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Doctor insights on: What Can Be Done To Prevent Renal Failure Or Derangements In Myeloma Patients

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What can be done to prevent renal failure or derangements in myeloma patients?

What can be done to prevent renal failure or derangements in myeloma patients?

Disease treatment: The only effective prevention for the renal disease associated with myeloma is the effective treatment of the underlying disease. ...Read more

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Dr. Andrew Berry
127 doctors shared insights

Kahler Disease (Definition)

I had not heard of "kahler's disease" until seeing multiple questions on healthtap. It is multiple myeloma (mm). "multiple" is from the often seen "multiple" bone lesions (especially in advanced disease). Mm is a cancer of plasma cells [highly specialized b white blood cells (lymphocytes)] that produce antibodies. Sx are crab: hypercalcemia, renal insufficency, anemia, ...Read more


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Could you tell me what functional changes occur in kidney with chronic renal failure?

Could you tell me what functional changes occur in kidney with chronic renal failure?

Only late: Patients with chronic kidney disease usually do well for years with no symptoms. This depends on the cause of the kidney problem. It is important for close follow up by your doctor or nephrologist to minimize further kidney damage. The actual changes in the kidney depend on the causre, but the ultimate effect is gradual reduction of the kidney's ability to clear waste products from blood. ...Read more

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What are the common diseases that can give rise to chronic renal failure?

What are the common diseases that can give rise to chronic renal failure?

AODM and HTN: Without question, adult onset diabetes mellitis and hypertension are the most common. Together, these diseases account for over half of our nation's ckd-5 (end stage renal failure). Because each of these diseases can be modified by lifestyle, exercise, weight management, and medications, it is important for us to do all we can to prevent renal failure - or at least delay it as long as possible. Lg. ...Read more

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Could you tell me what are problems with the treatment of renal failure by kidney transplants?

Could you tell me what are problems with the treatment of renal failure by kidney transplants?

Here are some: The best treatment for chronic kidney failure is a kidney transplant, if you can find a matched donor kidney. Once the kidnay donor is found and and the new kidney is transplanted it requires a lot of care to avoid rejection by the body...So immune suppressive drugs have to be taken by the patient...These are taken for the long term and they have some side effects. ...Read more

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What food can be taken by renal failure patients?

What food can be taken by renal failure patients?

Many: These patients can still eat any foods, but they just need to decrease the amount of potassium and phosphorous containing foods. Just as a diabetic can eat any sweets, they need to limit it. Renal failure patients need to limit total fluids, potassium and phosphorous. If on dialysis, protein is usually encouraged, but if pre-dialysis, high protein intake may not be a good idea. ...Read more

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What are the common diseases that may give rise to chronic renal failure?

What are the common diseases that may give rise to chronic renal failure?

Causes: Causes of chronic kidney disease (CKD) include diabetes, hypertension, inflammation of the filtering units of the kidneys (glomerulonephritis), recurrent urinary tract infections, rheumatological conditions (e.g. lupus), and certain viral infections (HIV, hepatitis B & C). In some instances, high blood pressure is an end result of another kidney disease rather than the cause. ...Read more

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Can kidney disease and failure be prevented in any way?

Can kidney disease and failure be prevented in any way?

Control Diseases: Kidney disease is caused primarily from diabetes and high blood pressure. If you control these disease, it is unlikely you will develop renal problems. ...Read more

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What diseases or conditions commonly lead to needing a kidney transplantation?

What diseases or conditions commonly lead to needing a kidney transplantation?

Kidney failure : The most common causes of severe kidney failure are diabetes and high blood pressure.Less common causes are kidney toxins, especially medications, or inflammation caused by systemic diseases or idiopathic kidney inflammation.The kidneys do tend to wear out over time due to aging, especially for those with cardiovascular disease, but in that condition it is usually other insults that make it bad. ...Read more

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What are the acceptable potassium levels in a patient with chronic kidney disea?

What are the acceptable potassium levels in a patient with chronic kidney disea?

3.5 to 5.0-5.5: Generally, the potassium should be kept within normal limits just as for a person without renal disease. Most labs have a normal range of 3.5 on the low end and may be anywhere from 5 to 5.5 on the high end. Potassium is less well eliminated by patients with kidney disease and generally with advanced kidney disease, the potassium intake must be reduced. ...Read more

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Why can it be dangerous to administer drugs to patients in renal failure?

Why can it be dangerous to administer drugs to patients in renal failure?

Medications in RF: Many medications and/or the byproducts that come from taking a medication have to get out of your body by way of your kidneys. Also, some medications can, at high levels in your blood, damage your kidneys. Virtually every drug given to a renal failure patient needs to first be looked at from the standpoint of the need to alter dosing before being given. This is really important. ...Read more

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What can be done to prevent further bone loss in elderly adults?

What can be done to prevent further bone loss in elderly adults?

Calcium/vitD/meds: If bone loss has been cofirmed by osteoporosis screening test.You should take calcium with vitd and your doctor can prescribe one of the meds to prevent osteoporosis getting worse and more loss of calcium from the bones. ...Read more

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Anny food can't be taken patient kidney failure ..? Give example..? And person who can get the kidney failure?

Low phosphorous: Phosphorous is present in milk, cheese, nuts, meats and other foods. Limiting the amount of phosphorous eaten and taking binders, pills that stick to phosphorous in the gut preventing absorption, is of vital importance for a dialysis patient. High levels of phosphorous are associated with itching, red eyes and over the long term vascular injury by being stuck into the walls of arteries. ...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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If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?

If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?

The: Dangers on nsaida are gastric ulcer and renal insufficiency, the later not a issue because you are on dialysis. (not so with transplant) so you probably could take, remember other tx for your arthritis are available. ...Read more

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I understand nkcells are necessary to maintain homeostasis, however a pt with a cancer dx, where nkcells can fight the malignancy can they be increase?

I understand nkcells are necessary to maintain homeostasis, however a pt with a cancer dx, where nkcells can fight the malignancy can they be increase?

No: Nk cells are part of the innate immunity. The immune system has two components, cell and humoral immunity. When an igg is given therapeutically it has to be in the humanized (chimeric) or human form. The igg works by adcc (antibody dependent cell cytotoxicity) carrying nk cells to the tumor where no is released to cause tumor cell destruction. The fc has receptors for nk. ...Read more

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Can a fall cause death to an elderly person with renal failure early stage?

Can a fall cause death to an elderly person with renal failure early stage?

Yes: A fall can cause the death of an elderly person in a number of ways. They could sustain a subdural hematoma or a hip fracture for instance which could lead to their death. ...Read more

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How can you treat renal failure in a preemie?

How can you treat renal failure in a preemie?

Really hard to do: This requires the expertise and skills of a pediatric kidney doctor. Diet modification, dialysis, avoiding complications, and treating the underlying cause can be effective in my experience. ...Read more

Dr. Tarek Naguib
605 doctors shared insights

Kidney Failure (Definition)

A condition in which the kidneys lose the ability to remove ...Read more