What will happen if I have FSGS?
The outcome is very variable, and you will need to ask your specialist how things are likely to be in your case. The possibilities are:
It may continue unchanged for many years, requiring only regular check-ups with blood tests.
It may go away on its own in some cases.
If there is fluid retention with ankle swelling, this may get worse.
In some cases kidney failure develops, leading to the question of dialysis or transplantation.
What is the good diet to FSGS patients?
Sodium:
• Too much sodium can contribute to high blood pressure and edema
• Most sodium in our diet comes from processed foods and salt
• We have learned to like salt and it takes time to unlearn the preference for salt
• Most people consume too much sodium on a daily basis
Protein:
• We need protein for overall health, muscle maintenance, and to fight infections
• Research has not absolutely proved benefit of low protein diet to preserve kidney function
• Goal is moderate protein intake, but consult with a nephrologist
• Good sources of protein are lean meats, will trimmed poultry, eggs (limit 2 per week), fish, shellfish, beans, and nuts
limit fat and cholesterol:
• Limit whole eggs to 2 per week, use egg substitutes or whites only
• Use lean meats, well trimmed, poultry w/o skin, fish, shellfish, beans, nuts
• Use healthy oils such as olive, canola, safflower, sunflower
• Limit saturated fats (dairy, animal fat) and eliminate trans fat (partially hydrogenated oils found in processed and fast food)