How Is Renal Hypertension Diagnosed
It is important to see your healthcare provider regularly to make sure your blood pressure numbers are checked and are within the normal range. He or she may recommend blood tests.
A healthcare provider can gather clues that vascular disease may be present by taking a thorough history and performing a physical exam. If you have a history of other vascular diseases, such as heart attacks or strokes, you are at higher risk for having renal artery stenosis. One exam, listening to the neck or belly with a stethoscope, may help identify narrowed arteries. When blood flows through a narrowed artery, it sometimes makes a whooshing sound, called a bruit.
Healthcare providers may order one of the imaging tests below to look for narrowed kidney arteries. However, finding a narrowed kidney artery alone does not mean that your high blood pressure is due to renal hypertension. Many people have narrowing of kidney arteries without high blood pressure or with high blood pressure that is not caused by the narrowing . The healthcare provider will need to use other clinical clues to help determine if the two are connected.
Imaging tests that can be done to see if the kidneys arteries have narrowed include:
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How High Blood Pressure Can Cause Kidney Damage
Your heart, the key organ of the circulatory system, constantly pumps blood through your blood vessels. Good blood flow is essential for normal kidney function. Even minor blood flow problems can affect function and increase your risk of serious kidney damage.
Although it takes a certain amount of force to push blood through the blood vessels, the pressure inside the vessels sometimes becomes too high. High blood pressure can damage the blood vessels that lead to the kidneys, causing them to stiffen or narrow.
As a result, less blood reaches your kidneys, making it difficult for the organs to function properly. Tiny blood vessels inside the kidneys that filter blood may also be damaged.
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Prevention Of Kidney Disease
Medication and changes to lifestyle, along with an early referral to a kidney specialist , can prevent or delay kidney failure.
Heathy lifestyle choices to keep your kidneys functioning well include:
- Eat lots of fruit and vegetables including legumes and grain-based food such as bread, pasta, noodles and rice.
- Eat lean meat such as chicken and fish each week.
- Eat only small amounts of salty or fatty food.
- Drink plenty of water instead of other drinks. Minimise consumption of sugary soft drinks.
- Maintain a healthy weight.
- Stay fit. Do at least 30 minutes of physical activity that increases your heart rate on five or more days of the week, including walking, lawn mowing, bike riding, swimming or gentle aerobics.
- If you dont smoke, dont start. If you do, quit. Call the Quitline or ask your doctor for help with quitting.
- Limit your alcohol to no more than two small drinks per day if you are male, or one small drink per day if you are female.
- Have your blood pressure checked regularly.
- Do things that help you relax and reduce your stress levels.
A range of medication is available for high blood pressure. Different blood pressure medications work in different ways, so it is not unusual for more than one type to be prescribed. The dose may change according to your needs.
How Does High Blood Pressure Affect My Kidneys
Here is how high blood pressure can affect your kidneys:
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What Should I Avoid Eating If I Have High Blood Pressure Or Kidney Disease
If you have kidney disease, avoid foods and beverages that are high in sodium.
Additional steps you can take to meet your blood pressure goals may include eating heart-healthy and low-sodium meals, quitting smoking, being active, getting enough sleep, and taking your medicines as prescribed. You should also limit alcoholic drinksno more than two per day for men and one per day for womenbecause consuming too many alcoholic beverages raises blood pressure.
In addition, a health care professional may recommend that you eat moderate or reduced amounts of protein.
Proteins break down into waste products that the kidneys filter from the blood. Eating more protein than your body needs may burden your kidneys and cause kidney function to decline faster. However, eating too little protein may lead to malnutrition, a condition that occurs when the body does not get enough nutrients.
If you have kidney disease and are on a restricted protein diet, a health care professional will use blood tests to monitor your nutrient levels.
How Does High Blood Pressure Hurt The Kidneys
High blood pressure puts increased stress on your blood vessels in the kidneys, including the filtering units that are responsible for cleaning your blood. Over time, these blood vessels can thicken, similar to other parts of the body, and the filtering units can form scars. Both of these changes can lead to your kidneys not working properly and they stop doing their job removing wastes and extra fluid from your body. When your kidneys dont work well they can cause further increases in blood pressure by releasing certain hormones or by causing retention of salt and water in your body.
High blood pressure is one of the leading causes of kidney failure.
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A new study suggests for the first time that cytomegalovirus , a common viral infection affecting between 60 percent and 99 percent of adults worldwide, is a cause of high blood pressure, a leading risk factor for heart disease, stroke, and kidney disease.
The study, led by researchers at Beth Israel Deaconess Medical Center and published in the May 15 issue of PLoS Pathogens, further demonstrates that when coupled with other risk factors for heart disease, the virus can lead to the development of atherosclerosis, or hardening of the arteries.
CMV infects humans all over the world, explains co-senior author Clyde Crumpacker, an investigator in the Division of Infectious Diseases at BIDMC and professor of medicine at Harvard Medical School. This new discovery may eventually provide doctors with a whole new approach to treating hypertension, with antiviral therapies or vaccines becoming part of the prescription.
A member of the herpes-virus family, CMV affects all age groups and is the source of congenital infection, mononucleosis, and severe infection in transplant patients. By the age of 40, most adults will have contracted the virus, though many will never exhibit symptoms. Once it has entered the body, CMV is usually there to stay, remaining latent until the immune system is compromised, when it then re-emerges.
