Hello, Sorry about this condition. If there is no edema and additional salt is not added to dishes, he may be allowed half a banana or some other sugary fruit. Cane juice is also good.
Calories may be added with starchy food and oils.
Most fruits are rich in potassium which may be toxic for him in excess.
Puberty changes may also lead to reduced growth in height.
A dietitian may be involved in planning detailed diet plan.
thank you for your advise.
please can you tell me which fruits should be avoided.
his pottassium reading is 4.7
is this level high
All fruits are rich in potassium so any one fruit may be allowed in small portion.
thank you again
I do not add salt to his food. But some food contain salt. He gets crampling as he does alot of athletics. he is an acomplished athlete for his age category.
how do i know the balance that will help with this cramps he suffers?
he does not have any signs of odema. I do not cook with salt. Is there a guideline - quantitative/qualitative i could follow for ratio for balanced electrolytes.
I am also trying to time when he takes protein, due to his athletics. What would you advise?
before training session I let him eat a little food with protein and when he comes back to eat properly. I discourage the protein drink athletes seem to drink after training. He is saying some are ok as long as they are not whey protein.
Can he really drink any of these protein drinks at stage 3b ckd?
Again protein is broken down into urea and so his levels will rise. It is carbs he needs during athletic sessions. Please try vitamin E tablets 100-200 mg for muscle cramps, apart from stretching and massage.
Foods do contain salt and it is not advisable to try to give additional electrolytes like sodium, potassium but let the variety in diet balance out the ratio naturally.
Because diet is such an important part of treatment, the dietitian will review a person’s lab work results and recommend a meal plan individualized for their needs. Eating a proper diet can help preserve kidney function and overall health. See link : http://www.davita.com/kidney-disease/overview/stages-of-kidney-disease/stage-3-of-chronic-kidney-disease/e/4749
Normal upper level of potassium is 5.5 so his level is within normal range.
can you help me further by advising me on the normal safe level for sodium, magnesium, phosporus as well please?
He was told by a coach that he suffers cramps because his magnesium is low.
is it safe for him to use a multi vitamins? if so which would be best?
He has been put on Alphacalcidol 0.75mg/day
Amnopidine o.5mg in the morning and Losartan 0.25mg before bed.
his blood pressure reading at last clinic a week ago is 110/79. is this normal for age 15?
I mean amlodipine 20mg in the morning and Losartan potassium 25mg at night before bed.
they said its because his blood pressure could be high sometimes. And his vitamin D is low.
he looks health and strong. and all of this is confusing for him. He has been quite unhappy lately.
can you suggest how I can support him emotionally? can integrating natural health theraphy help such as homeopathy or acupuncture help? A friend suggested this.
She said that some of the natural health practitioners work with doctors to help patients with good results.
Normal sodium is 135-145 mEg/L, magnesium is 1.6-3.0 mg/dL, potassium is 3-4.5 mg/dL. Different labs may have other slightly different norms. All vitamins may be taken in normal physiologic supplement amounts. Vitamin D could be low due to lack of sunlight exposure over whole body during noon hours. B.P reading mentioned is normal for his age, could be due to good control with drug.
Please consult a psychiatrist for helping him emotions. Homeopathy or acupuncture may not help any, while deep breathing exercises and naturopathy may be of help.
Good luck to him.
Thank you very much.
What level is safe for phosphorous please?
Value between 2.4 and 4.1 mg per 100cc considered normal. Above 4.5 is considered unsafe.
what is the current medical position for early transplant? eg predialysis or at stage 3?
will this benefit a patient on the longer run?
how long does a transpant organ last? or when will another transplant be necessary?
can dialysis be used at early stage eg infrequently/occassionally to ensure safety and reduce waste build up? If possible what are the likely implications for health and quality of life?
Transplant early is current policy, being beneficial to recipient avoiding damage to other organs due to toxic metabolites. Depends upon availability of donor kidney. If there is no active condition the new organ can last lifetime. Till transplant is done, dialysis at regular and frequent interval is beneficial.
what do you mean by 'active condition' please?
Also do you mean transpant can be done at stage 3?
will this affect level of activity the patient can do? I ask this because he is a National level champion sprinter and full of hope. Will he be abe to continue following recovery if he was to have a transplant?
will the level of toxic metabolite likely to affect orther organs at stage 3? which organs are at most risk at stage 3?
sorry I keep asking questions. I know very little and very worried. He is just 15 and a lovely, very fine young man. Loves people and well mannered, level headed and very respectful.
please could you respond to my last set of questions? they are important please.
I have just been told that his Ferritin level is 40.9. What is this measure? Does it mean his is almost aenemic?
His Heamoglobin reading is 137g/l (13.7 per 100ml?)
Is this ok? Not sure of the conversion. Is my interpretation of the figure correct?
Urea reading is 9.5
What is the normal range please? Is this a toxic metabolite you mentioned? what are the others please?
He is told to aim at 2800calories/day now. And of this between 54-67g of protein and that timing of his protein intake is important. Is this reasonable?
In February measurment : His height is 175.5cm (75th -91st centile)
His weight 67.2kg (75th -91th centile). Are these ok for his age. does it mean he is taller for his age?
He has an athletic figure, not fat or built, but appears leaner in recent weeks complaining his diet change is making him unwell at times. I reduced his protien intake following the news, before getting in touch with you to understand the condition. could this be the reason for these changes in him?
Tiredness - he is tired first thing in the morning for the 1st hour or so now for the past year or so. Is there a likely link to his ckd at stage 3b? in other words does it make the person with stage 3b tired?
Water - He drinks alot of water, about 4/5liters daily and wakes up to a glass of water at night too. frequently visit the toilet.
Is this ok?
Urine colour is lemon like. Is this ok?