Newbie Mistake

[glochis]

We always have a large family Christmas breakfast.  One staple has always been orange juice.  I don't usually buy it due to husband's Type 2 diabetes, but my son brought it along.  Anyway my daughter drank it over a couple of days and I am thinking it is what landed her in the hospital the other day.  That is the only thing they could find - high phosphorus.  Could this have caused pain in her chest?    The other thing they noticed was that a vein in her neck seemed large.  I think they could "hear" the fistula in it and in her heart.  She is on sodium bicarb three times a day now. 
The faster we go, the be hinder we get!!

[willowtreewren]

Oh oh! Orange juice!

Yes, you might have pin-pointed the culprit there.

I got so used to NOT buying orange juice that even now that my husband has a transplant, I don't buy it. Citrus can affect transplant meds, too, but orange juice is not as bad as grapefruit. Even so, we just avoid it.

 

Aleta

[Desert Dancer]

Do you mean potassium? That's what orange juice is high in - and what would have caused chest pains - not phosphorus.

I often make the same mistake with potatoes and yams. I always think they're high in phosphorus and have to remind myself it's potassium. It's important to remember which foods are high in what, I think.

[cassandra]

I am sorry for asking, but why is it not possible to find a list (I have a whole book with 'nutrients') with all foods, and drinks with how much potassium,calcium,phosphorus etc thats in everything? It makes it pretty easy, and keeps me alive on D for 14 yrs now. 

[Whamo]

Cassandra,  Davita's website has a "food anaylzer" where you can type in the food, and it will give you the potassium, protein, phosphorous, and such.  They have books like the one you want, but they're pricey and bulkey.

[kristina]

Some years ago I went on a holiday and had B&B (Bed & Breakfast)
and I drank two glasses of Orange-juice every day for breakfast.

After about a week I was almost a hospital-case: I suffered from chest-pains,
terrible diarrhoea and other symptoms.

It was only then that I realized it must have been the Orange-juice
which made me so sick, or an additive in the Orange-juice
like perhaps an artificial sweetener etc.

This incident happened long before I was diagnosed with ESRF,
but I have had kidney-trouble ever since my kidneys first failed and recovered in 1971
and because of this I always had to take great care of my kidneys.

Ever since this holiday I have never touched any Orange-juice ever again.

Strangely enough I can tolerate apple-juice very well....

Good luck from Kristina.

[del]

Kristina, apple juice has a lot less potassium!!  It is the citrus fruits that cause most of the problems with potassium.  We have found that since hubby started nocturnal home hemo that he has to eat a LOT more potassium than when he was on regular dialysis because his levels go too low.  the same thing has happened with phosphorus.

[glochis]

I am sure we will get it figured out eventually.  Seems like all the good for you foods my mother  taught me are now bad for CKD.  Would have saved a hospital visit if I had just thrown the orange juice away. 

[Riverwhispering]

Please use www.NutritionData.com on the internet, it has all that info on most foods and is very easy to use. 


EDITED:  Fixed Link - Rerun, Moderator 

[Riki]

We got a lot of nuts for Christmas, and I know I can't eat them, but I couldn't remember why.  I looked it up, and apparently, some nuts (I was looking specifically at peanuts) have both potassium and phosphorus.  I also learned that peas have phosphorus.  It's not something I knew.  I eat peas all the time.  Not anymore.

[Whamo]

Nutritiondata.com is a great website.  It's better than Davita's food analyzer.  Thanks for the tip.

[kristina]

Thanks, Del, for the information, it is very much appreciated.

I don’t know if this article is of any help, I found it by chance :


