Is There Anything Else That Could Affect My Gfr
It is possible to decrease the course of kidney disease by eating a balanced diet and exercising regularly. Despite their greatest attempts at leading a healthy lifestyle, some peoples renal disease worsens. Its critical to figure out whats causing your renal problems. If you have diabetes, for example, controlling your blood sugar is the most critical thing you can do to safeguard your remaining kidney function.
Your GFR may continue to fall if you eat healthily and exercise but do not maintain acceptable blood sugar or blood pressure levels. Kidney health also depends on staying active and maintaining a healthy body weight. According to researches exercise improves kidney functioning. If you need to lose weight, consult a healthcare practitioner or a dietitian.
Keep Your Blood Sugar Levels In Check
Kidney failure is often a consequence of diabetes. Thus, if you have this condition, it is essential to maintain close control of your blood sugar.
Eating plenty of fruits and vegetables is also crucial, even if you do not have diabetes. The section below lists some recommended foods to enhance kidney function.
Stage 5gfr Of 15 Ml/min Or Less
Patients at Stage 5 have chronic CKD. They have a GFR of 15 mL/min or less and have End Stage Renal Disease .The kidneys have lost almost all ability to function effectively at this stage. They will need dialysis or a kidney transplant to live.
Our kidney specialists can work with you to provide individualized evaluation and treatment, taking into consideration your GFR and other factors. To learn more or schedule an appointment at one of our clinics call 412-802-3043 or toll free 1-800-533-UPMC .
You should discuss this result with your kidney specialist.
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What Not To Eat
1. Apricots: Great for fiber but full of potassium, apricots are not ideal for those with kidney disease. The potassium content is even higher in dried apricots, so those need to be avoided entirely as part of any renal diet.
2. Avocados: For a healthy individual, avocados are nutritious and beneficial, but for those with kidney problems, these fruits can be harmful. Avocados contain almost double the amount of potassium of bananas.
3. Bananas: Full of potassium, bananas can reduce kidney efficiency. Tropical fruits in general are high in potassium, but pineapples prove to be more kidney-friendly.
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Keeping potassium levels low prevents hyperkalemia, a dangerous condition where your blood has too much potassium. When combined with renal failure, hyperkalemia can cause serious damage to your heart.
4. Brown Rice: Brown rice contains more potassium and phosphorus than white rice, so it can place unnecessary strain on already damaged kidneys. With portion control, some brown rice can be consumed as part of a balanced renal diet.
5. Canned Foods: Soups, as well as canned vegetables, are popular because of their convenience. The high sodium content is what gives these items a long shelf life but also makes them dangerous for impaired kidneys.
It is best to look for low-sodium options if you do purchase canned foods.
About Chronic Kidney Disease
Chronic kidney disease is a long-term condition where the kidneys do not work effectively.
CKD does not usually cause symptoms until it reaches an advanced stage. It is usually detected at earlier stages by blood and urine tests. Main symptoms of advanced kidney disease include:
- swollen ankles, feet or hands
- shortness of breath
Read more about the symptoms of chronic kidney disease
Chronic kidney disease is most frequently diagnosed through blood and urine tests.
If you are at a high risk of developing CKD, you may be screened annually. Screening may be recommended if you have:
Read more about diagnosing chronic kidney disease
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Is A Kidney Transplant An Option
If kidney failure occurs and is non-reversible, kidney transplantation is an alternative option to dialysis. If the patient is an appropriate candidate, the healthcare professional and nephrologist will contact an organ transplant center to arrange evaluation to see whether the patient is suitable for this treatment. If so, the search for a donor begins. Sometimes, family members have compatible tissue types and, if they are willing, may donate a kidney. Otherwise, the patient will be placed on the organ transplant list that is maintained by the United Network of Organ Sharing.
Not all hospitals are capable of performing kidney transplants. The patient may have to travel to undergo their operation. The most successful programs are those that do many transplants every year.
While kidney transplants have become routine, they still carry some risk. The patient will need to take anti-rejection medications that reduce the ability of the immune system to fight infection. The body can try to reject the kidney or the transplanted kidney may fail to work. As with any operation, there is a risk of bleeding and infection.
Kidney transplants may provide better quality of life than dialysis. After one year, 95% of transplanted kidneys are still functioning and after five years, the number is 80%. It seems that the longer a patient is on dialysis, the shorter the life of the transplanted kidney.
Can I Keep Working With Kidney Failure
Many people with kidney failure continue to work. KidneyWorks is a program to help people with kidney disease keep working. The program focuses on Americans with CKD whose kidneys have not yet failed or who are living with a transplant. If you are on dialysis, the information in the KidneyWorks paper may also provide tips to help you keep your job.
