What Should We Do If There are Some Symptoms Of CKD with Us

"Sir. I have headache and weekness form 5 to 6 months. And some pain in cheast. Are they causes of Chronic Kidney Disease (CKD)?” This is from an Indian patient.

Many patients do not clear what is the index of CKD, and some patients do not consider the discomforts as a sign of CKD. Once, they have some symptoms, they may be afraid of being ill with CKD or neglect them. So, what should we do if there are some symptoms of CKD with us?

Firstly, we need to know what are symptoms of CKD?

Urine change. Blood in urine, bubbles in urine, less urine volume, more urine in night and so on. If you have one or some of these, it is more possible for you to be CKD.

Disease of digestive tract. Vomiting, nausea, poor appetite and others. There is a wide range of reasons which leads to digestive diseases.

Kidney change. Become smaller, lower kidney function.

Others. Swelling, anemia, hypertension, weakness, nerves damage and other illness conditions.

What should we do to these?

We ought to make sure whether the discomforts are caused by the CKD? Texts including blood text, urine text, kidney function text and other checks are taken to help us diagnose the illnesses. Then, we can know what is the matter and return to health with effective treatments. For more information about the texts, please constant ONLINE DOCTOR.

If we have CKD, whether we can only choose dialysis or wait for the kidney transplant ? No, there are also other treatments in the word. For examples, Micro-Chinese Medicine Osmotherapy, Toxin-Removing Therapy, Cycling Therapy, etc.

If you want to get some treatment or diet suggestions for kidney problem,you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Viber:008615132830921. 

What Problems will Stage 3 Kidney Disease Cause

Stage 3 kidney disease which is a very urgent stage to receive treatment, otherwise the disease will progressed into Renal Failure, then, the patien has to take dialysis.

What problems will stage 3 kidney disease cause?

Kidney pain: Most patients with stage 3 CKD do not have kidney pain, but with some kinds of kidney problems, such asPKD or infections, they may have pain in the kidney area.

Fatigue: Patients with stage 3 CKD usually feel tried and fatigue is often caused by anemia.

Swelling: The kidneys are unable to control how much fluid stays in the body. Patients with stage 3 CKD may notice swelling in their lower legs, hands or face around the eyes. Because of swelling, someone could even feel short of breath.

Urination changes：Urine may be dark orange, brown, tea colored and proteinuria or blood in urine may also appear. Patients may urinate more or less, or get up at night to go to the bathroom.

Sleep problems: Some patients with stage 3 CKD may have trouble falling asleep or staying asleep for itching, muscle, muscle cramps or restless legs, which can torture patients a lot.

If patients with stage 3 CKD can receive the proper and prompt treatment, the illness condition may be reversed. While if the condition is delayed, the creatinine will keep increasing and it can develop into Renal Failure in a short time, in that case, patients will face dialysis or kidney transplant. After the kidney function can be enhanced, creatinine 3.5 will be reduced naturally.

If you want to get some treatment or diet suggestions for kidney problem,you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Viber:008615132830921.

Serum Creatinine and BUN Levels in Kidney Function Tests

Kidney function test, also known as renal function test is laboratory measurement of functional renal units. The common items in this test include urine sample, urine specific gravity, urinary sediment examination, creatinine, blood urea nitrogen, non-protein nitrogen quantitative, etc.

The measuring of serum creatinine and BUN is common in renal function test and they both will increase in case of renal dysfunctions due to various renal parenchymal and renal vascular diseases.

BUN (blood urea nitrogen)

High BUN: nephritis, severe pyelonephritis, renal dysfunction, heart failure, shock, burns, hemorrhage, adrenal cortical hypothyroidism, prostatic hypertrophy, chronic urinary tract obstruction, etc.

Serum creatinine

High creatinine: renal failure, uremia, heart failure, gigantism, acromegaly, salicylates treatments, etc.

Low creatinine: progressive muscle atrophy, leukemia, anemia, etc.

BUN/creatinine

High level: reduced renal perfusion (dehydration, hypovolemic shock, congestive heart failure), urinary tract obstructive diseases, decomposition hypermetabolism, glomerular lesions, use of steroid hormones, etc.

Low level: acute tubular necrosis

Prior attention before renal function test: 3 days before the test, patients should have vegetarian diets and the daily protein intake should be less than 40g. This is because creatinine in the blood comes from both muscle metabolism and the metabolism of the meat products we eat. Thought the latter accounts for small part, it will affect the accuracy and stability of the test.

In addition, avoid doing strenuous activities before the test so as to reduce creatinine decomposition.

