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Blessed,

I think dialysis patients must be the most patient people on the earth!

I'm glad you try to get a lot of fruits, veggies and grains in your diet. Have you ever seen a high-fiber food chart? There are some surprises on it, I promise. For instance, do you like avocado? One medium avocado has almost 12 grams of fiber in it. If you worked avocado into your diet on a regular basis, that might help with both the constipation AND the weight maintenance problem, since an avocado is rich in calories (from "good" fat, not "bad" fat.) Here's a chart of high-fiber foods broken into Category A (more than 7 grams fiber per serving), Category B (more than 3 grams fiber per serving) and Category C (less than 3 grams fiber per serving.) For instance, raspberries have more fiber than blueberries, and blueberries have more than carrots! I wouldn't have expected that! Here's the chart:

http://commonsensehealth.com/Diet-and-Nutrition/High_Fiber_Food_Chart.shtml

Don't feel bad about only walking 8 blooks at a time, 3 times a week! That's fabulous. Especially when you don't feel like doing much. If that's what you can do, then you should feel great about it. Maybe on a particularly sunny day you'll feel like doing 9 blocks, or you'll feel like starting to go 4 times a week. The most important thing is that you're doing something, and that does help.

How much water do you drink every day, Blessed577? Are you able to drink as much as you want, or does that contribute to the discomfort from the dialysis fluid in your peritoneal cavity?

From what I read, all of this contributes to all of this. In other words, it's a cycle, as you know: the lack of enough fiber may keep you constipated, the dialysis fluid keeps you feeling bloated, the constipation can cause the bowels to press against the catheter and interrupt drainage, which also keeps you feeling this way. I am glad that your doctor has a laxative they approve of, and I'm glad it helps. But I'm hoping that deliberately increasing your fiber might help you, too.

Please let me know if this information helps. And I have my fingers crossed that you will get your transplant soon!

April 8, 2010 - 9:20am

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