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Doctor insights on: Why Do Patients With Kidney Disease Suffer From Anemia

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How does kidney disease lead to anemia?

How does kidney disease lead to 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

Kidney (Definition)

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


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Why does kidney disease cause anemia? Epo?

Why does kidney disease cause anemia? Epo?

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

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Why does anemia cause progression of chronic kidney disease?

Why does anemia cause progression of chronic kidney disease?

Reversed sequence: Progression of chronic kidney disease results in development of anemia because kidney is no longer able to produce erythropoietin, a hormone enhancing red blood cell production from bone marrow. ...Read more

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Can Stage 3 kidney disease & kidney stones cause minor anemia & low TIBC? Thank you.

Can Stage 3 kidney disease & kidney stones cause minor anemia & low TIBC? Thank you.

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

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Why would a patient with kidney disease resort to kidney transplant?

Why would a patient with kidney disease resort to kidney transplant?

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

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What might indicate sjogrens syndrome caused a patients chronic kidney disease?

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

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Should people with kidney disease track blood bio-markers regularly? Which patients and which bio-markers? How often? Why?

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

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What do you advise if I have chronic kidney disease patient feeling breathing problem, what to do.?

What do you advise if I have chronic kidney disease patient feeling breathing problem, what to do.?

Seek medical help.: Chronic kidney disease can lead to several complications leading to breathing difficulty such as fluid gain, anemia, acidosis, infection. Difficulty breathing can be an emergency, so I recommend seeking medical attention right away. ...Read more

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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?

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

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Diet for patient with chronic kidney disease?

Diet for CKD patient: Try this website for food suggestions for patients with chronic kidney disease:

http://www.Webmd.Com/a-to-z-guides/eating-plan-for-chronic-kidney-disease#

good luck. ...Read more

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Can a patient with kidney disease take unisom?

Can a patient with kidney disease take unisom?

Yes: The active ingredients in unisom are antihistamines such as Diphenhydramine and doxylamine. These drugs are metabolized by the liver so renal toxicity has not been reported. These medications however can cause urinary retention. ...Read more

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What is a good eating plan for chronic kidney disease patients to gain weight?

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

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Why are patients with chronic kidney disease at higher risk for drug related complications?

Why are patients with chronic kidney disease at higher risk for drug related complications?

Kidneys filter drugs: When Chronic kidney disease is diagnosed kidney function have already dwindled. One of the many functions of kidneys is to filters drugs and their metabolic products into urine and excrete them. When that function is compromised, complications arise frequently. ...Read more

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How are chronic kidney disease (CKD) treated differently by patients' age, race, and gender?

How are chronic kidney disease (CKD) treated differently by patients' age, race, and gender?

Complicated issue: 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

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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

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Why are fruits/fruit juices bad for patients with chronic kidney disease?

Why are fruits/fruit juices bad for patients with chronic kidney disease?

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

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Does drinking a lot of water slow cyst development in polycystic kidney disease patients?

Does drinking a lot of water slow cyst development in polycystic kidney disease patients?

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

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Are Newton homeopathics safe for liver disease and kidney disease patients. Is it safe to take more than one product at a time?

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

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Could many itching spots on the back (extant for several years) be caused by the patient having polycystic kidney disease (ckd stage 3a)?

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

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A patient having polycysitc kidney disease associate with hypertension, do we call this secondary hypertension&is it due to cysts this BP elevation?

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

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Are chronic kidney disease patients usually routinely screened for heart disease?

Are chronic kidney disease patients usually routinely screened for heart disease?

Yes: Every one should be screened for heart disease because everyone is at risk - some more risk than others. ...Read more

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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?

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?

Polycystic kidneys: You have a wonderful children's hospital in Philadelphia. Call their urology department for help with your infant daughter.Their genetics department will also bevery helpful ...Read more

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How frequently are chronic kidney disease patients screened for heart disease? Are they screened for heart disease on a routine basis, or just once?

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

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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?

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

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Is potassium good for patient who has kidney disease or impaired renal function?

See answer: Patients with impaired renal function have difficulty getting rid of potassium. As kidney function worsens (GFR ...Read more

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What is the critical blood pressure for patients with chronic kidney disease?

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

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Which antibiotics are safe for patients with history of qt prolongation and liver/kidney disease?

A few: Traditionally the marcolide antibiotics (erythromycin type) are associated with qt prolongation. In addition, quinolones have also been associated. Whenever antibiotics may be needed, make sure you alert the prescriber of your condition beforehand. ...Read more

Previous Kidney Disease (Definition)

Polycystic kidney disease is a kidney disorder passed down through families in which multiple cysts form on the kidneys, causing ...Read more


Dr. Steven Ginsberg
1,285 doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more