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Why purine should be limited in a patient with CKD (Chronic Kidney Disease)? You will find the answer in this article. Gets facts on Chronic Kidney Disease Chronic Kidney Disease(CKD), as the name implies, is a slowly progressive disease th

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Why Purine Should Be Limited in a Patient With CKD

2014-09-27 08:17

Why Purine Should Be Limited in a Patient With CKDWhy purine should be limited in a patient with CKD (Chronic Kidney Disease)? You will find the answer in this article.

Gets facts on Chronic Kidney Disease

Chronic Kidney Disease(CKD), as the name implies, is a slowly progressive disease that develops over years. Being damaged for such a long time, the kidneys cannot work normally, leading to many symptoms. At this time, Chronic Kidney Disease patients are required to keep a limited diet.

Reasons why purine is limited in a CKD patient

Uric acid is the final products of purine metabolism, and is discharged by the kidneys. When CKD patients take foods high in purine, their kidneys have to work more to filter excessive uric acid. When the damaged kidneys cannot work normally and high uric acid accumulate in the body, it may lead to some problems such as:

♦ Hyperuricemia (high uric acid in the urine): When uric acid level in the blood is more than 420umol/L, hyperuricemia occurs. It is the leading cause of gout which is characterized by arthritis with painful and swelling joints.

♦ Kidney stones: Kidney stones forms when uric acid develops into crystals and deposit in the kidneys.

♦ Induce or aggravate diabetes: When high level uric acid accumulate in the pancreas, it will increase the risk of diabetes.

Foods rich in purines

♦ Meats (beef, poultry, pork, lamb, game), including organ meats, such as liver

♦ Meat soups, broths, gravies and meat extracts

♦ Fish and shell"sh, especially sardines, anchovies, herring, mackerel, and scallops.

Foods low in purine

♦ Low-fat milk and cheese

♦ Eggs whites

♦ Fruits and fruit juices

♦ Whole grain breads and cereals

♦ Vegetables, including soups and broths

♦ Nuts and nut butters

♦ Beans, peas, lentils, and tofu

♦ Gelatin

Suggestions

♦ Drink plenty of fluids, especially water. It is suggested that you drink 1500ml each day.

♦ Chinese herbal tea: Dandelion, nettle, poria cocos, rhizome of lalang, corn silks, and grifola are usually used as diuretics. This can increase urine output so as to accelerate the discharge of wastes produced by purine.

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You can take a look at this patient's report. His creatinine was 1028 and urea level was 39.7 on 2018-12-11; creatinine level was reduced to 331 and urea was 16.1 on 2019-1-5. After about 25 days' treatment in our hospital, his creatinine level was reduced by 697, and urea was reduced by 23.6. Hope his condition gets better and better.

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Proteinuria is a common symptom of kidney disease

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It can make your urine foamy. Although it does not make you feel uncomfortable, it can impair your renal function and make your kidney disease worse. Conventional treatment such as steroids and immunosuppressants can hardly make it negative. In our hospital, systemic Chinese medicine treatment can help you turn it negative. Look at this picture, bubbles in urine become less and less with our treatment going on.