S To Take At Stage 3 Kidney Disease
- Make healthy lifestyle choicesEating a kidney-friendly diet, quitting smoking, exercising, and maintaining a healthy weight can help you slow progression at stage 3 kidney disease.
- Monitor your healthManaging underlying conditions and risk factors such as high blood pressure, diabetes, and/or infection can also help slow the progression of CKD. Talk to your doctor about whether or not you need to modify any of the vitamins, supplements, or medications you may be taking for other health conditions , or if you start taking any new medications.
- Talk to your doctor about a referral to see a kidney doctorSeeing a kidney doctor can help you manage your kidney health. Your doctor can help you determine when it’s time to see a nephrologist and give you a referral. Once you start seeing a nephrologist, you’ll still see your regular doctor to monitor you overall health.
- Meet with a renal dietitianFollowing a kidney-friendly diet is key to slowing the progression of CKD, and you dont have to do it alone. A renal dietitian can help you address any nutrition concerns and learn about eating well.
- Learn everything you can about CKDTaking a KidneyCare:365 class can help you learn more about how to manage and slow the progression of CKD.
Can Chronic Kidney Disease Be Prevented
Chronic kidney disease cannot be prevented in most situations. The patient may be able to protect their kidneys from damage, or slow the progression of the disease by controlling their underlying conditions such as diabetes mellitus and high blood pressure.
- Kidney disease is usually advanced by the time symptoms appear. If a patient is at high risk of developing chronic kidney disease, they should see their doctor as recommended for screening tests.
- If a patient has a chronic condition such as diabetes, high blood pressure, or high cholesterol, they should follow the treatment recommendations of their health care practitioner. The patient should see their health care practitioner regularly for monitoring. Aggressive treatment of these diseases is essential.
- The patient should avoid exposure to drugs especially NSAIDs , chemicals, and other toxic substances as much as possible.
What Is Kidney Transplantation
Kidney transplantation involves placing a healthy kidney into your body where it can perform all of the functions that a failing kidney cant. Kidneys for transplantation come from two sources: living donors and deceased donors. Living donors are usually immediate family members or sometimes spouses. This is possible because a person can live well with one healthy kidney.
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Who Is More Likely To Develop Ckd
You are at risk for kidney disease if you have
- Diabetes. Diabetes is the leading cause of CKD. High blood glucose, also called blood sugar, from diabetes can damage the blood vessels in your kidneys. Almost 1 in 3 people with diabetes has CKD.1
- High blood pressure. High blood pressure is the second leading cause of CKD. Like high blood glucose, high blood pressure also can damage the blood vessels in your kidneys. Almost 1 in 5 adults with high blood pressure has CKD.1
- Heart disease. Research shows a link between kidney disease and heart disease. People with heart disease are at higher risk for kidney disease, and people with kidney disease are at higher risk for heart disease. Researchers are working to better understand the relationship between kidney disease and heart disease.
- Family history of kidney failure. If your mother, father, sister, or brother has kidney failure, you are at risk for CKD. Kidney disease tends to run in families. If you have kidney disease, encourage family members to get tested. Use tips from the family health reunion guide and speak with your family during special gatherings.
Your chances of having kidney disease increase with age.1 The longer you have had diabetes, high blood pressure, or heart disease, the more likely that you will have kidney disease.
If you are at risk for kidney disease, learn ways to prevent kidney disease.
Myth: Kidney Disease Is Very Rare
FACT: Chronic kidney disease is one of the leading causes of death, globally. According to the World Health Organization, the estimated prevalence of chronic kidney disease worldwide is 8-16 per cent in adults above 30 years of age. Stressful lifestyles and unhealthy eating habits contribute to increased incidence of diabetes, hypertension and obesity thus increasing the kidney disease risk.
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Myth: Kidney Disease Always Leads To Dialysis Or Kidney Transplantation
FACT: Diabetes and hypertension are two common causes of kidney disease. If these are effectively controlled, then kidney disease can be prevented. Apart from this, timely screening and early detection can also play a significant role in prevention of kidney disease, especially the ones in advanced stages. If detected early, the need for dialysis or transplant can be omitted or delayed.
When Should I See My Doctor
If you notice any of the symptoms above, see your doctor. If you have one or more of the risk factors for kidney disease, it is particularly important to look after your kidney health and get your kidney function checked every 1 to 2 years.
The body can cope with the kidneys not working properly for quite a while. People can lose 90% of their kidney function before they experience any symptoms. This makes it particularly important to take notice of any symptoms that do appear, and seek medical advice.
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Is Chronic Kidney Disease Curable
Answered by: Dr Ashutosh Singh | Consultant Nephrologist, Knoxville, USA
Q: I am a 31 years old man who has been diagnosed with right small kidney with 7.9 cm in full length. My KFT report states: creatinine – 1.9 mg/dl, uric acid -10.70 mg/dl and albumin – 4.9 g/dl. In urine examination, proteins were – present 2+ , RBC – 2-3 RBC/HPF, epithelial cells – few, casts – 1/8-10/hpf, microalbumin – 3800 mg/L, creatinine – 99.80 mg/dl, microalbumin: creatinine ratio – 3.808. GFR – 49.1 ml/min. Is my condition serious and can it be cured? Which kidney disease am I suffering from? My toes have been swollen since two days before this diagnosis. Please advise.
