Doctor insights on:
End Of Life Kidney Failure
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
No: Patients in renal failure who are not on dialysis accumulate renal toxins in their bloodstream. This affects brain function, causing the patient to feel sleepy, be confused, and lose their appetite. If a patient has no remaining renal function when they stop dialysis, they will fall into a uremic coma 7-10 days after stopping dialysis, and die within 14-21 days. This process is painless. ...Read more
Dr. Jason cogdill. Thx for answering the q re: prerenal kidney failure. What timeline do you mean by "short-term" risk is death? Thx.
For your question: The short term referred to 1week. That first week if the kidney had gone down to less then 5% of normal for a prolonged period of time death would have been a real risk. ...Read more
Acute kidney failure caused by meds. Stopped meds and got better. Creatin level falling 1.9-1.7-1.6-1.3 at last test. Is this good?
Yes: It appears your renal function is improving with each subsequent test. Many medications are metabolized through the kidneys and have the potential to cause renal issues. It appears your renal problem was diagnosed and treated appropriately and you are on the road to recovery. Best wishes. ...Read more
51 yo male. Mild chf, ef of 50. Kidney failure caused by meds. Creatinine returned to 1.6 after meds stopped. Are my kidneys severely damaged?
Some damage: Stage 3 of chronic renal failure consists of egfr 45-59 (3a) or 30-44 (3b).Rememember that egfr is an estimate (more info on egfr) and may require a correction for (black) race. Most patients with stage 3ckd are older and only a minority go on to get more serious kidney disease. Increased rate of heart attacks, strokes. Need to be closely followed by physician. Stage4, 5 are more severe renal failure. ...Read more
Respiratory failure: Too much Aspirin interferes with the last part of your aerobic metabolism of energy, cytochrome c. It uncouples this area and one has to resort to anaerobic metabolism. Severe metabolic acidosis will ensue, the respiratory system will try to compensate but will fail and combined acidosis ensues and lack of energy just will not sustain life. ...Read more
Mom's in ICU with diverticulitis perforated colon and septis. Kidney failure and not waking up once sedation was stopped. Could I loss her?
I am so sorry: I am sorry for your situation. Perforated colon due to diverticulitis causing sepsis and kidney failure is very serious. Has she had surgery? or are they attempting to treat without surgery. As a specialty surgeon who has managed many of these situations I can tell you it is possible to survive this. Please do not hesitate to make sure all of the doctors are communicating with you/your family. ...Read more
My mother has congestive heart failure with kidney failure and fluid build up in her lungs. Been in hospital on & off for 3 months. Death soon?
Depends,: The details that matter include how bad are kidneys eg stage 3, 4, 5? And how bad is heart ejection fraction ef, how low? 30, 20, 10? How responsive is she to water pills? Does she have other illnesses (comorbidities)? She sounds certainly very ill. Ask her doc about more information including above questions and the discussion will flow more naturally to better answer the question of longevity. ...Read more
Life expectancy: In today's day and age --- with high efficiency diakyzerscand highly successful rates of renal transplant-- you can expect almost normal life expectancy with renal failure ...Read more
Life expentancy: A person with class 4 chronic kdiney disease does not have renal failure and does not yet need to start dialysis. The person's life expectancy depends on his age and what the underlying cause of his CKD is. People with CKD are have more morbidty and more mortality than age-matched patients without it. Have the person ask his nephrologist for a more accurate answer to your question. ...Read more
Here are some...: On average, some 20-22% of the dialyzed will pass away in every each year so to live longer than 5 yrs is hard. But, young age + hope to get kidney transplant + willing to cope and live a healthy lifestyle + follow available good advice are your best possible hope. Nonetheless, do something within our control now and don't waste time & energy to think & worry about what beyond our control. Best... ...Read more
How to live with kidney failure. When all my frnds are moving ahead in life, I'm stuck with this? I'm 24 years old. How to be +ve physically& mentaly
Kidney failure: If you have kidney failure, you will reach a point when you will need kidney replacement therapy (peritoneal dialysis or hemodialysis). But you can also consider kidney transplant. Yes, you have to adapt to this changes, and certainly will be different than a person with no kidney failure, but you will be able to have a positive and almost normal life, especially if you get a transplant. ...Read more
CHF is treated with medicines very adequatly. What is the Underlying cause? High BP, CAD, Arrythmia, or Valve disease? The EF is measured by Echocardiogram ; which f=gives functional capacity of the Cardiac function.
