CAN WE GIVE ANY DIET KIT TO PATIENT WHO IS HAVING SINGLE KIDNEY (ONE KIDNEY REMOVED BECAUSE OF REPETEDLY BIG SIZE CALCULUS ) CREATNINE 1.2
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Dear Ameya Sir,
Diet and Water intake plays a vital role in formation of Recurrent renal calculus.
Considering a patient having Solitary/ Single kidney. Precautions needs to be taken specifically with diet too, here Our diet kit like Prameha and or Madhavshakti aata along with sanrise can serve the purpose, again here a question can arise with regards to prameha diet box, being high protein and how to advise for Renal pts, But Considering proportion wise for Prameha(approx 40-50 gms proteins per day) it is high protein but as compared to regular diet, it is has adequate proteins so, advisable to have Prameha.
Monitor Patient regular Intake of fluids vs Output, along with Urea, Sr. Creat, Sr.Electrolytes.
As per American Journal of Nephrology- (https://jasn.asnjournals.org/content/31/8/1667#:~:text=In%20general%2C%20people%20with%20one,%3C30%20kg%2Fm2.)
Causes of kidney stones
Possible causes include drinking too little water, exercise (too much or too little), obesity, weight loss surgery, or eating food with too much salt or sugar. Infections and family history might be important in some people. Eating too much fructose correlates with increasing risk of developing a kidney stone.
try to avoid above possible reasons of calculus formation too!
In the case of Renal patients ( CKD/ Mono kidney/ post-transplant patients) the decision for diet has to be taken in accordance with Renal profile specifically eGFR and Electrolytes. All of our diets are primarily antioxidant and reduce tissue damage, thus they are going to be helpful for Kidneys. Also, they help reduce Hyperglycemia, and Hypertension induced injuries too in the co morbid patients. So yes you can definitely advise our diet kits to this patient.
Care to be taken – eGfr severely impaired patient might require modification in fruit/salad selection advised along with our diet kit. Also, night requires adjustment in protein portion ( i.e daal and soya-based breakfast option). And most importantly in eGfr imparied patients electrolyte has to be monitored closely. As these patients have a tendency of suffering from Hyperkalemia in this cases we tend to avoid Pottasium rich diet kits namely GoBipi and Reverse diet kits. So perferably swasthyam and prameha are used frequently in this cases.
My personal experience I prefer using Prameha Kit and add Sneha( ghrit) to the diet as many renal patients suffer from vaat prakopak symptoms too.