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A 34-year-old male asked:

can cessation of nicotine (not smoking, but nrt) reduce proteinuria in an iga nephropathy patient?

2 doctor answers4 doctors weighed in
Dr. Derrick Lonsdale
Preventive Medicine 73 years experience
It is possible: nicotine is a very dangerous drug. For example, it has been shown recently in mice that it damages cells in the pancreas, why not in the kidney?
Dr. Al Hegab
Dr. Al Hegabanswered
Allergy and Immunology 40 years experience
No: But, cessation of nicotine intake in any form is a good idea anyways. Corticosteroids remain the mainstay for therapy and reducing proteinuria in IgA nephropathy, best wishes

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Is it safe to get pregnant if I have a kidney disease?

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Dr. David Fein
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Yes: There are many types of kidney disease, and many ranges of severity. Your nephrologist is crucial in getting your renal function stable, and your medications should be reviewed by your obstetrician. If you've had a kidney transplant, experts recommend waiting at least one to two years (depending on donor) before attempting pregnancy. Unfortunately, pregnancy is very rare in dialysis patients.
A 43-year-old member asked:

Is it safe to use a nicotine patch in pregnancy?

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Not really: This is always an interesting question. Nicotine is dangerous for a pregnancy and can cause fetal growth problems among other things. No amount of nicotine is considered safe so the best option is to avoid completely. That being said there are many other dangerous substances in tobacco smoke. In patients who can not stop, the doctor & the patient would weight the risks of nicotine patches.
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If chronic kidney disease is so serious, why dont I feel sick?

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Slow Onset: Chronic kidney disease comes on slowly over a long time. Your body is able to adjust and "get used to" the change. In acute disease, the onset is very fast, no time to adjust and you would feel very ill. Either kind can lead to kidney failure, and eventual dialysis or transplant.
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Can chronic kidney disease be cured?

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No: Chronic kidney disease occurs predominantly from diabetes or hypertension over a period of months to years. Unfortunately, this damage is irreversible.
A 21-year-old member asked:

If I have chronic kidney disease, do I need to take medication as well?

2 doctor answers6 doctors weighed in
Dr. Anthony Cusano
Nephrology and Dialysis 40 years experience
CKD medications: With all medical conditions medicine should only be used if absolutely neccesary, since all medicine has some risk of toxicity. In CKD meds can help, especially in more advanced stages or certain complications. Meds may be used for blood pressure control, renal protection, regulation of mineral metabolism, or help with anemia. But some patients can do great with careful diet and exercise alone.

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Last updated Nov 8, 2016
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