enjoy Your Holiday season while Watching Your Fluid Gain
Holidays are a time to enjoy family and friends. It is important to join in the activities. Being on a hemodialysis diet should not prevent you from enjoying family gatherings.
Limit your fluids to 32 ounces. Using small cups (4 ounces) can help you portion out your fluid throughout the day. Try gum, hard candy, even frozen grapes that can stimulate your salivary glands to moisten your mouth. Sour candy like lemon drops will help quench your thirst. Take your medications with applesauce. Keep in mind foods that melt count toward your fluid allowance such as soup, gelatin, ice cream and ice. One medium ice cube has approximately one ounce of water.
Some fluids are allowed in small amounts such as eggnog as this is high in phosphorus. Mulled apple cider, juices such as cranberry, grape, pineapple, and the nectars-peach, pear and apricot. Sodas that are allowed if it does not contain phosphate additives: (avoid any drink that has "phos" in the ingredient list).
As far as alcoholic drinks, it is best to check with your doctor or dietitian. Drinking alcohol may be allowable, but it must be counted in your fluid allowance. Medications must be taken in consideration. Some medicines may interact with alcohol and cause medicines not to work properly, check the drug labels and ask your pharmacist to make sure alcohol will not be harmful.
Beer is high in phosphorus (remember to take your binder), and wine is high in potassium. A small mixed drink may be your best choice, but avoid high potassium and high phosphorus mixers such as orange juice, tomato juice and colas.
Having a good plan in place for the Holidays and keeping a positive outlook about your nutritional intake, will allow you the freedom to enjoy any kind of social gathering.
- Jean E Burns, RD, LDN