Questionhii nutritionist , can u suggest diet for a 56 yrs old man , he is vegetarian.. actually he always complaint for weakness.. his serum urea n serum creatinine is elevated.. serum urea value is 75.9 mg/dl & his serum creatinine value is 1.38 mg/dl..
& in liver function test , his total bilirubin is 1.19 mg/dl & direct bilirubin is 0.45 mg/dl..his SGPT is 49 U/L ..
LDL cholesterol is 106.12mg/dl..
according to his lab values.. plz suggest diet chart for him ..
which foods should be avoided n allowed in that situation. ?
can u suggest the foods he should avoid totaly??
plz help me out...
waiting for ur reply..
thank..
AnswerIt appears both kidney and liver function are impaired. The elevated cholesterol may be it's own issue or may be related to impaired liver function. A low fat diet is usually beneficial with impaired liver function. However, some healthy fats (such as seeds, nuts, and olive oil) should still be present in the diet to contribute to overall health. A low sodium (2-3 grams per day), low potassium (2-3 grams per day), and reduced protein diet (based on patient's weight...even reduced intake should never be below .6 grams per kg without medical guidance). Foods to avoid would be those high in sodium (many soups, boxed and frozen meals, soy products) and those high in potassium (including, but not limited to, potatoes, sweet potatoes, bananas, dried beans, soy products, bananas, spinach, raisins). Foods which may be most beneficial are those with high nutrient value that are low in potassium and sodium, such as low potassium fruits and vegetables (green beans, fresh grapes, apple, peaches, pears, cucumbers, water chestnuts, bamboo shoots). High creatinine levels can also contribute to dehydration; as long as other medical conditions do not require fluid restrictions, plenty of noncaffeinated beverages should be consumed. No alcoholic beverages should be consumed even in slight amounts. Reduced caloric intake may or may not be beneficial; reduced intake is often beneficial because the liver and kidneys do not have to work as hard when less is eaten, but if the patient is already weak, reduced calories may not be advisable. Medications may also need to be altered when liver and kidney function are impaired; speaking with his doctor about prescriptions as well as over-the-counter supplements and medications would be beneficial.
I hope that helps. More complete lists of high and low potassium foods are available at www.kidney.org
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