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Doctor insights on: Protein Needs For Chronic Renal Failure And Not On Dialysis

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What are the protein needs for a person with chronic renal failure and not on dialysis?

What are the protein needs for a person with chronic renal failure and not on dialysis?

See below: It is very important to know if you have normal Albumin level before you restrict any protein in your diet generally recommended is 0.8 grams per kg body weight.Consult a dietician. ...Read more

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Dr. Quresh Khairullah
518 doctors shared insights

Dialysis (Definition)

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


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Protein needs, renal disease and ulcer, not on dialysis?

Protein needs, renal disease and ulcer, not on dialysis?

Complex: Skin ulcerations require adequate circulation and nutrition to heal. Protein restriction is not appropriate in this circumstance. ...Read more

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Protein needs, renal disease and bed sore, not on dialysis?

Protein needs, renal disease and bed sore, not on dialysis?

Any open: Wounds require a lot of additional protein to heal. Need to keep a close eye on renal function. ...Read more

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Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Yes: Yes; an appropriate (but relatively strict) diet would have to be adhered to as recommended by your nephrologist. Exercise and hydration are equally important. Stage v renal disease, however is near " end-stage" and will likely progress into renal failure at some time. Peritoneal dialysis is an extremely appropriate, and oftentimes under used/recommended option, especially for younger patients l. ...Read more

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Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?

Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?

Kidney function: The decision to initiate dialysis usually is based on several factors. First laboratory testing can be performed to estimate the glomerular filtration rate. In addition clinical signs are taken into account such as the presence of swelling, poor appetite, weight loss, and decreased level of functioning. Since these are not absolute criteria, there may may some variance in opinion between physician. ...Read more

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What are the protein needs for adults with renal disease and pressure ulcers who are not on dialysis?

What are the protein needs for adults with renal disease and pressure ulcers who are not on dialysis?

Pressure sores: Pressure avoidance is the one 'must do' to allow sores to heal. As for diet, if you eat well you should be fine. Taking a multivitamin can only help. If you are worried about your nutritional status, see your doctor and have that evaluated. ...Read more

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What causes kidney disease and the subsequently need for dialysis?

What causes kidney disease and the subsequently need for dialysis?

Lots of causes: There are many causes for chronic kidney disease (ckd). Most common that i see for patients that need dialysis access are diabetes and poorly controlled high blood pressure. Another fairly common one is an inherited condition called polycystic kidney disease. Other causes include immunologic diseases which attack the kidneys, and anatomic problems that cause blockage of the kidneys. ...Read more

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Isn't it impossible for someone to have end stage renal failure with consistently normal bun and creatine blood levels and only protien in urine?

Isn't it impossible for someone to have end stage renal failure with consistently normal bun and creatine blood levels and only protien in urine?

Most likely yes: The diagnosis depends on multiple factors including the likelihood of improvement with treatment. If there can be no improvement and there is severe protienuria due to glomerular malfunction, it is possible to be labeled end-stage before a significant change in creatinine or BUN has occurred. ...Read more

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Prognosis for total kidney and liver failure dyalisis not an option, what type of life expectancy?

Prognosis for total kidney and liver failure dyalisis not an option, what type of life expectancy?

Very poor: Unfortunately very poor however depends on what is meant my "total" failure. If complete kidney failure means not making any urine, then prognosis is typically days, up to 1-2 weeks w/o dialysis. If complete liver failure (your doctor would use prognostic tools such as meld and childs-pugh) and would consider lab values and signs/symptoms of liver failure and typically could be weeks to months. ...Read more

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What criteria is used to determine if someone needs kidney dialysis? Mom is stage 4 kidney failure, diabetic, has extra ureters/prone to infection.

What criteria is used to determine if someone needs kidney dialysis? Mom is stage 4 kidney failure, diabetic, has extra ureters/prone to infection.

When dialysis: Daughter asks what criteria are used to start diaysis for her mother. A complex question that can only b answered by your mother and her Nephrologist. But absolute indications to begin tonight: uremic pericarditis, pluritis or encephalitis, unresponsive high K or fluid Fluid excess. If eGFR <5 most need dialysis depending on other symptoms and signs of renal failure. some may need at higher eGFR. ...Read more

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What's an alternative remedy for a patient with kidney failure aside from dialysis and kidney transplant?

What's an alternative remedy for a patient with kidney failure aside from dialysis and kidney transplant?

