With regard to the food habits and physical activity, Are there the list of Do s and Dont s that you could suggest for kidney patients who are on dialysis? what would be the most sensible thing to do, second transplant or the home dailysis? (this is for a 39yrs old patient (male) who underwent his first transplant in 2006, experienced it s rejection in 2013 and been on dialysis since then)
Hi, Thanks for writing in. A repeat transplant of kidney might be thought in person with rejection and this time it requires detailed testing and matching with the donor. Home dialysis is a self-help method and if the kidney function is well maintained then there is no concern. The problem comes with deteriorating kidney function. This raises an alarm and might cause sudden decrease in kidney function. Patients on dialysis should take adequate amount of proteins and this needs to be balanced as per the individual requirement. Eating lean meat is advised. The potassium, phosphorus and sodium levels are to be continuously monitored and foods taken such that it is balanced. Fluids have to be taken in regulated quantities. Please do not worry.