Chronic Kidney Disease Stage 3
Stage 3 of CKD is diagnosed based on estimated glomerular filtration rate readings. This is a blood test that measures creatine levels. An eGFR is used to determine how well your kidneys are working at filtering wastes.
An optimal eGFR is higher than 90, while stage 5 CKD presents itself in an eGFR of less than 15. So the higher your eGFR, the better your estimated kidney function.
Stage 3 CKD has two subtypes based on eGFR readings. You may be diagnosed with stage 3a if your eGFR is between 45 and 59. Stage 3b means your eGFR is between 30 and 44.
The goal with stage 3 CKD is to prevent further kidney function loss. In clinical terms, this can mean preventing an eGFR of between 29 and 15, which indicates stage 4 CKD.
You may not notice symptoms of chronic kidney problems in stages 1 and 2, but the signs start to become more noticeable in stage 3.
Some of the symptoms of CKD stage 3 may include:
When To See A Doctor For Kidney Pain
Kidney pain that you feel in your middle back or that radiates to your abdomen or groin is usually an indicator of a serious health condition.
According to Dr. Charles Patrick Davis, you should visit your doctor promptly if you suspect kidney pain. Some of the warning signs of kidney disease or problems are:
- Sharp flank pain that comes on suddenly
- A dull, constant one-sided pain in your back or side
- Blood in your urine
Available Treatments For Itching In Kidney Disease
You may be wondering how you can stop this horrible itching in kidney disease. Unfortunately, there is no one right answer. Uremic pruritus treatment varies from person to person and there are modalities used to treat this condition. They include:
- Improve dialysis
Aside from better filters just optimizing the schedule of dialysis may help lessen the itching. If you are currently under dialysis and suffering be sure to ask if you need to revise your treatment schedule.
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All Information About 3 Kidneys Medical Term
At dayofdifference.org.au you will find all the information about 3 Kidneys Medical Term. We have collected a lot of medical information. Check out the links below.
Oranges And Orange Juice
While oranges and orange juice are arguably most well known for their vitamin C content, theyre also rich sources of potassium.
One large orange provides 333 mg of potassium. Moreover, there are 473 mg of potassium in 1 cup of orange juice .
Given their potassium content, oranges and orange juice likely need to be avoided or limited on a renal diet.
Grapes, apples, and cranberries, as well as their respective juices, are all good substitutes for oranges and orange juice, as they have lower potassium contents.
Oranges and orange juice are high in potassium and should be limited on a renal diet. Try grapes, apples, cranberries, or their juices instead.
Processed meats are meats that have been salted, dried, cured, or canned.
Some examples include hot dogs, bacon, pepperoni, jerky, and sausage.
Processed meats typically contain large amounts of salt, mostly to improve their taste and preserve flavor.
Therefore, it may be difficult to keep your daily sodium intake to less than 2,300 mg if processed meats are abundant in your diet.
Additionally, processed meats are high in protein.
If you have been told to monitor your protein intake, its important to limit processed meats for this reason as well.
Processed meats are high in salt and protein and should be consumed in moderation on a renal diet.
Pickles, processed olives, and relish are all examples of cured or pickled foods.
Usually, large amounts of salt are added during the curing or pickling process.
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Can I Live A Normal Life With Duplex Kidney
Typically there are no symptoms of duplex kidney. However, if you have another condition related to the urinary tract, or if a ureter is ectopic, then your quality of life might be effected. You may need to have tests done and procedures performed. Fortunately, these conditions arent life-threatening and the treatments are effective.
Antibiotics Are They Safe If You Have Chronic Kidney Disease
Many drugs have the ability to damage the kidneys and some are better known for doing this than others. Certain antibiotics fall into this category and are classified as nephrotoxic medications. Lets take a closer look at which antibiotics carry a greater risk of causing kidney damage, how this happens and importantly what you can do to reduce this risk.
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Antibiotics And Kidney Damage
Certain medications are known for their potential to cause kidney damage, leading to acute kidney injury or even CKD. Acute kidney injury is the deterioration of renal function over hours or days and involves both structural damage and loss of function. Medications are one of the most common causes of AKI.
Antibiotics are the most common drugs implicated in reports of drug-induced nephrotoxicity. Certain classes of antibiotics are better known for their nephrotoxic potential, and they include:
- Aminoglycosides eg. Gentamicin, Tobramycin, Streptomycin and Neomycin
- Beta-Lactams- this group includes penicillins, cephalosporins and carbapenems.
- Amphotericin B- is actually an anti-fungal not an antibiotic
The way that antibiotics cause kidney injury varies depending on the antibiotic involved and the consequences vary from mild forms of tubular injury to significant deterioration of kidney function requiring acute renal replacement therapy .
Here are some of the consequences of nephrotoxic antibiotics:
- Acute interstitial nephritis- inflammation and swelling in the kidney.
- Acute tubular necrosis- damage to the kidney tubules largely due to high levels of oxidative stress.
- Intratubular crystal deposition- some medications are insoluble in urine and form crystal deposits in the tubules causing acute or chronic kidney injury.
