Doctor insights on:
Stage 4 Kidney Disease
I just found out my father has stage 4 chronic kidney disease. Can you please tell me what that means and how I can help my father?
Stage 4 kidney disease means that there is not enough kidney function for normal health and patient needs dialysis or kidney transplant. See the site below for details. Your father will appreciate your support.
http://www. Kidney. Org/patients/peers/stage4.cfm. ...Read more
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
CKD stage 4: Stage 4 chronic kidney disease means that the person's glomerular filtration rate is between 15-29 ml/min. This indicates the person has severely compromised kidney function and the person does not have to start some sort of renal replacement therapy. Have the person see a nephrologist to treat any anemia or problems with high parathyroid hormone levels. Good luck. ...Read moreSee 1 more doctor answer
40grams protein diet:
And low phosphrus diet (no cola, chocolate, hard beans, and dairy)
also, low salt diet at 2000 mg sodium or less/ 24hrs and control calories per instructions if diabetes is present. Of course this patient sees a nephrologist and you can get more details from him or her or a dietitian. ...Read more
Need to find cause: Staging is meant for chronic kidney disease, means that the kidney functions have been stable for 3 months during which time there are no ongoing acute medical problems. It is based on GFR calculation which is an estimate of kidney function. I certainly suggest to see a nephrologist who will do necessary work up to find the cause, stage appropriately, and improve whenever possible. ...Read more
Can stage 4 kidney disease be cured? If levels are stable, how can I tell if getting worse. What symptoms should I look for?
Kidney Disease Cure: You should ask the doctor who told you that you had stage 4 kidney disease to refer you to a nephrologist and to tell you what caused it. It can be caused by diabetes, high bp, medicines, obstruction and diseases of the kidney. See a nephrologist for other tests and be followed by him. Symptoms of kidney failure may include weakness, nausea, itching, a bitter taste in your mouth among others. ...Read more
Stage 4 kidney dz: Stage 4 chronic kidney disease (kidney function of 15-30%) occurs for many reasons. People with stable stage 4 disease can live fairly normal lives. However, if the kidney disease is progressing rapidly, it can be associated with more complications (anemia, bone disease, end stage renal disease with dialysis). It is important to follow closely with a nephrologist. ...Read more
Possibly many years: Life expectancy depends on the rate of progression (many factors including medical and lifestyle interventions that might slow down the progression) and decisions on whether to pursue renal replacement therapy once reaches end-stage (that decision may depend on overall health, functional status, ability to tolerate various interventions, etc). Overall shorter than the average public lifespans. ...Read moreSee 1 more doctor answer
Why is my Fibrillary Glomerulonephritis painful? I have now reached stage 4 kidney disease because of FGN, but most articles say this should not be pa
Associated condition: FGN itself might not be painful but associated conditions could be painful. For example, renal failure can lead to uremia, which can occur in renal failure is associated with muscle cramps and abdominal pain. Renal osteodystrophy occurs in renal disease and can lead to brittle bone fractures that are painful. FGN is associated with malignancy and Crohn's disease that can be very painful. ...Read more
Due to excessive stress issues, my dr put me on Paxil (paroxetine) to try. 10 mg. Will this have a bad effect on stage 4 kidney disease? .
I have stage 4 kidney disease but can't have a transplant. Can I do dialysis for the rest of my life?
Yes: First I would concentrate on treating my stage 4 kidney disease to the best of my abilities. You may not need a transplant or dialysis if you can manage successfull what disease has caused your initial renal impairment. However if your disease progresses, you will have an opportunity to survive by being on dialysis. ...Read moreSee 1 more doctor answer
What are side effects of low dose taxol with herceptin every week for 12 weeks I have stage 4 kidney disease and am concerned?
Yes, but...: Has your stage-4 kidney disease occurred before or after Herceptin with low dose of taxol? Herceptin is known to have significant adverse effects on to the kidneys and Taxol is not. So, it is good idea to ask your treating doctor for the specific profile possibly fitting you since s/he knows more about you than anyone online and will monitor your kidney function while receiving Herceptin. Best.... ...Read more
My husband keeps getting UTI's and its Ecoli. He has stage 4 Kidney disease, any help is appreciated! He had stones removed they were Calcium Oxilate?
UTI: Infection in the presence of stones is often difficult to eradicate since the stones may harbor the bacteria where they form a biofilm that inhibits antibiotics from reaching them. He might want to consult with both a urologist and an infectious diseases expert in concert to see if a plan could be coordinated between the two of them. Hope he gets better soon. ...Read more
I'm adopted. Just discovered my Maternal Grandma died from acute kidney failure. My Mother is Stage 4 Kidney disease. What should I watch out for?
Annual blood tests: Unfortunately chronic kidney diseases do not generally cause symptoms unless they are pretty advanced. Assessment of kidney function is achieved by routine blood and urine test (that's how they are generally and accidentally found). Ask your doctor if you have not done it already to check your urinalysis and basic metabolic panel and if they are normal, no worries! ...Read more
Usuually chronic kidney disease does not improove
to prevent it getting worse, treat underlying cause, BP control and cholesterol control are basic
also prevent further harm by avoiding medications eg ibuprofen, aleve (naproxen) etc and also intravenous contrast iodinated dyes used for ct scans angiogram, unless absolutely necessary. ...Read more
No: It could be dangerous. If you have issues with excess potassium you may be placing yourself in harms way by juicing since many fruits and vegetables are already high in potassium. You should concentrate on a low sodium diet. About obesity and tobacco. Keep blood pressure under control. Exercise on a regular basis. Limit phosphorus intake. Following up regularly with your nephrologist. ...Read more
Chronic bronchitis: Well- I came up with the answer because breathing is quintessential for life. Not that kidneys are any less important but your question was what could be more fatal. If you were to ask what could be more debilitating or what could compromise quality of life more-- it has to be CKD stage 4. They are yet to invent dialyzersctgat you could carry in your purse like an inhaler. ...Read more
Depends on severity: Neither disease is fatal if they are stable. However, stage 4 kidney disease tends to worsen to stage 5 disease which can be fatal. The worsening bronchitis depends on the cause (for example, common bacterial infection versus TB or not receiving the right antibiotics). Kidney disease is more likely than bronchitis to worsen without good compliance with medicines and diet and is more serious. ...Read more
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