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INTRODUCTION

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From research, about 27 million American adults suffers from Kidney disease, affecting adult mostly. By comparison, adults are 30 times more prone to develop kidney disease than children and for every 80,000 children below the age of 20, only one might experience kidney disease. Kidney disease rank among one of the leading cause of death in the United States. Kidney disease is associated with a case where the kidney function has been altered due to damages caused by various factors and can no more perform its function properly. When your kidney is left untreated, a lot of damage can be done, the earlier you start attending to your kidney the better chance you have to effectively treat it. When you have kidney disease over a long period, and you are nonchalant about it, if the situation gets worsen, it can lead to a life treating health condition.

If you want to improve your kidney function, following a kidney diet may be the best option, a good kidney diet can delay total kidney failure and also bolster kidney function. Diet is a very important aspect of treatment for kidney disease and the impact can help you slow down the progression rate. People living with kidney disease must strictly stick to a good kidney diet to reduce the amount of waste/toxic in their blood so that the kidney can function effectively. Such as monitoring the consumption of sodium, phosphorus and potassium especially.

As an expert in this field, with many years of experience working a countless number of kidney disease patient and other related health, I am sure you will find a lot of useful information in this book. Countless number of kidney disease patient have been able to manage the physical symptoms and also deal with the emotional stress the consciousness or the thought of having kidney disease can bring. This is my professional advice. Respond quickly to treating your kidney at the early stage by making a solid changes to your eating lifestyle.

HOW WELL DO YOU KNOW ABOUT YOUR KIDNEY

The kidneys are those two bean-shaped organs located inside your body, looking like the shaped of a bean, each about the size of a fist. They are located on either side of the spine, just below the rib cage.

WHAT IS SO SPECIAL ABOUT THE KIDNEY?

The various functions the kidney perform in the body can never be underrated, among which are, the filtering of wastes and extra water from the body.  These excess fluid and waste product are discharged through your urine. The urine production involves a high degree of complicated steps to discharged waste and re-absorption. This steps are crucial in maintaining a stable and balance body chemicals. This hormone assist in the control of calcium metabolism and maintain blood pressure (erythropoietin, renin, and calcitriol), by producing life-sustaining chemicals. It also produce hormone that stimulates red blood cell production and keep your bones healthy and strong. The kidneys also discharge acid produced by the body cells and retain a healthy balance of salts, water and minerals—like potassium, phosphorus, calcium and sodium—in the blood. The hormone that the kidney produce also affects the role of other organs.

Each kidney has about a million filtering units called nephrons, and each of the nephrons contain "glomerulus". The glomerulus is responsible for purifying the blood by getting rid of waste from the bloodstream. The tube-shaped structure (tubule) give back needed substances to your blood and get rid of wastes. The glomerulus filters any blood that enters it and the remaining liquid go through the tubule.

A healthy and functioning kidney filters out about 200 quarts of blood per day, removes any excess water and the finished work is the urine that we discharge.

Function Of The Kidney

Regulate the body's fluids

Get rid of drugs from the body

Manufacture an create a form of vitamin D that improve strong and healthy bones

Discharge hormones that balance blood pressure

Regulate the manufacture of red blood cells

Get rid of waste products from the body

What is kidney disease?

Kidney disease is associated with a case where the kidney function has been altered due to damages caused by various factors and can no more perform its function properly. There are a lot of factors that can cause damage to your kidney, like high blood pressure, diabetes and series of any other chronic conditions. Living with a kidney disease untreated can cause a lot of damage and other related health problems- such as malnutrition, weak bones, nerve damage among others.  Leaving kidney disease unattended to over a long period of time can lead to chronic kidney disease (CKD) or kidney failure. A dialysis would be one of the options or an option of a kidney transplant.

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Types Of Kidney Disease And Various Causes

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Chronic kidney disease

This is a very common form of kidney disease. Chronic kidney disease summaries the gradual loss of kidney function over a long period of time especially when you have failed to treat in on time.

Cause of Chronic kidney disease

It is commonly caused by high blood pressure.

High blood pressure is dangerous to the kidney in a way that it elevates the pressure on the glomeruli. Glomeruli, which is responsible for cleaning the blood. But with a constant increase in blood pressure, these increment destroys these vessels which cause a decline in the kidney function.

Diabetes is another one of the many causes of chronic kidney disease. Diabetes is a kind of disease that cause high blood sugar. The constant increase in the level of sugar in blood pressure destroys these vessels which causes a decline in kidney function of properly cleaning the blood vessels. The effect is the kidney becomes overloaded with toxic.

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Glomerulonephritis

Glomerulonephritis is deteriorating situation of the glomeruli. Glomeruli are tiny little structures located in the kidneys, their main responsibility is to filter blood. Glomerulonephritis can be a result of drugs, infections, or congenital abnormalities (are also known as birth defects, conditions present from birth). Mostly gets improves on its own.

Kidney stones

Kidney stones is also a widely known kidney problem. This is a situation where some substance and other mineral properties in the blood obstruct the kidneys, forming solid masses (stones).During urination, kidney stones are usually being excreted,  they are not very painful though and hardly lead to any significant problems.

