Fast food has become a way of life for many people because of busy schedules and many responsibilities.  Being on dialysis should not prevent you from dining out.  Eating out can actually be healthy, and you can do so while complying with your renal diet.  As kidney function declines it is necessary to restrict certain foods because the kidneys are not able to rid the body of waste products and fluid.  As a result, you will need to limit your intake of phosphorus, potassium, sodium and fluid.  The degree of restriction will vary from patient to patient, and your dietitian can help you figure out what will work best for you. 
 
Here are some ideas for eating out a little healthier:
 
Mexican Food

• Choose salsa made with chili peppers instead of tomatoes.
• Avoid guacamole because it is high in potassium.
• Limit beans and potatoes.
• Choose enchiladas, fajitas or burritos.
• Ask for sauces on the side.
• Beware of high potassium fruits such as mango, papaya and guava.
  

Italian Food

• Ask for the sauce on the side or for dishes to be served without tomato sauce.
• Try pesto sauce, which is made with garlic, basil and oil.
• Be careful of cream sauces, which contain high phosphorus.
• Choose salads and breads with dressing on the side.
• Avoid olives and cheeses.
  

Remember, do not be afraid to ask for your food to be prepared in a certain way.  Restaurants are often willing to accommodate special requests.

This article originally appeared in the September 2009 issue of AAKP Diet Tips & Bits.