The Americans with Disabilities Act means that an employer cant legally fire you just because youre on dialysis or have had a kidney transplant. The law requires an employer to make reasonable changes to the workplace for a person with a disability. For example, your employer may give you lighter physical jobs or schedule your work hours around your dialysis sessions. If youre on peritoneal dialysis, youll need space and time to change the dialysis solution in the middle of the work day. Most employers can make these adjustments.
If your employer isnt willing to meet your needs, your dialysis clinics renal social worker may be able to help find a way to satisfy both you and your employer.
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Ask Your Health Care Provider Questions
Ask your health care provider the following key questions about your kidney health during your next medical visit. The sooner you know you have kidney disease, the sooner you can get treatment to help protect your kidneys.
Key questions for your health care provider:
- What is my glomerular filtration rate ?
- What is my urine albumin result?
- What is my blood pressure?
- What is my blood glucose ?
- How often should I get my kidneys checked?
Other important questions:
- What should I do to keep my kidneys healthy?
- Do I need to be taking different medicines?
- Should I be more physically active?
- What kind of physical activity can I do?
- What can I eat?
What Medications Are Prescribed For People With Chronic Kidney Disease
Depending on the cause of your kidney disease, you may be prescribed one or more medications. Medications your nephrologist may prescribe include:
- An angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker to lower your blood pressure.
- A diuretic to help your body eliminate extra fluid.
- Medications to lower cholesterol levels.
- Erythropoetin, to build red blood cells if you are anemic.
- Vitamin D and calcitrol to prevent bone loss.
- Phosphate binder if your kidneys cant eliminate phosphate.
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What Are The Effects Of High Potassium In The Body
Patients with kidney damage or diseases may have high potassium levels in the body even after they consume the daily recommended dose.
Healthy people aged 19 years and older should take at least between 3,400 mg and 2,600 mg of potassium per day, respectively. However, if the kidneys malfunction, the dose should be reduced.
Hyperkalemia may lead to:
Watch Out For Signs Of Kidney Disease
A person with kidney disease has progressive loss of function of their kidneys. Kidney disease is sometimes called a silent disease because it often doesnt cause symptoms until the disease has progressed significantly. Its not uncommon for people to have lost up to 90% of their kidney function before experiencing symptoms of kidney disease.
Keep an eye out for the below signs and symptoms of kidney disease, and if you have any concerns, see your doctor.
Signs of reduced kidney function can include:
- high blood pressure
- change in how often you need to go to the toilet and how much urine you produce
- changes to your urine for example frothy or foaming urine
- blood in your urine
- increased puffiness around your legs, ankles or eyes
- pain in the kidney area
- tiredness and fatigue
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Manage Diabetes High Blood Pressure And Heart Disease
If you have diabetes, high blood pressure, or heart disease, the best way to protect your kidneys from damage is to
Keep blood glucose numbers close to your goal. Checking your blood glucose, or blood sugar, level is an important way to manage your diabetes. Your health care team may want you to test your blood glucose one or more times a day.
Keep your blood pressure numbers close to your goal. The blood pressure goal for most people with diabetes is below 140/90 mm Hg. Read more about high blood pressure.
Take all your medicines as prescribed. Talk with your health care provider about certain blood pressure medicines, called ACE inhibitors and ARBs, which may protect your kidneys. The names of these medicines end in pril or sartan.
Be careful about the daily use of over-the-counter pain medications. Regular use of nonsteroidal anti-inflammatory drugs , such as ibuprofen and naproxen, can damage your kidneys. Learn more about over-the-counter medicines and your kidneys.
To help prevent heart attacks and stroke, keep your cholesterol levels in the target range. There are two kinds of cholesterol in your blood: LDL and HDL. LDL or bad cholesterol can build up and clog your blood vessels, which can cause a heart attack or stroke. HDL or good cholesterol helps remove the bad cholesterol from your blood vessels. A cholesterol test also may measure another type of blood fat called triglycerides.
Drink Plenty Of Fluids
Theres no magic behind the cliché advice to drink eight glasses of water a day, but its a good goal precisely because it encourages you to stay hydrated. Regular, consistent water intake is healthy for your kidneys.
Water helps clear sodium and toxins from your kidneys. It also lowers your risk of chronic kidney disease.
Aim for at least 1.5 to 2 liters in a day. Exactly how much water you need depends largely on your health and lifestyle. Factors like climate, exercise, gender, overall health, and whether or not youre pregnant or breastfeeding are important to consider when planning your daily water intake.
People who have previously had kidney stones should drink a bit more water to help prevent stone deposits in the future.
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Why Do I Need A Gfr Test
Early stage kidney disease doesnt usually cause symptoms. But you may need a GFR test if you are at higher risk of getting kidney disease. Risk factors include:
- Family history of kidney failure
Later stage kidney disease does cause symptoms. So you may need a GFR test if you have any of the following symptoms:
- Urinating more or less often than usual
- Loss of appetite
Nutrients To Be Aware Of
Keep in mind that there are plenty of other healthy options that will do your kidneys, and your body, plenty of good. If you do have chronic kidney disease, there are a few nutrients you should be aware of.
