Hi there,

First of all, I want to say you’re not alone. My father is 71 and was also diagnosed with Stage 3 Chronic Kidney Disease (eGFR 29). It was scary at first, but we’ve learned a lot on this journey and I’m truly happy to share everything that’s helped us so far.

👨‍⚕️ Medical & Monitoring
We started by getting him under the care of an excellent nephrologist (Prof. Dr. Salman Tahir Shafi, based in Pakistan — here’s his profile). He created a plan that included:

Regular blood tests every 3–4 weeks to monitor:

eGFR

Serum creatinine

Urea

Potassium

Uric acid

Sodium levels

Blood sugar (as he is diabetic)

Blood Pressure Monitoring daily — high BP worsens kidney function.

Weight and urine tracking — sudden changes can indicate fluid retention or worsening function.

🥗 Dietary Restrictions We Follow Strictly
A kidney-friendly diet can slow the disease. Here’s what we follow (with help from the doctor and nutritionist):

❌ Foods to Avoid
High Potassium: Bananas, oranges, potatoes, tomatoes, spinach, dry fruits

High Phosphorus: Milk, yogurt, cheese, cola drinks, packaged foods

High Sodium: Pickles, papads, chips, canned soups, bakery items, processed food

High Protein: Red meat, eggs, too many lentils — only small portions of white meat weekly

Oxalates: Cauliflower, beetroot

No added salt in food

✅ Safe Foods in Moderation
Rice, white bread, daliya (porridge)

Apple, papaya, cucumber (low potassium fruits)

Boiled/steamed green beans, lauki (bottle gourd), tori (ridge gourd), karela

1.5 small rotis per meal with a controlled portion of cooked vegetables

6–8 glasses of water/day (doctor guided — don’t overdo if swelling is present)

💊 Medication Routine
(This varies for everyone, but here's what helped us)

Loprin 75 mg (blood thinner)

Carvida 3.125 mg (BP)

Lasix 20 mg (diuretic — helps with swelling)

Zyloric 100 mg (for uric acid)

Ruling 40 mg (for acid reflux)

Ketocell, Elezo (for kidneys & vitamins)

Maxflow 0.4 (for urinary flow)

Insulin (adjusted dose based on sugar readings — often 8 units morning & night)

Always consult the doctor before changing anything.

⚠️ Symptoms to Watch Closely
You need to act fast if you see any of these:

Sudden fatigue or drowsiness

Swelling in feet, face, eyes, or belly

Decreased appetite or nausea

Confusion or trouble focusing

Reduced urination or frothy urine

Breathlessness (fluid retention)

Muscle cramps (low calcium or potassium imbalance)

We had one episode of hypoglycemia when my father missed his 3 PM meal — so we ensure regular meal timings now.

❤️ Emotional & Lifestyle Support
We eat meals together — even if different — to avoid him feeling left out.

Gentle walks in the evening to help circulation.

Constant encouragement and small wins — celebrating every stabilized lab result.

✨ Progress So Far
His eGFR has stabilized

Serum creatinine not rising anymore

Swelling and nausea under control

Appetite and sleep improved

It takes patience, discipline, and support. You're doing a great thing by seeking help early. If I can assist in any way, just reach out. Wishing health and strength to you and your loved one.

Here's the link to the doctor incase you wanna have consultation:
https://www.marham.pk/doctors/lahore/nephrologist/prof-dr-salman-tahir-shafi
Warmly,
Laeeq