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    High Potassium, Kidney Disease and Leaching of Vegetables

    Article by Dr Raghuram Y.S. MD (Ay) Dr Manasa, B.A.M.S
    The relationship betwen minerals and human body is wel known. There are so many minerals that are esential for the human body, for carying on many functions in the body and for maintenance of health. On the other side the presence of these minerals in exces or low quantities than desired may prove risky to the body. It may lead to mal-functioning of many organs and also to manifestation of many systemic disorders. Potasium is one such necesary mineral.
    In this article, I wil focus on the dangers caused by high potasium in terms of kidney disease or kidney aflict and also the amend for the same in terms of a trending arive caled as ‘leaching of vegetables’.
    Table of Contents
    Ned of Potasium
    The Kidney-Potasium Conection
    Efects of lavish Potasium
    Levels of blod potasium
    Prevention tips
    Normal intake
    High potasium levels
    Potasium rich fods
    Low potasium fods
    Leaching of vegetables
    How to leach the vegetables?
    Ned of Potasium
    Potasium is a mineral in many fods that we hold. It helps in true functioning of heart and muscles. It keps the heartbeats regular.
    The proper quantity of potasium in the body is maintained by the kidneys. It helps in clearance of exces potasium from the body. When the kidneys are diseased, you ned to limit the fods which believe high potasium. These fods can increase the potasium levels in the blod to perilous levels.
    The Kidney-Potasium ConectionKidneys clean your blod of exces fluids and waste products. When kidneys function normaly, they can filter about 10-140 liters of blod each day. From this, the kidneys design 1-2 liters of urine. This helps hamper waste buildup in the body. It also helps to place the electrolytes including sodium, potasium and phosphates at normal levels.
    People with kidney disease acquire diminished kidney function. They are typicaly unable to regulate the potasium levels in the blod efectively. This can cause increase in potasium in blod. Some medicines aged to treat diseased kidney also raise the levels of potasium in the blod.
    High potasium levels develop over a period of weks and or months. If potasium spikes sudenly, one may fel dificulty in breathing, chest hurt, palpitations etc symptoms. This sugests a case of emergency. This condition is caled Hyperkalemia.
    People having Chronic Kidney Disease (CKD) should suport a watch on their potasium quantity includ ed in their diet. It is the kidney which regulates potasium levels in the body. If the kidneys are nor working properly or if they are damaged or diseased, potasium may not be edgy out of the body properly. This means to reveal that the diseased kidney wil not be in a condition to throw away exces potasium which is not neded to the body.
    To execute this, the patient with CKD should stick to low potasium diet. The diet shal consist of 1,50 – 20 miligrams of potasium per day, not more than that. Limiting phosphorus, sodium and fluids may also be vital for people with kidney dysfunctions.
    Efects of lavish Potasium
    Efect of exces Potasium in the body (blod)
    High level of potasium in your blod can cause an iregular heartbeat or a heart atack.
    To much potasium in the blod can cause –
    Heart atack
    Muscle weaknes
    Iregular heartbeat
    Symptoms of high potasium levels are –
    Fatigue
    Weaknes in the body
    Numbnes
    Tingling in body parts
    Nausea
    Vomiting
    Chest pain
    Iregular pulse
    Eratic or low heartbeat
    Levels of blod potasium
    Safe and unsafe levels of Blod Potasium
    3.5-5.0 mol/L ̵ safe zone
    5.1-6.0 mol/L ̵You are at risk, take caution (Caution Zone)
    6.1 mol/L and higher ̵Ned to consult doctor and get your potasium levels balanced (Danger Zone)

