Doctor insights on:
What Foods Can A Person With Renal Disease Consume Freely
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
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
If a person is in end stage renal disease and needs a kidney, would liver damage exclude them from getting a transplant?
Depends on severity: The liver can tolerate a significant degree of damage before it becomes apparent that there is a problem. The extent of damage is assessed in multiple ways ranging from understanding symptoms linked to liver disease (if there are any), blood tests, imaging tests, and very often a biopsy to look at the liver cells. Severe damage will likely require a liver txp too. Mild to moderate damage may not. ...Read moreSee 1 more doctor answer
Dialysis /Transplant: Ersd/kidney failure means most of kidney function has been lost + that subject will die unless they undergo dialysis or receive a kidney transplant. Means that kidney/s are unable to remove the nitrogenous waste products produced by your body produced by metabolising ingested protein + spent muscle. Esrd also defined as inadequate function to sustain lif or < 15 ml/min. Glomerular filtration rate. ...Read moreSee 2 more doctor answers
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
See Below: End stage renal disease is stage five ckd or GFR 15 or less. Dialysis is started when the function of the kidneys is inadequate to remove the metabolic byproducts of metabolism. In practice this is usually determined by measuring gfr. Most people have to start dialysis when GFR drops to 10-15 though it may have to be started higher or lower than that. ...Read moreSee 1 more doctor answer
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
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
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