Corresponding author. Corresponding author: Dr. Tel:Fax:ca. This article has been cited by other articles in PMC.
Abstract The ketogenic diet is a highly effective treatment for the patients with intractable epilepsy, however, the dietary plan therapy can often be discontinued by complications. Protein-losing enteropathy is a reported serious complication of the ketogenic diet rarely. We present a month-old Down syndrome baby with protein-losing enteropathy during the ketogenic diet as a treatment for West syndrome. He suffered from diarrhea, general edema and hypoalbuminemia which were not managed by conservative care for over 1 month.
Esophagogastroduodenoscopy and stool alpha-1 antitrypsin indicated protein-losing enteropathy. Related symptoms were relieved after cessation of the ketogenic diet. Unexplained hypoalbuminemia combined with edema and diarrhea during ketogenic suggests the likelihood of protein-losing enteropathy, and proper evaluation is preferred to be able to expeditiously identify it and also to act accordingly.
While some unwanted effects are benign and treatable, others are more problematic and will interrupt the dietary plan therapy itself rarely. He presented epileptic spasms because the age of 5 months and was identified as having WS.
He began to be treated by multiple antiepileptic drugs AEDsincluding vigabatrin, clobazam, valproic acid and oral steroids, but his epileptic seizures, developmental regression, and hypsarrhythmia on electroencephalogram persisted. KD with ratio of fat to non-fat was started by milk formula, and multiple AEDs vigabatrin, clobazam, and deflazacort were maintained at the same doses. Week of KD Vomiting and diarrhea were developed after 1st. The albumin level that was 3.
He was treated by intravenous albumin and intermittent parenteral nutritional support. Lipid and non-fat ratio of KD deescalated from on the 28th days to at least one 1. Because he previously not improved after four weeks, we changed KD to medium chain triglyceride formula on the 61st days of the dietary plan. Laboratory tests, stomach ultrasonography, esophagogastroduodenoscopy EGDcolonoscopy, and alpha-1 antitrypsin A1AT in stool, were done.
There is no proteinuria in urine dipstick test, and blood test revealed blood urea nitrogen 9. Echocardiography revealed normal heart function with no structural abnormalities. There have been no pathogens in stool bacterial culture, but norovirus infection was detected in stool virus study. Abdominal ultrasonography revealed normal liver and gallbladder grossly, and preserved corticomedullary differentiation in both kidneys, and there is no skin damage that could produce protein loss.
EGD revealed edematous mucosa in the duodenum, and the biopsy results revealed lymphatic ectasia in the lamina propria; intestinal lymphangiectasia was diagnosed Fig thus. A1AT of the stool was These findings were concordant with interstitial lymphangiectasia as a presentation of PLE.
heres how it works. if you go on a keto diet make sure your taking digestive enzymes that break down protein, otherwise your uric acid will shoot through the roof because your digestive system cannt process the extra protein and its carried in the blood and down to the big toe the lowest point of the body gout. my uric acid went from 185 to 601 in 2 months. eat raw eat Gods food
Why not skip the toxic proteins in the first place?
Sounds like u were doing old school Atkins, maybe wo realizing it? A Ketogenic diet actually requires moderating excess protein or it’s not Ketogenic. Protein will take u out of Ketosis bc the body burns excess for fuel like carbs, but is the dirtiest burning fuel source the body can use besides possibly alcohol, producing far more waste in the blood & body. Most should be eating less, not more protein & only consume abt 20-25 grams a meal, and only a little more if they are strengthen training, sports, manual labor or doing other activities that increase the body’s requirements.
Ketogenic diets can also cause heart arrythmia. It seems that this doctor is very biased and ill informed. Seems he may be strongly affected by the brain retarding effects of low carb diets.
I also found that alternate-day fasting is very beneficial and including the ketogenic diet well lifestyle if I may say. Your kidneys love when you take a break
July 10 2019; Trump Signs Executive Order To Revamp Kidney Care. MAGA 2020.
I have found ketogenic diets to be really misunderstood in the medical community. I have argued with many doctors about it as they insist for various reasons that keto is harmful, most often because they conflate diabetic ketoacidosis with nutritional ketosis. Unfortunately it’s like talking to a wall because instead of citing medical research they say things like “oh I guess I should trust you because YOU are the doctor.” They really think it’s as simple as DKA can cause kidney damage therefore ketones cause kidney damage therefore keto causes kidney damage (despite no research supporting their conclusions).
Would you be willing to break this down further?
I tried keto for 3 months and now I have Daily kidney pain.
@Khareena🦋 hi I suffer from gout – but not for over a year now – daily apple cider vinegar sorts it out – also keeps your stomach acicdic to digest foods properly – have been on Keto for 3- 4 months feeling very good – lost weight – not too big on high meat eating though so work around it & no more carbs – everyone is different – but No kidney stones & NO side pains – Go Keto Go
I am having issues also. Kidney stones and side pain. I did cut out the big spinach and nut consumption. Lemon water helps somewhat.