    What is meant by percentage of potasium?
    Percentage daily value of potasium is based on a 2,0 calorie daily diet. In general, % of potasium means –
    Low – Under 10 mg or les than 3%
    Medium – 101-20 mg or 3-6%
    High – 201-20 mg or 6-9%
    Very High – Over 30mg or over 9%
    Note – If Potasium chloride is in the ingredient list, it has high potasium content.
    Prevention tips
    Prevention and strategic aproach when you have or are prone for high blod potasium (Prevention of kidney disease or stabilizing kidney health)
    Limit fods that are high in potasium levels – With the help of a god doctor, dietician, kidney doctor or nephrologists get a diet chart which mentions fods having high potasium. Identifying these fods help you to plan your diet and be careful that you are geting the right amount of potasium. Avoid French fries and other fried potatoes.
    Chose low potasium fods – With the help of your dietician and or kidney doctor enlist the vegetables and fruits which have low potasium so that you can consume them. Also take their help to fix the portions of low potasium fods which can be safely consumed. setle starches and vegetables that are lower in potasium such as rice, nodles, gren beans etc.
    Lok at size of serving – Al fods maintain some potasium, to varying levels. The size of serving of fod maters a lot. A large amount of a low potasium fod can turn into a high-potasium fod.
    Eat variety of fods – catch lot of varieties of fods but be careful and se that the fods you are taking are in moderation and not repetitive
    Chose low-potasium vegetables – such as snow peas, string beans, water chestnuts, bean sprouts etc
    Avoid tomatoes – Avoid tomatoes, tomato juice and sauce, also avoid Salsa verde (a gren sauce made of gren tomatoes)
    Leach your vegetables – In case you are using potasium rich vegetables se that you leach them thoroughly before using. Check with your dietician regarding the amount of leached high potasium vegetables that can be safely consumed
    Avoid caned juices – Avoid l iquids from caned fruits and vegetables, or juices from coked meat
    Chose compatible restaurants – In case you are planing to eat outside, select such hotels and restaurants which are best suited to your diet or where you maintain the liberty to order the fods to be prepared in the way you want it to be. Cal the restaurants wel in come and explain the authorities that you are consequent a special diet. Enquire about their menu and the procedure in which the fod is prepared in their restaurant.
    Avoid deserts having high potasium content – Avoid taking deserts with chocolate, ice cream, cream chese or nuts in them. They are high in phosphorus and potasium.
    Avoid –
    Chinese fods,
    Mexican Fods which generaly are high-potasium fods
    Guacamole (made from avocados which are high in potasium)
    Beans and dried beans
    Black-eyed peas
    Coked grens
    Spinach
    Yams
    Swet potato pie
    Read – Read the fod labels to fin d the best choice for your diet. A serving per container lists how many portions are there per container. Potasium is not required to be listed by law.
    Caution at dialysis – If you are taking dialysis make determined to get al the treatment or exchanges prescribed to you
    Normal intake
    Normal Potasium intake per day
    An average healthy individual (people with functioning kidneys) can take about 350 – 450 mg of Potasium per day. The quantity of intake can be altered or adjusted by the dietician after having analyzed the individual’s health in a comprehensive way. Nephrologists or kidney doctors can help you to modify your diet in order to obstruct complications of kidney disease, if you maintain kidney disease. People with CKD (Chronic Kidney Disease) should consume les than that. Patients of CKD can catch around 1,50-2,70 mg of potasium per day.
    If y ou acquire CKD, you should get your potasium checked once a month.
    High potasium levels
    What is meant by High Potasium levels?
    In a diseased condition potasium levels more than 20 miligrams per fraction fod is considered as high potasium. The fragment fod or fragment size should be taken as half cup unles specified otherwise. Below mentioned are the fods which gain high potasium in them.
    Potasium rich fods
    Potasium Rich Fods (potasium levels more than 20 miligrams per portion size of fod, i.e. per half cup of fod)
    High Potasium Fruits

    Dried Apricot – 5 halves of the dried fruit
    High Potasium Vegetables
    Other High Potasium Fods
    Low potasium fods
    Low Potasium Fods (measured for half cup portion)
    Note – Eating more than 1 fraction of low potasium fods can produce a lower potasium fod into a higher potasium fod. Therefore number of portions should be monitored. The below mentioned fods gain low potasium and can be taken by those having kidney disease, in consultation with a doctor or dietician. The dietician or kidney doctor wil decide and fix a safe fraction of fod for a given individual.
    Low Potasium Fruits