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Polycystic kidney disease

Polycystic kidney a kind of disease that is a genetic, caused by one or more abnormalities formed in the genome, as it proceed, it causes multiple cysts (a yellowish to white, oily fluid) to grow in the kidneys. These cysts are disturbance and can intervene the function of the kidney to provoke kidney failure. It’s necessary to understand that single kidney cysts are rarely common and do not have any significant problems. Polycystic kidney disease is a more serious and separate condition.

The Following Are Some Of The Symptoms And Warning Of Kidney Disease At The Early Stage:

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Trouble sleeping

Dry, scaly skin

Swollen feet/ankles

Frequent drowsiness or fatigue

Pain or pressure in your chest

Muscle cramping

Frequent urination, especially late at night

Coma

A reduced amount of urine

Difficulty concentrating

Confusion

Unexplained shortness of breath

Poor appetite

Fatigue

More severe symptoms that translate to kidney disease is developing into kidney failure:

(Hyperkalemia) Sudden rise in potassium levels

Vomiting

Loss of appetite

Fluid retention

Persistent nausea

Anemia (a reduction in red blood cells)

Changes in urine discharge

Inflammation of the lining around the heart

Decrease sex drive

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What Is Kidney Transplantation?

A kidney transplant may be another treatment option depending on your circumstances.is an option of replacing a bad kidney for a healthy and functional one; so that it can filters toxins, excess water and solutes from the blood. This is done by two major ways, getting a kidney from a deceased or living donors. Deceased donor kidneys are gotten from people who already give out their kidney before their time of death. There is usually a sign document called organ donor cards. All kidney donations are screen thoroughly to find a perfect match and prevent transferring of any disease from the donated kidney.

Living donors are gotten from a spouses or immediate family members. Since one can live well with just a healthy kidney.

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What Is Dialysis?

Dialysis is treatment procedure that filters toxins, excess water and solutes from the blood in people whose kidneys can no longer carry out these functions naturally, using the help of a machine. Dialysis cannot cure kidney disease, but it can increase life span. 

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Who Is At Risk Of Chronic Kidney Disease?

People with diabetes.

People with high blood pressure.

People with a family history of kidney disease.

People who often use painkillers, including over-the-counter products such as aspirin and ibuprofen.

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Management And Treatment Of Kidney Disease

How is chronic kidney disease treated?

There is no cure for chronic kidney disease. To treat kidney disease doctors are more focus on controlling what root cause of the disease is, they try to help you manage your cholesterol levels, blood sugar and blood level. These few steps may also be taken in early CKD to preserve an increased level of kidney function for an extended  period of time:

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Keeping a regular appointment with your doctor: a kidney specialist (nephrologist) may be recommended.

Cut back on foods high in cholesterol

Treat anemia, if present

Avoid taking painkillers and other medications that can put the kidney at risk.

Best to quit smoking and limit alcohol drinking

Always endeavor to keep blood sugar under control

Consult a dietitian about starting a heart-healthy diet that includes whole grain, fresh fruits, low-fat dairy products and veggies. This also include cutting back on protein.

Eating to reduce blood cholesterol levels, and limiting potassium and sodium (salt) intake.

People with a more severe kidney condition may consider the option of a dialysis and kidney transplantation.

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Renal Diet Basics And The Right Way Of Eating For Chronic Kidney Disease

What I usually advise my patient with kidney disease is to follow a good eating and healthy lifestyle (It is very important), such as monitoring the consumption of sodium, phosphorus and potassium especially.

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Sodium

A lot of foods that we either cook at home or buy at the restaurant have sodium in them. Sodium is a mineral found in salt, and we use it (Salt) mostly when preparation food. It is important to note this, to help manage your blood pressure, eat foods with less sodium and salt.

My personal advice is to limit sodium to between 1,500 to 2,300 milligrams per day. 20 percent daily Value or more means the sodium contained in the food is high.

Do not add salt on your meal when eating.

Best advice to stay away from canned food, but if you must eat canned soup, only eat soups label reduced sodium – and just eat one cup – do not eat a whole can.

Do away with prepared or packaged food, Foods bought from the restaurants or supermarket, because you may not know the amount of sodium contain in them

Avoid using salt when cooking food.

Use sodium-free seasonings, herbs, and spices, to replace salt.

Avoid foods that are high in sodium, 600mg for a complete frozen dinner.

Only eat canned “no salt added” vegetables.

Do not eat nuggets, lunch meats, sausage, hot dogs, or ham.

Do not use these types of salts such as “seasoned” salt, onion salt or garlic salt.

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Potassium

To assist your muscles and nerves work optimally, eat foods with the right amount of potassium. When blood potassium levels are too low or high, It can cause a possible heart attack due to changes in the way the heart beats.

Some fruits, vegetables, meat and milk may be high in Potassium, some have to be avoided and others taken in moderation.