- Tubular cell toxicity- direct toxic effect of drugs on kidney tubular cells.
Why Might I Need A Kidney Transplant
You may need a kidney transplant if you have end stage renal disease. This is a permanent condition of kidney failure. It often needsdialysis. This is a process used to remove wastes and other substances fromthe blood.
Remove urea and liquid waste from the blood in the form of urine. Urea is made when foods containing protein, such as meat, poultry, and certain vegetables, are broken down in the body. Urea is carried in the blood to the kidneys.
Balance salts, electrolytes, such as potassium and sodium, and other substances in the blood
Produce erythropoietin, a hormone that aids the formation of red blood cells
Regulate blood pressure
Regulate fluid and acid-base balance in the body to keep it neutral. This is needed for normal function of many processes within the body
Some conditions of the kidneys that may result in ESRD include:
Repeated urinary infections
Polycystic kidney disease or other inherited disorders
Glomerulonephritis, which is inflammation of the kidney’s filtering units
Hemolytic uremic syndrome, a rare disorder that causes kidney failure
Lupus and other diseases of the immune system
Other conditions, such as congenital defects of the kidneys, may result inthe need for a kidney transplant.
There may be other reasons for your healthcare provider to recommend akidney transplant.
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What Can You Do For Stage 3 Kidney Disease
While CKD is not curable there is still a lot you can do to preserve your kidney function. Kidney care should be taken as soon as CKD has been discovered.
Kidney patients should put into place a health care team. Help from professionals will enact medical and nutritional interventions that will help to preserve kidney health and prevent disease progression.
What Medical Tests Show: Indicators Of Stage 3 Kidney Disease
If you have stage 3 chronic kidney disease , indicators of kidney dysfunction will raise red flags on your medical tests. The indicators include:
- Creatinine: As your body facilitates protein turnover when synthesizing new muscle tissue, producing creatinine as a waste product. Creatinine is also a byproduct of metabolizing meat. When the kidneys become inefficient due to chronic kidney disease, they are less able to filter out creatinine. As a result, creatinine will accumulate in the blood and show up as elevated in blood tests.
- Protein: The glomeruli in the nephrons are responsible for retaining proteins when filtering fluid in the body. Healthy kidneys inhibit the passage of proteins into the urine. If the kidneys filtering mechanisms are compromised, these proteins make their way into the urine, causing high levels of protein to be detected in urine tests. High protein in the urine is called albuminuria or proteinuria.
- Estimated Glomerular Filtration Rate : This measurement is calculated using plasma creatinine levels and takes into account your age, sex, and race. The normal eGFR for a healthy adult is above 90 mL/min/1.73 m2.
- Blood Pressure: Because the kidney plays an important role in regulating blood pressure, a high blood pressure reading is an indicator that your kidneys arent functioning as well as they should.
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Three Kidneys Discovered In A Man
- A recent case published in the New England Journal of Medicine , reports the incidental finding of three kidneys in a man being evaluated for back pain. The 38-year old had presented to the Hospital do Rim in São Paulo, Brazil, with a history of severe lower back pain. The doctors referred him for a computed tomography scan to …
What Do The Stages Of Chronic Kidney Disease Refer To
The five stages of CKD refer to how well your kidneys are working. Kidney disease can get worse in time. In the early stages , your kidneys are still able to filter waste out of your blood. In the later stages , your kidneys must work harder to filter your blood and may stop working altogether.
The goal at each stage of CKD is to take steps to slow down the damage to your kidneys and keep your kidneys working as long as possible.
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Living With Stage 3 Kidney Disease
Aside from taking your prescribed medications and eating a healthy diet, adopting other lifestyle changes can help you manage CKD stage 3. Talk to your doctor about the following:
- Exercise. Aim for a minimum of 30 minutes of moderate activity per day on most days of the week. A doctor can help you begin an exercise program safely.
- Blood pressure management. High blood pressure can be a precursor for CKD, and it can make your condition worse. Aim for a blood pressure of 140/90 and below.
- Stress management. Techniques can include exercise, getting better sleep, and meditation.
- Smoking cessation. Talk to a doctor about the right methods of quitting smoking for you.
Underlying Causes And Risk Factors For Kidney Disease
Kidney disease most commonly develops as a complication of other health conditions, especially metabolic syndrome, type 2 diabetes, hypertension, heart disease, and obesity. A diet high in salt, sugar, saturated fat, and meat can put excessive stress on the kidneys that essentially leads to burnout.
High blood pressure exerts pressure on the vessels that carry blood through your kidneys, including the renal artery and glomeruli. Over time, chronic blood pressure can cause these vessels to scar and damage kidney tissues. High blood pressure and kidney disease are highly interrelated hypertension can directly cause kidney disease, and declining kidney function exacerbates hypertension. This is because as function deteriorates, the kidney becomes less able to regulate sodium and potassium levels in the blood and is also unable to respond effectively to blood pressure changes by releasing hormones.
Other risk factors for developing chronic kidney disease include kidney stones, exposure to environmental toxins and pesticides, infections, and the genetic predisposition for developing kidney disease.
