Saturday, July 28, 2012

How to reduce creatinine levels in blood ?

There are many reasons for increased creatinine and urea levels in the blood. Urea and creatinine are the endotoxins usually caused by reduced excretion of the protein metabolism end products via urine.
The BUN ratio - (The Blood Urea Nitrogen) The BUN ratio is the term used for the ratio of two serum laboratory values, the blood urea nitrogen (BUN) and serum creatinine (Cr). The BUN ratio helps to diagnose if the cause is due to damage to kidney due to kidney disease ( intrarenal diseases) or pre-renal or post-renal causes.
Increased urea and creatinine are mainly caused by renal failure or decreased kidney function. Kidneys work as filters in our body. Filtering the toxins out from our body and cleansnig the blood. If the kidneys are not working properly due to Diabetic nephropathy, Renal artery stenosis (genetic or due to chronic blood pressure) and other kidney diseases like renal cysts, malignancies, tumors, drugs and others.
In renal failure there is actually no specific diet as it has to be customized according to your requirements. There are some basic things which need to be understood to get the best results. The renal dietician or a doctor or a nutritionist should always be consulted for a proper renal diet as per your condition.
Water Intake - The water intake can be upto 6-8 glasses per day in case there is no accumulation of water in the body. Swelling in feet, face is the sign that shows there is water retention in the body and water is accumulating in the body and kidneys are not able to remove excess water from the body. So the water intake needs to be limited and under guidance of a doctor in this case. If there is no swelling in the body and the urine output is normal, then the water intake can be 6-8 glasses or even more in case of increased creatinine levels. It helps to reduce creatinine levels naturally
Fluid Intake- Other fluids also contain water. So you don’t really need to reduce the fluid intake if you are not on dialysis or the urine output is not decreased and normal. Infact in this situation the fluid intake should be more to clear out things. If on dialysis, the water intake and other fluid intake should be restricted an as per the dietician’s advice
Non-Veg Diet - Usually the proteins are not recommended in kidney failure. If the patient is on haemodialysis then slightly higher intake of proteins ( Animal protein - meat, fish, cheese, eggs, milk, and Vegetable proteins - nuts, pulses (beans, lentils etc), tofu ) is recommended. The higher intake is about 100-120 gm per day and the low intake is about 40-50 gm per day.
Salt ( Sodium) – Salty food contains a lot of salt. So no need to take extra salt. Salt usually causes water retention. If you drink water and you have already taken salt, the water is going to get logged in your body. So reduce the salt intake. The lower limit is about 2-3 grams, so this much is ok per day (including the salt in your food) . If you already have water retention (signs- swollen feet, ascites, swollen abdomen, swollen face) then other lo salt options should be tried.
Potassium – Potassium is usually high in patients in severe renal failure and dialysis. The potassium intake actually can not be really restricted as almost all healthy foods contain potassium. It is mostly found in green vegetables, almost all the fruits, vegetables, Potatoes (especially fried or baked). So one can not practially stop eating everything. So I would recommend to take fruits and vegetables and proteins in moderation. Boiling the vegetables, potatoes also helps a lot in this situation.

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