "

28. Role Of Vegetarian Diet In Health And Disease- The Vegetarian's Kidneys vegetarian diet would further produce a great strain on the already diseased kidney.This has been very exhaustively proved in patients of renal disease such http://www.bhj.org/books/diets/chap5.htm

The Vegetarian's Kidneys Ashok L. Kirpalani Gout is a disease affecting joints and causing kidney stones. It is due to deposition, in joints and kidneys, of uric acid which is both generated in the body and also derived from food products like all meats. Those suffering from gout and uric acid kidney stones benefit most by omitting meat from their diet and converting to a vegetarian diet. With proper adjuvant therapy the incidence of kidney stones reduces and the patient suffers less joint pains. SUGGESTED FURTHER READING Barry M. Brenner and Jay H. Stein. "The Progresslve Nature of Renal Disease" Churchill Livingstone Ed. Williarn E. Mitch, 1986 Brenner B.M., Meyer T.W. and Host setter T.H. Dietary Proteins Intake and the Progressive Nature of Kidney Disease. New Eng Journal Medicine 1982, 307, 652.

29. Protein Restriction For Diabetic Renal Disease (Cochrane Review) Background Diabetic renal disease (nephropathy) is a leading diabetic nephropathytowards renal failure nephropathy, dietary proteins, diet, protein restricted http://www.cochrane.org/cochrane/revabstr/ab002181.htm

Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review Protein restriction for diabetic renal disease (Cochrane Review) Waugh NR, Robertson AM ABSTRACT A substantive amendment to this systematic review was last made on 26 August 1997. Cochrane reviews are regularly checked and updated if necessary. Background: Diabetic renal disease (nephropathy) is a leading cause of end-stage renal failure. Objectives: To determine whether protein restriction slows or prevents progression of diabetic nephropathy towards renal failure. Search strategy: Computerised databases Medline (1976-1996) and Embase (1974-1996) were searched using the search terms diabetes mellitus, diabetic nephropathy, dietary proteins, diet, protein restricted and uremia. Recent issues of selected journals (Diabetic Medicine, Diabetologia, Diabetes Care, Kidney International, Nephrology Dialysis and Transplantation) were handsearched for papers not yet in the computerised databases. Reference lists of papers were also checked. Selection criteria: This review was not limited to randomised controlled trials. All trials involving people with insulin-dependent diabetes following a lower protein diet for at least four months were considered since the straight line nature of progression as reflected by glomerular filtration rate means that patients can act as their own controls in a before and after comparison.

30. Urology Disorders - End-Stage Renal Disease (ESRD) - Methodist Health Care Syste Treatment for acute and chronic renal failure Specific treatment for renal failurewill expectations for the course of the disease. specific diet requirements. http://www.methodisthealth.com/urogen/endstage.htm

Urology Disorders Home La Urologia - Los Trastornos Genitourinarios (en español) La Salud de la Próstata (en español) Clinical Services Urology Institute at The Methodist Hospital Methodist Diagnostic Hospital Methodist Sugar Land Hospital ... Newsletters! End-Stage Renal Disease (ESRD) What is renal failure? Renal failure refers to temporary or permanent damage to the kidneys that results in loss of normal kidney function. There are two different types of renal failure - acute and chronic. Acute renal failure has an abrupt onset and is potentially reversible. Chronic failure progresses slowly over at least three months and can lead to permanent renal failure. The causes, symptoms, treatments, and outcomes of acute and chronic are different. Conditions that may lead to acute or chronic renal failure may include, but are not limited to, the following: Acute Renal Failure Chronic Renal Failure Myocardial infarction - a heart attack may lead to temporary kidney failure.

31. 01 WRAMC) deke@vs.wramc.amedd.army.mil ESRD The End Stage renal disease Clinic -diet Information (WRAMC) deke@vs.wramc.amedd.army.mil ESRD - The End Stage http://www.sin-italia.org/internef/links09.htm

09. Pazienti - Patients (June 11, 1999) [85 links] AAKP (American Association of Kidney Patients) [AAKPnat@aol.com] ADA (American Diabetes Association) [customerservice@diabetes.org] AKF (Australian Kidney Foundation) [akf@adelaide.kidney.org.au] ALCER (Asociaciòn para la Lucha contra las Enfermedadesdel Riñòn) [federacio@alcer.org] ... Yahoo! Search Results: Health: Patients (Yahoo! Inc.)

