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Chronic Pancreatitis Diet Tips

Pancreatitis

Dr. Vikas Nagi (Sexologist) 89% (414 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala

Chronic pancreatitis in ayurveda.

Introduction.

Pancreas also known as aganashaya/grahani is celebrated as the special seat of agni (fire) in the body. 
 Ayurvedic treatment chronic pancreatitis.

Pancreatitis in the initial phase is vata-pita (air & fire elements) aggravation in rasa dhatu (digestive fluids) situated in agnashaya (pancreas). In the chronic state there is dhatu kshaya (degenerative changes) in agnashaya.
Pancreatitis is one of the most painful conditions. In western thought it refers to a state of inflammation of the pancreas. The changes taking place in chronic pancreatitis are known to be irreversible. Enzymes become activated while still in pancreas, irritating the pancreatic cells causing inflammation and associated signs and symptoms.
Many causes of pancreatitis are known like alcoholism, gall stones, abdominal surgery, medications, smoking, high triglycerides, hypercalcemia, family history of pancreatitis, hyper parathyroidism and cystic fibrosis. Another common cause is idiopathic or simply unknown.

Our approach
We have treated a wide range of cases of chronic pancreatitis including:
•autoimmune condition in kids
•idiopathic
•alcoholic
•necrotising varieties.
Where pancreatitis has progressed to a chronic stage it is better managed with our medicines and dietary guidelines. The medicines vary from person to person depending on the age, body constitution and disease status. All these aspects are assessed by our doctors before deciding the line of treatment. The aim of the treatment is to balance air and fire elements. We don’t admit the patients as panchakarma procedures are not required in these cases.

Ayurveda pancreatitis
#amla-the wonder herb in pancreatitis
In acute cases our medicines could not give the desired results and such cases are better handled with allopathic medicine as the aim of the treatment is to tide over the crisis and give supportive treatment.

•duration of treatment varies from 2-6 months. The patient will first start experiencing a better digestion but the pain might still come. Slowly, over the next few weeks the intensity and frequency of pains will decrease. There is a chance of relapse of symptoms during the treatment if patient does not comply with dietary instructions.

#diet and #lifestyle
#food -
•use satvik diet consisting of vegetables, cereals, fruits and non refined items. More stress should be on cooked rather than uncooked.
•diluted buttermilk (#lassi) and indian gooseberry (amla) are the choicest of foods for chronic pancreatitis in ayurveda. Lassi can be made by mixing 10 ml of curd in 50 ml of water. Cumin powder and salt can be added to taste. Taking curd alone is not good.

The following are to be #avoided -

•foods having pungent and sour taste are to be avoided in general.
•fish, meat, cheese, curd, raw onion, garlic, lemon, hot spicy food
•refined wheat flour, refined sugar, deep fried food, fast food
•refrigerated foods like ice cream
•alcohol and smoking. Ayurvedic drink pancreatitis

#lifestyle
•vajrasana (thunderbolt pose) after food
•avoid daytime sleeping.
•dinner should be very light preferably soups.

Know Everything About Pancreatitis!!

Dr. Vishal Khurana 91% (20 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Know Everything About Pancreatitis!!

What is Pancreas? 

The pancreas is an organ placed behind the stomach in abdomen. It produces: digestive juices (produce by exocrine pancreas, it help in digestion of food) as well as digestive hormones i.e. insulin and glucagon (produce by endocrine pancreas) which help in regulation of the level of glucose (sugar) in the blood. 

What is pancreatitis? 

Pancreatitis is abnormal swelling and inflammation of the pancreas. Once the gland becomes inflamed, the condition can progress to swelling of the gland and surrounding blood vessels, bleeding, infection, and damage to the gland. Normally, digestive enzymes secreted by the pancreas do not become active until they reach the small intestine. But when the pancreas is inflamed, digestive juices become trapped and start "digesting" the pancreas itself. If this damage persists, the gland may not be able to carry out normal functions. 

What Are the Types of Pancreatitis? 

Pancreatitis may be acute (new, short-term) or chronic (ongoing, long-term). Either type can be very severe, even life-threatening. Either type can have serious complications. 

