Doctor insights on:
Calcium D Glucarate In Chronic Kidney Failure
76 yrs, female, stage 4 CKD, PTH 285, normal calcium, phospatase levels. Is this close to kidney failure? what to do?
Getting close: Stage 4 CKD is considered severe kidney disease with stage 5 considered end stage and requiring dialysis. The best thing to do is to see a nephrologist regularly and take medications they prescribe regularly. You should also avoid NSAIDs like motrin and aleve (naproxen). It would be good also to avoid salt and drink no alcohol. ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Can we say that if a person has low IONIZED CALCIUM and high INTACT PTH, that person has already kidney disease?
No: Kidney disease diagnosis requires many more criteria. PTH is only one seen in advanced kidney disease. It is raised on other conditions too. ...Read more
Now that my IONIZED CALCIUM is low and my INTACT PTH is high, does it mean or does it confirm that I have kidney disease?
Not diagnostic: Hi. Low ionized calcium and high PTH (a condition called secondary hyperparathyroidism) is in no way diagnostic of kidney disease. Secondary hyperparathyroidism may be seen in kidney disease. Kidney disease is usually diagnosed by an elevated serum creatinine and sometimes by other things like protein or blood in the urine. There are common non-kidney causes of secondary hyperparathyroidism. ...Read more
I have slightly elevated INTACT PTH and slightly below normal IONIZED CALCIUM, does this confirm that I have kidney disease?
Not necssarily: Elevated PTH can cause kidney stones> Whoever ordered those tests knows you better,and by the way why did they order these lab tests ? That is not a routine tests done on patients unless you presented with some symptoms. Why not ask the doctor who ordered them ...Read more
What's the indicator that a person has kidney disease? Is it low calcium, abnormal Intact PTH, high Creatinine level, or what? Explain.
Several things: Hi. Depending on the type of kidney disease, Several things are possible, but the most general lab test is an increase in serum creatinine. Some kidney diseases can present with normal creatinine and an increase in urinary protein, increase in blood pressure, blood in the urine, etc. Please see a kidney doctor (nephrologist) to be evaluated. They are excellent physiologists and physicians. ...Read more
My husband keeps getting UTI's and its Ecoli. He has stage 4 Kidney disease, any help is appreciated! He had stones removed they were Calcium Oxilate?
UTI: Infection in the presence of stones is often difficult to eradicate since the stones may harbor the bacteria where they form a biofilm that inhibits antibiotics from reaching them. He might want to consult with both a urologist and an infectious diseases expert in concert to see if a plan could be coordinated between the two of them. Hope he gets better soon. ...Read more
I have calcium oxalate stones in my two kidneys and I have pkd, autosomal recessive kidney disease, please advice what type of food I should eat!
Oxalate stones: Studies show high intake of lemon citrate is essential. high intake of magnesium and potassium is essential. Low intake of salt and animal protein is essential. Take 5 teaspoons of ReaLemon extract per day. Eat tropical fruits such as mango, melons, kiwi, tomato. Drink 3-4 quarts fluid per day. Avoid caffeine. ...Read moreSee 1 more doctor answer
Kidney failure: The term hypertensive nephrosclerosis has traditionally been used to describe a clinical syndrome characterized by long-term essential hypertension, left ventricular hypertrophy, minimal proteinuria, and progressive renal insufficiency. All of these are signs of poorly treated hypertension. If BP is not well controlled, end stage organ damage, heart, kidney and brain damage will occur. ...Read more
BS, BP,ACEi: Management of chronic diabetic renal disease requires blood sugar control, BP control, preferably with an ace inhibitor or an arb. Usually diuretics will be needed. In addition dialysis education and preparation with an eye towards choosing and preparing for a dialysis modality (hemodialysis, peritoneal dialysis) are important. Consider seeing a nephrologist for more focused advice. ...Read more
Good article: Try this article by mayo clinic: http://www.Mayoclinic.Com/health/kidney-failure/ds00682. ...Read more
Chronic kidneydiseas: Chronic kidney failure is the loss of functioning kidney tissue due to permanent damage to the tiny subunits called nephrons.We have about a million nephrons per kidney, and as we lose nephrons the ones that are left enlarge and work harder until they reach their limit, at which point the kidney can no longer keep up with the body's needs to excrete toxins, balance fluids and minerals and other fx. ...Read moreSee 1 more doctor answer
Urine and blood test: When visiting your primary care doctor, the doctor can perform simple urine and blood test to rule out chronic kidney problems. The doctor can check your urine for protein or your creatinine on your blood tests to rule out kidney problems. Chronic kidney problems occure more commonly in patients with diabetes and hypertension. ...Read moreSee 1 more doctor answer
Acute: recent: In gral. "acute" means of "recent" origen, and "chronic" means "old" or less recent. Some classifications use 6 months for "subacute". Chronic renal failure is insidious and depends upon the cause and how fast it gets worst. Acute renal failure usually is caused by low fluid volume in the body either dehydration or bleeding or it may be caused by toxins (poison, medications , dye contrast). ...Read moreSee 1 more doctor answer
Yes: Chronic kidney disease eventually involves the whole kidney. Disorders may start out in one location, but over time the kidney's adaptive processes lead to damage of all glomeruli and tubules. ...Read more
With good care, long: With the proper management of blood pressure, kidney diet( low protein, phosphor, potassium) , keeping urine protein low progress of the kidney failure slow downs. At the time of need dialysis replaces kidney function and it can be followed by transplant so the life will go on. ...Read more
A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more
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