Preventive measures for protecting your kidney functions

In case of the following illness conditions, regular urine tests should be done to help have early detection of renal abnormalities so as to have early treatments and prevent advanced renal damages.

·Edema around the eyelid or in the face 1-3 weeks after colds, sore throat, tonsillitis, etc.

·Allergic diseases such as urticaria, allergic purpura, etc

·Skin infectious diseases

·Systemic diseases such as hypertension, diabetes, connective tissue diseases, etc.

In addition, regular and reasonable diets and life habits are also very important for your kidney health. Avoid over-tiredness or over-eating.

Have more cautions before taking any medicines, weather it is antibiotics, hormones or herbal medicines, take it under the doctor’s permission and guidance with proper method and dosage and avoid taking renal toxicity drugs and medicines. This is especially important for those that have been diagnosed with kidney lesions.

If you still have any doubts, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Viber:008615132830921.

Symptoms of High Creatinine Level in Kidney Failure

Creatinine can be divided into serum creatinine and urine creatinine. Usually it refers to serum creatinine when we say creatinine and it indicates the level of creatinine in the blood and is commonly adopted in clinic to measure patients’ kidney functions.

The normal creatinine level is 53-140 μmoI/L and higher than normal creatinine can cause a series of symptoms.

1. Edema (swelling)

Edema will begin with the eyelids and some patients may begin with lower limbs. In serious conditions, it will involve the whole body and cause chest water and ascites.

2. High blood pressure

High blood pressure is one of the signs of high creatinine.

3. Abnormalities in urination including urinary urgency, urinary frequency and urinary pain.

4. Dull back pain

In some conditions such as the underlying cause of kidney failure is renal cystic diseases, kidney stone or obstructive renal diseases, patients will suffer from back pain.

5. Hematuria

Hematuria is blood in urine

6. Diuresis

Daily urine output might exceed 2500ml and it is called diuresis.

7. Oliguria or anuria. Oliguria is less than 400ml urine volume and anuria is less than 100ml.

8. Bubbles in urine.

Bubbles in urine might indicates proteinuria and urinary protein qualitative test can confirm it.

Actually the above mentioned symptoms and discomforts are not caused by high creatinine which itself is a clinical manifestation and abnormal indicator of kidney failure. Therefore it should not be the ultimate goal to lower creatinine, more effective treatments should be sought to repair kidney damages and improving kidney functions. When kidney functions are improved, excessive creatinine and other metabolic wastes and toxins can be cleared from the blood and serum creatinine can drop accordingly and naturally.

If you still have any doubts, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Viber:008615132830921.

How To Improve The Prognosis Of Chronic Nephritis

For patients with chronic nephritis, they may have the same questions as what the prognosis is and how to improve the prognosis of chronic nephritis. However, no one can tell the specific future of chronic nephritis patients, because there are many factors that can effect the prognosis.

What factors can effect the chronic nephritis?

1. Different pathological chronic nephritis may have different prognosis.

Generally speaking, patients with pure mesangial proliferation glomerulonephritis may have a good prognosis. For the patients with severe hyperplasia of mesangial glomerulonephritis or Membranoproliferative GN, they are probably have a bad prognosis.

2. The symptoms may also effect the prognosis of chronic nephritis.

If patients have persistent proteinuria or blood urine and the symptoms cannot be controlled for a long time, the kidney function will reduce quickly.

The patients who have not controlled high blood pressure may have a bad prognosis.

The patients who have tubuloninterstitial lesions may have a bad prognosis.

3. The lifestyle and daily diet can also effect the prognosis.

Patients who have unhealthy lifestyle may have a poor prognosis.

If patients don’t follow the advices of the doctor and have a optional diet, they may also have a bad prognosis.

How to improve the prognosis of chronic nephritis?

1. Patients should have a healthy lifestyle

For patients with chronic nephritis, they should change their lifestyle and keep a healthy one. Having a good rest is the most important thing and it will be better for them to do proper exercises everyday. They should also keep a delight mind.

2. Plan for the daily diet

A rational diet is particularly important for patients. In order to slow down the progression of kidney failure, patients have many restrictions on their daily diet. Depending on their illness condition and the symptoms they have, they should keep a limited diet. They should limit the protein and salt intake, and they should restrict the fluid. The diet is different from case to case. If you want to get a personalized diet plan, you can send an e-mail to kidney-healthy@hotmail.com. We are here to help you.

3. They should control the symptoms

If patients with chronic nephritis don’t control their symptoms effectively, it will cause further damage of their kidney function. Therefore, they should control the symptoms. They can use both medicines and diet treatments to control the symptoms.

4. Have effective treatment timely

If you want to get more treatment or diet suggestions for kidney problem,you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Viber:008615132830921.