  1. Acute pancreatitis usually begins soon after the damage to the pancreas begins. Attacks are mostly very mild, but about 20% of them are very severe. The onset of acute pancreatitis is often very sudden. The inflammation usually clears up within several days after treatment begins. An attack lasts for a short time and usually resolves completely as the pancreas returns to its normal state. Some people have only one attack, whereas other people have more than one attack, but the pancreas always returns to its normal state unless necrotizing pancreatitis develops and becomes life-threatening. 
  2. Chronic pancreatitis begins as acute pancreatitis. If the pancreas becomes scarred during the attack of acute pancreatitis, it cannot return to its normal state. The damage to the gland continues, worsening over time. Pancreatitis can come and go quickly, or it can be a chronic problem. Treatment will depend on whether your pancreatitis is acute or chronic. 

What are the causes of pancreatitis? 
Alcohol abuse and gallstones are the two main causes of pancreatitis, accounting for 80% to 90% of all individuals diagnosed with pancreatitis. 

  1. Gallstones form from a buildup of material within the gallbladder, another organ in the abdomen (please see previous illustration). A gallstone can block the pancreatic duct, trapping digestive juices inside the pancreas. Pancreatitis due to gallstones tends to occur most often in women older than 50 years of age. 
  2. Pancreatitis from alcohol use usually occurs in individuals who have been long-term alcohol drinkers for at least five to seven years. Most cases of chronic pancreatitis are due to alcohol abuse. Pancreatitis is often already chronic by the first time the person seeks medical attention (usually for severe pain).
  3. The remaining 10% to 20% of cases of pancreatitis have various causes, including the following:
    1. medications, 
    2. exposure to certain chemicals, 
    3. injury (trauma), as might happen in a car accident or bad fall leading to abdominal trauma, 
    4. hereditary disease, 
    5. surgery and certain medical procedures, 
    6. infections such as mumps (not common), 
    7. abnormalities of the pancreas or intestine, or 
    8. high fat levels in the blood. 
  4. In about 15% of cases of acute pancreatitis and 40% of cases of chronic pancreatitis, the cause is never known. 

What are the risk factors for pancreatitis? 

The major risk factors for pancreatitis are excessive alcohol intake and gallstones. Although the definition for excessive alcohol intake can vary from person-to-person, most health-care professionals suggest that moderate consumption is no more than two alcoholic drinks a day for men and one a day for women and the elderly. However, people with pancreatitis secondary to alcohol intake are usually advised to avoid all alcohol intake. Other risk factors include: 

  • a family history of pancreatitis, 
  • high levels of fat (triglycerides) in the blood, 
  • cigarette smoking
  • certain inherited disorders such as cystic fibrosis, and 
  • taking certain medicines (for example estrogen therapy, diuretics, and tetracycline). 

What Are the Symptoms of Pancreatitis? 

Most people who have acute or chronic pancreatitis experience upper abdominal pain as their primary symptom. Some of those who have chronic pancreatitis may show inflammation on imaging scans, but otherwise may show no symptoms. Symptoms of pancreatitis may include: 

  • upper abdominal pain: pain that wraps around the upper body and involves the back in a band-like pattern 
    • Pain associated with pancreatitis may last from a few minutes to several hours at a time. 

In severe cases, discomfort from chronic pancreatitis could become constant. Your pain is likely to increase after you eat or when you’re lying down. Try sitting up or leaning forward to make yourself more comfortable. 

Severe acute pancreatitis is a medical emergency. Severe acute pancreatitis may cause dehydration and low blood pressure. The heart, lungs, or kidneys can fail. If bleeding occurs in the pancreas, shock and even death may follow. People who have chronic pancreatitis may also experience steatorrhea, or fatty stools that give off a foul odor. Steatorrhea can be a sign of malabsorption. This means you’re not getting all of your essential nutrients because your pancreas doesn’t secrete enough digestive enzymes to break down your food. 

How pancreatitis is diagnosed? 

Your doctor will likely use a combination of blood tests and imaging scans to make a diagnosis. If you have acute pancreatitis, blood tests may show a rise in your level of pancreatic enzymes. During acute pancreatitis, the blood contains at least three times the normal amount of amylase and lipase, digestive enzymes formed in the pancreas. Changes may also occur in other body chemicals such as glucose, calcium, magnesium, sodium, potassium, and bicarbonate. After the person's condition improves, the levels usually return to normal. Ultrasound, MRI/MRCP, and CT scans can reveal the size of your pancreas and whether you have a blockage of the bile ducts. 