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Swiss Chard Spinach And Beet Greens
Most leafy green vegetables, including Swiss chard, spinach, and beet greens, are not recommended on a kidney diet due to their potassium content.
For example, 1 cup of cooked spinach contains around 839 milligrams of potassium, which is nearly half of the daily recommended amount for someone with stage 3 chronic kidney disease.
Opt for lower potassium green vegetables such as green beans, asparagus, lettuce, and celery to limit your daily potassium intake.
Impact Of Stage 3 Kidney Disease On Your Health
Depending on how far your kidney disease has progressed, you will fit into one of the five stages of kidney disease. These stages are measured by your glomerular filtration rate or your GFR. Having stage 3 kidney disease means that you will have a GFR between 30 and 59.
Most people who have stage 3 kidney disease will not have any symptoms. However, if you do, it can manifest as swelling in your hands or feet, back pain, or irregular urination patterns.
The more impactful symptoms of kidney disease stage 3 are the health implications of your decreased kidney functioning such as high blood pressure, anemia, and bone disease.
Ultimately, if stage 3 kidney disease goes untreated or progresses further, you will enter into stage 4 kidney disease. Stage 4 kidney disease is severe, as are its symptoms. It is also the last stage of kidney disease before kidney failure at this point, you will need to talk to your doctor to prepare for kidney failure. â
If your kidneys fail, you will either need to have dialysis or a kidney transplant. Dialysis is a treatment that will clean your blood. You will need to think about which kind of dialysis you will want, as there are different types available. The other option, a kidney transplant, is when you find a donor who gives you a healthy kidney from their body. If you get a transplant, you will not need to do dialysis.
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So What Can You Do To Reduce The Risk Of Antibiotic Induced Nephrotoxicity
Only take antibiotics when it is truly necessary
One of the major reasons for the overuse of antibiotics include pressure from patients and the willingness of health care providers to prescribe antibiotics for common ailments that would clear up on their own. Although antibiotics are not effective against colds, flu and other viral infections, they continue to be given to patients who need to take a prescription medication for these conditions.
Support immune system function
Supporting the function of your immune system is one way to try and avoid needing antibiotics in the first place.
Nutrients to boost immune function: vitamin C, zinc, selenium, vitamin D, vitamin A, selenium and vitamin E.
Herbs to boost immune system function: Echinacea, Astragalus, medicinal mushrooms eg. Cordyceps, Reishi and Shiitake.
Foods to boost immune system function: garlic, ginger, cinnamon, onion, mushrooms, berries, turmeric, colourful fruit and vegetables.
Lifestyle tips to boost immune system function: exercise regularly, actively manage stress, meditate, get enough sleep, avoid sugars, alcohol and refined carbohydrates.
Certain herbs and nutrients
In every case of impaired kidney function, either acute or chronic, oxidative stress plays a key role in kidney damage. Reports have shown that reactive oxygen species and reactive nitrogen species are elevated in antibiotic nephrotoxicity and are responsible for a large amount of the damage caused by antibiotics.
How Does Nac Protect The Kidneys
1. Antioxidant actions- protects against damage to the cells in the kidney by quenching free radicals and through downregulating inflammatory pathways.
2. Improved renal haemodynamics- improves renal haemodynamics through its vasodilatory actions. What this means is that it improves blood flow to the kidneys which increases the amount of oxygen delivered. Changes in renal haemodynamics and reduced oxygen delivery is one of the contributing factors to both acute and chronic kidney disease.
3. Improved detoxification- NAC has also been shown to help the body detoxify some heavy metals and protect the kidneys and liver from damage from heavy metals, medications, pesticides, diesel fuel and chemotherapy.
One example of NAC protecting against kidney injury is its use as a preventative treatment prior to the administration of radiographic contrast dyes.
Radiographic dyes are used in diagnostic testing such as CT scans and angiography and are linked to the development of acute kidney injury and kidney damage particularly in people with diabetes and pre-existing kidney disease.
Numerous studies have shown that when NAC is given before contrast dyes in people with renal impairment it has been shown to reduce the incidence of acute kidney injury by improving renal haemodynamics and reducing oxidative tissue damage.
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How Can Doctors Tell My Stage Of Ckd
To find out your stage of CKD, doctors will do tests, such as:
- eGFR tests , which is a measure of how well your kidneys are working
- Urine tests
Please note: eGFR is an estimate of how well your kidneys are working. The way eGFR is calculated will be changing. Currently the test considers your age, sex and race, among other things. A task force led by the National Kidney Foundation and the American Society of Nephrology is working on recommendations that may remove Black race as a factor in the eGFR calculation. The task force has been seeking the input of kidney disease experts to come up with the best way to make the eGFR test as accurate as possible. The American Kidney Fund advised the task force to remove race from the eGFR so there is no bias in testing kidney function. This would help to make sure that every person will receive health care that is fair and of the highest quality. When the NKF-ASN task force makes its recommendations, AKF will promptly review them and then update our educational materials.