Not remedy - death: Some patients with kidney failure who are not actively depressed, have tried dialysis and are not reasonable transplant candidates choose to withdraw from care and knowingly accept that they will die. This is allowed in the us but certainly not encouraged. A pulitzer prize winning author, james michener, decided after the age of 90 that he had written his last book and did withdraw from dialysis. ...Read more

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What diet is recommended with chronic renal failure?

What diet is recommended with chronic renal failure?

Renal diet: Typical dietary advice would include low sodium, low phosphate and high protein if on dialysis. Pre dialysis advice may ask for low protein to extend pre dialysis renal function. Every patient has differing needs. The diet should be discussed with your doctor. ...Read more

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What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?

What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?

Treatment: I am very surprised that your kidney doctor has not described this to you in detail. Either go back for more education or have your PC to refer you to a different specialist who should help you understand what is happening and what will develop. Hopefully for better! ...Read more

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I have end-stage kidney failure but I'm not on dialysis. I follow a special renal diet and I'm a vegetarian. What are good sources of protein for someone like me who must also limit phosphorus and potassium?

I have end-stage kidney failure but I'm not on dialysis. I follow a special renal diet and I'm a vegetarian. What are good sources of protein for someone like me who must also limit phosphorus and potassium?

The answer depends on what type of vegetarian you are: It also depends on your level of kidney function and how restrictive you need to be with protein, phosphorus and potassium. A proper renal diet is an essential part of any treatment plan for chronic kidney disease. Although a renal diet limits protein, you still need to eat some high-quality protein every day. Being a vegetarian doesn't mean missing out on quality protein. There are plenty of good plant sources of proteins. However, a vegetarian renal diet requires a tailored meal plan from a registered dietitian because vegetarian sources of protein also contain varying amounts of potassium and phosphorus. Your dietitian can help you choose the right foods in the right amounts. Your kidneys are responsible for preventing too much potassium and phosphorus from building up in your blood. So it's important to have the right amount of potassium and phosphorus in your diet to avoid overwhelming your kidneys' ability to maintain healthy levels. Here's some basic information on: Protein. , Phosphorus. , Potassium. , Sodium. . Your meal plan should also include guidelines for other food groups, such as grains, fats and sweets. A meal plan from a registered dietitian will help you meet your needs for calories and other important nutrients. ...Read more

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How much time can you live with complete renal failure and limited dialysis following sepsis caused by gall stones?

How much time can you live with complete renal failure and limited dialysis following sepsis caused by gall stones?

Not long: This is a tragic combination! Sepsis can be fatal in a matter of hours if untreated . Complete renal failure without the intervention of dialysis would be fatal within a few days at best. ...Read more

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What is the life expectancy for a person with stage 4 renal falure and 1 kidney with no dialysis?

What is the life expectancy for a person with stage 4 renal falure and 1 kidney with no dialysis?

Variable: The answer to this question really depends on how well the illness is managed and the rate of decline of the kidney function. Some patients may decline to end stage kidney failure in a year while some may take several years. ...Read more

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What if the patient has liver cirrhosis (alcohol) and his kidneys have failed/are failing. Can Dialysis help. He is unconcious:-( ?

What if the patient has liver cirrhosis (alcohol) and his kidneys have failed/are failing. Can Dialysis help. He is unconcious:-( ?

Poor prognosis : Renal failure in a patient with end-staged liver disease portends a very poor prognosis. Hepatorenal syndrome is complex and poorly understood but mortality is very high within weeks of development. While dialysis can prolong life, unless he is a liver transplant candidate, his quality and length of life will be severely curtailed. ...Read more

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What can cardiac catheteration do for the heart and if a kidney transplant patient needs one?

What can cardiac catheteration do for the heart and if a kidney transplant patient needs one?

Information: It is the definitive test for blockage in the coronary arteries. Your transplant doctors may or may not feel that that information is critically important in your particular case. ...Read more

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What does it mean if a patient with congestive heart failure has cyanosis coupled with liver and kidney failure?

What does it mean if a patient with congestive heart failure has cyanosis coupled with liver and kidney failure?

Treat it fast: This organs all are affecting each other. Congestive heart failure affects liver and both cause kidney problem. It's possible to control heart, liver and kidney failure by specific measures and medications in most of the cases. ...Read more

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What are the protein needs for a person with chronic renal failure and not on dialysis?

See below: It is very important to know if you have normal Albumin level before you restrict any protein in your diet generally recommended is 0.8 grams per kg body weight.Consult a dietician. ...Read more

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I have chronic renal failure and am on dialysis. Could I still be able to adopt a child?