How to treat pancreatitis? 

Treatment for acute or chronic pancreatitis often involves hospitalization. In acute pancreatitis, the choice of treatment is based on the severity of the attack. If no complications are present, care usually focuses on relieving symptoms and supporting body functions so that the pancreas can recover. Treatment for acute pancreatitis includes intravenous (IV) fluids, and medications for pain, nausea and vomiting.

  • The pancreas is key to your digestive process and needs to rest to heal. No food or liquid should be taken by mouth for a few days. This is called bowel rest. By refraining from food or liquid intake, the intestinal tract and pancreas are given a chance to start healing.
  • For this reason, you may receive fluids and nutrition intravenously or through a tube that goes from your nose directly into your jejunum (part of small intestine), which is called a nasojejunal feeding tube. Restarting an oral diet depends on your condition. Some people feel better after a couple of days. Others need a week or two to heal sufficiently. 
  • If needed, medications for pain and nausea are prescribed. 
  • Those people who are having trouble breathing are given oxygen. 
  • Antibiotics are given if the health-care professional suspects an infection may be present. 
  • Some people may need a nasogastric (NG) tube. The thin, flexible plastic tube is inserted through the nose and down into the stomach to suck out the stomach juices. This suction of the stomach juices rests the intestine further, helping the pancreas recover. 
  • If the attack lasts longer than a few days, nutritional supplements are administered through an IV line. 
  • Surgery is sometimes needed to treat complications 
    • If your doctor diagnoses gallstones or other blockages of the bile ducts, you may need surgery to correct these problems later on. 

What are the complications of pancreatitis? 

Some patients may develop complications. These complications are rare, but they’re more common in people with chronic pancreatitis: 

Can pancreatitis be prevented? 

The following recommendations may help to prevent further attacks or to keep them mild: 

  • Completely eliminate alcohol because it is the only way to reduce the chance of further attacks in cases of pancreatitis caused by alcohol use, to prevent the pancreatitis from worsening, and to prevent the development of complications that can be very serious or even fatal. 
  • Eat small frequent meals. If in the process of having an attack, avoid solid foods for several days to give the pancreas a chance to recover. 
  • Eat a balanced diet high in carbohydrates and low in fats because may help individuals decrease the risk for pancreatitis since it is likely these actions will decrease the risk of gallstones, a major risk factor for pancreatitis. 
  • If pancreatitis is due to chemical exposure or medications, the source of the exposure will need to be found and stopped, and the medication will need to be discontinued. 
  • Don't smoke 
  • Maintain a healthy weight 
  • Exercise regularly. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
2963 people found this helpful

Causes and Symptoms of Pancreatitis

Dr. Gaurav Bansal 91% (2206 ratings)
MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Causes and Symptoms of Pancreatitis

An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.

Causes:
Pancreatitis may be caused due to various reasons:

  1. Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis. 
  2. Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
  3. Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.

Symptoms: 

  1. The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
  2. Swollen abdomen: Pancreatitis may cause your abdominal area to swell up and become tender.
  3. Nausea: If your abdomen suddenly starts paining due to the onset of pancreatitis, you tend to feel extremely nauseous. You might end up vomiting and may also have violent heaves.
  4. Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
  5. Rapid pulse: Pancreatitis affects the rate, at which the heart beats, causing a rapid increase in the pulse rate.
4801 people found this helpful

Pancreatitis - Know The Possible Signs!

Dr. Yogendra Kumar 88% (56 ratings)
MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Pancreatitis - Know The Possible Signs!

An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.

Causes:
Pancreatitis may be caused due to various reasons:

  1. Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis. 
  2. Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
  3. Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.

Symptoms: 

  1. The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
  2. Swollen abdomen: Pancreatitis may cause your abdominal area to swell up and become tender.
  3. Nausea: If your abdomen suddenly starts paining due to the onset of pancreatitis, you tend to feel extremely nauseous. You might end up vomiting and may also have violent heaves.
  4. Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
  5. Rapid pulse: Pancreatitis affects the rate, at which the heart beats, causing a rapid increase in the pulse rate

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

1918 people found this helpful

Pancreatitis - Signs You Need To Be Aware Of!

