If you have existing kidney damage or a risk of kidney stone, you should be cautious to eat spinach.

Kidney disease

Different foods have very different potassium contents.  You may need to limit or avoid foods that are high in potassium. Your registered dietitian will help you make an eating plan that gives you the right amount of potassium.

Is Spinach Bad For Kidney Disease PatientsAre Kidney disease patients OK to eat spinach? Spinach is a winter super food and it is full of nutrients and delicious taste. Generally speaking, although spinach will not cause any type of kidney damage, you may need to be careful with this vegetable if you have existing kidney disease or a history of kidney stones.

Why is spinach bad for kidney disease patients?

Spinach contains high potassium. If kidney disease patients have high potassium level in blood, eating this high potassium food may be dangerous. The declined kidney function causes potassium accumulation in your blood stream. In this condition, high potassium level will affect your heart rhythm. Although spinach is unlikely to damage your kidneys and even to cause kidney failure, you still need to restrict the intake of this vegetable and other high potassium foods if you have advanced kidney disease. From this aspect, kidney disease patients should not eat this high potassium vegetable.

In addition, spinach may also cause kidney stones. This is because spinach is high in oxalate which has a tendency to bind to the mineral calcium. When oxalate combines with excess calcium in your kidneys, it can form hard, yellowish compounds called kidney stones. In severe cases, they can become as large as golf balls, cause severe back or abdominal pain, including vomiting. This can also lead to a fever or result in bloody urine.

If you have existing kidney damage or a risk of kidney stone, you should be cautious to eat spinach. However, it does not mean all kidney disease patients cannot eat spinach. If you have no elevated potassium level or any symptoms of kidney stone, you can eat spinach. In this condition, you can consult your doctor or our online experts to know whether you can consume spinach or not.

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In all cases, do listen to your doctor's advice as the doctor knows your individual case details and when the following advice may not apply. Your renal dietitian knows best. There is no one renal diet that is best for all patients at all stages of their illness. It is important that you have a healthy diet in general terms, as kidney patients are also at risk of developing heart disease, so avoiding fatty foods is recommended.

The main section of our bookstore features books on diets and recipies, as well as general books on dialysis and renal failure. There are also some books about kidney stones.

Many people have too much salt in their diet and for renal patients, it is generally considered important to have a diet that is low in salt, especially not adding salt after the food has been cooked. But be aware that salt substitutes such as Lo-Salt, are NOT recommended, as these products contain high amounts of potassium. Pre-cooked meat tends to be high in salt content as do some canned or preserved food. The vast majority of our salt intake is added to food when cooking or eating it. Renal patients should aim to consume about half as much salt as other people.

Potassium levels in food don't normally have to be restricted, apart from the warning about Lo-Salt substitutes. But for haemodialysis patients, your potassium levels vary a lot, so listen carefully to what your doctor advises you to do to control potassium levels. Foods which have a high potassium level include apricot, artichoke, bananas, beans, carrot juice, baked potatoes, prunes and prune juice, raisins, lentils, spinach, tomatoes, tomato juice and tomato sauce. In particular, beans, lentils, baked potatoes, raisins, tomato sauce and prunes have high levels.
There are more details about this topic on our potassium and dialysis page.

At one time, a low protein diet was recommended for patients with kidney failure, but this is no longer advised. Modern treatment suggests a normal protein intake - not high, not low. A high protein intake may eventually lead to kidney damage, due to increased phosphate intake. Therefore the Aitkens diet is NOT suitable for those with any kidney disease. Substances which bind with phosphate, such as calcium carbonate or calcium acetate, are used to remove excess dietary phosphate in some patients. But in turn, these salts can increase the likelihood of constipation.

It is common to find that when kidney patients' illness progresses, they may not eat enough due to lack of appetite and generally feeling listless. Lack of energy may lead to the breakdown of muscle to provide energy. Malnutrition is actually possible do to lack of appetite. So do continue to eat proper meals. Indeed some people even recommend having snacks between meals to increase your food intake.

This should be continued at a normal level - if you feel thirsty, have a drink of water. Some patients with fluid retention have to watch their fluid intake carefully however. And if you are not producing urine, you have to reduce your fluid intake, This is especially true for hemodialysis patients who have to monitor their intake carefully. But excess salt in your diet encourages you to drink too often. You should find on hemodialysis that your weight increases by around 0.5 kg per day between treatments - if it increases by more than this then you are suffering from fluid retention.

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