I have chronic renal failure and am on dialysis.  Could I still be able to adopt a child?

See below: I dont see why not? Dont know your age, but you may want to ask your doctor about home dialysis therapies and kidney transplant these would enable to have a better medical outcome and lifestyle and energy. Many things depend on your other medical problems. ...Read more

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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

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What is the difference between chronic renal failure and end-stage renal disease?

What is the difference between chronic renal failure and end-stage renal disease?

Stages: Chronic kidney disease can be staged based on creatinine clearance in 5 stages. End stage usually designates stage 5 of chronic kidney disease. ...Read more

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What is the difference between chronic renal failure and chronic renal insufficiency?

What is the difference between chronic renal failure and chronic renal insufficiency?

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 more

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What diet is recommended with chronic renal failure?

Renal diet: Typical dietary advice would include low sodium, low phosphate and high protein if on dialysis. Pre dialysis advice may ask for low protein to extend pre dialysis renal function. Every patient has differing needs. The diet should be discussed with your doctor. ...Read more

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What are some of the symptoms of chronic renal failure?

What are some of the symptoms of chronic renal failure?

Uremic symptoms: As kidney function deteriorates, one will start to develop symptoms of uremia (i.e. build-up of toxins the kidneys are unable to excrete) including persistent nausea, vomiting, poor appetite, diffuse itching, depression, and inability to concentrate. As chronic kidney disease progresses, anemia will get worse and feel tired (kidneys produce a hormone that stimulates bone marrow to produce RBCs) ...Read more

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I have chronic renal failure. What type of foods are good for me?

I have chronic renal failure. What type of foods are good for me?

Low sodium important: Low sodium, moderate protein restriction, avoid cola like drinks. I advanced chronic kidney disease may need to avoid foods high in phosphorus and potassium. Always check with a nephrologist. ...Read more

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Doctors, what are the symptoms of chronic renal failure?

Doctors, what are the symptoms of chronic renal failure?

Renal failure: If you are taking about end stage renal disease i.e. In patients needing to start dialysis, some symptoms are nausea, vomiting, lethargy, anorexia, bleeding from gums, itching, reversal of day-night sleeping patterns, among others. Those patients should see a nephrologist to see if they have to start some type of dialysis. Patients with mild renal disease may have no symptoms and have abnormal labs. ...Read more

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What are the barriers to the assessment of someone with chronic renal failure?

Weight and money: Obesity hinders the accurate assessment of renal function as the estimate of renal function is based on normal weight and muscle mass, obesity obscures signs and symptoms of many systemic diseases.Lack of insurance has been an impediment to acquiring the appropriate testing for some of my patients. ...Read more

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What does htn and chronic renal failure mean?

What does htn and chronic renal failure mean?

HTN & renal failure: Htn (hypertension or high blood pressure) is one of the two leading causes of chronic renal (kidney) failure. Diabetes is the other leading cause. Many people have both HTN and diabetes! when kidneys shut down, many body systems suffer: heart, bone health, red blood cell production, etc. When kidneys stop functioning, kidney transplants or dialysis help; there's no substitute for healthy kidneys! ...Read more

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What is metabolic acidosis in chronic renal failure from?

What is metabolic acidosis in chronic renal failure from?

Unable to remove: Metabolic acidosis is a constituent of renal failure, arising mainly from the inability of kidney to remove excess acids in blood. ...Read more

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Is there any natural treatment for chronic renal failure?

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

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What's the safest class of antihypertensive in chronic renal failure?

Renal failure: Calcium channel-blockers, beta blockers, and diuretics are used most in renal failure to treat hypertension. In such patients, BP is typically quite volume dependent. ...Read more

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How does accupressure help in the treatment of chronic renal failure?

How does accupressure help in the treatment of chronic renal failure?

It doesn't: I am unaware of any beneficial effect. I would recommend consultation with a board certified nephrologist for treatment of crf. ...Read more

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What are the long term affects of untreated chronic renal failure? Current GFR 53. Is there any treatment at all or is it just managed conservatively

Family practice : You may want to see a nephrologist make sure medications you take are not irritating to your kidneys. If you are a diabetic this needs to be well controlled. ...Read more

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Dr. Tarek Naguib
600 doctors shared insights

Kidney Failure (Definition)

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


Protein (Definition)

Proteins are large molecules made up of a smaller class of molecules called amino acids. Proteins play an enormous role in the function of our bodies including enzymes, messengers, replicating dna, ...Read more