Peanuts, melon seeds, cashew nuts and other nuts are high in phosphorus, kidney friends should avoid eating them.

(The picture is taken from the freepik website)

[Health Channel/Comprehensive Report] Foods such as peanuts, melon seeds, and cashew nuts are common Chinese New Year snacks, but chronic kidney patients should pay attention, because they are high-phosphorus foods. Doctors remind kidney patients to adopt a low-phosphorus and low-potassium diet. Limit protein intake, adequate water intake, avoid Chinese herbal medicine and painkillers, so as not to increase the burden on the kidneys.

Zeng Bairong, chief physician of Nephrology Department of Cathay General Hospital and Neihu Guotai Clinic, pointed out that during the Spring Festival holiday, in the face of all kinds of delicacies from mountains and seas, patients with chronic kidney disease should choose suitable foods to reduce the burden on the kidneys, especially those who have not yet been dialysis Kidney patients should do a good job in diet control.

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Hyperphosphatemia causes skin itching, kidney friends need to be careful

●Low phosphorus diet

Kidney patients will reduce the excretion of phosphorus ions, and they are prone to hyperphosphatemia. Hyperphosphatemia can cause itchy skin, affect bones and even the cardiovascular system. Therefore, controlling blood phosphorus is an important issue for kidney patients.

Foods high in phosphorus include: soup, offal, nuts (peanuts, melon seeds, cashews, etc.), milk (cheese, yogurt, etc.), carbonated drinks, chocolate, etc. These foods should be avoided; other whole grain foods such as brown rice, Phosphorus ions such as wheat products are also high, so it is not suitable to take too much.

In addition to diet control, doctors will prescribe calcium tablets or other phosphorus binders according to the condition, which must be taken with meals to achieve the purpose of controlling blood phosphorus.

The intake of coffee and tea containing potassium ions should be controlled

●Low potassium diet

Kidney disease will also affect the elimination of potassium ions. Patients with high blood potassium levels need to control the potassium ions in their diet. It is recommended to avoid soup, fruit juice, dried fruit, Chinese herbal medicine, etc. When cooking, do not use low-sodium salt and use traditional refined salt. Boil in water and then cook, so that potassium ions can escape into the water and soup instead of eating into the body; coffee and tea also contain potassium ions, so it is not suitable to take too much.

The potassium ion status of kidney patients varies from person to person, and not everyone needs to strictly control potassium ions. It is recommended to discuss with the doctor in conjunction with the blood test results.

Kidney friends who need to control potassium intake should drink coffee in moderation.

(The picture is taken from the freepik website)

●Limit protein intake

Too much protein will burden the kidneys, so kidney patients who have not yet been dialysis should avoid high-protein diets, such as protein powder, whey protein and other supplements are not suitable for use.

Milk, eggs, fish and meat in the food contain protein. These foods are important sources of nutrition and still need to be ingested. It is generally recommended to ingest 0.6-0.8 grams of protein per kilogram of body weight per day, but in practice, kidney friends are not easy to calculate, just avoid excessive intake .

For the protein part, the overall condition of the patient also needs to be considered. For example, the elderly and cancer patients are not necessarily suitable for a low-protein diet.

●Sufficient moisture

Water is very important to the kidneys. It is recommended to drink more than 1500-2000c.c. of water per day. If you have fever, diarrhea, exercise and other water loss conditions, you need more.

It should be noted that if you have edema, heart disease and other problems, you must measure the amount of water you drink to avoid aggravating the symptoms of edema or heart failure.

●Control blood pressure and blood sugar, avoid Chinese herbal painkillers

Kidney patients often have high blood pressure, diabetes and other conditions. If blood pressure and blood sugar are not well controlled, it will also affect the deterioration of kidney function. They should take medicine according to the doctor's instructions, do not eat too salty diet, and measure blood pressure and blood sugar regularly. Kidney patients are also not suitable for taking Chinese herbal medicine, Painkillers or other over-the-counter medicines, and non-essential health foods should also be avoided.

Kidney dialysis patients need to restrict phosphorus and potassium but adopt a high-protein diet

Zeng Borong reminded that patients who have undergone kidney dialysis should also pay attention to the phosphorus and potassium ions in their diet, but they should change to a high-protein diet to increase protein intake. Among them, beans, milk, and offal are less suitable because of the phosphorus ions in them. Eat more, meat, fish, and egg whites are more suitable sources of protein; water also needs to be limited to avoid excessive weight gain. During dialysis, more water will be released, which is more likely to cause discomfort.

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