@maryam Ab you need some salts. But not too much.
Omg r u sure about this? Cuz I’m about to start keto diet😟
Mrs. Lovelyg did you take in citrates? A simple way is the juice of one lemon a day to prevent formation of calcium deposit in the kidney, “kidney stones”.
I had kidney issues and I did keto for 6 months and now its gone so you tell me
Do you eat mostly chicken and fish or a lot of beef? TFR
My creatinine and bun have risen since doing keto 4 months ago. However my GFR non AA has stayed the same at 108 (Im 62). Yet I have always eaten protein, just more carbs in the past. Any ideas what might be causing this increase of bun and creatinine? I am not a diabetic. My LDL, Folate and B12 are also high. Otherwise bloodwork is good.
Excessive protein is bad for Kidney & uric acid patients. Excessive proteins will increase your uric acid level & increase of uric acid will increase your creatinine level & ultimately damage your kidney. So better be choosy about vegetables when you start a diet.
I recommend this guide:
*phip.best/improvekidney/7Us*
So grateful it exists in 2020.
Amazing!!!
I recommend this guide:
*havy.best/ikf-guide/2zi*
So grateful it exists in 2020.
Thanks for sharing this video. Its very interesting and helpful video.
and what about kidneystones?
Watch this Dr video #drsiddiqui. He explains the side effects of keto diet.
Calcium causes kidney stones. Avoid eating cheese or foods with a lot of calcium. Even spinach can cause oxalate.
@Dancing Queen you need to drink more water. Low carb causes body to Iose more water than normal. Carbs cause us to retain more water.
I had problem with kidney stones since I did the Keto diet. It’s horrible. I’ve never had kidney stones in my life till I did the Keto diet
Giek _1 Please see the response from Dr. Phinney from this post
Our clinical experience is that kidney stones are rare during a well-formulated ketogenic diet.
Kidney stones have many causes. The most common chemicals found in kidney stones are calcium, oxalate, and uric acid. Significant promoters of kidney stone formation are genetic (aka inherited) factors, dehydration, and low dietary magnesium. Although serum uric acid levels go up in the early adaptation phase of a well-formulated ketogenic diet, this is caused by decreased excretion, not increased production. And after a month or two, the kidneys adapt to maintaining normal uric acid excretion. At Virta, we devote considerable attention to hydration, adequate but not excessive dietary sodium and calcium, and despite plenty of green vegetables, nut, and seeds (dietary sources of magnesium), we supplement magnesium when there are early clinical signs of depletion.
I eat a Low Carb diet, I eat a LOT of Meat& have done for my 30 adult years,… Doctors have remarked on my exceptionally low Creatinine & my higher than normal GFR (blood filtration rate of kidneys) 🙂
@Dhiren Ram
LDL is only calculated too so its not really accurate,… I still dont get Doctors calling LDL BAD Cholesterol,… Your body makes the stuff si I would think it kinda essential 😉
Nelson Mandela also, the particle size of your ldl cholesterol is important too…the big fluffy kind isn’t a big deal.
@Dhiren Ram
Excellent 🙂
@Sandra Bentley Didnt know that. Definitely will check out some of his videos now that you mentioned it.
@Dhiren Ram Many of us who are eating keto have high LDL levels, but we also have higher HDL and low TRYGLICERIDES. Dr. Nadir Ali, Cardiologist explains this very well in his talks (see Low Carb Down Under channel and elsewhere). LDL is a carrier cholesterol, do your research and youll see that having higher than desirable LDL is not so bad after all.
This diet has no long term studies. It could be killing you. Can you disprove that?
1.000.000 years of homo sapiens is a pretty-long-term-evidence.
TheMorous If you’re going to experiment with different types of diets that’s your business. But don’t go trying to sell it, market it, and shove it down peoples throats as a healthy lifestyle just for profit. Incredibly irresponsible.
You can say same about all new diets we just need to wait for datas
Watch this Dr video #drsiddiqui
I agree with you. You address just the kidney function/work. We have a more important element and that is kidneys state. Kidney may be well active or tired/infected. The kidney temperature is the most important to keep kidney active and efficient. The easiest way to keep kidney warm is to use special clothes to prevent kidney losing heat and get infected. The most efficient are layers of air resistance/plastic materials but not in contact with skin.
David Muresan interesting! Is there anything you read about this? Any research etc? In Chinese medicine the Kidneys are affected by cold therefore they need to be protected, which is why Japanese women wear an Obi over their Kimono and also why we run to the loo when we get exposed to cold. Its always interesting when ancient wisdom ties up with current findings.