Potassium-rich foods to avoid:

Tomatoes juice and tomato sauce

Oranges and orange juice

Bananas

Melons such as honeydew and cantaloupe excluding watermelon

Pumpkin

Winter squash

Prune juice

Grapefruit juice

Cooked greens, Swiss Chard, kale, spinach, collards.

Dried beans – all kinds

If you will love to eat Potatoes, but in moderation, best soaked in water for long hours, after cutting and peeling. Discard water and also cook with a lot of water.

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Phosphorus

Phosphorus can build up in your blood when the kidneys do not function adequately. To help protect your blood vessels and bones, choose drinks and eat foods that are low in phosphorus. For people that have Chronic Kidney Disease, phosphorus can easily build up in your blood which will cause lack of calcium in your bones. This can cause calcium to be pulled from your bones. Bone disease can make your bone weak or even break.

Dairy foods are major source of phosphorus, they should be taken with caution. Reduce milk to 1 cup per day.

White bread are better than whole grain breads

Some vegetables are high in phosphorus.

Avoid these kind of drinks: tangerine pineapple, Mountain Dew, Dr. Pepper, colas, root beers, Beer Aquafina and Cool iced tea.

Food Choices with their Phosphorus contents for a Kidney Diet

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Meat or Poultry

Phosphorus Content

Veal chop

200 mg

Turkey thigh meat, skinless

170 mg

Turkey breast meat, skinless

185 mg

Pork roast

190 mg

Pork chop

200 mg

Lamb chop

185 mg

Hamburger patty, 90 percent lean

170 mg

Chicken thigh, skinless

150 mg

Chicken breast, skinless

190 mg

Beef, pot roast

155 mg

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Phosphorus content for a 3-ounce portion, cooked:

Seafood

Phosphorus Content

Snow crab

120 mg

Shrimp

120 mg

Oysters, Eastern

120 mg

Lobster

160 mg

Sea bass

210 mg

King crab

192 mg

Rockfish

195 mg

Tuna, canned

130 mg

Yellow fin tuna

210 mg

Salmon, Atlantic farmed

215 mg

Mahi Mahi

155 mg

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Bread

Phosphorus Content  (1-ounce portion)

White bread

25 mg

Sourdough bread

30 mg

Pita bread, white

58 mg

Light wheat bread

38 mg

Italian or French bread or rolls

No baking powder

28-29 mg

Flour tortilla

20-37 mg

Flat bread

48 mg

English muffin

52-76 mg

6-inch Corn tortilla

75 mg

Bagel: cinnamon raisin,

blueberry, plain, onion

53-70 mg

Rice or Pasta

Phosphorus Content

(1/2 cup portion, cooked)

Pearled barley,

Plain white rice, short

43 mg

Spaghetti

42 mg

Rice noodles

14-28 mg

Long grain or medium

35 mg

Macaroni

40 mg

Egg noodles

50-60 mg

Couscous

20 mg

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Dairy, Egg Whites and dairy Substitutes

Phosphorus Content  (1-ounce portion unless stated otherwise)

Pasteurized egg whites,  Unenriched rice milk

15 mg

With no calcium-phosphate

29 mg

Soy milk

50-125 mg

Sour cream, 2 tbsp

20-40 mg

Sherbet

38 mg

Non-dairy whipped topping, 2 tbsp

0-10 mg

Non-dairy creamer with no phosphate additives

40-53 mg

Almond Breeze, Almond milk, original

50 mg

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Snack Food

(Plus Serving Size)

Phosphorus Content

Pretzels, unsalted

1 ounce

20-40 mg

Fresh Strawberries

1/2 cup

18 mg

Radishes

1

9 mg

Fresh Pineapple

1/2 cup

6 mg

Peach

1 medium

10 mg

Fig bar

2 bars

10-25 mg

Low-sodium crackers

1 ounce

20-35 mg

Fruit cocktail

1/2 cup

17 mg

Fruit candies

Gummy or chews

0 mg

Cherries

1/2 cup

15 mg

Celery

1 stalk

10 mg

Blueberries

1/2 cup

9 mg

Baby carrots

9 pieces

25 mg

Applesauce

1/2 cup

6 mg

Apple

1 medium

10 mg

Cheese

(Plus Serving Size)

Phosphorus Content

Blue cheese

1 ounce

110 mg

Cottage cheese,

1/4 cup

92 mg

Cream cheese

2 tbsp

20-40 mg

Feta cheese

1 ounce

96 mg

Neufchatel cheese

1 ounce

39 mg

Grated Parmesan cheese

2 tbsp

72 mg

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Top Food Choices with their SODIUM contents for a Kidney Diet

Food type

Average sodium amount per serving

Vegetables, frozen or fresh,

no added salt (summer squash, eggplant,

cucumbers, carrots , broccoli,  asparagus)

0-85 mg (1/2 cup)

Vegetables, low- or no-salt, canned,

(mushroom, corn, carrots, asparagus

mixed vegetables)

5-35 mg (1/2 cup)

Fruit, fresh (watermelon, tangerines,

pineapple, pears, lemon, peaches,

cherries, berries ,apples )

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0 mg (whole or 1 cup)