The Need To Monitor Kidney Function With Certain Drugs
Experts have suggested that after the initial assessment of kidney function, physicians should consider regular monitoring after starting or increasing the dosage of drugs associated with nephrotoxicity, especially those used chronically in patients with multiple risk factors for impaired kidney function, Dr. Naughton noted. If there is any sign of kidney harm, the provider should review the medications you are taking in order to identify which one is causing the problem.
If multiple medications are present and the patient is clinically stable, physicians should start by discontinuing the drug most recently added to the patients medication regimen. Once that has been taken care of, further harm to the kidneys may be minimized by keeping blood pressure stable, staying hydrated, and temporarily avoiding the use of other medications that may cause nephrotoxicity.
These safety tips can ensure you get the care you need while keeping your kidneys safe. That way, they can tend to essential functions like keeping things flowing .Originally published May 11, 2017
Kidney Damage From Alcohol
Your kidneys, along with your liver, are responsible for filtering harmful waste products in your blood, which includes alcohol. However, if exposed to these harmful products in excess quantities for a long period of time, even these filtration systems become damaged.
Combined with the fact that alcohol is a diuretic , and the fact that alcohol can lead to high blood pressure in the long term, you have a three-pronged risk for kidney disease.
Most experts say that increased risk kidney damage from alcohol begins to take place at an average of more than two drinks per day, and with heavy drinkers , this risk can be doubled.
Diagnosis Of Kidney Failure
A number of tests can be used to measure kidney function. If CKD is found, tests may be used to determine:
- the cause of the kidney damage
- the amount of kidney damage
- treatment options.
- blood tests to establish the estimated glomerular filtration rate , which measures how well the kidneys filter wastes from the blood
- urine tests for albumin, blood, glucose and red or white blood cells
- a blood pressure check
- ultrasound, computed tomography , x-ray and other imaging techniques to take pictures of your kidneys
- a kidney biopsy, where a needle is used to remove a small piece of kidney tissue for examination under a microscope.
Procedures And Low Kidney Function
Diet modification and medications can help delay the progression of chronic kidney disease, especially in the early stages. If the disease progresses, however, other forms of treatment may become necessary.
Other forms of treatment may include:
- Blood transfusions: Hormone and iron supplements are not always enough to manage the symptoms of anemia. In those cases, your doctor may order one or more blood transfusions.
- Dialysis: Dialysis is an artificial method of removing wastes, toxins, and excess fluids from your blood when your kidneys cease to function. There are two types of dialysis: hemodialysis and peritoneal dialysis.
- With hemodialysis, your blood is filtered through a machine to be cleansed of impurities and then returned to your body.
- With peritoneal dialysis, a thin tube is inserted into your abdomen, which you fill with a solution that absorbs wastes and extra fluids. After a specified period of time, the solution is drained, and the wastes are removed.
When Things Go Wrong
A little more than 1 in 10 Americans over the age of 20 show evidence of kidney disease. Some forms of kidney disease are progressive, meaning the disease gets worse over time. When your kidneys can no longer remove waste from blood, they fail.
Waste buildup in your body can cause serious problems and lead to death. To remedy this, your blood would have to be filtered artificially through dialysis, or you would need a kidney transplant.
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The Stages Of Chronic Kidney Disease
There are five stages of chronic kidney disease. Heres how they break down:
- Stage 1: You may have signs of kidney damage, like protein or blood in your urine, but its not yet affecting your kidneys overall functioning.
- Stage 2: You begin experiencing some loss of function, but its likely not detectable yet unless your doctor tests your GFR, or glomerular filtration rate, which is part of a common electrolytes laboratory i.e., basic metabolic panel . In healthy adults,GFR should be at least 90.
- Stage 3: Your kidney function drops to 40% or 50%. Youre beginning to accumulate electrolytes and fluid, but your kidneys are still working to overcompensate for the loss of functionso you still might not be aware yet of the damage.
- Stage 4: As your kidney function continues to plummet, it can no longer mask its efforts to work effectively. You begin noticing symptoms like swelling as your body accumulates salt and potassium. At this point, you may feel fatigued and tired.
- Stage 5: Later on in the disease, once functioning has dropped below 30%, you may experience loss of appetite, fatigue or insomnia, dry and itchy skin, eye puffiness, swelling of the legs, ankles, and feet, muscle cramps, frequent urination, and discolored or foamy urine . When your kidneys are operating at 15% of normal function, you may require a kidney transplant ordialysis to prevent kidney failure.
The trickiest thing about chronic kidney disease, says Dr. Malhotra, is its silent progression.
What Is Acute Kidney Failure
Acute kidney failure is when your kidneys stop working suddenly. Doctors sometimes call it acute renal failure. It can happen over just a few hours or days.
Acute kidney failure isnât always permanent. If you get treatment right away — and if you donât have other serious health problems — your kidneys can go back to working normally.