Dr. Purnendu Bhowmik 86% (18 ratings)
MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Pancreatitis - Signs You Need To Be Aware Of!

An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.

Pain in pancreatitis typically radiates towards back as well apart from producing pain in abdomen. Acute pancreatitis may be of two types-

  1. Mild acute pancreatitis- It usually resolves with conservative management after hospitalisation. 
  2. Severe acute pancreatitis- This type of pancreatitis is associated with organ failure. This type is life threatening and needs treatment at critical care unit.

Pancreatitis may be caused due to various reasons:

  1. Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis. 
  2. Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
  3. Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.

Symptoms: 

  1. The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
  2. Swollen abdomen: Pancreatitis my cause your abdominal area to swell up and become tender.
  3. Nausea: If your abdomen suddenly starts paining due to the onset of pancreatitis, you tend to feel extremely nauseous. You might end up vomiting and may also have violent heaves.
  4. Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
  5. Rapid pulse: Pancreatitis affects the rate at which the heart beats, causing a rapid increase in the pulse rate.

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

1905 people found this helpful

5 Symptoms Of Pancreatitis!

Dr. C.S. Ramachandran 86% (587 ratings)
FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon, Delhi
5 Symptoms Of Pancreatitis!

An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.

Causes:
Pancreatitis may be caused due to various reasons:

  1. Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis. 
  2. Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
  3. Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.

Symptoms: 

  1. The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
  2. Swollen abdomen: Pancreatitis may cause your abdominal area to swell up and become tender.
  3. Nausea: If your abdomen suddenly starts paining due to the onset of pancreatitis, you tend to feel extremely nauseous. You might end up vomiting and may also have violent heaves.
  4. Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
  5. Rapid pulse: Pancreatitis affects the rate, at which the heart beats, causing a rapid increase in the pulse rate.
3 people found this helpful

Pancreatitis - Signs You Are Suffering From It!

Dr. Asfar Ahamed 90% (105 ratings)
MBBS, DNB (General Surgery)
General Surgeon, Chennai
Pancreatitis - Signs You Are Suffering From It!

An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.

Causes

  1. Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis. 
  2. Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
  3. Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.

Symptoms: 

  1. The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
  2. Swollen abdomen: Pancreatitis my cause your abdominal area to swell up and become tender.
  3. Nausea: If your abdomen suddenly starts paining due to the onset of pancreatitis, you tend to feel extremely nauseous. You might end up vomiting and may also have violent heaves.
  4. Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
  5. Rapid pulse: Pancreatitis affects the rate at which the heart beats, causing a rapid increase in the pulse rate. In case you have a concern or query you can always consult an expert & get answers to your questions!
2869 people found this helpful

Acute Pancreatitis - Can it be Cured?

Dr. Anirban Biswas 93% (1276 ratings)
PGP In Diabetologist, Fellowship in Non-Invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Acute Pancreatitis - Can it be Cured?

The inflammation of your pancreas over a short period of time indicates acute pancreatitis, which is a serious health condition. You may experience symptoms such as severe abdomen pain all of a sudden, diarrhoea and feeling of being sick. Acute pancreatitis occurs when there are some problems with certain enzymes in the pancreas. This condition is often associated with gallstones and alcohol consumption.

Treatment
Acute pancreatitis can be cured in a hospital, where you will get monitored for signs of serious issues. In some cases, supportive things like oxygen and fluids are required. Here are the various ways by which the condition can be treated:

1. Fluids: The body may get dehydrated during acute pancreatitis. Fluids are provided via a tube connected to one of the veins of the patient. This is known as intravenous or IV fluid. These fluids may help in the prevention of a problem called hypovolemic shock, which occurs when the amount of blood in your body gets lowered due to a drop in fluids. 
2. Nutrition: Diet is usually not restricted for people with acute pancreatitis, but some patients are recommended not to consume solid food for some time. Attempting to digest solid food may cause a strain on the pancreas. You may need to avoid solid food for some days. You should use a feeding tube to get essential nutrients. This process is called enteral feeding and it may involve the insertion of a tube into your stomach via the nose. 