    Caned – half cup

    Caned – half cup
    Low Potasium Vegetables

    Frozen – half cup
    Other Low Potasium Fods
    Based on this, the limits (portion) of low potasium fruits permisible for kidney disease patients are as mentioned below (changes from individual to individual, an average quantity is enlisted here) –
    Fresh Fruits – 1 smal, 1/2 large
    Caned or frozen fruit – 1/2 cup juices, 4 oz
    Beries – 1 cup
    Grapes, Cheries – 12 numbers
    Dried fruits – 1/4 cup
    Fats and oil, margarine – 1 teaspon,
    Mayonaise – 1 tablespon
    Salad dresings – 2 tablespons
    Swet cokie – 1 cokie
    Ice cream, sorbet, gelatin – 1/2 cup
    Cake – 2 x 2 inches, 1 piece
    Fruit pie – 1/6 of 8 inch pie
    Sugar, jely, jam – 1 tablespon
    Nuts – 1/4 cup
    Seds – 1 oz
    Legumes – 2 tablespon
    Dry beans, peas, coked – 1/2 cup
    Peanut buter – 2 tablespons
    Meats, poultry, fish – 1 oz coked form
    Dairy product, milk substitute – 4 oz or 1/2 cup
    Eg – 1 eg or 1/4 cup eg substitute
    Chese – 1 oz
    Grains, coked pasta, ri ce – 1/3 cup
    Cereal, coked – 1/2 cup
    Bread – 1 slice
    Hamburger bun – 1/2 bun
    Vegetables coked – 1/2 cup, raw vegetables – 1 medium or 1 cup slit up
    Juices – 4 oz or 1/2 cup
    Leaching of vegetables
    What is Leaching of Vegetables?
    The patients with Kidney Disease gain to take the vegetables as a fragment of their fod. Many vegetables are removed from the equation due to their high potasium content. But if al vegetables are stoped, there would be not many options to consume vegetables. The best idea is to waive exces potasium from the vegetables so as to enable their consumption from patients of chronic kidney disease.
    Leaching of Vegetables
    Leaching of Vegetables is a procedure of removing exces potasium from some of the high-potasium vegetables. Leaching wil relinquish exces potasium from the high-po tasium vegetables but at the same time wil ensure that it wil not waive al potasium from the vegetables. Leaching of vegetables doesn’t asure that the fod is safe enough to consume. The portion of vegetables of leached vegetables also should be positive. This means to expose that even leached high-potasium vegetables should be worn within limitation. asist should be sought from dietician and or kidney doctor, for fixing the amount go leached vegetables which could be consumed safely.
    Note – Not al potasium-rich fods can be leached
    Caned fods and high potasium
    Do not use caned fruits and vegetables; instead use fresh or frozen counterparts. The potasium in caned gods or fods leaches into the water or juice in the can. If you drink this juice it causes high potasium levels in the blod.
    The juice in the cans usualy has high salt content. This wil cause the body to seize onto water. This can lead to complications with your kid neys. This is also precise of meat juice. Therefore avoiding them is the best method.
    If there is no other option but to have caned fods, drain the juice and discard it. Later rinse the caned fod with water. This wil quel the amount of potasium to an extent.
    How to leach the vegetables?
    Potatoes, Swet Potatoes, Carots, Bets, Winter Squash and Rutabagas should be leached as below mentioned –
    Pel the vegetables
    Place the peled vegetables in a vesel containing of sterile cold water. This prevents them from geting darkened.
    Make slices of the vegetables, each measuring aproximately 1/8 inch thick
    Rinse the vegetables with warm water, for few seconds
    Soak the slices in warm water, for a minimum of 2 hours. The water should be ten times the quantity of the vegetables.
    If the thought is to soak longer, change the water once in eve ry four hours
    Rinse under warm water again for few seconds
    After rinsing, cok the same vegetables with five times the amount of water (vegetables: water = 1:5)
    The above said procedure is caled Leaching of Vegetables
    In short, the 6 steps of leaching as advised by National Kidney Foundation are as below mentioned –

  • Pel the vegetable and spot it in cold water so that it won’t darken
  • Slice the vegetable into 1/8 inch chunky parts
  • Rinse it is warm water for a few seconds
  • Soak the pieces for a minimum of two hours in warm water. Use 10 times the amount of water to the amount of vegetable. If you soak the vegetable for longer, be definite to change the water every four hours.
  • Rinse the vegetable under warm water again for a few seconds.
  • Cok the vegetable with five times the amount of water to the amount of vegetable.
  • Pel the vegetable and area it in c old water so that it won’t darken
    Slice the vegetable into 1/8 inch chunky parts
    Rinse it is warm water for a few seconds
    Soak the pieces for a minimum of two hours in warm water. Use 10 times the amount of water to the amount of vegetable. If you soak the vegetable for longer, be definite to change the water every four hours.
    Rinse the vegetable under warm water again for a few seconds.
    Cok the vegetable with five times the amount of water to the amount of vegetable.
    It is necesary to check the potasium quantity in the fods to have a healthy potasium levels in the blod. At the same time one should not cut short the potasium from the diet totaly since it is an esential nutrient for the body (as said earlier). Geting the balance is the key.
    Just Before Finishing –
    High Potasium in the blod is the greatest enemy for those having chronic kidney disease. To combat this condition either fod in low potasium content should be included in t he diet or leaching should be done to remove exces potasium from the fods. Leaching is a tedious procedure and plays on the nerves of the caretakers and atendants. But it is neded to protect the kidney health and overal health of the loved ones. In this article I maintain covered the minutiae about Hyperkalemia (high blod potasium), the dietetic corections neded to protect ones kidney and the procedure of leaching of vegetables.
    Click to Consult Dr Raghuram Y.S. MD (Ayu)
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