Treatment For Kidney Failure
The treatment choices for kidney failure include:
- kidney transplantation
- non-dialysis supportive care.
Dialysis or kidney transplantation is needed when there is less than 10 per cent of kidney function left. These options are also known as renal replacement therapy . Some people choose non-dialysis supportive care rather than dialysis or kidney transplantation.
Diet Tips For Kidney Health
A kidney-friendly diet should limit sodium, cholesterol, and fat and instead focus on fruits, vegetables, whole grains, low-fat dairy, and lean meats , says Maruschak. People who have already been diagnosed with CKD may also need to limit certain other nutrients, she adds.
Here are a few ways to tweak your diet to maintain kidney health.
How Do Doctors Treat Ckd
Doctors can treat some of the symptoms and health problems CKD causes. For example, your treatment plan may include:
- Certain medicines to lower your blood pressure or cholesterol
- Diuretics to help your kidneys get rid of salt and water and lower swelling
- Dialysis: A treatment that uses a machine to clean your blood when your kidneys are no longer able to.
- Kidney transplant: A surgery to give you a healthy kidney from someone else’s body. A kidney transplant may be an option for you when your kidneys have failed.
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Maintain A Healthy Diet
When you have kidney disease, eating well is incredibly important. A healthy diet will not only make you feel better but it can also help slow your kidney disease down. It may seem like a big lifestyle change at first but here are some ways to improve your diet:
1. Keep your salt intake to a minimum.
Foods high in salt can really put a strain on your kidneys. Try to keep your sodium intake to less than 2,000 milligrams per day. Remember that restaurant meals and ready meals from grocery stores are loaded with salt. One restaurant meal can easily account for a whole days worth of salt. Make meals at home, with healthy ingredients, to make sure your diet remains low in salt.
2. Avoid high protein diets.
A good rule of thumb is to have one serving of protein per meal. Any more and your kidneys will be working overtime.
3. Choose foods low in saturated fat and cholesterol.
People with kidney disease are at increased risk of heart disease so keep an eye on your cholesterol. Choose foods low in saturated fat and cholesterol, such as fish, lean meats, egg substitutes and spreads instead of butter and margarine.
4. Stop smoking.
Smoking substantially increases your risk for all kidney-related problems, including heart disease. Work with your doctor to find ways to help you quit smoking.
Potential Causes Of Kidney Failure
Kidney failure has a lot of signs, and often, they are all related to one another. Some causes of kidney failure are genetic, and the patients have no control over it.
Two major causes of kidney failure are diabetes and hypertension or high blood pressure. Chronic kidney diseases can also cause kidney failure. Chronic kidney disease occurs when there is a change in the structure or function of the kidney. An infection, damage, tumor, or side effects of certain medications can cause kidney diseases. Kidney infections caused by certain bacteria can also cause kidney failure if they go unnoticed and untreated. Kidney infection also called pyelonephritis, or renal infection is when bacteria or viruses cause problems in one or both kidneys. It is a form of urinary tract infection that is rather prevalent. Kidney infections that are not treated soon can cause permanent kidney damage, spread to other parts of the body, and cause an even more serious infection.
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Can Kidney Failure Be Prevented
While kidney failure from chronic kidney disease cant be reversed, you can do many things to help preserve the kidney function you have today. Healthy habits and routines may slow down how quickly kidneys lose their functional abilities.
If you have chronic kidney disease or kidney failure, youll want to:
- Monitor your kidney function, with your doctors help.
- Keep your blood sugar levels under control, if you have diabetes.
- Keep your blood pressure levels in a normal range.
- Make healthy diet choices, such as limiting foods high in protein and sodium.
Signs & Symptoms Of Kidney Failure :
There is a wide range of symptoms an individual may experience due to kidney failure. Some of which may not even be present at all.
- Feeling sick or being sick
- Feeling weak or tired
You may have other symptoms in case of urinary tract infection or UTI, such as cystitis. This additional symptom may include pain or a burning sensation when passing urine. You may also need to use the toilet suddenly or more often than usual. You may also notice blood in your urine, smelly or cloudy urine, pain in your lower abdomen, and pain in your genitals.
In older people, kidney infections can confuse them.
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Where Do You Itch With Kidney Disease
It may affect your whole body or be limited to a specific area usually your back or arms. Itching tends to affects both sides of the body at the same time and may feel internal, like a crawling feeling just below the skin.
Chronic Kidney Disease, Animation
Does drinking water help with kidney disease? A new study, published in JAMA by researchers at Lawson Health Research Institute and Western University, found that coaching patients with Chronic Kidney Disease to drink more water does not slow down the decline of their kidney function.
Is drinking water at night bad for kidneys?
Given the quantity of blood that filters through your kidneys on an hourly basis, those few extra cups are as insignificant to your kidneys as barnacles are to a battleship. So the best time to drink water is not at night.
How do you know if your kidneys are not working properly? Signs of Kidney Disease
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What Are The Symptoms Of Kidney Failure
In early stages of kidney disease, many people experience few or no symptoms. Its important to note that chronic kidney disease can still cause damage even though you feel fine.
Chronic kidney disease and kidney failure can cause different symptoms for different people. If your kidneys arent working properly, you may notice one or more of the following signs:
- Poor appetite or metallic taste of food
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.
