My Grand father's age is 75, height is 164 cm and weight is approx 70 Kg . His Serum Creatinine level is 3 though the normal value is 0.8 to 1.3 is it harmful for him. which kind of diet should he follow as doctor has asked to avoid everything. drinking much water is good or not? He has been told that kidneys are working 50% only. what is the way to reduce Creatinine level?
Measuring serum creatinine is a simple test and it is the most commonly used indicator of renal âfunction. More important than absolute creatinine level is the trend of serum creatinine levels over âtime.â
The typical human reference ranges for serum creatinine are: â
â For women 0.5 to 1.0 mg/dL (about 45-90 Î¼mol/L) and â
â In case of men 0.7 to 1.2 mg/dL (60-110 Î¼mol/L) for menâ.
The levels mentioned for your grandfather, indicate the possibility of chronic renal disease associated with aging or conditions like hypertensive nephropathy, diabetes, etc.
Normally, people with chronic kidney disease are recommended to have small regular meals, do âenergy-increasing physical activities and eat a low calorie diet (food that is low in protein, sodium, âpotassium and phosphorus counts). Some patients of CKD are advised to have less intake of fluids.â
RESTRICTION OF POTASSIUM : - â
Mostly, we consume potassium through milk, yogurt; fruits like avocado, kiwis, oranges, papayas, âbanana, cantaloupe; Legumes - nuts; vegetables like beans, potatoes, tomatoes, spinach and fellow âleafy vegetables, sweet potato and animal protein. Potassium-based salt products, winter vegetable âjuices and squash should also be strictly avoided.â
RESTRICTION OF SODIUM : - â
Higher the salt intake, higher the risk of the CKD, high blood pressure and heart disease. Hence a large âamount of sodium intake must be restricted. Canned food, pickles, smoked meat, some frozen foods, âprocessed cheese, packed chips, junk food and crackers must also be avoided. Develop a habit of âreading the labels to get to know the level of sodium in the products we are consuming. Less than 5 âmg sodium per serving is sufficient to stay healthy.â
Protein:â The limit on protein intake is 0.75g per kilogram of one's total body weight. One must consume enough âprotein to keep oneself healthy but not in excess. Mainly meat, fish and dairy products are the sources âof protein. Edibles such as eggs, beef, cheese, bran breads, nuts and vegetable also contain a high âamount of protein.â
Phosphorus consumption for normal people as well as for people with CKD non-dialysis is 2.7 to 4.6 âmg/dL. For CKD dialysis patients the target range is 3.5 to 5.5 mg/dL. Anything more than that must be âreduced. Poor maintenance of phosphorus can lead to not only total kidney failure but also to bone âdiseases and heart troubles. â
Dairy products, nuts and beans (the main sources of phosphorus) and drinks and beverages like cocoa, âcold drinks and beer must be avoided.â
Fluids:â Consumption of fluids is essential for normal people but for a patient of CKD, fluid intake must be âwatched. More than 48 fl oz (1.4 L) of fluids a day must be avoided. Some fruits like apples, orange, âgrapes and vegetables like lettuce also contain a lot of water. So, avoid such fruits.â
OTHER USEFUL TIPS TO BE FOLLOWED : â
Never change any food pattern or your diet program without proper consultation with your doctor.â It is important to have routine medical checkups and keeping a track of the recent changes that occur.â Proper medication and exercise is a must.â
Smoking and alcohol consumption must be reduced, and preferably completely avoided.â
Lower blood sugar and cholesterol levels must be maintained and observed time to time.â
You might consider consulting a dietician or a nephrologist for additional help regarding the management of your grandfathers condition.
I hope this helps.â
hello dr i m dr nazish
my fatehr is 66 yrs of age he had myocardial infarction in 2002
he become diabetic in 2004 but now uncontrolled diabetes he had
now he had dyspnea and serum creatinin is 2.8 and urea is 37 and serum potasium is 6.2 now 4.4
plz tell me the diet plan and tretment as he never go for dialysis
witing for ur reply kind regards
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