What to eat stage 4 kidney disease?

If you’re dealing with stage 4 kidney disease, it’s crucial to pay attention to your diet. Consuming the right kind of food can manage symptoms and improve kidney function. But figuring out what to eat when you have this condition can be challenging.

Don’t fret! We’ve got you covered. In this article, we’ll explore some excellent food choices for people with stage 4 kidney disease that are healthy and tasty.

Understanding Kidney Function

Before we dive into specific foods suitable for individuals with stage 4 kidney disease, let’s go over a brief overview of how kidneys work.

Kidneys filter waste products from your blood and send them out through urine. Besides regulating fluid balance in the body, kidneys control acid-base balance which helps maintain electrolyte concentrations essential for muscle function.

Now comes the tricky part – when someone has chronic kidney disease (CKD), their kidneys lose functionality gradually. CKD evolves in five stages based on GFR(Glomerular Filtration Rate) measurements:

  • Stage1: Normal or High functioning.
  • Stage2: Mildly decreased functionality.
  • Stage3a & b: Moderately decreased functionality.
  • Stage 5 or End-stage renal failure/end-stage renal Disease (ESRD): <15% normal performance
    At stage four being moderately declined there is a critical need for paying attention to dietary intake.

Pay Attention To These Nutrients!

When battling moderate loss of kidney function, it’s important to consume balanced meals consisting of appropriate macro and micronutrient requirements (protein, fat, carbohydrates). You also must ensure consuming certain vitamins and minerals necessary like Vitamin c,D,E,K folic acid,iron but limiting sodium,potassium,and phosphorus intake in accordance with recommendations given by medical professionals is key.

Despite popular belief about reducing protein consumption while having adverse effects for individuals with kidney function below normal protein restriction in monitored dosage is beneficial; therefore, consulting with a healthcare professional before changing your diet is crucial.

In the next section, we will discuss some nutrients and suggest foods that are suitable for individuals with stage 4 kidney disease to help maintain healthy body functions while managing their condition.

What Nutrients To Look Out For?

Low Protein Choices

Reducing protein intake can decrease waste production by the kidneys. If you have stage 4 kidney disease, cutting down on high portions of meat choices could ease symptoms’ burden experienced by kidneys. But complete removal of protein might lead to malnutrition as it contributes significantly to growth and repair activities carried out within our bodies.

Some low protein options include:

  • Egg whites
  • Fish or shellfish cooked without sodium.
  • Lean cuts of skinless chicken or turkey
  • Meat alternatives like tofu, tempeh

Limiting Sodium Intake

Excess salt consumption often results in fluid retention which puts more pressure on compromised kidneys causing hypertension raising stress levels leading further complications for people suffering from ESRD;a need for reduced sodium content makes itself prominent.
The recommended daily value ranges between 1500 – 2300 mg per day (1/2tsp–1tsp) depending upon an individual’s medical conditions and varies from person to person.

Here are some tips for reducing salt intake:

Salt Tips
Don’t add salt while cooking food
Avoid processed/pre-packaged meals
Use herbs/spices instead of salt
Rinse canned beans – removes excess sodium

Pro tip: Try cooking at home when possible! Homemade meals allow you better control over ingredients used in preparation hence ensuring lesser exposure towards excessive amounts encountered with restaurant-prepared dishes.

Phosphorus Control

When battling End Stage Renal Failure (ESRD),pHosphate molecules act adversely on weakened bone structures whereas chronic kidney disease (CKD) presents yet another attack on kidneys.Watching phosphorus intake could reduce breakdown of calcium causing bone density issues.

Foods high in Phosphorous:

High Phosphorous Food
Dairy products like milk, cheese and yogurt.

Phosphate additives used in processed or pre-packaged foods should be avoided because they often have a very high content that most people do not realize.

Limiting Potassium

When battling advanced stages of kidney failure,potassium ingested may lead to muscular weaknesses ranging from abnormal heart function to cardiac arrest ultimately leading to loss of life.Consultation with medical professionals regarding potassium consumption is likely based upon blood test results required by medications prescribed but removing particular food choices may help ease symptoms temporarily if needed.

Potassium-rich Foods To Avoid:

  1. Avocado
  2. Bananas
  3. Pears
  4. Prunes.

While apples and berries are good options for those at the stage four level, it would depend on their unique health circumstances.

Sample Meal Ideas

Now that you know what nutrients you need to control let’s take a look at some sample meal ideas:


  • Oatmeal with With Sliced Apples & Berries.
  • Soft-boiled Egg Whites served With Low-sodium Whole Wheat Toast


Baked chicken breast seasoned alternatively with herbs/spices instead of salt along with mixed green salad tossed over with lime juice as an oil-free dressing option.For added flavor,you can toss some almonds into your salad knowing protein requirements deemed suitable for moderate CKD levels .


A whole wheat pasta dish,could consist Gluten-free tomato basil marinara sauce seasoned alternatively otherwise seek out store-bought varieties aforementioned above,two ounces serving size pan-seared cod fished accompanied alongside steamed Spinach and Carrots.


  • Apple slices with unsalted almond butter


Choosing the right foods when you have stage 4 kidney disease is essential. Cutting back on high protein, minimizing sodium intake and controlling potassium, and phosphorus consumption can help you manage your symptoms while avoiding malnutrition. As always, be sure to discuss any change in your diet strategy with medical professionals involved accordingly if needed .

Now that we’ve provided some ideas of what to eat keep experimenting! Who knows? A banana lover could find a new love for apple or mixed berries.If feeling uncertain of an unknown food pickup medicine ball and get rolling towards healthcare professional consultations because healthy kidneys lead to robust bodies without question.

Random Posts