A healthy diet could very well be the most important part of kidney treatment. Your Dialyspa nutritionist will help you create a diet plan tailored to your nutritional needs and the special requirements of the dialysis modality you select.
Just as it is important to eat healthy when your kidneys are functioning normally, it becomes even more important to monitor the amounts and proportions of the nutrients you ingest once your kidneys lose their ability to properly remove waste from your body.
Although dialysis replicates the kidneys’ filtering function, it cannot cleanse your blood as thoroughly as healthy kidneys. Even if you receive a transplant, your body will need help maintaining healthy levels of nutrients and preventing the build-up of harmful wastes.
Sticking to your diet plan will replenish important nutrients lost during dialysis, limit the amount of harmful wastes introduced into your bloodstream, and make your dialysis treatments less stressful for your body.
Adjusting to your new diet can be a challenging process, and your Dialyspa nutritionist will work with your likes, dislikes, and trouble spots to create a diet plan and food list that you can enjoy.
Below you will find an overview of the basic components of the dialysis diet, and you can also download healthy eating guidelines from our Resources page.
Protein is essential for building and repairing cells within your body, including muscles, skin, hair, and bones. Healthy protein levels also contribute to a strong immune system. Dialysis removes protein from your body, so part of your custom diet plan will focus on making sure you eat enough protein to keep your body strong.
Protein is commonly found in animal products, such as dairy and meat, as well as in some vegetables, nuts, bread, and legumes (beans). Not all protein sources, however, are healthy for the dialysis diet. In fact, some contain harmful levels of waste products.
As you work with your Dialyspa nutritionist, you will learn which protein sources to select and which to avoid. Below is a short list of healthy protein sources that are likely to become part of your diet plan.
Healthy Protein Choices
Protein Sources to Avoid
When healthy kidneys filter blood, they remove excess fluid, which exits our bodies as urine. ESRD has a substantial effect on urine production because, instead of the 24-hour filtration provided by normal kidneys, your body will have only the time spent during dialysis sessions (usually 12 hours per week).
Without close monitoring of your fluid intake, your dialysis treatments can become more uncomfortable and stressful than necessary.
Physical Symptoms of Too Much Fluid
Effects of Too Much Fluid on Dialysis
Fluids are more than what we drink. As you work with your Dialyspa nutritionist to determine your fluid intake goals, you will also learn about “hidden” sources that we don’t normally think of as fluids. For example, some fruits have high fluid content, and anything that becomes liquid at room temperature—such as ice cream, popsicles, and gelatin—contributes to your fluid intake.
Common Fluid Sources
Adjusting to fluid restrictions can be difficult. Your thirst is affected by your level of activity each day. When you know you will be more active than normal, try to make a fluid plan beforehand to keep yourself hydrated. Here are some tips for managing thirst without exceeding your fluid targets.
Tips to Control Thirst
Sodium helps regulate blood pressure and fluid levels within the body, but too much sodium can cause high blood pressure and water retention, both of which can quickly become problematic for dialysis patients.
Reducing sodium intake is difficult in any diet because many prepared foods include high levels of sodium—everything from packaged crackers and frozen dinners to many condiments. On the positive side, the better you monitor your sodium intake, the more improvement you will see in your ability to regulate your fluids and reduce thirst.
Your Dialyspa nutritionist will help you identify both low-sodium foods to enjoy and high-sodium foods to avoid.
Sodium Reduction Tips
Potassium is instrumental in transmitting electrical currents to your muscles, which stimulates movement. Your body’s most important muscle is your heart, and potassium is a key element in regulating your heartbeat.
Healthy kidneys control the amount of potassium in the body, but dialysis can cause these levels to rise (hemodialysis) or fall (peritoneal dialysis) precipitously. Therefore, potassium is particularly important to monitor in order to avoid placing undue stress on your heart.
Symptoms of High Potassium Levels
Symptoms of Low Potassium Levels
Your unique nutritional needs, along with your dialysis modality, will determine your optimum potassium targets. In general, all dialysis patients should avoid foods and fluids high in potassium.
Below is a list of the most common high-potassium sources to avoid. Keep in mind, however, that even fresh fruits and vegetables can be high in potassium.
Common High Potassium Sources to Avoid
When kidneys are functioning normally, phosphorous works with calcium to promote healthy bones. Phosphorous, however, is not cleared well through dialysis, and the build-up will eventually reduce the amount of calcium in the body and negatively affect bone health.
Because dialysis alone is not adequate to remove excess phosphorous, your diet plan will include a two-prong approach: intake regulation and medication called “phosphate binders” to be taken with every meal and snack. Phosphate binders “bind” to excess phosphate in your stomach to prevent it from entering your bloodstream.
Diligence in monitoring phosphorous levels and taking your phosphate binders is crucial, not only to your bone health, but to your personal comfort. If you eat food high in phosphorous or forget to take your binders, you can quickly experience painful physical side effects including severe itching and joint pain.
High-Phosphorous Foods to Avoid
For more dietary advice and information, please contact our dietician.
Paul Garney MS, RD, LD