Diet For Children (10- 15 years) on Dialysis (2400 k.cal)
DIET PLAN :-
- 6:00am: 100ml Milk with protein power (10g) ) NEPRO (HP)
- 8:00am: Idly (60 g) 4 no/ Dosa (85g) -2no/ suji / vermicelli upma (250g- cups) Samber (1 cup) (soak overnight all vegetables and cook)/ Onion & tomato chutney (2tb spoon) +1no egg white.
- 11:00am: oats / poha (1 cup)/any fruits 100 gm. (apple, strawberries, pear, and papaya)
- 1:00pm: Chapatti (2 no) (60g) / Rice(90g)(21/2 cup) + vegetable curry(1 cup)(100g)(vegetable from list below) + curd(1 cup)(100g) + chicken(50g) /fish(50g) / Tufa tikka (50g) /chunks(20g)
- 4:00pm: Bhel (2 cup)/ paneer (20g)(cucumber, carrot sandwich with white bread ) (2 no)/sago cutlet (2no)
- 6:00pm: Vermicelli sweet (1 cup) (45g)/ Lauki ke laddo / kasar rava laddo (2no)/ (50g) pineapple sheera (1cup)/ steamed vegetable momos.
- 8:00pm: Chapatti (60g)/ Rice (2 cups) +vegetable curry (any low potassium vegetable from list below) + thin dhal (cup)
- 10:00pm: Strawberry shake with hung curd (100ml)
Food Can Include :
- Low potassium or leached vegetables such as : Bottle gourd, Snake gourd, Ridge gourd, Bitter gourd, Pumpkin, Radish, Cabbage, Kovai, Capsicum, Cucumber, Corn, Onion, Parwar, Tinder, Beans scarlet’s, Zucchini.
- Fruits : Apple, papaya, pear, guava.
Foods given moderately :
- Whole cereals, pulses & legumes (pulses and legumes can be leached in some cases)
- Chicken, fish, milk, curd, fleshy foods, ginger, garlic, mint leaves, curry leaves, ladies’ finger, broad beans, Turnip, gouge leaves, fenugreek leaves.
- Pineapple, straw berry, blue berry.
Food to be Avoid:
- Salt in cooking or on table
- Salted butter, cheese, papas, processed foods, pickles and chutneys
- All foods to which salt or baking soda has been added in cooking
- Fried foods ex: puri, vadai, bonda
- Sea fish, salted meat and salted dry fish, liver etc.
- High potassium foods : Amaranth, coriander, drumstick leaves, spinach, lotus stem, nuts, coffee, cocoa powder, cumin seeds, coconut water, potato, sweet potato, yum, Arvi.
- Fruits : Banana, sweet -lime, jack fruit, , watermelon, jack fruit, orange, avocados, raisins, dried apricots, nuts ,Tender coconut, water juice, soup, cherries.
- Alcoholic Beverages & smoking
Leaching method :-
- Clean and cut the vegetables.
- Cook for 10- to 15 minutes in water.
- Discard the water from them again repeat the same and use the vegetables for cooking.
Dietary Tips :-
- Eat well balanced meals that contain a source of carbohydrate, proteins and fats.
- Protein allowed 1.2g/kg body weight per day for patients on dialysis.
- Choose proteins that have high biological value foods ex: egg white, chicken , fish.
- Choose healthy fat options and limit saturated fats, cholesterol is Restricted to <200mg/day.
- Use 4 tsp of cooking oil per day/(500ml/month )
- Include fruits 100g/day (if potassium is normal)
- Dietary salt should be restricted 2g/ day and patient with hypertension 1.5g/day.
- Limit the salt used in cooking and do not add salt at the table.
- Add herbs and spices to enhance the flavor of the foods in place of salt ex: a dash of lime, garlic, vinegar etc.
- A Potassium intake is limited to 2500mg /day for dialysis. Low potassium foods should be included (or can be leached).
- All animal food are rich in potassium and phosphorus hence moderation should be followed.
Dietary Tips (fluid):
- Avoid excess fluid intake.
- Do not drink large amount of fluids at a time.
- Be mindful of the amount of fluids you are consuming.
- Avoid tea, coffee, rasam, soups, Tender coconut, water juice (because it contain fluid).
- Solid foods like watermelons & milk and curd (150-200ml) contain lot of water follow in moderation.
- Amount of fluid allowed in the diet varies from person to person and depends on 500ml+ urine output.
- A Dialysis patient can take a fluid less than one liter/day.
Exercise :
- 30mins - physical Activity (minimum walk).
- Let me know if you have any queries.