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Know How Well Your Kidneys Are Working
Kidney disease is divided into five stages. Each stage refers to how much damage there is to your kidneys, and how well your kidneys are working to filter waste and extra fluid out of your blood. As the stages go up in number, kidney disease gets worse and your kidneys work less well:
- 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 all together.
- Stage 5 means you have kidney failure and you will need to go on dialysis or get a kidney transplant to live. Kidney failure is also known as end stage renal disease or ESRD.
Your doctor may use the word “progression” to refer to kidney disease getting worse and moving to a later stage. Your doctor will talk with you about slowing down the damage to your kidneys to prevent you from moving to a later stage.
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When Should I Call The Doctor
A nephrologist receives special training in kidney evaluation and treatment. You may benefit from a kidney specialists expert opinion if:
- You have trouble keeping your blood pressure levels in a normal range, even with medication.
- Your blood sugar levels fluctuate widely.
Last reviewed by a Cleveland Clinic medical professional on 01/10/2018.
References
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Simple Steps Can Prevent The Progress Of Chronic Kidney Disease
New York, NY – Early detection and treatment can significantly slow the progression of chronic kidney disease if you already have it. One in nine Americans have CKD and many don’t know it, according to the National Kidney Foundation. If you don’t know you’re at risk for the condition, ask your doctor for the urine and blood tests that can detect it.
Once you know you have chronic kidney disease, follow these steps from the National Kidney Foundation:
If you smoke, quit.
To learn more about chronic kidney disease, contact the National Kidney Foundation at 622-9010 or log on to www.kidney.org
About NKF
Diagnosis Of Chronic Kidney Disease
-
Blood and urine tests
-
Sometimes biopsy
Blood and urine tests are essential. They confirm the decline in kidney function.
When loss of kidney function reaches a certain level in chronic kidney disease, the levels of chemicals in the blood typically become abnormal.
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Urea and creatinine, metabolic waste products that are normally filtered out by the kidneys, are increased.
-
Blood becomes moderately acidic.
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Potassium in the blood is often normal or only slightly increased but can become dangerously high.
-
Calcium and calcitriol in the blood decrease.
-
Phosphate and parathyroid hormone levels increase.
-
Hemoglobin is usually lower .
Potassium can become dangerously high when kidney failure reaches an advanced stage or if people ingest large amounts of potassium or take a drug that prevents the kidneys from excreting the potassium.
Analysis of the urine may detect many abnormalities, including protein and abnormal cells.
Ultrasonography is often done to rule out obstruction and check the size of the kidneys. Small, scarred kidneys often indicate that loss of kidney function is chronic. Determining a precise cause becomes increasingly difficult as chronic kidney disease reaches an advanced stage.
Removing a sample of tissue from a kidney for examination may be the most accurate test, but it is not recommended if results of an ultrasound examination show that the kidneys are small and scarred.
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What Can Increase The Risk Of Developing Ckd
There are lots of causes of CKD. The most common causes include:
- Inflammation within the kidneys
- Blockages to the flow of urine such as prostate problems or cancers in the bladder
- Certain medications such as non-steroidal anti-inflammatory drugs which include ibuprofen or diclofenac among others
- Family history of kidney disease which may include inherited diseases.
Your doctor will try to find out what has caused CKD in your case. For the majority of people, your GP will look after you but some people will need to see a kidney specialist and have further tests. It is not always possible to find out what has caused the damage.
Overuse Of Some Medications
Over-the-counter pain medications called non-steroidal anti-inflammatory drugs can put damaging stress on your kidneys”Especially if you take them persistently,” says Dr. Boubes, like multiple times per week.
Clinical research backs this upa 2019 study published in Nephrology found that reducing NSAID exposure leads to much lower rates of kidney problems in healthy adults.
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Make Healthy Food Choices
Choose foods that are healthy for your heart and your entire body: fresh fruits, fresh or frozen vegetables, whole grains, and low-fat or fat-free dairy products. Eat healthy meals, and cut back on salt and added sugars. Aim for less than 2,300 milligrams of sodium each day. Try to have less than 10 percent of your daily calories come from added sugars.
Tips for making healthy food choices
- Cook with a mix of spices instead of salt.
- Choose veggie toppings such as spinach, broccoli, and peppers for your pizza.
- Try baking or broiling meat, chicken, and fish instead of frying.
- Serve foods without gravy or added fats.
- Try to choose foods with little or no added sugar.
- Gradually work your way down from whole milk to 2 percent milk until youre drinking and cooking with fat-free or low-fat milk and milk products.
- Eat foods made from whole grainssuch as whole wheat, brown rice, oats, and whole-grain cornevery day. Use whole-grain bread for toast and sandwiches substitute brown rice for white rice for home-cooked meals and when dining out.
- Read food labels. Choose foods low in saturated fats, trans fats, cholesterol, salt , and added sugars.
- Slow down at snack time. Eating a bag of low-fat popcorn takes longer than eating a slice of cake. Peel and eat an orange instead of drinking orange juice.
- Try keeping a written record of what you eat for a week. It can help you see when you tend to overeat or eat foods high in fat or calories.
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