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    clemenscc posted:
    If I have CKD, should I limit my fluid intake, or increase it ?
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    mrscora01 responded:
    It depends. If you are retaining fluid and have a problem with swelling, you might want to cut back a bit, but cutting back on sodium would also probably help. I had to restrict fluid while on dialysis, but that was only because I wasn't voiding much. You need to talk to your doctor about this. I always kept hydrated before dialysis, but didn't have much fluid on board.

    Haylen_WebMD_Staff responded:
    I agree with Cora - best to check in with your doctor!

    Here is some comprehensive information that you might find helpful. Again, I would encourage you to check with a medical professional before changing your diet:

    Eating Plan for Chronic Kidney Disease : Changing Your Diet

    Step 4 has information on fluids. Please check back in and let us know what you discover!

    john-skpt responded:
    I concur with the others: it is an individualized determination, no two patients are alike. Healthy kidneys generally do better when they have a lot of water to work with, but the disease varies from person to person. Some excrete very little fluid and the blood pressure goes way up, but others excrete a lot of fluid, even though the toxins aren't being cleaned out.

    Your doc will make a judgment based on blood tests, blood pressure, and weight gain or loss.
    jesuspaid replied to john-skpt's response:
    Hi; just wanted information as I have been told to see a specialist due to very high kidney enzymes. Should I be concern w/ the possibility of kidney failure because of the high enzymes?
    john-skpt replied to jesuspaid's response:
    The kidneys and the liver are big chemical factories for the whole body, so we really need to know exactly which enzymes are elevated. The hormones erythropoietin is made mostly in the kidneys, and controls red blood cell production; the chemical renin is also made in the kidneys and has major effects on blood pressure; aldosterone controls fluid and salt retention and comes from next door in the adrenal glands. Kidneys send signals to the parathyroid to govern calcium and phosphorus levels.

    So I just can not make any general assumptions without some fairly specific information. The best bet would be to make an appointment with a nephrologist (or perhaps an endocrinologist), whichever your primary doc suggests. That specialist will be able to give you some specific recommendations. Every case is different and so what is good for one patient may be exactly wrong for the next patient.

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