Doctor insights on:
Oxygen Therapy Chronic Kidney Disease
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
Debatable: One newer approach to treating chronic kidney disease (ckd) is experimental anti-inflammatory drugs. There have been limited positive results. Alternatively, there are many testimonials on the benefits of enzyme therapy for a variety of disorders, many of which have some inflammatory component. Thus, benefits of enzyme therapy in ckd/dialysis is debatable. Best, talk to your doctor and discuss. ...Read more
Enzymes: I am not aware of any specific enzymes that reverse kidney disease. Kidney disease most simply put is the progressive loss of the inner structure of the cells that filter the wastes of the body. ...Read more
Plenty.: Avoid nephrotoxins. Control risk factors for worsening (htn, dm, etc.) begin medications with renal protective effect (ace-i). Get hooked up with nephrologist. ...Read more
What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?
Dialysis: When your kidneys function less than 6 cc per minute calculated filtration rate, you should go on dialysis. Normal rate is about 60-75cc per minute. Unless you get chest pain, shortness of breath or severe swelling, you may not be ble to tell the difference between mild, moderte and severe kidney disease. You should bemonitored by a kidney specialist. ...Read more
Is their other treatment other than dialysis and transplant for chronic kidney disease? At stage 4. .... Is there medication available to repair?
Treatment of CKD: At CKD stage 4, you do not need dialysis at present. If you CKD progresses to end stage renal disease, you will need to start on dialysis or have a transplant. You do not list that you have diabetes or hypertension, if the cause of your CKD is polycystic kidney disease, not much can be done for your decline into higher stages of ckd. Your nephrologist is the one to speak to about your prognosis. ...Read more
What is the treatment for calciphylaxis nephrogenic fibrosis dermatopathy for chronic kidney disease patients. The inflamation on both legs r unbearab
The 2 are different: Calcipylaxis is probably what you are referring to. Vpainful dark leg lesions that later ulcerate and actually may heal in my experience over months. The problem is its incapacitating pain and infection development that make mobility not possible. Most pts request to quit dialysis. May use local Lidocaine 2% gel on it to kill pain. Of 14 pts I have seen, 2 healed in 3 months both on 500 mgcipro/day. ...Read more
CKD & homestasis: Kidney maintains body homeostasis by various ways, such as excreting metabolic waste, synthesis of hormones, vitamins & maintaining bone health. It regulates BP, volume status, electrolytes & acid base status. CKD affects all of this body homeostasis & eventually increase cardiovascular mortality. It’s hard to explain the treatment of CKD in few words. Talk to your doctor about CKD. ...Read more
Control blood pressure, identify and control causative disease (diabetes, SLE etc.) Na restriction, protein restriction, appropriate diagnotic testing and followup. Pre dialysis preparation and education. Transplant preparation, dialysis access and modality planning.
removal of nephrotoxic medications, foods and behavior, achieve ideal body weight and stop smoking. ...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 more
94/f. Stroke yesterday. Has chronic kidney disease stage 3 HTN the stroke was a surprise. Do u think she'll see Turkey Day? I don't
Anything can happen and a stroke should NOT have been a "surprise" However old folks are amazingly "adaptable" after all they are SURVIVORS! Hope she is not uncomfortable and do NOT be surprised if she makes it to Turkey Day!
Hope this helps!
DrZ BTW I have a 99 year old MOTHER-IN LAW and if she were not BLIND she be MAKING the TURKEY! ...Read more
CKD medications: With all medical conditions medicine should only be used if absolutely neccesary, since all medicine has some risk of toxicity. In CKD meds can help, especially in more advanced stages or certain complications. Meds may be used for blood pressure control, renal protection, regulation of mineral metabolism, or help with anemia. But some patients can do great with careful diet and exercise alone. ...Read more
Ask nephrologist: You should always check with you nephrologist, but topically applied biofreeze should be safe to use. ...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
The issue more complicated than can be addressed in 400 characters. Please consult this site for info.
http://www. Mayoclinic. Org/diseases-conditions/kidney-disease/basics/definition/con-20026778 ...Read more
What do you advise if I have chronic kidney disease patient feeling breathingproblem, what to do.?
Shortness of Breath: Typically the most common cause of breathing issues with kidney disease is related to fluid accumulation as the kidney is unable to excrete water efficiently. Typically this is seen in patients with more advanced disease or those with heart failure. There are many other reasons such as pneumonia etc. Please see your kidney doctor to work through these possibilities now. ...Read more
Is there a significant reason why my RT Kidney is 8.3cm length and LT is 9.4cm length. I have chronic kidney disease?
Is most likely within the normal size variation side to side...ask your kidney Doctor to confirm! Some kidney disease can alter kidney size however USUALLY this is BOTH sides (bilateral)
Hope this is helpful
Dr Z ...Read more
Cant tell: This is decided after a complete clinical exam and depends what kind of kidney problem is involved/. ...Read more
Only transplantation: Otherwise chronic kidney disease can not be 'cured'. However, very ofet can be stabilized to halt or slow down progression. ...Read more
Misdiagnosis: Patients with chronic kidney disease (ckd)should see a nephrologist. To determine their stage, they need a 24 hour urine collection (24 uc) for creatinine clearance and protein. Once that is done, the stage of CKD the patient has is readily determined and therapy can commence. Did the patient in question have a 24 uc? Was the patient seen by a nephrologist? ...Read more
Lasix (furosemide) is useful to manage the fluid overload and edema that go with kidney disease. It will also help keep potassium controlled and acidosis.
It helps with blood pressure and congestive heart failure, it is very commonly used in chronic kidney disease. It does not improved kidney disease but it helps keep you well with kidney disease ...Read more
One of these forms:
Ss related kidney disease would show up in biopsy & lab work on blood & urine:
1. A tubular interstitial nephritis biopsy revealing lymphocytes infiltrating normal surrounding kidney tissue. 2. Dangerous electrolyte imbalances in blood from inadequate acid removal from urine. 3. Blood, protein & other waste products in the urine due to decreased ability of the kidney to filter well. ...Read more
No: Not necessarily. It depends on the cause of the chronic kidney disease, your other health concerns (such as elevated blood pressure), your age, and how long you have had kidney disease. It would be wise to control diabetes, blood pressure, and monitor medication use that could further cause kidney harm to prevent progression to dialysis and/or transplant. ...Read more
It progressively worsens the kidneys. Starts out by ruining different filters, first more urine, then start peeing proteins called albumins. This stage is called 'microalbuminuria'. As diabetic nephropathy progresses, increasing numbers of glomeruli are destroyed.
All this happens throughout the years. ...Read more
Coincidental?: Like being underwater; unable to breathe. When the co2 in blood gets too high, you blast to surface for a big gasp of air. Osa occurs when airway is blocked during sleep, muscles flaccid/paralyzed. When co2 is too high, brain enters crisis mode, lightens the level of sleep to permit active muscle control and permit a big gasp to replenish o2, then back to deep sleep to do it again. Get osa treated. ...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