Doctor insights on:
What To Do For Kidney Failure
Alcohol in ESRD: You should check with the dietician and your nephrologist at your dialysis center before you have any alcohol (a). If you have a, check the potassium, sodium and phosphorus levels found in the beverage you are consuming. You also need to include the liquid content of the beverage you are ingesting into your daily allowable fluid intake. A is metabolized in the liver and make sure it is healthy. ...Read moreSee 1 more doctor answer
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
Excellent question: Indicates your understanding & acceptance of problem. Carry on with low protein & low potassum diet& control acidosis & salt intake for as long as you feel reasonably well. Ask your nephrologist about how long before need for kidney replacement therapy. Consider pros and cons of dailysis vs transplant. Latter is best & living related kidneys are best & avoid waiting list for cadaveric kidney. ...Read moreSee 1 more doctor answer
Depends on diagnosis: A nephrologist is the specialist who organizes care of renal ( kidney ) preservation or function. Depending on the underlying diagnosis he can help orchestrate medical management. The more common nephrologic conditions include nephrosclerosis often seen in patients with hypertension and or diabetes. Glomerulonephritis, of which there are several types, will require specific treatments based on the subtype. ...Read more
Diabetes checked: Keep your diabetes well checked and maintain hemoglobin A1c level close to 6.0. Dcct(diabetic control and complication trial), a large multicenter collaborative study proved that good diabetic control prevented the development of renal failure or slowed down the progression of already developed diabetic nephropathy. ...Read moreSee 1 more doctor answer
Prevent/delay it!: If the kidneys have actually failed, you will need "renal replacement therapy:" hemodialysis (the kidney machine), peritoneal dialysis, or a kidney transplant. But if they are still working, ask your doctor about how you can maximize their function for as long as possible. Caring for diabetes and high blood pressure will help. Certain blood pressure meds may help more than others. Lgromkomd. ...Read more
See Your Doctor: An unhealthy kidney cannot do the work it is designed to do - clean your blood and keep critical levels of different chemicals in balance. Kidney failure is when the kidneys can no longer do the work needed and you doctor has to use medicines to help you out or prescribe dialysis which is kidney replacement treatment. Bottom line - see your doctor soon please. ...Read more
Kidney transplant: To prolong a kidney transplant, you need to take your immunosupressive agentss consistently and to need to be followed regularly by your team of transplant physicians. They can detect the problem of rejection early on and take steps to prevent it from destroying your transplanted kidney. ...Read moreSee 2 more doctor answers
Kidney infection: See a physician and have some urine sent off for a culture so your doctor can see if there is a bacterium causing your infection. The doctor will start you on some antibiotics. If this is a common problem, you may need an ultrasound of your kidneys to see if you have an obstruction to your urine's outflow. ...Read more
Reverse/Optimize CHF: drivers: (a) lipoproteins (get LDL <700 nmol/L, possibly <400, & Large-HDL >9 ?mol/L) (Chol wrong issue, LDL-C not measured from blood & poor correlation), (b) blood glucose HbA1c <5.0%, (c) resting sitting Systolic BP <120 mmHg, & titrate up Aceon (perindopril) (if BP Hi), AltAce (if BP Low) + Carvedilol as far as tolerated (too much; too fast can make feel worse, short-term) & track response with Echo, etc. ...Read more
Consult with MD: Some stones may respond to medications and changes in diet. Some may need to be removed of broken in pieces with a special ultrasound machine. For others, nothing needs to be done. Your doctor will determine which category of stones you have, and which is the best recommendation for you. ...Read moreSee 1 more doctor answer
What re the symptoms of chronic kidney disease. What tests needed to check for chronic kidney disease and how much kidney function left.? Thanks.
Subtle: Your kidney function is tested routinely whenever you get blood work done. The blood urea nitrogen and creatinine are the assays. The third test of kidney function is the ability to concentrate urine which isn't routinely done; the urinalysis looks for specific kidney problems and more. Early chronic kidney disease usually only produces vague feelings of ill health. ...Read moreSee 2 more doctor answers
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