Diet in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

Diet recommendations for patients undergoing continuous ambulatory peritoneal dialysis:

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• Since peritoneal dialysis fluids contain glucose, patients may consume more calories. Therefore, the amount of food that patients need to take orally is usually less than hemodialysis patients. In addition, the use of dialysate containing high glucose may be required, so fluid intake should be adjusted according to urine output. You can determine fluid intake by adding approximately 500 cc to the amount of urine from the previous day.

• Since dialysis fluid creates a feeling of fullness in the abdominal cavity, bloating may occur after meals. Therefore, the patient should empty their dialysate before eating and should not make a new change in the first half hour after eating. Patients who experience a feeling of bloating can consume the same amount in 6 meals instead of 3 main meals.

• Protein loss during dialysis may be greater than in hemodialysis patients, which can cause weakness. In this case, high-protein diets should be preferred. Protein loss increases in patients experiencing peritonitis, so protein intake should be increased. Patients with loss of appetite should first consume protein foods.

• Water, salt and potassium intake are generally more liberal. Patients with potassium loss may consume more potassium than healthy individuals. Necessary adjustments should be made in the diet. In addition, the use of liquid oil may be a healthier choice.