Doctor insights on:
Preeclampsia Renal Disease
Edema, fatigue: There are many different types of renal diseases with different symptoms. Symptoms may include: swelling in legs/around eyes (edema), malaise (not feeling well), fatigue, foamy urine, blood in urine, pain in kidney area (flank), decreased or increased urinary output (decreased or increased urination). These symptoms are not specific for kidney diseases and can be associated with other conditions. ...Read more
A good Nephrologist: General principals would include control of hypertension, relief of any kidney obstruction, adequate hydration (assuming kidney function is not severely reduced), good control of diabetes, if present. Depending on renal function varying degrees of sodium, potassium, and protein dietary restriction may be required. ...Read more
Renal disease: It depends on what type of kidney disease. ...Read more
Build up: Of toxic substances that can impact the brain. ...Read more
Yes: It depends on the cause of renal failure of course. Some causes are permanent and cannot be cured; some are only temporary. Some infections, drug reactions, or obstructions (stones, tumors, etc.) can be resolved if treated promptly. ...Read more
Cardiorenal: Think of a pump (or the heart) building pressure against a filter that is very slow and inefficient, the kidneys in our case. For a while, the pump, which is elastic, will adjust by stretching trying to accommodate the extra load, fluid unfiltered by the kidneys. Once that capacity is reached the heart goes in failure, too. The extra fluid is managed with diuretics and eventually dialysis. ...Read more
Eruthropoietin: It is secreted by the kidneys, simply. When kidneys fail, all functions are reduced. Industrial production of erythrop works as good as the natural one. ...Read more
If a person is in end stage renal disease and needs a kidney, would age exclude her from transplant?
Transplant: It depends on several factors. Age is definitely an issue, but they often use extended criteria donor kidneys for older patients (the kidney may be older). I have seen transplant patients in their 80s get kidneys. The biggest issue is that the patient has to be stable enough (heart, lungs, body) to tolerate a transplant. ...Read moreSee 1 more doctor answer
Phosphorus control: If you are talking about reducing elevated phosphorus (P) levels in patients with kidney failure, P levels are brought down by two drugs. One is P binders that prevent P from being absorbed in the intestine. If those patients have high parathyroid hormone levels (PTH), drugs like cinacalcet reduce serum P levels by preventing it and calcium from being liberated from the bone by PTH. ...Read more
Renal Diets: Patients with any form of kidney disease should be offered a nutritional or dietary counselling. There are many types of kidney disease with various stages and complications that require careful attention not only to macronutrients (protein, carbs, and fat) but to micronutrients. For example, diabetic patients with renal disease require a completely different approach than those with hypertensive. ...Read moreSee 1 more doctor answer
Urine collection: Creatinine clearance requieres a full and precise 24 hour urine collection. The results can be falsely low if there is an undercollection, or falsely high if there is an overcollection. Also, creatinine can be affected by a high protein diet (the "ghoulash effect"). Such diets will raise serum creatinine. ...Read moreSee 1 more doctor answer
Here are some ...: Life expectancy in general or in relation to a disease should be taken as a general reference. So, a patient with the described clinical profile naturally lives less years to come. How long? No one can put a finger at it. Nonetheless, living longer if possible is still the common wish for all, except occasional private hidden agenda. How? Lifestyles + timely medical care give best possible hope. ...Read more
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