“I am very happy to be here
for the inauguration of Life Force, promoted by Dr Rajesh and Dr Rupal Shah. The
service that Dr Rajesh Shah has been is rendering to the patients across the
world using homeopathy is indeed valuable. The goodness of Dr Shah lies in the
fact that he is not working for his own benefit but is working for popularizing
homeopathy all over the world.”
- Address by Mr Mohammed
Fazal, Governor of the state of Maharashtra at the inauguration of Life Force
P.S.: Instructions may vary from patient to patient. Please contact our doctors for more information
Any particular food article may not be considered as ‘good' or ‘bad' for everyone. There are disease-related circumstances, which determine if or not a particular food article is good, for the patient at a given time. Here are some broad suggestions:
The main aim of nutritional management of Nephrotic syndrome is to replace the protein loss by having an adequate intake of proteins. However high intake of protein must be avoided to prevent any tubular damage to the kidneys caused by filtering of the excess proteins.
Sodium intake in diet should be low.
Fat intake should also be low.
Fluid intake should be restricted as per the physician's advice.
Foods that can be taken:
Cow's milk, skimmed milk
Yogurt
Wheat, cereals, sprouts, pulses and legumes such as tur dal, moong dal, rajmah, chana, lentils (masoor), etc.
Wafers, popcorns, chutneys which are prepared in less salt.
Moderate to low intake of vegetable oils, butter and mayonnaise.
Noodles, spaghetti, pancakes, etc (low in salt)
Foods to be avoided in nephrotic syndrome
Excess of protein should be avoided because a very high protein diet may cause tubular damage to the kidneys as the kidneys will have to filter more of the proteins. But moderate protein intake (about 1 gm/kg body weight) is mandatory to compensate for the protein loss in the urine.
High amount of fats should be avoided as the cholesterol and triglyceride levels tend to be high in patients with Nephrotic syndrome. The diet must be high in calories so as to conserve proteins, yet low in fats. Excess of oily food and saturated fats (ghee, margarine, etc) should be avoided.
Sodium in the diet should be minimum so as to prevent fluid accumulation and
edema. The foods that are high in sodium content and thereby should be avoided are:
:Salted wafers, popcorns, salted biscuits, snacks, chips, etc
:. Papads – all varieties
:. Salted pickles, chutneys, curry powder – commercial preparations
:. Commercial salad dressings and sauces. Soup cubes
:. Bakery products, bread, biscuits
:. Salted cashew nuts, pistachio, walnuts, peanuts
:. Commercial cheese, preservative containing foods, noodle mixes, pastas
:. Salted or canned meat
:. Foods containing baking soda and ajinomoto
The basic dietary principles for UC are no different to those for the general population. Carbohydrates (rice, bread, pasta, potatoes, breakfast cereals, etc), proteins (pulses, meat, fish, eggs, nuts, etc.), vegetables and fruits form the main part of the diet. Protein foods are essential for growth and repair and also provide iron - these should be taken in adequate quantities. Fat intake must be moderate because excess of fat intake may cause wind and
diarrhea.
Dairy foods, which provide calcium and protein, should be taken in adequate amounts provided they don't cause any problems (such as
diarrhea and wind) to the patient.
Usually small amounts of milk, for example in tea or coffee, do not cause any problems. Dairy products such as butter, cheese and yoghurt are also well tolerated. If milk is excluded, it should be replaced with low lactose milk or with Soya milk. This should be discussed with a dietician to ensure that the nutritional balance is maintained.
Beer or other alcoholic drinks, excess of fruit or fruit juice, onions and spicy foods aggravate the symptoms in some patients and hence these are better avoided by them.
Constipation is often associated with distal colitis and may aggravate the condition; therefore, it is important to eat sufficient
fiber in the diet in order to prevent this. However, if dietary fiber cannot be tolerated without unpleasant symptoms, a bulking agent is advised instead (e.g. Methylcellulose, Fybogel or Normacol), with an increased fluid intake to soften and regulate the motions.
An inflamed large intestine may not be able to reabsorb sufficient water or salt from the bowel and this can result in the passing a large volume of
diarrhea or semi-solid stool. Fluids need to be replaced during bouts of
diarrhea and vomiting to prevent dehydration. Usually this can be achieved by drinking more liquid but in severe cases, a solution of salt and glucose in water may be prescribed to improve absorption.
During a relapse, high fibre foods such as whole meal bread, high fibre breakfast cereals, dried fruit and pulses, beans, lentils, peas and sprouts, may make
diarrhea worse. Reducing fiber may help reduce bowel movements. When symptoms improve, fibre can be gradually reintroduced back into the diet to the level that is tolerated. Those who suffer from constipation or who are troubled by passing hard stools need to maintain an adequate level of
fiber in the diet. Bulking agents, stool softeners or osmotic laxatives may be helpful.
When the intestine is inflamed its capacity to absorb fat is impaired and even a moderate amount of fat in the diet may cause wind and
diarrhea. Restricting high fat foods may help. However, it is important to replace these foods with carbohydrate- and protein-rich foods to prevent weight loss.
Protein loss can occur from leakage of the damaged intestinal lining. If this lining bleeds there is a risk of becoming deficient in iron which can lead to
anemia. A nutritious diet, high in calories and protein, is then needed to replace lost energy and nutrients.
In active inflammation certain vitamins and minerals may be lost from the body. Supplements of multivitamins and iron tablets may help. High intake of fluids and foods rich in magnesium and vitamin C may lower the risk of relapse.
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