Thursday, November 28, 2013

My mom is sick/has Lupus and she doesn't take care of herself! Why?

　　Lupus nephritis is the name given to the kidney disease caused by systemic lupus erythematosus. Lupus nephritis occurs when autoantibodies form or are deposited in the glomeruli, according to the National Institute of Diabetes and Digestive and Kidney Diseases. Lupus nephritis is also known as lupus glomerulonephritis or lupus glomerular disease.
　　How Common Is Kidney Involvement Among Lupus Patients?
　　Systemic lupus erythematosus is an autoimmune condition that affects predominantly young women and may affect many different organs in the body including the:
　　skin
　　lungs
　　joints
　　heart
　　central nervous system
　　kidneys
　　Kidney involvement may affect up to 85% of patients but it is often mild and needs no specific therapy.
　　Lupus Nephritis: Overview
　　Guide to Lupus
　　Lupus: Not a Simple Disease
　　How Is Lupus Nephritis Diagnosed?
　　Lupus nephritis can be detected by finding abnormalities in the urine (such as an increase in the amount of protein) or the blood (such as a decrease in kidney function or elevatedcreatinine). If the disease is felt to be clinically significant, a renal biopsy (kidney biopsy) may be recommended.
　　Lupus Nephritis (Symptoms / Diagnosis)

　　Kidney Problems (Blood and Urine Tests)

Is there a link between Iga nephropathy and chronic pancreatitis?

　　Prevention* & Cure* of any Disease/Syndrome/Disorder/Hormonal Imbalance, be it, bacterial, viral and or auto-immune disoerder, dreaded and incurable diseases affecting even brain and spinalcord, etc., :--- How to increase your metabolism & to boost-up immunity power? Religious compliance of all stipulated instructions ensures total cure.
　　In any ailment [acute as well as chronic] and emergencies, Acupressure techniques come to Ur rescue, not only for instant diagnosis, but also for giving some prevention of any disease[s] and perceivable relief/cure. No medication/hospitalization/side effects. Most suitable to the poor masses, who can’t afford insurance, nor ability to pay the bills.
　　1. Acupressure techniques--- Utility—Blocked energy + toxins shall be moved from all Ur internal organs to purge in the normal drainage system, i.e., urine, feces, sweat, cough, menses[ladies], vomitting and all the organs shall function up to optimal levels
　　Acupressure Techniques—NO MEDICATION. NO SIDE EFFECTS. NO HOSPITALIZATION. NO COSTS. IT IS SAFE ALSO.
　　With Ur thumb & middle finger, “hard press” ur/his/her palms and soles, wrists and ankles on both sides. Suppose pain is felt while pressing a particular Acupressure point No.1-10, 11-16, 37 [brain, head nerve, etc.,]in the palm/sole, u have to press the surrounding area—just like U r pumping out air from that painful point. The blocked energy in any internal organ, be it lungs, heart, stomach, kidneys, pancreas, liver, etc., shall be released along with toxins if any. As a last point u must press middle part of each palm/sole; so that toxins, if any, shall be excreted/purged through urine without affecting the kidneys.
　　It should be done in an empty stomach or 2 hours after meals. With this, all the endocrine glands and their hormonal secretions shall be regulated. All internal organs shall function up to optimal levels. Ur entire immune system gets invigorated to produce antibodies.
　　Remote Control Aupressure Points:

　　Point Nos.1-10 -----1 [brain], 2 [Mental Nerves], 3 [Pituitarygland], 4 [Pineal gland], 5 [Head Nerves], 6 [Throat], 7 [Neck], 8 [Thyroid & Parathyroid], 9 [Spine], 10 [piles-constipation], , Point Nos.11-16, No.11 [Prostrate gland], 12 [Penis], 13 [Vagina], 14. Testes & Ovaries], 15 [Uterus], 16 [Lymph], 17 [Hip], 18 [Urinary Bladder], 19 [intestines], 21 [appendix-front side], and 21 [allergy-back side]; 22[gall bladder], 23 [liver], 24[Shoulder], 25[Pancreas], 26[kidney], 27[Stomach], 28[Adrena gland], 29[Solar Plexus-Nabhi Chakra-Umbelicus], 30[Lungs], 31[Ear], 32[Energy], 33[Nerves of ear], 34[Cold], 35[Eye], 36[Heart], 37 [spleen]. 38[Thymus].

