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?
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 more
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 more
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 more
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 more
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
It depends: It depends upon may different factors. But, rather than trying to give a simple answer, go to this website (reputable organization) and read about Stage 4 renal disease: http://www. Kidney. Org/patients/peers/stage4.cfm. There is great info there. ...Read more
My sister says she has chronic kidney failure. Are family members more likely to get the same thing?
Sometimes: There are many causes of chronic kidney disease. Some of those causes are genetic/familial and so family members may get the same condition. Others are completely separate and there is no association. We know that overall, having a first degree relative who has to have dialysis will increase the chance of an individual eventually needing it as well. ...Read more
Preventing CRF: It all depends upon the condition that is causing your kidneys to fail. Some things can be reversed such as simple dehydration with acute renal failure. Many other things can be slowed down and other conditions cannot be reversed. So, it really comes down to what the condition is and how early it is in the evolution of the problem. ...Read more
DIALYSIS: Chronic kidney failure means that the kidney function is in the range of less than 10-15% depending on the patients general condition and presence of absence of diabetes. There is no actual treatment that makes the kidneys better. So dialysis needs to be initiated to assist in removing the waste that the failing kidneys could not remove. ...Read more
Yes: One doesn't exclude other. We just need to make sure that you're otherwise healthy enough. If necessary, chat w/your Nephrologist regarding use of PDE-5 inhibitors such as Cialis, Levitra, (vardenafil) Stendra, Staxyn & Viagra or perhaps MUSE & Caverject. If otherwise healthy including relationship, yet libido not quite there, consider check for low T (but that would be close to last on my list). Med side effe ...Read more
In case of kidney transplant due to chronic kidney failure, which donated kidney is preferred: living related or living unrelated kidney?
Yes, but...: Children born with severe degree of vesicoureteral reflux (vur) sustain kidney damage, namely reflux nephropathy. However, surgical correction of vur and adequate management of urinary tract infections may prevent further damage leading to renal failure. The notion that recurrent utis damage kidneys and result in kidney failure has been overblown. ...Read more
It can, if severe.: How much kidney damage reflux nephropathy can cause depends on the degree of reflux and the number and severity of kidney infections that may result. These insults can scar the affected kidney, diminishing kidney function. Chronic kidney failure means that a person's overall kidney function is not adequate, and can occur if both kidneys are severely damaged. ...Read more
Yes it can: Reflux nephropathy can slowly destroy your kidneys ; rcause kidney failure. Fortunately most cases of reflux nephropathy do not result in kidney failure. Reflux nephropathy is a good indication for correction of vesico-ureteral reflux either by surgery or intravesical sub-ureteral injection of bulking material such as deflux. ...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