Lifestyle Changes to Manage End-stage Renal Disease (ESRD)
Certain lifestyle changes are part of the treatment plan for ESRD.
Make Changes to Your Daily Diet
To make up for your reduced kidney function, you may need to make changes in your diet. A registered dietitian can help you. The most important nutrients for you to watch are:
—Depending on your kidney function and treatment, you may need to limit or increase protein intake. Because your kidneys are not functioning properly, protein can build up in your blood. Eating less protein decreases strain on your kidneys. However, your body still needs protein. Your doctor will recommend a daily protein level and ask a dietitian to help you plan meals. If you begin
or have a
, your protein needs will change.
Foods rich in protein include meats, poultry, and fish, as well as eggs, dairy products, soy products, and beans.
Fat and cholesterol
—A diet that is high in saturated and
fat and cholesterol contributes to the formation of plaque in the arteries, which leads to heart disease. Choose a more
—foods that are low in cholesterol, saturated fat, and
—Sodium contributes to fluid retention. Over the long-term, retaining excess fluid can increase your blood pressure and cause discomfort during
Try to decrease salt
from both foods and fluids.
—Because your kidneys are not functioning properly, potassium may accumulate in your blood. High levels of potassium in the blood can be dangerous for your heart.
Try to decrease the potassium in your diet
—Because your kidneys are not functioning properly, phosphorus can also accumulate in your blood. Excess amounts of phosphorus interfere with bone metabolism and can weaken your bones. Phosphorus is found in many foods, making it difficult to limit in your diet. Instead, your doctor or dietitian may recommend that you take a phosphate binder, such as calcium carbonate, with your meals. Phosphate binders are included with
—Excess fluid makes your heart work harder and can raise your blood pressure.
Your doctor or dietitian will help you determine how much fluid you can have each day.
Check with Your Doctor Before Taking Over-the-Counter Drugs or Supplements
Over-the-counter and herbal products may contain substances that can change your blood chemistry and harm your kidneys. Before you take any OTC drugs or dietary supplements, check with your doctor.
Take Medications as Ordered to Control Blood Sugar and Blood Pressure
If you have
, your doctor may order medications to manage them. Always take these medications as directed. Do not stop taking them without consulting with your doctor.
Manage Emotional Issues with Support and Counseling
Counseling sessions with a mental health professional can improve your coping strategies for dealing with losses and limitations associated with this disease. Some patients find attending a support group helpful as well.
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Nutrition and kidney disease, stages 1-4. National Kidney Foundation website. Available at: https://www.kidney.org/nutrition/Kidney-Disease-Stages-1-4. Accessed November 17, 2016.
What I need to know about kidney failure and how it's treated. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at:
Updated September 2013. Accessed November 17, 2016.
What is kidney failure? National Kidney Foundation website. Available at: https://www.kidney.org/atoz/content/kidneyFailure. Accessed November 2016.