3. Oxygen: For ensuring sufficient oxygen supply to your vital organs, you will be supplied with oxygen through the tubes on your nose. The tube may be removed when your condition improves. In some cases, ventilation equipment may be required for assistance to breathe.
4. Painkillers: Acute pancreatitis causes severe abdominal pain and strong painkillers such as morphine may be given to the patient. These may make the patient feel drowsy. 

Treatment of underlying cause
After controlling the symptoms, the underlying cause must be treated. They are as follows:
1. Gallstone: When pancreatitis occurs because of a gallstone, you may require a process known as endoscopic retrograde cholangiopancreatography or ERCP. The gallbladder may have to be removed, if necessary. 

2. Alcohol consumption: After getting treated for acute pancreatitis and you have recovered from this condition, you should try to avoid alcohol completely. Alcohol may spoil your recovery and the condition might reoccur or the symptoms may reappear. For freedom from alcohol, you may try counselling, joining self-help groups such as Alcoholics Anonymous (AA) or take a medicine which reduces your craving for alcohol. 

It is recommended that you visit a doctor immediately after experiencing any slight or severe symptoms of acute pancreatitis. This will help in early diagnosis and the chances of the symptoms getting worse are prevented. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3094 people found this helpful

Diet In Chronic Kidney Disease

Dr. Sanjeev Behura 90% (13 ratings)
MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diet In Chronic Kidney Disease

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. If you wish to discuss about any specific problem, you can consult a nephrologist.
3242 people found this helpful

Diet, Nutrition And The Prevention Of Chronic Lifestyle Diseases!

Dr. Pravin Patel 90% (150 ratings)
MD - Medicine , MBBS
General Physician, Vadodara
Diet, Nutrition And The Prevention Of Chronic Lifestyle Diseases!

The lifestyle we lead plays an important role. Maintaining a healthy lifestyle is important to overcome many diseases as it helps in bringing the blood pressure to normal and in turn reduce the risks of diseases such as diabetes and hypertension. Factors like smoking, diet, stress and sedentary lifestyle can lead to hypertension and diabetes. Hypertension is known as silent killer as it is symptomless.

There are various traditional medicines known to lower the blood pressure. Also, there are certain herbs that help in controlling blood pressure and preventing other diseases.

Some of these herbs are:

  1. Basil: This herb has a strong aroma and can be used in the preparation of many foods. It also helps in lowering the blood pressure, though for a brief time. Adding freshly chopped or torn basil to soups, salads, pastas and casseroles not only enhance the taste but are also beneficial for health.
  2. Cinnamon: This herb requires some effort to add in the diet but is helpful in maintain the blood pressure. Diabetic people should have cinnamon everyday in some or the other way. Cinnamon can be included by sprinkling over cereals, oats, coffee, stews and curries.
  3. Cardamom: Cardamom if consumed daily can be helpful in bringing down blood pressure and in turn controlling hypertension and diabetes. Cardamom is very popular in South Asia, the seeds can be powdered and used in stews, soups or baking. It not only has an enhanced flavor but is also packed with numerous health benefits.
  4. Flaxseed: This is very rich in omega-3 fatty acids. Omega-3 fatty acids are believed to lower the blood pressure and also protect the body against atherosclerotic cardiovascular disease. They are known for reducing cholesterol levels, and improving glucose tolerance thus acting as antioxidant. Flaxseeds can be added in smoothies and soups or baked goods.
  5. Garlic: Garlic often synonymous with bad breath and pungent seasoning has immense health benefits. It dilates and relaxes the blood vessels allowing the blood to flow freely and in turn reduces the blood pressure. 
  6. Ginger: Adding ginger to the diet helps to control the blood pressure. It relaxes the blood vessels and improves the circulation of the blood. Ginger can be used in sweets, savories and beverages and is very common in Asian food.
  7. Celery Seed: This is a diuretic and in China it is used to treat hypertension. This can be used to flavor stews, soups, savory dishes and casseroles. Both the seeds and the plant have various benefits and uses of their own.
  8. Hawthorn: This herb is used to treat high blood pressure in China. Decoctions of the herb have health benefits such as reduction of blood pressure, controlling hypertension and blood circulation. In case you have a concern or query you can always consult an expert & get answers to your questions!
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