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A 41-year-old member asked:

if someone has septic shock and kidney failure what can we do?

3 doctor answers8 doctors weighed in
Dr. Keith Klein
Nephrology and Dialysis 50 years experience
Pray: Septic shock leading to kidney failure is one of the most devastating medical conditions, and all such patients should be in an intensive care unit. The patient needs to be under the care of a medical team consisting of an intensivist, pulmonary, infectious disease and nephrology doctors. The mortality from this condition is over 80-90% and almost always some form of dialysis is required.
Dr. Rashed Hasan
Pediatrics 31 years experience
Septic shock: Septic shock should be treated in an intensive care setting becuse it is a serious problem and leads to multiple organ failure including the kidneys. The patient often reuqires respiratory and heart support with machines and medications. The renal failure often recovers with ICU care, but sometimes it may not in which case renal replacement therapy (dialysis or hemofiltration).
Dr. Amy Friedman
Transplant Surgery 39 years experience
1 step at a time: These are worrisome problems that may not be compatible with survival. However, in an ICU setting, the team will consider each problem individually to develop the wisest strategy. Among them will be treating the septic shock source, using antibiotics, probably using artificial respiration, blood pressure support, dialysis. If overall picture is too ominous, they may advise care withdrawal.

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A 38-year-old member asked:

How do doctors manage kidney infections in pregnancy?

4 doctor answers7 doctors weighed in
Dr. Caren Reaves
Obstetrics and Gynecology 24 years experience
Antibiotics(Abx): Kidney infections are a serious condition when pregnant. While simple bladder infections can be treated with oral abx as outpatient, kidney infections usually require IV abx and a hospital stay. Daily, preventative abx are then prescribed for the remainder of pregnancy. Call your doctor quickly if symptoms of a bladder infection develop to prevent progression to a kidney infection.
A 40-year-old member asked:

What is the treatment for kidney stones while pregnant?

2 doctor answers3 doctors weighed in
Dr. Caren Reaves
Obstetrics and Gynecology 24 years experience
Usually waiting: If there is no obstruction or infection, most urologists will not treat stones in pregnancy unless the pain becomes unbearable. Even then, they will often just pass a stent (thin tube) up into your kidney to make sure it keeps draining until after delivery. Drinking lots of water and pain meds are the usual course in pregnancy.
A 21-year-old member asked:

What problems does diabetic kidney disease cause?

2 doctor answers5 doctors weighed in
Dr. Susan Wingo
Endocrinology 33 years experience
LowProtein/HighWaste: Protein loss into the urine can cause low protein levels in the blood, and lead to swelling in the feet and ankles late in the day, and around the face in the morning. High levels of waste products and potassium and low levels of calcium can cause fatigue, weakness, heart problems, bone problems, and sudden death. Dialysis is needed to correct these imbalances.
A 21-year-old member asked:

What are the signs of diabetic kidney disease?

2 doctor answers8 doctors weighed in
Dr. Damien Luviano
Ophthalmology 18 years experience
None: Diabetes can hurt the kidneys and not be detectable on urine or blood test. In fact, studies have been done on diabetes patients who have normal kidney test, yet biopsies of these patients show damage. Diabetic retinopathy correlates with diabetic nephropathy. Studies have shown ace inhibitors to be protective of kidneys on both normotensive and hypertensive patients.
A 21-year-old member asked:

What lifestyle changes can I make to help prevent kidney failure?

2 doctor answers5 doctors weighed in
Dr. Sreya Pallath
Nephrology and Dialysis 22 years experience
Exercise: Maintain a healthy lifestyle with low fat food, low salt diet. Avoid excessive weight gain. Stay well hydrated. If you have diabetes or high blood pressure, make sure it is well controlled. Exercise is important to improve all of these factors. And see as doctor regularly. They can do blood tests to check for kidney disease since this is often a silent disease.

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Last updated Jul 12, 2020

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