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Is it better for people with kidney disease to drink black coffee or coffee with milk?

For people with kidney disease, coffee doesn't necessarily have to be completely avoided. But which is safer: black coffee or coffee with milk?

Báo Thanh niênBáo Thanh niên20/04/2026

  • Black coffee, no sugar, is preferred.
  • Limit your intake of coffee with milk (high in phosphorus).
  • Do not drink more than one cup at a time.
  • It is necessary to balance the amount of water you drink each day.
  • Consult your doctor when needed.

Below, nutritionist Kellsey Reed, currently working in the US, will clarify whether kidney disease patients should drink coffee with milk or black coffee, and offer advice on how to enjoy coffee safely without affecting the kidneys.

Suy thận: Uống cà phê đen hay sữa tốt hơn? - Ảnh 1.

If kidney patients drink coffee, they should drink black coffee without sugar.

Photo: PH created using Gemini

Note regarding added milk and sugar

Milk is generally high in phosphorus; sweetened condensed milk has an even higher content due to its concentrated nature. This is especially important for people with kidney disease, as they need to limit phosphorus in their diet. When kidney function declines, phosphorus easily accumulates in the blood, increasing the risk of bone and cardiovascular complications. Therefore, people with kidney disease should limit adding milk to their coffee, or ideally, avoid it altogether.

Additionally, people with kidney disease should limit their intake of sugary coffee.

Therefore, if people with kidney disease drink coffee, they should drink black coffee without sugar, according to the health website Patients Like Me.

Drink in moderation.

Another thing to note is that coffee contains a significant amount of potassium, with one cup of coffee typically containing 118 mg of potassium. This amount of potassium can accumulate if you drink more than one cup of coffee at a time. This is especially important for patients with chronic kidney disease, as they need to limit their potassium intake.

In addition, coffee contains caffeine, and excessive consumption can lead to increased blood pressure, dehydration, and put extra strain on the kidneys. People with kidney disease should pay attention to their caffeine intake to avoid potential harm to their kidney health. If necessary, choose decaffeinated coffee, according to Patients Like Me.

Please consider your fluid intake.

Although kidney patients need to drink plenty of water throughout the day to counteract the diuretic effects of caffeine, sometimes drinking too much fluid can overload the kidneys, especially if you are in the late stages of the disease or undergoing dialysis. Consult your doctor about the appropriate amount of fluids to consume each day, including coffee.

Living with kidney disease doesn't mean giving up your morning coffee. Simply choose black coffee, limit sugar, and drink it in moderation, and you can maintain this habit without harming your kidneys. The important thing is to adjust your intake according to your physical condition and nutritional needs, and to communicate regularly with your doctor to effectively manage the disease.

Source: https://thanhnien.vn/suy-than-uong-ca-phe-den-hay-sua-tot-hon-185260420172050833.htm


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