　　2. In Ur diet U may include aloe vera juice, raw vegetables, green juices, raithas, salads, sprouted seeds, dry fruits, nuts,wheat grass powder, noni juice, black tea, green tea, etc.--and
　　3. Exclude cooked food, burgers, pizzas,noodles, Chowmein, [deep freeze & deep fried mutton, chicken red meat, beef, pork, etc.], salt, baking soda, chocolate, coffee, colas made in India, tea, Nutra Sweet with aspartame, etc. Frying, grilling, and broiling meats at very high temperatures causes chemicals to form that may increase cancer risk.
　　6. Immuno Plus+ 1 caps bdi in empty stomach,
　　7. Memory+ 1 caps bdi in empty stomach,
　　8. Triphala Caps 2 caps bdi after lunch & dinner.
　　9. Liver Toner+ -1 cap after lunch & dinner.
　　10. Allergy Cut – 1 capsule before breakfast, lunch and dinner in an empty stomach.
　　11. Ashwagandha Caps. 1 after lunch and dinner.
　　12. Punarnava XT –1 capsule before lunch & dinner.

　　Patented Ayurveda Nutritional & Food Supplements manufactured in India and USA- duly approved by USFDA, KOSHER, HALAL, GMP, ISO ETC., and made available at Stores in your vicinity in 40 countries all over the globe. No Side Effects.

IgA nephropathy question?

　　Immunoglobulin A (IgA) is an antibody that plays a critical role in mucosal immunity. More IgA is produced in mucosal linings than all other types of antibody combined;[1] between three and five grams are secreted into the intestinal lumen each day. This accumulates to 75% of the total immunoglobulin produced in the entire body.
　　IgA has two subclasses (IgA1 and IgA2) and can exist in a dimeric form called secretory IgA (sIgA). In its secretory form, IgA is the main immunoglobulin found in mucous secretions, including tears, saliva, colostrum and secretions from the genitourinary tract, gastrointestinal tract, prostate and respiratory epithelium. It is also found in small amounts in blood. The secretory component of sIgA protects the immunoglobulin from being degraded by proteolytic enzymes, thus sIgA can survive in the harsh gastrointestinal tract environment and provide protection against microbes that multiply in body secretions. IgA is a poor activator of the complement system, and opsonises only weakly.
　　The high prevalence of IgA in mucosal areas is a result of a cooperation between plasma cells that produce polymeric IgA (pIgA), and mucosal epithelial cells that express an immunoglobulin receptor called the polymeric Ig receptor (pIgR). pIgA is released from the nearby activated plasma cells and binds to pIgR. This results in transportation of IgA across mucosal epithelial cells and its cleavage from pIgR for release into external secretions.[5]

　　In the blood, IgA interacts with an Fc receptor called FcRI (or CD89), which is expressed on immune effector cells, to initiate inflammatory reactions. Ligation of FcRI by IgA containing immune complexes causes antibody-dependent cell-mediated cytotoxicity (ADCC), degranulation of eosinophils and basophils, phagocytosis by monocytes, macrophages, neutrophils and eosinophils, and triggering of respiratory burst activity by polymorphonuclear leukocytes

Will homeopathy cure Iga nephropathy?

