Doctor insights on:
Protein Needs For Chronic Renal Failure And Not On Dialysis
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Terminology: Many physicians including nephrologists will use the terms chronic renal failure, chronic renal insufficiency, and chronic kidney disease interchangeably. Some will use the term "insufficiency" when the chronicity or the severity of the renal disease is not clear but in most instances, they are synonymous. ...Read moreSee 1 more doctor answer
Why are proximal tubular cells not affected in chronic renal failure and thereby not causing glucosuria?
Good question: Chronic renal disease is most often caused by damage to the blood vessels or the glomeruli / filters, leaving the proximal tubular cells able to work on however much filtrate is present. ...Read more
Unfortunately no: The natural course of renal failure is uremia and death. A low protein diet may alleviate some symptoms but the ultimate outcome will be death. Close monitoring of fluid intake and k restriction can improve non dialysis survival also. In general eating and drinking less will lead to longer survival, there are no natural supplements that increase longevity for esrd. ...Read more
Can you tell me for a patient who has hyperphosphatemia and hypercalcemia, and also has chronic renal failure, what to do?
See the dietician!: Diet can be problematic in dialysis patients/chronic renal failure patients. Many foods contain phosphorus; diaysis patients often take phosphate binders to help them excrete this. Kidney patients must watch calories, protein, and salt also. My best advice is to have a consult with the dietician at your local kidney center. They can help with recipies and ideas to keep you healthier. ...Read more
Lab testing: A creatinine clearance number of less the 10 generally determines renal failure. This number is calculated by your age, weight and sex. Not all people with ckd need dialysis right away. This is determined by symptoms associated with renal failuire like high potassium, volume overload(edema and difficulty breathing), itching, poor appetite, other "uremic" symptoms. ...Read more
The kidneys do several tasks. Dialysis is necessary when one or more of the following occur, that can't be remedied or palliated with medications: 1. Insufficient clearance of daily toxins in food and metabolic waste 2. Insufficient clearance of excess water 3. Dangerous electrolyte imbalance, ...Read more
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