Your kidneys regulate potassium, which is why its so important to monitor how much you are eating on a regular basis. Your kidneys also have a role in red blood cell production, meaning that if they arent functioning correctly your count may be low. Eating iron-rich foods can help prevent this and help keep your energy levels up.
On the opposite side of the equation, salt can be your enemy. Too much salt can raise your blood pressure and make your heart and kidneys work too hard. Be careful about how much salt you use in cooking and also watch the salt content of pre-packaged foods like canned soups, frozen dinners, and boxed meals. Salt substitutes may also contain a lot of potassium, so try herbs to add flavor and give it some time. You can get used to eating less salt, but it does take six to eight weeks for your taste buds to get used to it.
Lastly, we mentioned phosphorus, but it is worth repeating. A low-phosphorus diet should include lots of fresh fruits and veggies, rice milk, corn and rice cereals, as well as lemonade and even ginger ale.
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Treating Chronic Kidney Disease
There is no cure for chronic kidney disease, although treatment can slow or halt the progression of the disease and can prevent other serious conditions developing.
People with CKD are known to have an increased risk of a heart attack because of changes that occur to the circulation.
In a minority of people, CKD may cause kidney failure, also known as established renal failure or end-stage kidney disease. In this situation, the usual functions of the kidney stop working.
To survive, people with ERF may need to have artificial kidney treatment, called dialysis, or a kidney transplant.
Read more about living with chronic kidney disease
Chronic Kidney Disease Diet Guidelines:
Given below are the foods to eat for a CKD sufferer and also listed foods that a chronic kidney disease sufferer should avoid if he is serious about reversing his CKD naturally at home.
You need to avoid protein-rich foods as they produce uric acid, which the kidneys have to excrete. This unnecessarily creates problems for the already affected kidneys. This includes chicken, red meat, pork, beef, and animal organs.
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Tips To Protect Your Kidneys And Keep Them Healthy
Every thirty minutes, your kidneys filter all of the blood in your body, removing toxins from the blood, excreting them in urine, and preventing damage to all of your organs. Your kidneys also regulate the alkaline/acid balance in your body, preventing you from becoming dangerously acidic.
Regulating acid and toxins is dangerous work. Your kidneys are vulnerable to toxic overload if you dont protect them.
There are three types of serious kidney disease acute renal failure, chronic kidney disease, and end stage renal disease.
Acute renal failure is when your kidneys abruptly stop working because of an injury or ingesting toxic substances. ARF may respond well to treatment, if the kidneys are not severely damaged.
When kidneys gradually lose the ability to function, it is typically due to chronic kidney disease or CKD, the most common type of kidney ailment. Often, there are no symptoms of CKD until the condition has advanced. Then patients may experience numbness or swelling in the hands and feet, frequent urination, nausea, anemia, and poor appetite.
Finally, end stage renal disease is a serious condition in which there is no or very little kidney function remaining, and the damage to the kidney is permanent. At this point, a patient is looking at daily dialysis sessions or a kidney transplant.
Ready for some good news? Kidney diseases are largely preventable. And there are ten steps you can take to keep your kidneys healthy and strong.
Living With Kidney Disease
Kidney disease affects different people in different ways, both physically and emotionally. It can impact on many aspects of life, including personal relationships, jobs and social life.
Get help with the many aspects of living with kidney disease, including mental health, diet, fluid restrictions, questions to ask you doctor, and benefits, on our Living with kidney disease section
We also have information on the following:
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Common Tests To Help Diagnose Kidney Disease
Lab work, urine samples, and other tests may be completed as you undergo diagnosis and treatment for renal failure. The test results will be used to assist the healthcare team in evaluating your kidney function and determining the best care plan for you.Remember, you are in control and you are your own best healthcare advocate, so it is essential for you to understand what these tests mean. Note that there can be some differences in these values from one lab to another, so make sure you learn the normal values for your lab. Lets get started.
Fluids For Kidney Function
You may think drinking extra fluids is a no-brainer for increasing kidney function, but more isnt always better. The National Kidney Foundation advises you to drink just enough fluids to keep your urine either light yellow or colorless. A standard recommendation is 13 cups daily for men and 9 for women. Although that sounds like a lot, it includes both healthy fluids like filtered water and low-fat milk and also the water found naturally in fruits and vegetables. If you already have kidney disease, your doctor will advise you to drink much less so you dont overwhelm your kidneys.
Cranberry juice has a decades-long association with kidney health, especially in preventing urinary tract infections, but a review of studies in 2012 found little evidence for its actual effectiveness. The NKF simply suggests drinking water to prevent the accumulation of bacteria that cause urinary tract infections.
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