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Stage 4 Kidney Disease

Please note that the following information is provided as a general guide and is not intended to replace professional medical advice, diagnosis, or treatment. It is important to consult your healthcare team for personalised recommendations and to address any specific health concerns. For medical or health matters, please consult your GP, contact NHS 111, or call 999 in case of a medical emergency. We are unable to provide personalised responses regarding specific health enquiries or comment on individual medical conditions.

What is Stage 4 Kidney Disease?

Stage 4 kidney disease means there is severe damage to the kidneys, and they are not working very well. Symptoms become more noticeable and might include swelling, fatigue, and changes in urination.

How is it Diagnosed?

Doctors use blood and urine tests to check kidney function. The GFR is between 15 and 29.

Possible Treatments for Stage 4

  • Medications: To control blood pressure, blood sugar, and prevent further damage.

  • Diet Changes: To reduce kidney workload and manage symptoms.

  • Preparing for Kidney Failure: Discussing options like dialysis or a kidney transplant.

  • Regular Monitoring: Frequent check-ups to track kidney function and adjust treatments.

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Managing Stage 4 Kidney Disease with Diet

Limit Protein Intake

  • Why: To reduce the strain on your kidneys.

  • What to do: Choose smaller portions of high-quality proteins like eggs, fish, and poultry.

Reduce Sodium

  • Why: To control blood pressure and reduce swelling.

  • What to do: Avoid adding salt to meals and limit processed foods.

Control Potassium and Phosphorus

  • Why: To prevent complications.

  • What to do: Avoid high-potassium foods like bananas and potatoes.
    Limit phosphorus-rich foods like dairy products and nuts.


Stay Hydrated

  • Why: To maintain kidney function.

  • What to do: Drink fluids as advised by your doctor.

Additional Tips

Work with a Dietitian

  • A dietitian can help you create a meal plan that meets your needs and fits your lifestyle.

Regular Check-ups

  • Keep up with regular doctor visits to monitor your kidney function and overall health.

Manage Other Health Conditions

  • Control diabetes, high blood pressure, and other conditions that can worsen kidney disease.

Prepare for Possible Treatments

  • Discuss options like dialysis or a kidney transplant with your healthcare team to plan ahead.

Stage 4 kidney disease requires careful management and preparation for possible advanced treatments. By following dietary guidelines and working closely with your healthcare team, you can help manage your condition and maintain your health.

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