When you eat and drink, your body absorbs nutrients needed for fuel. Anything it doesn’t need is carried through the blood to the kidneys. The kidneys filter out excess nutrients and make urine. If you have kidney disease, some nutrients can build up and damage your kidney. A renal diet can help protect you from kidney damage.
People with kidney disease may need to control these important nutrients: sodium, potassium and phosphorus. Please discuss your specific and individual diet needs with your healthcare provider or the registered dietitian at your dialysis center. Here are some tips to follow for a renal diet.
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Sodium is a mineral found in salt (sodium chloride). It’s widely used to prepare foods.
Salt is one of the most commonly used seasonings. It’ll take time for you to get used to reducing the salt in your diet. However, reducing salt/sodium is an important tool in controlling your kidney disease.
Here are some suggestions.
Potassium is a mineral involved in how muscles work. When your kidneys don’t work properly, potassium builds up in your blood. This can cause changes in how your heart beats and possibly even lead to a heart attack.
Potassium is found mainly in fruits and vegetables, as well as milk and meats. You’ll need to avoid certain fruits and vegetables and limit the amount of others.
You should also avoid:
Canned fruits usually have lower amounts of potassium than fresh ones. Be sure to pour off the juice before you eat the fruit.
Potatoes and sweet potatoes need special handling to allow you to eat them in small amounts. Peel them, cut them into small slices or cubes and soak them for several hours in a large amount of water.
When you're ready to cook them, pour the soaking water off and use a large amount of water in the pan. Drain this water before you prepare them to eat.
Phosphorus is another mineral that can build up in your blood when your kidneys don’t work properly. When this happens, calcium can be pulled from your bones and can collect in your skin or blood vessels. Bone disease can then become a problem, making you more likely to have a bone break.
Dairy foods are the major source of phosphorus in the diet, so limit milk to 1 cup per day. If you use yogurt or cheese instead of liquid milk, have only one container of yogurt or 1.5 ounces of cheese per day.
Some vegetables also contain phosphorus. Limit these to 1 cup per week:
Certain cereals should be limited to 1 serving per week. These are:
White or Italian bread and low-salt crackers made with white flour have less phosphorus than whole-grain bread and crackers.
Soft drinks contain phosphorus, so only drink clear ones. Don’t drink Mountain Dew® (any kind), colas, root beers, Dr.Pepper® (any kind). Also, avoid Hawaiian Punch®, Fruitworks®, Cool® iced tea, and Aquafina® tangerine pineapple.
Beer also has phosphorus. Avoid all kinds.
A note from Cleveland Clinic
We all need to pay attention to what we eat. If you have kidney disease, following a renal diet gives you more control over how you feel. Work with your providers and dietitian because you’re the most important part of your healthcare team.
Last reviewed by a Cleveland Clinic medical professional on 12/06/2021.
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