What Is Peritoneal Dialysis
Peritoneal dialysis uses the lining of the abdominal cavity as the dialysis filter to rid the body of waste and to balance electrolyte levels. A catheter is placed in the abdominal cavity through the abdominal wall by a surgeon, and it is expected to remain in place for the long-term. The dialysis solution is then dripped in through the catheter and left in the abdominal cavity for a few hours after which, it is drained out. During that time, waste products leech from the blood flowing through the lining of the abdomen , and attach themselves to the fluid that has been instilled by the catheters. Often, patients instill the dialysate fluid before bedtime, and drain it in the morning.
There are benefits and complications for each type of dialysis. Not every patient can choose which type he or she would prefer. The treatment decision depends on the patient’s illness and their past medical history along with other issues. Usually, the nephrologist will have a long discussion with the patient and family to decide what will be the best option available.
Dialysis is lifesaving. Without it, patients whose kidneys no longer function would die relatively quickly due to electrolyte abnormalities and the buildup of toxins in the blood stream. Patients may live many years with dialysis but other underlying and associated illnesses often are the cause of death.
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Estimated Glomerular Filtration Rate
A normal eGFR is 90 ml/minute/1.73 m or more. If some of the glomeruli do not filter as much as normal then the kidney is said to have reduced or impaired kidney function.
The eGFR test involves a blood test which measures a chemical called creatinine. Creatinine is a breakdown product of muscle. Creatinine is normally cleared from the blood by the kidneys. If your kidneys are not working very well and the glomeruli are not filtering as much blood as normal, the level of creatinine in the blood goes up.
The eGFR is calculated from your age, sex and blood creatinine level. An adjustment to the calculation is needed for people with African-Caribbean origin. See the separate leaflets called Routine Kidney Function Blood Test and Estimated Glomerular Filtration Rate .
What Factors Are Responsible For Ckd
Chronic kidney disease is a long process that mainly occurs due to poor routine habits followed over a long period. Medical conditions, such as diabetes and high blood pressure, are the two top causes of chronic kidney disease and account for around 90 percent of all chronic kidney problems. Apart from these factors, there are many other factors responsible for chronic kidney disease: Glomerulonephritis, Autoimmune disease, polycystic kidney disease, kidney infection , and prolonged urinary tract infection, recurrent urinary tract infections, dehydration, etc.
If you have any of these health conditions or factors, try to cure, eliminate, or avoid them to reduce chronic kidney disease risk. When you develop chronic kidney disease, your physician aims to stop or slow down CKD progression by controlling its underlying factors. Early diagnosis and opting for the right treatment immediately can be beneficial in CKD cure.
The best treatment for CKD
On the other hand, if you choose the best Ayurvedic treatment for chronic kidney disease in the developing world, it can provide a permanent cure. Ayurveda is a natural healing program that is derived from ancient Indian Vedas. This treatment follows a holistic healing approach in which it works on the disease as well as the parthenogenesis and underlying causes of the problem to provide a permanent cure. In CKD, Ayurveda follows its ancient and effective healing method that targets the disease in several ways.
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Early Ckd May Not Have Any Symptoms
You may wonder how you can have CKD and feel fine. Our kidneys have a greater capacity to do their job than is needed to keep us healthy. For example, you can donate one kidney and remain healthy. You can also have kidney damage without any symptoms because, despite the damage, your kidneys are still doing enough work to keep you feeling well. For many people, the only way to know if you have kidney disease is to get your kidneys checked with blood and urine tests.
As kidney disease gets worse, a person may have swelling, called edema. Edema happens when the kidneys cant get rid of extra fluid and salt. Edema can occur in the legs, feet, or ankles, and less often in the hands or face.
What Signs May A Ckd Patient Develop
As Chronic kidney disease advances to its later stages, abnormal waste levels and unwanted fluid can accumulate in the body. This accumulation can cause numerous symptoms to occur.If it comes to CKD symptoms, they are as listed as below:
- Frequently occurrence of infections
- Swollen body parts, mainly ankles, feet, or hands
- Tiredness
- Problem in sleeping
CKD has different ill-effects on the body that vary from stages to stages. This problem turns worse over time. The modern treatment method has shown to slow the diseases progression due to its limitations, it cant offer a permanent cure. All it aims to do is, slowing the progression of CKD in order to prevent kidney failure. Its not necessary that every chronic kidney patient may develop kidney failure. If it comes to prevent chronic kidney disease, one should try to control risk-factors of CKD by making some lifestyle changes, take routine tests even if you feel healthy, include some physical exercises in your routine, do breathing exercises, and take medicines for the risk factors whenever needed.
