“What is the diet for patients with UTI?

  Many patients start to be pessimistic and disappointed when they hear that they have “uremia” and lose confidence in life, thinking that they will not live for a few days, and some even end their lives prematurely, which can be called “talking about drugs”. So is there really no way out of “uremia”? How should we face it?  First of all, we should clearly understand that uremia is the result of the development of a chronic kidney disease, it is irreversible and incurable, but we are not helpless to do anything about it, we can extend our life by slowing down its progress.  For the treatment of uremia in addition to drugs and dialysis, uremic patients are most concerned about the diet, the following I will share with you the diet of uremic patients who are not on dialysis.  1, low protein diet In the daily permitted intake of protein need to have 1/2 to 2/3 quality protein, such as eggs, milk, meat, etc.. The utilization of plant protein in the body is low, and the metabolism produces more easily aggravated uremic toxicity, so it should not be consumed at will. However, it should be properly supplemented with compounded а-keto acid preparation (Kai Tong), and pay attention to the monitoring of dietary indicators to avoid the occurrence of malnutrition.  2.Calorie intake Intake of sufficient amount of sugar to supply the body with enough heat, so as to reduce the breakdown of protein to provide heat and reduce the consumption of protein pool in the body. Calorie intake needs to be maintained at 125~146 kJ/(kg. day). Patients who are able to do so can consume flour with a lower protein content. Obese patients need to limit calories appropriately (1046-2092 kJ/day less than the above recommended amount) until they reach their standard weight. When the patient eats less, sugar and vegetable oil can be added to the diet when cooking to meet the calorie intake.  The supply of potassium and sodium should be flexible according to the patient’s edema and the needs of the disease. Fruits and vegetables such as bananas, celery, lettuce and mushrooms should be used with caution in case of hyperkalemia. The amount of sodium intake depends on the patient’s degree of edema. If there is sodium retention, the diet should be limited to salt, but it should be noted that “too much is not enough”. Some patients with uremia do not put salt or soy sauce in every dish, and soon develop general weakness, anorexia, nausea and drowsiness, and when they go to the hospital, their blood sodium is significantly lower. If not corrected in time, it may be life-threatening in serious cases.  4.Vitamin intake Eat fresh fruits and vegetables appropriately to take in sufficient vitamins.  5.Water intake For those who have not undergone hemodialysis, when edema, low urine and heart failure occur, water intake should be strictly controlled; for those with urine volume greater than 1000ml without edema, water intake should not be restricted.  6, other precautions Patients with high uric acid should limit the intake of food containing high purine, in order to reduce the phosphorus and purine content of food as much as possible, lean meat and chicken, etc. can be blanched and then taken for meat consumption. For patients with high blood lipid levels, various foods should be prepared by boiling or steaming as much as possible, using less frying, avoiding deep-frying as much as possible, and not eating animal offal, fish roe, and pig brain.  With the above dietary regimen, most patients can get improvement in their uremic symptoms, but for patients who have started dialysis, they should switch to the dietary regimen for dialysis.  In conclusion, when facing uremia, fear and escape do not solve the problem, all we can do is try our best to slow down its progress, which depends not only on the efforts of doctors, but also on our own efforts!