What Is The Fluid Restriction For A Pre-Dialysis Patient?

What Is A Fluid Restriction?

Your Dr. may have told you that you’re on a fluid restriction for your pre-dialysis kidney disease. This usually happens in the later stages of end-stage renal disease, especially when your kidneys are not working to their full capacity.

A fluid restriction means that you are limited in the amount of fluid or products that become fluid at room temperature that you can take in because your body is not removing the fluid properly.  If you’re on dialysis, you probably are most certainly on a fluid restriction because your kidneys are no longer producing urine.

If you have too much fluid in your body and it’s not removed in a timely manner, it can aggravate high blood pressure, it can cause fluid in the lungs, and it can cause other problems with your heart. Complications from extra fluid also involves swollen legs, and fatigue.Your fluid restriction amount would be determined specifically by your doctor, but ask them for specifics such as how many ounces or milliliters you are allowed. Fluid restrictions are to make the patient feel more comfortable and reduce the weight gain that you have. Because if you take in fluids and you can’t get rid of them, it just stays on your body as weight.

What Is A Fluid on A Kidney Diet For A Fluid Restriction?

While it’s obvious that beverages like water, coffee, juice, soda and other liquids or shakes count as fluid, other food items may not be as obvious. Ice, ice cream and sherbet, gelatin, popsicles, and soup also count as fluid amount since they become liquid at room temperature or body temperature when they enter your stomach. Fruits and some vegetables also contain liquid, and you may want to check specifically with your doctor if you need to monitor your fluid intake closely for those items. But in general, anything that is liquid at room temperature counts as a fluid.

Fruits and vegetables they generally don’t count as part of your fluid allowance but do contain a significant amount of fluid are: apples, blueberries, blackberries, broccoli, cabbage, cauliflower, carrots, celery, cherries, cranberries, cucumbers, eggplant, grapes, lettuce, peaches, pears, peppers, pineapple, plums, strawberries, tangerines, and zucchini.

Good Ways To Limit Your Fluid On A Fluid Restriction

While your fluid needs will depend on your weight and height, and be directed to you specifically by your nephrologist or doctor, some ideas on how to limit and inyour fluid intake might be helpful.

  1. Don’t do things that increase your thirst such as eating salty or spicy foods. Overall you should reduce your salt intake not only for your kidney diet but also to keep you from increasing your thirst.
  2. Spread your liquids out throughout the day don’t drink all of them in the morning and then have nothing left for your evening meal.
  3. Don’t get overheated by exercising or being outside in the heat, stay in the cool areas.
  4. Use smaller cups as they make you feel like you’re getting a bigger amount without noticing that it’s really a limited portion.
  5. Try making ice cubes out of your favorite beverage, and then when you’re thirsty you can chew on those ice cubes as part of your daily limit but they will last a little longer because they’re cold and you have to take some work to chew on them.
  6. It’s really important to keep a daily fluid and food journal including your way information if your doctors have put you on a fluid restriction, that mean that they are concerned about the amount of fluid that you may be taking in and not being able to process through your kidneys.  Keeping a journal will help you to understand where your problems may have occurred and discuss them with your doctors.

I found this helpful online tool to show you how to convert your daily fluid intake into ml and keep track of what you consumed.

If you need more information about a renal diet for any type of kidney diet – check out our online meal patterns and plans that help you make  a complicated diet easier to understand.


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