Wednesday, January 11, 2012

Fungicide Found in Orange Juice
by Daniel J. DeNoon

A banned fungicide has turned up in some orange juice sold in the U.S.
The warning comes in a letter the FDA this week sent to the Juice Products Association, an industry group. A juice company that “requested confidentiality” tipped off the FDA after its own tests discovered the fungus-killing chemical.
The chemical is carbendazim, which is used in some countries to kill fungus on fruits and vegetables. It’s not used in the U.S. Any food containing more than trace amounts of the chemical is banned from entering the U.S. Tests for carbendazim are sensitive down to amounts of 10 parts per billion (ppb), so anything testing 10 ppb or more is refused entry or destroyed.
But oranges from Brazil apparently got into the U.S. food supply. The FDA tells WebMD that most of the orange juice it has tested does not have any detectable carbendazim. But some samples had 10 to 35 ppb.
While the U.S. has not set a tolerance level for carbendazim, the European Union allows a maximum level of 200 ppb in oranges. Based on that, the FDA feels the carbendazim level so far seen in orange juice “do not raise safety concerns.”
But if higher levels are found, the FDA tells the fruit juice industry, the FDA “will alert the public and take the ncessary action to ensure that the product is removed from the market.”
The Environmental Protection Agency tells WebMD it’s finished its risk analysis of carbendazim and orange juice. A report is expected next week.
In an email, EPA spokesman Dale Kemery says the 35 ppb level that FDA detected in orange juice “is 1,000 to 3,000 times lower that the levels that would indicate a health concern. Based on monitoring data provided to EPA by FDA, EPA has no reason to expect that residues of carbenzadin in oranges grown in Brazil would ever approach levels that would raise safety concerns.”
In animal studies, carbendazim can cause birth defects. How the chemical affects humans is not yet entirely clear.
Brazilian oranges are not the only produce tainted with carbendazim. The FDA has a long list of specific products, ranging from Chinese herbs to Serbian berries, denied U.S. entry unless certified not to contain the chemical.

[Rerun]

In our "Diets and Receips" thread the very first post talks about "Things to Avoid" it is six pages long with posts.  Very interesting.

Here is a clip from that thread that is helpful:

Phosphate: - use in moderation  (Remember to take your binders for Phosphrous)
Soft drinks, soda drinks, especially cola or coke and fizzy lemonade
Cordials/fruit syrup beverages
Chocolate, lollies, sweets, candy, sugar
Ice-cream
Skim milk powder (often added to processed foods)
Biscuits, cookies, cakes from the supermarket
Tomato ketchup
Mayonnaise
Fish fingers
Processed cheese, especially soft cheese spread
Frozen pizzas
Hot dogs
Processed meats
Baking powder and self-raising flour often contains phosphate aerator
Avoid all foods that list as an ingredient mineral salts, emulsifiers and lecithin.
Egg yolks
Milk
Nuts
Wheat germ
Soybeans and their by-products
Peas
Beans
Lentils
Corn
Mushrooms
Oats
Cocoa beans (chocolate)
Sweet breads - liver, brains, kidneys


--------------------------------------------------------------------------------
Potassium: - use in moderation

Foods High in Potassium

Apricots
Artichokes 
Avocados 
Bananas 
Cantaloupe 
Cod 
Dates 
Dry beans (i.e. kidney beans and navy beans)
Figs 
Flounder 
Greens 
Honeydew melons 
Kiwi 
Lentils 
Nuts 
Oranges 
Peaches 
Potatoes 
Prunes 
Pumpkins 
Raisins 
Salmon 
Sardines 
Potassium-based salt replacements 
Tomatoes 
Watermelons

Foods Moderate in Potassium

Apples 
Broccoli 
Brussels sprouts 
Beets 
Carrots 
Celery 
Cherries 
Eggplant 
Mango 
Mushrooms 
Okra 
Peaches 
Pears 
Peanut butter 
Plums 
Peppers 

Foods low in potassium

Asparagus 
Berries 
Cabbage 
Cauliflower
Corn 
Cucumber 
Grapes 
Grapefruit 
Green beans 
Onions 
Peas 
Pineapple 
Radishes 
Rhubarb 
Tangerines 
Turnips

[ToddB0130]

Rerun's list shows how challenging all of this can be .....

Peas are high on the phosphate list and low on the pottassium list ............  guess that's why it all calls for 'moderation' ..........and 'binders'.  Ha.

[kitkatz]

Drop the dark colas out of your diet completely and substitute green tea or water. Phosphorous will go down completely.

[Riki]

I haven't had a drink of dark pop in years, not even a taste, except for root beer, which I researched to make sure was low in phosphorus before I drank it.

[SteveK87]

Here is the best list provided by the USDA of almost every food and their phosphorus, calcium, potassium, etc. content http://www.ars.usda.gov/Services/docs.htm?docid=22114 .  I've printed this out for all the big no no's like calcium, potassium, and phosphorus to give me a reference when it comes time to go shopping.

[Willis]

Here is the best list provided by the USDA of almost every food and their phosphorus, calcium, potassium, etc. content http://www.ars.usda.gov/Services/docs.htm?docid=22114 .  I've printed this out for all the big no no's like calcium, potassium, and phosphorus to give me a reference when it comes time to go shopping.

Great resource. Thanks!