The main job of your kidneys is to filter waste out of your blood. They also remove extra fluid from your blood and control blood pressure. Kidneys help make red blood cells. They regulate electrolytes and activate vitamin D, too.
Kidneys donât work well when theyâre damaged. This could happen because of another health condition, like diabetes. A decrease in kidney function that happens over a longer period of time is called chronic kidney failure.
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Herbs For Kidney Problems: 7 Recommended Botanicals
Aside from healthy foods, doctors recommend herbs for kidney failures. These botanicals are used naturally to treat and repair kidneys.
Kidneys are accountable for so many crucial functions in our body: eliminating toxins and wastes and filtering blood. Additionally, kidneys help maintain blood pressure, manage water reabsorption, control the acidity in the body, and keep electrolytes balanced.
Kidney problems occur when your kidneys lose the ability to filter waste from the blood. But due to various reasons, kidney function is abnormal, i.e., Kidney becomes diseased, where kidneys are damaged and not able to filter blood as they should. This damage can lead to the build-up of wastes in the body, along with causing other problems that can harm your health.
Kidney disease disrupts the normal functioning of Murabaha srotas , damaging and resulting in blockage in the urinary system that often leads to kidney failure.
Here are the other known causes of kidney failure:
Kidney Damage Treatment Options
There are two levels of healthcare to treat kidney damage, depending on the severity of the kidney damage. In cases where damage is acute, or minimal, its possible to treat the complications of the disease with medication until lifestyle changes can be made.
However, in the case of severe or end-stage kidney damage, the only treatment options are dialysis and kidney transplant.
Before any treatment for kidney damage, we highly recommend talking to your trusted healthcare professional, as they can determine exactly the stage of your kidney damage and the best solution.
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Will Kidney Failure Affect My Sex Life
Kidney failure will affect your emotions, nerves, hormones, and energy levels, all of which may change your sexual relationships. Taking good care of yourself by managing your kidney disease and controlling your blood pressure and blood glucose levels can help prevent some sexual problems, such as erectile dysfunction. Getting counseling may help with some emotional problems, such as anxiety and depression, which can get in the way of having satisfying sex.
You may feel shy asking questions about your sex life, but your health care team has heard the same questions from other people. Your provider is trained to help you address concerns about your sex life.
What Do The Kidneys Do
The kidneys have several jobs. One of the most important is helping your body eliminate toxins. The kidneys filter your blood and send waste out of your body in urine.
The kidneys are bean-shaped organs about the size of your fist. They sit under your ribcage, toward your back. Most people have two working kidneys, but people can live well as long as at least one is working correctly.
When the kidneys dont work effectively, waste products build up in your body. If this happens, you might feel sick. In the most serious situations, kidney failure can be life-threatening. However, many people can manage kidney failure with the right treatment.
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Will Kidney Failure Affect My Sleep
People who have kidney failure may have trouble sleeping. Sleep loss can affect your quality of life, energy level, and mood. Restless leg syndrome, sleep apnea, pain, or itching may make it hard for you to sleep.
You can take a number of steps to improve your sleep habits. For example, physical activity during the day and a warm bath before bed may help you sleep better at night. Avoid caffeine after lunchtime. Avoid alcoholic drinks before bed. Avoid smoking.
Talk with your health care provider if you often feel sleepy during the day or have trouble sleeping at night. Health care providers can treat sleep disorders such as sleep apnea or restless leg syndrome.
Questions To Ask Your Doctor Now
- What causes stage 1 kidney disease? Conditions such as high blood pressure or diabetes are the most common causes of CKD. Certain hereditary, health, and lifestyle factors can also increase your risk of kidney disease.
- What is my GFR? Your estimated glomerular filtration rate is a measurement of how well your kidneys function to filter waste, toxins, and excess fluid from your body, and also determines your stage of kidney disease. Your doctor will calculate your eGFR using a creatinine blood test, your age, gender, muscle mass, and ethnicity.
- What steps can I take to improve my overall health? Living a healthier lifestyle by quitting smoking, getting plenty of exercise, eating well, and maintaining a healthy weight can go a long way toward slowing the progression of CKD.
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Do You Know About Your Kidney
Kidneys are two bean-shaped organs found on left and right sides of the body which filter the blood to make urine to release and retain water in body and to remove waste. Kidneys regulate fluid balance and blood pressure in the body. The kidneys regulate the balance of ions in the blood, it removes waste products such as urea and ammonium out of the blood into the urine. Kidneys are also responsible for reabsorption of water, glucose and amino acids. Most common clinical conditions involving kidneys are nephritis and Nephrotic syndromes, acute kidney injury, chronic kidney disease, renal cysts, UTI, kidney stones etc. When renal function is poor, dialysis and kidney transplantation may be the treatment but there is simple way to repair your kidneys using baking soda.
