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Confused About Diet for Stage 3 or 4 Chronic Kidney Disease (CKD)

Kidney & Bladder | Last Active: Jun 5, 2022 | Replies (156)
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@kitmus

Anyone have had an ileostomy and stage 4 ckd diet issues and recommended sources for advice. Am seeing. Nutritionist at kidney center. I am concerned about sodium, as I could deplete easily with no colon. Worth a trip to Mao, maybe?

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Replies to "Anyone have had an ileostomy and stage 4 ckd diet issues and recommended sources for advice...."
Colleen Young, Connect Director | @colleenyoung | Aug 26, 2019

@kitmus, having CKD and living with an ileostomy must be additionally challenging. You may be interested in following this discussion on Connect:
- Ostomy: Adapting to life after colostomy, ileostomy or urostomy https://connect.mayoclinic.org/discussion/ostomy-adapting-to-life-after-colostomy-ileostomy-or-urostomy/
- Ostomy page https://connect.mayoclinic.org/page/living-with-an-ostomy/ An Expert Blog

I can understand why you are concerned about sodium. The main function of the colon is fluid and sodium conservation. In ileostomy patients these colonic functions are lacking. But for kidney disease, most patients are recommended to go on a low-sodium diet. I imagine your situation is quite unique and that only a personal dietitian or nutritionist can guide how much sodium and fluids your should consume. How do you monitor your sodium intake? What about fluids?

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