Doctor insights on:
Why Do Patients With Kidney Disease Suffer From Anemia
Erythropoietin: The kidneys make a hormone called erythropoietin which travels to the bone marrow and tells it to make red blood cells. If the kidneys are diseased they sometimes do not make this hormone and the person will become anemic. Always remember there are many reasons a person can become anemic- kidney disease is only one way. ...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
Anemia in CKD: Chronic kidney disease (ckd) anemia is caused by the diseased kidneys not being able to make the hormone, erythropoietin (e). E stimulates the bone marrow to make new red blood cells. Epogen (epoetin alfa) is a man made drug that replicates e's affects on the bone marrow and is given to both CKD and dialysis patients to treat their anemia. ...Read more
Yes: It can definitely cause anemia in what we call anemia of inflammation. It is also known as anemia of chronic disease. The kidneys secrete an important hormone called erythopoetin which helps with the production of red blood cells. For this reason, you have anemia of chronic disease. You should definitely have iron studies drawn and see if you are a candidate for medication. ...Read more
Yes: Not absorbed in the blood and has no impact on kidney function. ...Read more
Longer life: If a patient is in kidney failure they have few options. One is dialysis and the other is transplant. If you compare longterm outcomes of both options, on average people with transplants live longer. Also most patients state their quality of life is better after transplant than while on dialysis. Transplant does have it's own set of problems that patients must deal with however. ...Read more
One of these forms:
Ss related kidney disease would show up in biopsy & lab work on blood & urine:
1. A tubular interstitial nephritis biopsy revealing lymphocytes infiltrating normal surrounding kidney tissue. 2. Dangerous electrolyte imbalances in blood from inadequate acid removal from urine. 3. Blood, protein & other waste products in the urine due to decreased ability of the kidney to filter well. ...Read more
Should people with kidney disease track blood bio-markers regularly? Which patients and which bio-markers? How often? Why?
Why?: Any time my trainees order tests my question back to them is "what will you do with the results?" and "how will that alter your management of the patient?" for patients to monitor their own lab values is generally harmless but most commonly of little help. "why?" was your last and most appropriate question. Good luck. ...Read more
Usually : usually but ask your kidney doctorGet a more detailed answer ›
What do you advise if I have chronic kidney disease patient feeling breathing problem, what to do.?
I have cellulitis for past 15 days i am a chronic kidney disease patient i was in Iv for 3 days and tablets were prescribed ..is it safe for kidney pa?
Should be: Obviously cellulitis can be quite severe and may require treatment including both IV and oral antibiotics as you are receiving. Regarding safety, antibiotic dosages may need to be altered either lower dosing of the pills or less pills taken because of your kidney disease. As long as though adjustments have been made /addressed you should be fine. Speak with your nephrologist to be safe. Good luck ...Read more
See Dietician: If you are on dialysis you should have an assigned dietician to help you with weight gain. If you have chronic kidney disease you need to be careful because a high protein diet potentially could cause fasting loss of kidney function. I would recommend talking to your nephrologist about a referral to a dietician. They are highly trained and generally can provide very useful information. ...Read more
The issue more complicated than can be addressed in 400 characters. Please consult this site for info.
http://www.mayoclinic.org/diseases-conditions/kidney-disease/basics/definition/con-20026778 ...Read more
What do you advise if I have chronic kidney disease patient feeling breathingproblem, what to do.?
Shortness of Breath: Typically the most common cause of breathing issues with kidney disease is related to fluid accumulation as the kidney is unable to excrete water efficiently. Typically this is seen in patients with more advanced disease or those with heart failure. There are many other reasons such as pneumonia etc. Please see your kidney doctor to work through these possibilities now. ...Read more
Juice and CKD: Patients with CKD can have problems with potassium (K) accumulation leading to high blood K levels. Juices that have high K content are citrus juices, orange, grapefruit, lime and lemonade and tomato juice, which is not a citrus juice. Apple juice can be ingested by people with CKD, as it is not high in K. ...Read more
No: Nothing has been proven to slow cyst development. There are drugs undergoing trials; octreotide, Everolimus and tolvaptan all working on different systems that are promising. Adpkd patients are told to drink fluids to decrease the risk of stone formation and utis, the kidneys are very large urine collects in larger areas with slower flow making these complications more likely. ...Read more
Are Newton homeopathics safe for liver disease and kidney disease patients. Is it safe to take more than one product at a time?
Depends: It depends upon what you are taking and why you are taking it. Please consult your physician before taking anything - especially if you have liver disease and or kidney disease. Take care. ...Read more
Could many itching spots on the back (extant for several years) be caused by the patient having polycystic kidney disease (ckd stage 3a)?
Not likely,,,: Polycystic kidney disease is characterized by flank pain, hematuria (blood in urine), urinary tract infection in 30s and 40s, and hypertension. Also cysts in the kidney and liver as well as berry aneurysms in the brain are characteristic. There are apparent no skin lesions that characterize this disease, unless they're due to whatever causes the urinary tract infections. Hope this helps. ...Read more
A patient having polycysitc kidney disease associate with hypertension, do we call this secondary hypertension&is it due to cysts this BP elevation?
PKD and HIBP: PKD causes hypertension in most affected persons. This is not secondary hypertension in the classical sense; this evolves from cysts, cyst compression of arteries, elevation of renin and angiotensin, and salt retention; meds help; low salt helps; avoid saturated fats; drink 4-5 liters fluid per day; avoid caffeine. ...Read more
Yes: Every one should be screened for heart disease because everyone is at risk - some more risk than others. ...Read more
What to do if I have 4-month old girl patient with polycystic kidney disease.w/o genetic studies, how do I know w/c type?
How frequently are chronic kidney disease patients screened for heart disease? Are they screened for heart disease on a routine basis, or just once?
Heart disease: This depends in large part on their doctor and their symptoms and can be highly variable. A thorough clinician will be assessing this with some regularity, but that does not always necessarily happen. ...Read more
I am a stage 4 chronic kidney disease patient and my GFR is 10 but I don't feel sick and I am very active. Is there any chance that I don't need dialysis or transplant in future?
Unlikely: Kidney tends to be rather progressive after a given level. It is based upon the increased demand for the remaining kidney to continue to process the needs of a given amount of skeletal muscle. At age sixty, even if a small famle with a lower muscle mass than a similar sized male the amount of work needed to process would most likely wear out the kidney completely by average life expectancy. ...Read more
Are chronic kidney disease patients more prone to chronic fatigue syndrome/myalgic encephalomyelitis than others?
Best blood pressure: It depends on what is causing your ckd. Patients without diabetes should have their systolic BP < 140 mm hg. Those with diabetes should try to have a systolic of 130 mm hg. The lower your blood pressure, without symptoms of dizziness or weakness, the fewer complications one can expect to have. Discuss your particular case with your physician or have have him refer you to a nephrologist. ...Read more
Which antibiotics are safe for patients with history of qt prolongation and liver/kidney disease?
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