Kidney Function are measured by Blood tests. And over all Clinical Symtoms also categorize the CHF and Kidney Failure.
Should get best help from Treating Physician, ...Read more
Depends: Life expectancy will depend on overall health and other medical issues. Patients with stage 4kidney disease are at a 6-8 fold increased risk of cardiovascular events compared to age matched controls. Cardiovascular risk reduction is key to prolonging. Good bp, diabetes control are important. Exercise and avoidance of obesity will help. Some patients live more than 20 years if the are healthy. ...Read more
Can woman who donates a kidney live normal life? What care must she take? Risk in pregnancy? Is there lowered life expectancy? Risk of kidney failure?
Depends: Most of us need one well-functioning kidney to live normally. However, one needs to think seriously before deciding to become a living donor. After all, it is a major surgery (mortality rate 2-3 in 10, 000) and it requires general anesthesia. Recent studies have shown that former donors do have slightly higher chance of pregnancy-related complications (e.g. pre-eclampsia). ...Read more
If someone has ascitites, kidney failure, end stage liver failure, how long would their life span be?
Short: This unfortunate collection of organ failures is called hepatorenal syndrome, it is rarely curable and associated with a short life span. Dialysis and liver transplant may be needed. ...Read more
Dad is sick: kidney failure, diabetes, gout, etc. Advice on how to cope while being away at college. Feel guilty, nostalgic & scared to have own life.
I've anemia, kidney failure (3), gout. Is there way to treat anemia w/o upsetting the gout and kidney? Is the anemia life threatening w/o treatment?
What is the life expectancy for someone with stage 5 kidney failure? Dialysis and transplant are not options because the heart is to weak.
What is the life expentancy for a 66 year old woman with stage 4 kidney failure and congestive heart failure and diabetes?
According to this website: http://www. Ncbi. Nlm. Nih. Gov/pubmed/22442392
men and women aged 40 years had a life expectancy of 30.5 and 34.6 years at egfr ≥ 60 ml/min/1.73 m (2), 24.5 and 28.7 years at egfr 45-59 ml/min/1.73 m (2), 14.5 and 16.5 years at egfr 30-44 ml/min/1.73 m (2) and 10.4 and 9.1 years at egfr 15-29 ml/min/1.73 m (2), respectively. Patients with diabetes and CHF can live shorter. ...Read more
I have severe preeclampsia 2011 almost loss of vision, kidney failure stillbirth a very traumatic event of my life do I have to conceive again. Scared?
No, of course not: Women are free to conceive or not to conceive. Women are free to do whatever they want with their own bodies. If not wanting to conceive, and wanting to continue having sex, just visit the ob-gyn and get some really effective birth control. One can also use condoms in addition to a method from the ob-gyn, for maximum protection. Vasectomy for the husband is an option, but rather permanent. ...Read more
What exactly does borderline kidney failure mean? & what can be done to keep them to get worse? Is ther e something im doing causing them to fail?
Kidney failure?: Two things that can lead to kidney failure (esrd) are poorly controlled hypertension and diabetes. If you have those problems make sure you have your BP well controlled and if you are diabetic, make sure you are under the care of an endocrinologist. See a nephrologist (n) and have a 24 hour urine collection to get your actual kidney function determined. After that the n can discuss your prognosis. ...Read more
The so-called enterohemorrhagic e. Coli is linked to a particular form of kidney disease called hemolytic uremic syndrome. Type o157 is the most common but other o types can also cause this. Anti microbial agents not only do not prevent the kidney complication but clearly are linked to a higher risk of it.
However, e.Coli sepsis of other types can cause kidney failure that may be prevented by rx. ...Read more
Uremia: If you have renal failure and is unable to excrete toxins and excess electrolytes/water from your body, you are likely to have symptoms and signs of uremia. They include nausea/vomiting, loss of appetite, inability to concentrate, diffuse itching, and lethargy in addition to having fluid retention. ...Read more
Many things: Kidney failure can be from problems before, within and after the kidneys (pre-, intrinsic, post-renal failure).Dehydration or poor blood flow from heart problems, blockage from prostate or urinary flow problems, and many things within the kidney. Infection can do it, too. Diseases such as diabetes and hypertension are main causes, as are medications. ...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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