Experimental Treatments For Ckd
Research is ongoing to find new treatments and interventions that will someday soon render dialysis and kidney donation unnecessary. The Harvard Stem Cell Institute is just one of many institutions exploring a wide variety of options, such as experimental treatments.
Harvards current kidney disease research path has three tiers:
- Short-term: This research is intended to repair damaged kidneys by using regenerative medicineor cell replacement therapyusing mesenchymal stem cells . These cells are our bodys natural defense against kidney damage.
- Medium-term: This involves identifying the types of kidney cells most susceptible to damage in order to target the specific cell types with appropriate medications.
- Long-term: The long-term goal is to use stem cells and nanotechnology to create an artificial kidney that can be used in transplant surgerieseliminating the need to rely solely on human kidneys. Thus far, scientists have created a rat kidney that is being tested on lab animals.
Clinical trials are also being run by the National Institutes of Health and the National Institute of Diabetes and Digestive and Kidney Diseases to test the effectiveness and safety of pirfenidone in the treatment of diabetic nephropathy.
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Causes Of Kidney Failure
Some of the causes of kidney failure include:
- diabetes even if it is well managed, diabetes can cause kidney damage
- glomerulonephritis swelling or inflammation of the tiny filtering units in the kidney. Also known as nephritis
- polycystic kidney disease an inherited condition that causes thousands of cysts to form in the kidneys
- urinary reflux a bladder-valve problem that allows urine to flow back into the kidneys, causing scarring
- medications some drugs such as lithium and cyclosporin can cause kidney failure. Continued misuse of compound analgesic preparations was once a common cause of permanent kidney damage. Non-steroidal anti-inflammatory drugs , taken in normal therapeutic doses, may occasionally cause acute kidney failure
- medullary cystic kidney disease an inherited kidney disease that leads to the kidneys gradually losing their ability to work properly due to cysts in the centre of the kidneys.
How To Use Baking Soda For Kidney Repair
As baking soda is not toxic in nature it can be consumed easily by everyone to prevent kidney diseases and degeneration of endocrine system in body. It is also an excellent agent for chemotherapy. Baking soda can be taken easily at home by following steps mentioned below:-
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Vitamin Cocktails May Injure Kidneys
Athletes seeking a competitive edge may turn to performance-enhancing substances, but people using these chemicals often experience tragic results.
A January 2017 review in Nefrologia described 16 cases of vitamin cocktail abuse by body sculptors.
These people injected a veterinary product with a mix of vitamins A, D and E, and all ended up in the hospital with acute kidney injury. Doctors restored kidney function in some, but not all, cases.
Vitamin cocktails can also increase the risk of vitamin-drug interactions. For example, a December 2014 report in Nutrition Research Reviews describes how vitamin E alters the effects of common medicines like cyclosporine A, warfarin and aspirin.
People with diabetes who have kidney damage may seek to restore their health by taking vitamin D, and researchers have shown that vitamin D may help hide diabetic symptoms. An August 2017 paper published in Drug Development Research showed that this nutrient increased insulin sensitivity in an animal model of diabetes, but unfortunately, the vitamin D administered also caused kidney damage.
Such a result is not surprising. Scientists classify vitamin D as a fat-soluble vitamin. It can, therefore, accumulate in the body and cause hypervitaminosis.
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Vitamins That Can Damage Your Kidneys If Overdosed
Your kidneys regulate the daily balance between your intake of water and salt.
Getting sufficient nutrients from a healthy diet can help you improve kidney function, but you don’t typically need vitamin supplements for this purpose, according to a March 2014 review in Sports Medicine.
In fact, overloading your body with vitamins can damage your kidneys. Speak with your health care provider before using dietary supplements.
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Treatment For Acute Kidney Failure Caused By Sepsis
When someone has sepsis or septic shock, the doctors work to treat the sepsis, the infection that caused the sepsis, and the damage that the sepsis has done, such as the kidney failure.
If the kidneys are not working efficiently enough to filter toxins and allow urine to flow, an artificial way of filtering the kidneys, dialysis, will be needed. Dialysis is not a cure. Instead, it gives the doctors a way to clean the blood while they try to get everything else under control. There are two types of dialysis, hemodialysis and peritoneal dialysis. Peritoneal dialysis is generally to manage chronic kidney failure. But it can be used for acute kidney failure where hemodialysis isnt possible, in areas with limited resources. For example, peritoneal dialysis has been used in Africa for patients who have malaria-associated acute kidney injury.
With hemodialysis, a machine, called a hemodializer, is the artificial kidney. A catheter placed into the patients vein leads to the other end of the catheter in the hemodializer. When the process starts, blood flows a few ounces at a time, from the patients body to the machine. The machine filters it and sends the blood back through the catheter to the body.