4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
DIET IN NEPHROTIC SYNDROME
DIET IN NEPHROTIC SYNDROME
Mrs. Jesal Shah
Consulting Dietician
Nutritional Management
One of the aims of nutritional management is to replace as much of the protein loss in the urine by a intake of good quality protein. The dietary modification may be as follows:

  • Protein Protein:- A balanced diet adequate in both energy and protein (1-2gms per kilogram body weight) should be adequate for most children. Since Indian children usually have a low intake of protein (even less than the RDA), adequate protein intake - up to 2gm/kg/day in children and not more than 3gm/kg/day in infants is advocated. A very high protein diet may cause tubular damage to the kidneys as the kidneys will have to filter more of the proteins.

    Foodstuffs rich in protein are cow's milk, skimmed milk, eggs, fish, dry fish, chicken, lean meat, paneer made from cow's milk, cheese, sprouts, pulses and legumes such as tur dal, moong dal, rajmah, chana, lentils (masoor), etc.


  • Calories Calories:- A high calorie diet so as to conserve protein should be necessary. However fat content is not increased in the diet as patients with nephrotic syndrome have high serum triglycerides.


  • Sodium Sodium: :- To prevent massive oedema, sodium levels in the diet must be low. Usually 500mg sodium diet is satisfactory. Salt should be restricted but diets should be palatable. Usually added salt is prohibited in these children. Table below indicates some of the foodstuffs high in sodium:


FOODSTUFFS HIGH IN SODIUM
Baking soda
Salt
Ajinomoto
Salted wafers, popcorns, salted biscuits.
Papads - all varieties.
Salted pickles, chutneys, curry powder - commercial.
Commercial salad dressings and sauces.
Soup cubes.
Soft drinks containing sodium benzoate.
Bakery products, bread, biscuits.
Nuts such as salted cashew nuts, pistachio, walnuts, peanuts.
Commercial cheese.
Preservative containing foods.
Canned and tinned foods.
Sea food, chicken, dry fish, bacon, ham .
Meat and yeast extracts like marmite.
Proprietary drinks - Bournvita, chocolate drinks, Horlicks.
Milk and curds.
Pulses and legumes - all varieties.
Vegetables such as - cauliflower , snake gourd , beetroot , carrot , coriander leaves, fenugreek(methi) leaves, lettuce ,spinach (palak) ,amaranth, radish


Fats/oils:- It is recommended that as part of the initial general healthy eating advice, oils and saturated fats(ghee, butter, margarine, coconut oil) should be avoided.

 
 
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