Diet for Patients on Peritoneal Dialysis (PD)

 

         The diet for PD is high in protein.  The amount of sodium, phosphorus, and fluids is usually limited.  The renal dietitian will help plan the diet that is best for you. 

Protein:         The amount and type of protein you eat is important.  The best sources of protein are lean meats (beef, lamb, pork), poultry (chicken and turkey), fish, eggs, and tofu.  Too little protein can cause weakness, muscle breakdown, and compromise your immune system.

Sodium:         Too much sodium, or salt, can result in high blood pressure, breathing problems, and fluid retention.  Some foods are very high in sodium such as pickles, cheese, canned soups, hot dogs, lunch meats, chips, and “fast food”.  High sodium foods make you thirsty and cause you to drink too much.  To cut down on sodium, do not use the salt shaker and avoid foods that are high in sodium such as processed foods.

Phosphorus:         Phosphorus is a mineral that can build up in your body and pull calcium from your bones.  All foods contain some phosphorus, but some foods are particularly high in phosphorus such as dairy foods (cheese, milk, yogurt), dried beans and nuts.  The best way to control your phosphorus is to avoid high phosphorus foods and take phosphate binders (as prescribed by your doctor) with meals and snacks.  Too much phosphorus may cause itching, bone pain, muscle weakness, weak bones, and hardening of the arteries.

Potassium:         Potassium is a mineral that we get from food.  Too much or too little potassium can affect your muscles and your heart rhythm.  Certain fruits and vegetables, as well as dairy foods, dried beans, and nuts are high in potassium.  Your potassium level will be checked monthly.  Your dietitian will provide information on any changes you need to make in your diet.

Fluids:         Extra fluid can cause your feet and ankles to swell.  It can also result in high blood pressure and shortness of breath.  Fluids include not only water and other drinks, but also gelatin, ice cream, and other things that pour or become liquid at room temperature.  Patients on PD may find that fluids are less restricted than for patient on hemodialysis.  The dietitian will tell you the appropriate amount of fluid to drink.