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Kidney and urinary health

Why does someone with kidney disease need to be careful about high-potassium foods?

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By , Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing
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An assortment of foods high in potassium surrounding a small chalkboard with the letter K written on it in chalk.

Q. What is the effect of taking foods high in potassium in a person with kidney disease?

A. Normally functioning kidneys do a great job keeping the blood potassium level less than 5.0 milliequivalents per liter. But many people with kidney disease can't readily get rid of extra potassium. So, eating lots of potassium-rich foods can cause blood levels to rise above the normal range.

A high blood potassium level interferes with the normal electrical activity of the heart. A very high level can cause the heart to stop pumping.

That's why a person with kidney disease is often told to limit (and possibly avoid) certain foods. Here is a list of foods that have high potassium content.

Food (serving)

Potassium (milligrams)

Potato with skin, baked (1 medium)

926

Halibut, baked (4 ounces)

654

Raisins (1/2 cup)

543

Banana (medium)

451

Acorn squash, cooked (1/2 cup)

448

Spinach, cooked (1/2 cup)

419

Tomato sauce (1/2 cup)

405

Lentils, cooked (1/2 cup)

365

Cantaloupe (1/4 medium)

365

Kidney beans, cooked (1/2 cup)

356

Orange juice (6 ounces)

354

Bran breakfast cereal (1/2 cup)

340

Milk, low-fat 1% (1 cup)

290

Orange (1 whole)

260

Image: © yulka3ice/Getty Images

About the Author

photo of Howard E. LeWine, MD

Howard E. LeWine, MD, Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing

Dr. Howard LeWine is a practicing internist at Brigham and Women’s Hospital in Boston, Chief Medical Editor at Harvard Health Publishing, and editor in chief of Harvard Men’s Health Watch. See Full Bio
View all posts by Howard E. LeWine, MD
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