Doctor insights on:
End Stage Chronic Kidney Disease In Elderly
What's the difference in asymptomatic chronic stage and symptomatic chronic stage in chaga's disease?
Chaga's: Go to uptodate.com for great discussion. Not enough room here. ...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
What is life expectancy for male in early 60s who is afflicted with end stage renal disease, diabetes, and chf?
Difficult to say: Signs that someone is nearing the end of life include weight loss, decreased speech (fewer than 6 words per day), need for medical interventions like IV fluids, frequent infections, not walking any longer and decreased interactivity with others. ...Read moreSee 1 more doctor answer
Husband was diagnosed with end stage liver disease, congestive heart failure, common variable immunodeficiency, ulcerative colitis. How much longer?
Impossible: There are many variables that you don't state (and probably don't know). Even if all the lab values were available, an accurate time table is never possible with human beings. I think you know from your question that each day with your husband now is precious. Try to enjoy what time he has left. ...Read more
Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more
Chronic bronchitis: Well- I came up with the answer because breathing is quintessential for life. Not that kidneys are any less important but your question was what could be more fatal. If you were to ask what could be more debilitating or what could compromise quality of life more-- it has to be CKD stage 4. They are yet to invent dialyzersctgat you could carry in your purse like an inhaler. ...Read more
Depends on severity: Neither disease is fatal if they are stable. However, stage 4 kidney disease tends to worsen to stage 5 disease which can be fatal. The worsening bronchitis depends on the cause (for example, common bacterial infection versus TB or not receiving the right antibiotics). Kidney disease is more likely than bronchitis to worsen without good compliance with medicines and diet and is more serious. ...Read more
In case of kidney transplant due to chronic kidney failure, which donated kidney is preferred: living related or living unrelated kidney?
3 mos mortality risk: Used to prioritize allocation of deceased donor organs for liver transplantation. Meld is a prospectively developed and validated chronic liver disease severity scoring system that uses a patient's laboratory values for serum bilirubin, serum creatinine, and the international normalized ratio for prothrombin time (inr) to predict survival. ...Read moreSee 1 more doctor answer
20-40%: About 40% of type 1 diabetes patients with kidney disease will develop kidney failure within 20 years without strict blood pressure and glucose control. About 20% of type 2 diabetes patients with kidney disease will develop kidney failure within 20 years, but blood pressure control has seemed to be less effective in completely stopping progression in these patients. ...Read moreSee 1 more doctor answer
Don't panic.: Stage 2 chronic kidney disease is mild and if it remains stable, should not affect your lifespan significantly. Lead a common-sense healthy lifestyle (healthy diet, exercise, avoid smoking, etc) and keep regular checkups with your primary care physician. If the kidney disease progresses (which it sometimes can), you should be referred to a nephrologist who can help manage this chronic condition. ...Read more
Does having fishy breath automatically mean you have chronic kidney disease? 22 y.O. Female in good health.
Fishy breath: No - uremic breath is distinct and not exactly fishy - It is possible post nasal drip or sinus infection is responsible; I recommend frequent drinking, mints, mouth wash 3 x daily, dental brushing 2-3 x daily; of course, if concerned have a blood test. ...Read moreSee 1 more doctor answer
Worsening CKD: You will know if your chronic kidney disease is getting worse if your bun, creatinine potassium, phosphorus and parathyroid levels are increasing in your blood. At the same time, your blood calcium, carbon dioxide levels may be decreasing. See a nephrolgoist to get a better answer to your question. ...Read more
Dealing with CKD: It depends on what is causing your chronic kidney disease (ckd) and your age. You should speak to a nephrologist and arrival at the cause of your ckd. If it is due to polycystic kidneys, not much may be able to be done. If it is due to hypertension, control of your blood pressure may be all that is needed. Other causes of ckd require other therapies. A nephrologist can give you more information. ...Read more
Ask nephrologist: You should always check with you nephrologist, but topically applied biofreeze should be safe to use. ...Read more
What is Creatinine: Chronic renal disease is separated into stages, but these are determined by the level of creatinine clearance, and BUN levels. So, if you have worse kidney function, these levels will begin to rise. If you have stage 3 disease, it is usually worse than 2, but not as bad as 4. People with stage 4 disease may be eligible for transplantation. ...Read more
Skin : One of the common effects of kidney disease on the skin is chronic pruritus or itch. ...Read more
Too complex: In short, it increases salt and water retention and potassium and magnesium and phosphorus retention depending on degree of ckd. Also increases PTH and decreases vit d due to elevated hormone called fgf 23. Less urine excretion is the reason for the retained electrolytes. Edema and weak bone result & high bp. ...Read more
Dialysis: The only way to treat and prevent folks from dying once disease has progressed too far. Done millions of times a day in US. ...Read more
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. ...Read moreSee 1 more doctor answer
Renal equals kidney: The kidney is the basic engine of the renal system. It is what processes the wastes and corrects the chemicals in the body. The remainder of the renal or genitourinary system is the plumbing that allows the liquid wastes of the body to be eliminated. ...Read more
Depends on the: Degree of renal insufficiency. Severe renal insufficiency requires dialysis or kidney transplant for survival. Chronic renal disease may cause high blood pressure, blood and protein in urine, anemia, weakness, and accelerated blood vessel disease. See this site for more information. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001503/. ...Read more
Proteinuria: Check for your urine for proteinuria (p). Patients with p have a higher incidence of stroke, kidney failure and heart disease related to the severity of their p. You need to see a nephrologist (n) and have a 24 hour urine collection done for a creatinine clearance and protein. If you have p, ask the n to start you on meds to reduce it to avoid complications in the future. Good luck. ...Read more
Close, semantics: Nephropathy means kidney condition. So you could have diabetic nephropathy, hypertensive nephropathy, or uric acid nephropathy. A chronic kidney disease (ckd) means a long-term kidney disease that is not amenable for correction. It also could have many different causes. Above examples of nephropathy are also chronic kidney diseases but uric acid nephropathy is possibly curable so it is not ckd. ...Read moreSee 1 more doctor answer
Begin education: The DX of any life altering illness requires a broad range of training to understand the dx, ways it will or won't affect daily activities & diet, expected changes in long term plans. The process is an ongoing one & often relies on a team of physicians, medical social workers, nurses and dietitians. Education for the child is targeted to their level of understanding. ...Read moreSee 1 more doctor answer
Depend...: Renvela is a phosphorus binder so to control low calcium and high phosphorus which happen in patients with end-stage kidney disease, usually under dialysis. Hence, it would not help reverse chronic kidney disease since low calcium with high phosphorus emerges at the very ending if kidney failure. More? Ask your nephrologist. ...Read more
Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a decreased capability of the kidneys ...Read more
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