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Dietary Suggestions For ESRD Patients

What kind of diet will be helpful to patients with End Stage Renal Disease (ESRD)? Many patients are concerned about this question. Here we will give some dietary suggestions for ESRD patients.

Dietary Suggestions For Uremia Patients1. Guarantee calories intake

If you lack of protein, it will cause myofibril decomposition and reduce muscle. If you lack of protein and calories, in order to supply enough calories to your body organs, it will reduce protein synthesis and increase muscle protein decomposition. In this condition, serum creatinine level will increase. Therefore, the basic dietary principle for uremia patients should be enough calories intake. It is 104-106KJ per body weight.

2. High quality protein intake

ESRD patients who have not taken dialysis should be given high quality protein intake. This can not only alleviate symptoms of uremia, but also delay the progression of chronic kidney failure. Generally speaking, protein intake should be 0.5g per kg body weight daily, which can maintain nitrogen balance. At the same time, if you complement amino acid, protein intake can be reduced. 65%-75% protein should be high quality of animal protein and foods should be milk, eggs and wheat starch. Plant protein should be limited.

As for those who have begun dialysis, you should not limit your protein intake strictly. Dialysis replaces kidney’s excretory function and dialysis itself is a process of consumption and loss of proteins. Thus, hemodialysis patients should consume protein 1.0g-1.02g per kg of body weight daily while peritoneal dialysis patients should take 1.2-1.5g per kg of body weight daily.

3. Fluid and salt intake

ESRD patients with decreased urine should limit fluid and salt intake. Salt intake should be less than 3 g per day. Patients with obvious swelling, hyperlipidemia and heart failure should limit fluid and sodium intake strictly. It should be less than 1-2g.

4. Potassium intake

How much potassium you should take depends on blood potassium level and urine volume. Potassium intake should be less than 2.5g per day. If your urine output is 1000ml, you can take 3.5g potassium.

5. Calcium and phosphorus intake

Calcium intake should be 1.2-1.5g per day and phosphorus intake should be 0.9-1.2g. In your diet, you should take foods with rich vitamin C and vitamin B. You also need to take micro-elements such as zinc and iron.

The above are some dietary suggestion for ESRD patients. If you want to learn more your dietary tips, you can leave a message below or send an email to We will reply you as soon as possible.


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