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Chronic Kidney Failure

Chronic Kidney Failure

Chronic kidney failure is a long-term condition characterized by a gradual and progressive decline in kidney function. It is classified into five stages based on the glomerular filtration rate (GFR). This condition results in the accumulation of toxins, fluids, and electrolytes in the blood.


Symptoms of Chronic Kidney Failure

Kidney failure occurs when a disease prevents the kidneys from functioning properly over months or years. The cumulative damage leads to decreased kidney performance and chronic disease.

Symptoms may develop slowly over time, and include:

  • Decreased urine output
  • Nausea and vomiting
  • Loss of appetite
  • Fatigue and weakness
  • Sleep disturbances
  • Decreased mental clarity
  • Muscle cramps
  • Itching

Nutrition for Chronic Kidney Failure Patients

The diet is typically:

  • Low in protein and salt
  • Moderate in fats
  • Adequate in carbohydrates to maintain body weight

Key dietary recommendations:

  • Avoid high protein intake in the early stages to reduce stress on the kidneys.
  • Limit protein intake in advanced stages to prevent accumulation of nitrogenous waste, which may cause:
    • Nausea
    • Fatigue
    • Vomiting
    • Metallic taste in the mouth
    • Loss of appetite
  • Minimize plant-based proteins such as:
    • Lentils
    • Fava beans
    • Lupin beans
    • White beans
  • Avoid adding salt and salt substitutes to maintain blood pressure and fluid balance; use herbs and lemon instead.
  • Consume sufficient carbohydrates such as:
    • White bread
    • Rice
    • Pasta
    • Honey
    • Jam
  • Use liquid oils and avoid solid fats like ghee and butter.
  • Reduce phosphorus-rich foods such as:
    • Legumes
    • Nuts
    • Chocolate
    • Cheese
    • Wheat bran

To Reduce Nausea and Loss of Appetite:

  • Eat small, frequent meals instead of large ones.
  • Avoid drinking water with meals.
  • Eat food cold, and use lemon to enhance flavor.
  • Choose plain toast and unsalted crackers.


L. Kathleen Mahan, Janice L. Raymond (2017).Krause’s Food and the nutrition care process (14th editions