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Chronic Kidney Disease Patients Should Drink Lots Of Water
Drinking lots of water might seem like a good idea, and of course it is important to get enough fluids for your bodys health. But for those with CKD, too much fluid intake can actually cause edema, or swelling, as well as high blood pressure and breathing problems due to the kidneys impaired capabilities.
Chronic kidney disease patients should talk with a doctor and dietitian about the correct, healthy amount of fluid intake for their case.
Its essential for your health to understand and be able to separate truth from fabrications when it comes to causes of chronic kidney disease and healthy behaviors patients can and should take. Everyone should strive to follow healthy eating and exercise habits to reduce their risk of CKD, and CKD patients should always consult a medical professional when making health decisions.
Questions To Ask Your Doctor About Stage 3 Kidney Disease
- What do my lab values mean? The results of your regular bloodwork help your doctor monitor your kidney health and calculate your estimate glomerular filtration rate , which determines your CKD stage. Changes in your lab values may indicate a change in your kidney function.
- What should I expect next with CKD? A stage 3 kidney disease diagnosis doesn’t necessarily mean that your condition will progress to stage 4 or stage 5. With lifestyle changes and a treatment plan from your doctor, it’s possible to slow the progression of CKD and preserve kidney function.
- Am I doing everything I can to slow CKD progression? Your doctor may have additional guidance on what you can do to stay your healthiest, including eating well and managing your existing medicationsespecially if you are managing other health conditions like high blood pressure or diabetes. Looking after your overall health can help you protect your kidney health and feel your best.
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What Is Kidney Dialysis
Because there is no cure for CKD, if you are in late-stage disease, you and your healthcare team must consider additional options. Complete kidney failure, left untreated, will result in death. Options for end stages of CKD include dialysis and kidney transplantation.
Dialysis is a procedure that uses machines to remove waste products from your body when your kidneys are no longer able to perform this function. There are two major types of dialysis.
Hemodialysis: With hemodialysis, your blood is circulated through a machine that removes waste products, excess water and excess salt. The blood is then returned to your body. Hemodialysis requires three to four hours, three times a week and is performed at a clinic, hospital or dialysis center.
Peritoneal dialysis: In peritoneal dialysis, a dialysis solution is run directly into your abdomen. The solution absorbs waste and then is removed via catheter. Fresh solution is added to continue the process of cleaning. You can perform this type of dialysis yourself. There are two types of peritoneal dialysis: continuous ambulatory peritoneal dialysis , which involves a change in dialysis solution four times a day and continuous cycling peritoneal dialysis . CCPD uses a machine to automatically fill, remove wastes, and refill the fluid during the nighttime.
Can I Still Have A Good Life If I Need Dialysis
Yes, you can live long and live well with dialysis. Many peopleeven those with loved ones on dialysisdon’t know that there are many types of dialysis. You can choose a treatment that lets you keep doing all or most of the things you value.
People who are very sick before they start dialysis are often surprised to find that they feel much better a few weeks or months later. The unknown you imagine is often much scarier than the reality. Learn all you can, and talk to people who are doing welllike people who do their treatments at home, or while they sleep. You’ll see that you can have a good life on dialysis.
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What If I Have Chronic Kidney Disease Stage 3
Stage 3 means moderate CKD. This often means that you do not need to see a kidney specialist but your GP will need to see your regularly for monitoring, including blood and urine tests.
You may need treatments to reduce your risk of progressing to more severe CKD. You will probably also need other treatments to reduce your risk of any other problems, particularly cardiovascular diseases .
However if regular blood and urine tests show that your CKD is progressing to stage 4 then you will usually need to be referred to a kidney specialist to consider further assessments and treatment.
What Lifestyle Changes Can I Make
Chronic kidney disease will gradually get worse, but there is plenty you can do to slow the progression and improve your quality of life. Changes you should make include:
- stop smoking
- eat a healthy diet. That means eating a variety of vegetables, fruits, wholegrain cereals, lean meats, poultry, fish, eggs, nuts and seeds, legumes and beans, and low-fat dairy products. Make sure you limit salt to less than 6g a day and limit your intake of saturated and trans fats. In the later stages of chronic kidney disease, you may need to follow specific instructions from your doctor on what you can eat or drink
- maintaining a healthy weight. If you have chronic kidney disease, you should ideally have a BMI of 25 or less
- limit alcohol to less than 2 standard drinks a day
- be physically active on most, preferably all, days of the week. Aim for 150 to 300 minutes of moderate or 75 to 150 minutes of vigorous physical activity each week, and make sure you do some muscle strengthening exercises
- take medicines to treat high blood pressure, diabetes, high cholesterol or other underlying conditions
If you are being treated for chronic kidney disease, your doctors may need to change other medicines you are on, since many medicines can affect the kidneys, such as blood pressure drugs and anti-inflammatories. Some medicines which leave the body through the kidneys may need to have their dose adjusted.
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