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High Blood Pressure Emergencies
High blood pressure is usually a chronic condition that gradually causes damage over years. But sometimes blood pressure rises so quickly and severely that it becomes a medical emergency requiring immediate treatment, often with hospitalization.
In these situations, high blood pressure can cause:
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What Can I Do To Help Control My High Blood Pressure
A healthy lifestyle is key to helping control any type of hypertension. Making changes in daily habits can help, such as:
- Eating a heart-healthy diet: Choose fruits, vegetables, grains and low-fat dairy foods.
- Exercising regularly, at least 30 minutes a day of moderate activity, such as walking .
- Keeping your weight under control: Check with your healthcare provider for a weight-loss program, if needed.
- Quitting smoking, if you smoke.
- Cutting back on alcoholic drinks.
- Limiting caffeine intake.
- Limiting sodium in your diet: Read nutrition labels on packaged foods to learn how much sodium is in one serving.
- Reducing and avoiding stress when possible: Many people find that regular meditation or yoga helps.
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High Blood Pressure Caused By Renal Disease
Renal artery stenosis. Renal artery stenosis is a blockage of an artery to the kidneys. It may cause kidney failure and hypertension .
High blood pressure, or hypertension, is one of the leading causes of kidney disease. Many people with high blood pressure need medicine to help lower blood pressure, which also helps to slow the progression of kidney disease. Two groups of medicines that lower blood pressure are: Angiotensin-converting enzyme inhibitors
Being physically fit protected against the increased risk of developing chronic kidney disease that is associated with low.
Kidney disease can make you very tired. It also can cause swelling, or edema, in your legs or other areas of your body. High blood pressure is one of the major causes of chronic kidney disease. And kidney disease can also cause high blood pressure. No matter which came first, having high blood pressure damages the tiny blood vessels in the kidneys.
The kidneys play a key role in keeping a person’s blood pressure in a healthy range, and blood pressure, in turn can affect the health of the kidneys. High.
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Not only can high blood pressure cause kidney disease, but kidney disease, in turn, can make high blood pressure worse. When your kidneys don’t receive.
Hypertension can cause blood vessels around the kidneys.
How Does Lower Blood Pressure Cause Kidney Failure
When your blood pressure decreases it indicates that there is a change in blood flow throughout the body. A change in blood flow can cause you to experience serious problems with your kidneys. If the blood flow is not corrected, it could result in serious, potentially fatal, problems.
The kidneys are often the first organs to experience problems as a result of low blood pressure. The problems occur because there is a dramatic decrease in blood flow to the kidneys. If the kidneys dont have access to the right amount of blood, they are unable to properly filter the blood or receive enough oxygen to function. Over time these problems from the lower blood pressure result in the kidneys slowly shutting down.
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How Will I Know Whether I Have Kidney Damage
Kidney damage, like hypertension, can be unnoticeable and detected only through medical tests. Blood tests will show whether your kidneys are removing wastes efficiently. Your doctor should order tests to measure your serum creatinine. Having too much creatinine in your blood is a sign that you have kidney damage. The doctor should use the serum creatinine to estimate the main kidney function called glomerular filtration rate, or GFR. Another sign is proteinuria, or protein in your urine. Proteinuria has also been shown to be associated with heart disease and damaged blood vessels. .)
Get Treatment For Low Blood Pressure Before Problems Start
Since blood pressure can fluctuate from day to day, most doctors wont recommend treatment right away for low readings. They often will take a wait and see approach in the hopes the blood pressure will naturally increase on its own.
If your blood pressure doesnt increase naturally or your doctor believes a more serious problem, such as heart failure, could be causing the dramatic decrease, treatment may be recommended. The type of treatment that will be recommended will depend upon what is causing your blood pressure to decrease to dangerous levels.
To help doctors determine what may be causing your lower blood pressure, medical testing may be ordered. Some of the medical tests that may be ordered to determine the cause of your decrease in blood pressure include:
- CBC or a complete blood count
- Blood and urine cultures looking for problems such as UTIs or diabetes
- Cortisol levels
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How Is Kidney Disease Treated
For patients who have high blood pressure and kidney disease, the most important treatment is to control your blood pressure through lifestyle changes. ACE inhibitor and angiotensin II receptor blocker drugs lower blood pressure and can protect the kidneys from further damage, especially in people with diabetes. However,Ã treatments needÃ to be individualized.
How Diabetes Can Damage Kidneys
Diabetes is the leading cause of CKD: Approximately 1 in 3 people who have diabetes also have kidney disease, according to the Centers for Disease Control and Prevention . People with diabetes often have elevated levels of sugar in the blood, which can cause damage to many tissues in the body over time, including in the kidneys.
The working units of the kidneys, called nephrons, contain networks of tiny blood vessels that filter waste products from the blood.
When sugar is high in the blood, the sugars can bind to different proteins in the nephrons and change the structure of those proteins, says Staci Leisman, MD, a nephrologist and associate professor of medicine and medical education at Icahn School of Medicine at Mount Sinai in New York City. This can make the nephrons less effective at filtering and lead to protein in your urine a key sign of CKD.
Lowering blood sugar levels, which is the number one goal of diabetes management and treatment, can help prevent or slow kidney damage.
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