32. Renal Disease Intervention to persons at risk for developing End Stage renal disease (ESRD) due order to improvetheir understanding of the disease process, diet, medications and http://health.hamiltontn.org/CMS/RDI.htm

Children's Special Services Families First Adult Health Project HUG ... Renal Disease Intervention Renal Disease Intervention Project The function of the Renal Disease Intervention Project is to identify and provide home visits to persons at risk for developing End Stage Renal Disease (ESRD) due to diabetes and/or hypertension. A Registered Nurse provides counseling, referral and educational services to these persons in order to improve their understanding of the disease process, diet, medications and appropriate lifestyle modifications. The goal is to improve quality of life and delay progression of complications. FOR MORE INFORMATION CALL (423) 209-8175 Administration Community Health Case Management Clinical Health Environmental Health Health Department Home County Home ... Privacy Notice This page updated: Monday, January 13, 2003 02:18 PM Send any suggestions about this site to the Health Department © 2001, Chattanooga-Hamilton County Health Department

33. Health Ency. Nutrition Diet - Chronic Kidney Disease Alternative names renal disease diet; Kidney disease - diet, pre-dialysisdiet, chronic renal failure diet. Recommendations. The http://www.austin360.com/shared/health/adam/ency/article/002442rec.html

34. Health Ency. Nutrition Diet - Chronic Kidney Disease Alternative names renal disease diet; Kidney disease - diet, pre-dialysisdiet, chronic renal failure diet. Side Effects. A low http://www.austin360.com/shared/health/adam/ency/article/002442sid.html

35. International Digest: Low-protein Diet And Progression Of Renal Disease International Digest Lowprotein diet and progression of renal disease.Canadian Medical Association Journal 1996; 155 733-734 Source http://collection.nlc-bnc.ca/100/201/300/cdn_medical_association/cmaj/vol-155/is

International Digest Low-protein diet and progression of renal disease Canadian Medical Association Journal Source: Pedrini MT, Levey AS, Lau J, Chalmers TC, Wang PH. The effect of dietary protein restriction on the progression of diabetic and nondiabetic renal diseases: a meta-analysis. Ann Intern Med Researchers in the United States pooled the results of controlled and crossover trials with a minimum follow-up period of 9 months to determine the effect of dietary protein restriction (0.4 to 0.85 g/kg body weight per day) on the progression of diabetic and nondiabetic renal disease. Meta-analysis of five randomized studies representing 1413 patients with nondiabetic renal disease showed that dietary protein restriction significantly reduced the risk of renal failure or death compared with no protein restriction. Meta-analysis of five randomized or crossover studies representing 108 patients with insulin-dependent diabetes mellitus indicated that a low-protein diet significantly slowed the increase of urinary albumin excretion or the decline in glomerular filtration rate or creatinine clearance. The beneficial effects of dietary protein restriction did not appear to result from changes in blood pressure or, in diabetic patients, glycemic control. CMAJ September 15, 1996 (vol 155, no 6)

36. F.6 Renal Disease NAA Curriculum Guide Explain how protein restriction or other changes in the nutrient composition ofthe diet can alter the progression of renal disease in patients with chronic http://www.nhlbi.nih.gov/funding/training/naa/curr_gde/f6_renal.htm

Click here to print NAA Home NHLBI Home Home User's Guide ... Appendices F. Other Organ Systems F.6 Renal Disease Content Areas Sodium Potassium Calcium Phosphorous Fluid and electrolytes Acute renal failure Chronic renal failure (pre-dialysis) Dialysis Renal Transplantation Nephrotic Syndrome Nephrolithiasis Herbal supplement-nutrient/drug interactions Dyslipidemia or (hyperlipidemia) Medical nutrition therapy After training, the learner will be able to: Knowledge Objectives: Medical Students Describe the nutritional, metabolic, and clinical consequences of chronic renal failure Explain the interrelationships of renal disease and dietary factors such as protein, sodium, potassium, calcium, magnesium, phosphorus, and water; identify which patients need to restrict these nutrients. List the three most useful laboratory tests used to recognize nutritional causes and consequences of renal impairment.

37. Diseases And Conditions -- Discovery Health -- End-stage Renal Disease The treatments for endstage renal disease include · a diet that restricts protein,potassium, and phosphorus · limited fluid intake · control of blood http://health.discovery.com/diseasesandcond/encyclopedia/623.html

end-stage renal disease By Rajnish K. Dhingra, MD Images (click to view larger image) End-stage renal disease (ESRD) is a condition in which there is a permanent and almost complete loss of kidney function. The kidney functions at less than 10% of its normal capacity What is going on in the body? Diabetes and high blood pressure are two diseases that cause more than 60% of all cases of end-stage renal disease in the US. Other conditions that can lead to end-stage renal disease include: glomerulonephritis, which is swelling and scarring of the filtering part of the kidneys polycystic kidneys , an inherited disorder in which cysts enlarge the kidney interstitial disease, a swelling of the bladder wall obstructive uropathy, or a blockage in the urinary system systemic lupus erythematosus , in which there is long-term swelling of the joints, skin, and other organs multiple myeloma, a cancer of the bone marrow In end-stage renal disease, toxins slowly build up in the body. Normal kidneys remove these toxins from the body through urine. The toxins most commonly found are called urea and creatinine. By measuring these waste products in the blood, healthcare providers can tell if the kidneys are functioning normally. What are the signs and symptoms of the disease?

