Question 1

I'm really worried about my dad. He's a CKD patient on alternate day dialysis and he loves eating 8-10 raw almonds every day. I've heard mixed things about almonds, so I'm wondering if they're actually good or bad for him. Also, he enjoys snacking on black grapes, but Im not sure if theyre okay for his condition. Can you help me figure this out?

Accepted Answer

As a CKD patient on dialysis, it's essential to monitor your father's diet to ensure it's not exacerbating his condition.

_Almonds for CKD Patients_

Eating almonds can be beneficial for CKD patients in moderation. Almonds are a good source of:

1. _Protein_: Can help maintain muscle mass.
2. _Healthy fats_: May help reduce inflammation.
3. _Fiber_: Can aid in digestion and blood sugar control.
4. _Antioxidants_: May help reduce oxidative stress.

However, it's crucial to consider the following:

1. _Phosphorus content_: Almonds are relatively high in phosphorus, which can be problematic for CKD patients. Excessive phosphorus consumption can lead to hyperphosphatemia, which can worsen kidney function.
2. _Potassium content_: Almonds are also a good source of potassium. While potassium is essential, excessive intake can be harmful for CKD patients, potentially leading to hyperkalemia.

Given your father's dialysis schedule, it's recommended to limit his almond intake to 1-2 ounces (28-57g) per day, approximately 1-2 almonds.

_Black Grapes for CKD Patients_

Black grapes can be a healthy addition to your father's diet in moderation. They are rich in:

1. _Antioxidants_: May help reduce oxidative stress and inflammation.
2. _Fiber_: Can aid in digestion and blood sugar control.
3. _Potassium_: While potassium is essential, CKD patients should monitor their intake to avoid hyperkalemia.

However, it's essential to consider the following:

1. _Resveratrol content_: Black grapes contain resveratrol, a polyphenol that may interact with certain medications, including blood thinners.
2. _Sugar content_: Grapes are relatively high in natural sugars, which can impact blood sugar control.

In moderation, 12 cup of black grapes (about 80g) per day is a reasonable serving size for your father.

Question 2

I'm really worried right now about my health. I've been checking my blood pressure every day for the past two weeks, and it's been around 190110 consistently. I'm already taking Telmisartan 40mg, but it doesn't seem to be helping at all. On top of that, my creatinine level is 1.8, my potassium is high, urine protein is at 2484, and my albumin is 3.3. My vitamin B12 is really low at 82. Can you help me understand what all these numbers mean and what I should do next?

Accepted Answer

Typhoid and Malaria Co-Infection

_Dark Yellow Urine_

1. _Medication side effect_: Certain medications, such as rifampicin (used to treat typhoid), can cause urine to turn orange or dark yellow.
2. _Dehydration_: Inadequate fluid intake or excessive fluid loss due to fever, sweating, or diarrhea can cause concentrated, dark yellow urine.
3. _Liver function_: Typhoid and malaria can affect liver function, leading to changes in urine color.

_Concerns and Recommendations_

1. _Consult your doctor_: Inform your doctor about the dark yellow urine, as it may indicate dehydration or liver function changes.
2. _Increase fluid intake_: Drink plenty of fluids, such as water, clear broths, or electrolyte-rich beverages like coconut water or sports drinks.
3. _Monitor urine output and color_: Keep track of your urine output and color to ensure you're staying hydrated and to detect any potential issues.
4. _Complete the treatment course_: Continue taking your medications as prescribed, and complete the full treatment course to ensure effective management of typhoid and malaria.
5. _Follow-up appointments_: Schedule follow-up appointments with your doctor to monitor your progress, adjust treatment if needed, and address any concerns.

Question 3

I'm concerned about my creatinine levels. They were at 0.9 last month, but now they've increased to 1.4. Is that considered too high? I'm wondering what could be causing this increase, like could it be something in my diet? I'd love some advice on what I might need to avoid or any precautions I could take to bring it back down. What exactly is the normal range for creatinine levels?

Accepted Answer

A creatinine level of 1.4 is considered high, especially if it's increased from 0.9 in a month. Normal creatinine levels vary by age, sex, and muscle mass, but generally fall between 0.6 to 1.1 mgdL. To lower creatinine levels, consider these dietary changes and lifestyle adjustments:

Dietary Changes

1. Low Protein Diet: Reduce or avoid high-protein foods like red meat, eggs, and dairy products.
2. Fiber-Rich Foods: Increase consumption of legumes, fruits (like apples and papaya), and vegetables.
3. Hydration: Drink plenty of water to help flush out toxins [2).

Lifestyle Adjustments

1. Exercise Moderation: Avoid intense workouts and opt for light exercises like walking or yoga.
2. Salt Intake: Limit common salt consumption to maintain healthy blood pressure.
3. Avoid NSAIDs: Limit use of non-steroidal anti-inflammatory drugs (NSAIDs).
4. Supplement Awareness: Consult a doctor before taking creatine or protein supplements.
5. Quit Smoking: Smoking can damage kidneys and increase creatinine levels.

What medications can damage your kidneys?

Numerous medications can damage kidneys. Some of them are Aspirin, naproxen, ibuprofen, antibiotics.

More Nephrology Health Queries

Health Articles for you

Understanding Cirrhosis and Cancer Differences

Kidney Transplant Without Removing Old Kidney

Kidney Transplant: When It Is Needed & What to Expect

How Long Is A Kidney Good For Transplant After Death?

Kidney Transplant Treatment