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Dr. Tarun Mittal  - Nephrologist, Agra

Dr. Tarun Mittal

85 (10 ratings)
MBBS, MD - Nephrology, DM - Nephrology

Nephrologist, Agra

12 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Tarun Mittal 85% (10 ratings) MBBS, MD - Nephrology, DM - Nephrology Nephrologist, Agra
12 Years Experience  ·  500 at clinic  ·  ₹300 online
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Tarun Mittal
I have done MBBS from the All India Institute of Medical Sciences (AIIMS), New Delhi followed by post-graduation (M.D., Internal Medicine) and specialization (D.M., Nephrology) from the Post-graduate Institute of Medical Education and Research (PGIMER), Chandigarh. I also did a one year clinical fellowship in transplant nephrology at the University of Cincinnati, Ohio, USA. I have a vast experience in dealing with a large variety of kidney diseases including acute kidney injury, chronic kidney disease (including kidney disease resulting from diabetes and high blood pressure), glomerular diseases, electrolyte disorders, urinary tract infections, kidney stones, hemodialysis, peritoneal dialysis and kidney transplant. My vision is to provide the best in class services for the prevention, diagnosis and treatment not only for isolated kidney diseases but also for complex multi-system disorders involving the kidneys.

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Specialty
Education
MBBS - AIIMS - 2006
MD - Nephrology - PGIMER, Chandigarh - 2011
DM - Nephrology - PGIMER, Chandigarh - 2014
Languages spoken
English
Hindi
Professional Memberships
Medical Council of India (MCI)

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Suffering From Kidney Disease - What Type Of Diet Should You Follow?

MBBS, MD - Nephrology, DM - Nephrology
Nephrologist, Agra
Suffering From Kidney Disease - What Type Of Diet Should You Follow?

What is Chronic Kidney Disease?

Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with interstitial fibrosis.

Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) - 1 being the mildest with no distinct symptoms and 5 being end stage renal failure.

Causes and Risk Factors of Chronic Kidney Disease-

The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are:

  1. Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood)
  2. Hypertension

  3. Family history heritable renal disease

  4. Older age, smoking

  5. Autoimmune disease

  6. Past episodes of acute renal disease

The direct causes of Chronic Kidney Diseases are-

  1. Diabetic nephropathy (leading cause)

  2. Hypertensive nephropathy

  3. Glomerulonephritis (swelling of the glomerulus in the kidneys)

  4. Reno-vascular disease (ischemic nephropathy)

  5. Polycystic kidney disease

  6. HIV-associated nephropathy

  7. Transplant allograft failure

  8. Exposure to drugs and toxins

Diet that you must maintain in Chronic Kidney Disease-

It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly.

It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet.

Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease:

  1. Carbohydrates : Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well.

  2. Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health.

  3. Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood.  Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include:

    • Cheese
    • Chocolate
    • Ice cream
    • Legumes
    • Milk
    • Nuts
    • Seeds
    • Yogurt
  4. Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods), such as avocado, bananas, cantaloupe, honeydew, legumes, milk, nuts, potatoes, seeds, tomato products and yogurt. Some high-potassium foods to limit or avoid include:??
    • Avocado
    • Bananas
    • Cantaloupe and honeydew melon
    • Dried fruit
    • Legumes
    • Milk
    • Nuts and seeds
    • Oranges and orange juice
    • Potatoes
    • Pumpkin and winter squash
    • Tomato products (juices, sauces, paste)
    • Yogurt
  5. Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However when you are undergoing dialysis, it is necessary to consume a certain amount of protein. This detailed information can be obtained from your dietician.
  6. Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create pressure on your kidneys.

  7. Sodium Or Salt Intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1769 people found this helpful

Is there any alternative for dialysis for ESRD patients. Can frequency be reduced through medication?

MBBS, MD - Nephrology, DM - Nephrology
Nephrologist, Agra
The only (and better) alternative to dialysis is kidney transplant. Both hemodialysis and peritoneal dialysis are equally effective and choice depends on convinience and cost. The frequency of maintenance hemodialysis cannot be decreased by medicines.
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Polycystic kidney disease is it confirmed kidneys will fail one day? Bp regular 125/85 range age 25 no diabetes low sodium diet moderate protein just vegetarian food even with following all this whether kidneys will still fail?

MBBS, MD - Nephrology, DM - Nephrology
Nephrologist, Agra
Rate of progression of kidney disease in polycystic kidney disease varies from person to person. Some people may never need dialysis during their lifetime. Family history about the age of requiring dialysis may give some idea to the rate of progression. Maintaining a good blood pressure control, dietary restriction and drugs may certainly help to slow down decline in renal function but may not halt it altogether.
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