38. Diseases And Conditions -- Discovery Health -- Diet For Kidney Disease There are two types of diets for kidney disease. One type of diet is specificallyfor people who have progressive chronic renal failure, or kidney failure, but http://health.discovery.com/diseasesandcond/encyclopedia/1895.html

diet for kidney disease By Susan Harrow Rago, RD, MS Images (click to view larger image) There are two types of diets for kidney disease. One type of diet is specifically for people who have progressive chronic renal failure , or kidney failure, but are not on dialysis yet. Along with medicine, a low-protein diet may slow the worsening of kidney failure. The other more restrictive type of diet is for people on dialysis whose kidneys have totally failed and are no longer working at all. This is called end stage renal disease , or ESRD. How does the nutrient affect the body? Normally, kidneys filter many substances from the blood. These substances include the following: by-products of chemical reactions in the body salt waste products from the foods we eat water Eventually these substances are passed out of the body in the urine. When the kidneys are damaged, they cannot filter the blood. Substances can build up to harmful levels. This buildup can damage other organs of the body and cause numerous problems. Certain substances are restricted in the diet to prevent this toxic buildup. Information The kidneys also make hormones needed by the body. These include hormones that help make bones and blood cells. The kidneys also help control blood pressure by limiting the amount of fluid and salt in the bloodstream. People with kidney disease are at risk for vitamin deficiencies. Their bodies may not be able to make certain blood cells, which can lead to

39. End-Stage Renal Disease causes EndStage renal disease? Diabetes is the most common cause of ESRD, resultingin about one-third of new ESRD cases. Even when drugs and diet are able to http://www.4woman.gov/faq/esrd.htm

Search our database by Health Topic or enter your own keywords END-STAGE RENAL DISEASE What causes End-Stage Renal Disease? Is there a cure or treatment for ESRD? Who is most at risk for ESRD? See also... Kidney Disease Diabetes Each year in the United States, more than 50,000 people are diagnosed with end-stage renal disease (ESRD), a serious condition in which the kidneys fail to rid the body of wastes. ESRD is the final stage of a slow deterioration of the kidneys, a process known as nephropathy. What causes End-Stage Renal Disease? Diabetes is the most common cause of ESRD, resulting in about one-third of new ESRD cases. Even when drugs and diet are able to control diabetes, the disease can lead to nephropathy and ESRD. Most people with diabetes do not develop nephropathy that is severe enough to cause ESRD. About 15 million people in the United States have diabetes, and about 50,000 people have ESRD as a result of diabetes. Other causes include: Interstitial Nephritis - 2.9 percent Polycystic Kidney Disease - 2.9 percent

40. IKidney - What Can I Do About Kidney Disease? If you are in the early stages of renal disease, you may be able to save your remainingrenal function for many years by Following a lowprotein diet. http://www.ikidney.com/iKidney/Lifestyles/LifestyleTips/JustDiagnosed/WhatCanIDo

Thursday, April 10, 2003 Printer Friendly Page What Can I Do About Kidney Disease? What Can I Do About Kidney Disease? Unfortunately, kidney disease cannot be cured. But if you are in the early stages of a kidney disease, you may be able to make your kidneys last longer by taking certain steps. If you have diabetes, watch your blood sugar closely to keep it under control. Consult your doctor for the latest in treatment. Have your blood pressure checked regularly. Talk with your doctor about the best medicine to keep your blood pressure under control. Avoid pain pills that may make your kidney disease worse. Check with your doctor before taking any medicine. Diet People with reduced kidney function need to be aware that some parts of a normal diet may speed their kidney failure. Protein Protein is important to your body. It helps your body repair muscles and fight disease. Protein comes mostly from meat. As discussed in an earlier section, healthy kidneys take wastes out of the blood but leave in protein. Impaired kidneys may fail to separate the protein from the wastes. Some doctors tell their kidney patients to limit the amount of protein they eat so that the kidneys have less work to do. But you cannot avoid protein entirely. You may need to work with a dietitian to find the right food plan.

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