　　IgA nephropathy is a kidney disorder that occurs when IgA—a protein that helps us fight infections—settles in the kidneys. After many years, the IgA deposits may cause the kidneys to leak blood and sometimes protein in the urine.
　　Kidney disease usually cannot be cured. When the kidneys are damaged, they cannot be repaired. Treatment focuses on slowing the disease and preventing complications

　　IgA nephropathy (nuh-FROP-uh-the), also known as Berger's disease, is a kidney disorder affecting the parts of the kidney (glomeruli) that filter waste products from your blood. The glomeruli become impaired and inflamed by abnormal deposits of the protein immunoglobulin A (IgA). IgA nephropathy can lead to high blood pressure, swelling and, in the worst case, kidney failure.
　　Why choose Mayo Clinic for IgA nephropathy
　　Experience. More than 500 people with this condition are treated at Mayo Clinic each year.
　　Expertise. The large number of kidney specialists (nephrologists) at Mayo Clinic allows some doctors to subspecialize in specific aspects of kidney medicine, including glomerular conditions such as IgA nephropathy. These specialists have the skills and experience to quickly and accurately identify the cause of your problem using the latest diagnostic techniques.
　　Teamwork. Specialists from nephrology, hypertension and pathology work as a team in the diagnosis and treatment of people with IgA nephropathy. They also work with your local doctor to coordinate follow-up care.
　　New ideas. Mayo is active in research to better understand this condition and to test new therapies for IgA nephropathy through the Mayo Nephrology Collaborative Group. You may have the opportunity to participate in clinical trials of experimental treatments.
　　Mayo Clinic in Rochester, Minn., and Mayo Clinic in Scottsdale, Ariz., are ranked among the Best Hospitals for kidney disorders by U.S. News & World Report. Mayo Clinic in Jacksonville, Fla., is ranked high performing for kidney disorders by U.S. News & World Report.
　　
　　Pending to join the hospital, the following is worth trying. No side effects, unless & until interfered by other medication. Details follow------------------
　　CAUSE; The endocrine glands produce hormones to regulate human traits, namely, Kama [desire], Krodha[anger], Lobha[Selfishness and greed]Moha[[love], Mada[lust] and matsaryas[affections]. Hormonal Imbalance is the root cause of all the chronic and dreaded diseases/syndromes.

　　1. Berger's disease— A very rare disease, in which glands of human body become overactive, the circulation of blood in various parts of the body is affected with the result that one part of the body becomes hot and the other becomes cold. Mixture of CF 3x, CP 3x or 12x, FP 12x, KM 3x, KP 3x, MP 3x, NM 3x, NP 3x and S 12x failing which mixture of CS 3x, KS 3x and NS 3x. The case of Prof. Paul of St. John College, Agra given in n Chapter is very intresting. The medicine cured him ofter best Allopathic treatment and operation had failed.

Diabetic nephropathy, renal transplantation can live?

　　Kidney disease and diabetes are often related (diabets causes kidney disease) but a kidney transplant does not cure, or even affect, diabetes. In order to directly affect the diabetes, your mother needs a pancreas transplant. But I suspect that the need for kidneys is much more urgent.

　　The kidneys are responsible for removing excess water from your system AND certain "toxins" like Creatanine a Blood Uric Nitrogen (BUN). [These toxins are a natural product of digestion] If these toxins are not removed from the system, you will die.

　　Also, the kidneys produce a hormone that controls how many red blood cells you have. People with kidney failure are usually anemic (have too few red blood cells).

　　Too few red blood cells means that too little oxygen is getting into the body. This makes you tired. Excess creatanine and BUN also make you tired.
　　The kidneys do not affect insulin or the usage of sugar.

　　If you are diabetic, then your pancreas is not producing enough insulin. This can be handled by taking insulin injections. [Sorry -- that is the only way. Experimments with inhaled insulin have failed, and there are no insulin pills] Since insulin can be injected, a pancreas transplant is not usually considered.
　　But the only hope for kidney problem is either dialysis or transplant.

　　Dialysis is where the doctor attaches you to a special machine. The machine takes the blood out of your body, filters out the poisons, then puts the blood back in. Usually, you do this at special Dialysis Centers. It take about 4 hours on three days a week. Some people (but not all people) can do it at home.

　　Transplant is where they take a kidney from someone else, take out the sick kidneys, and put in a new one. There is a problem called REJECTION. Your body knows that it not YOUR kidney, and tries to kill it. So someone with a transplant needs special anti-rejection medications for the rest of their lives.

　　The donor kidney needs to be matched. Usually, the best bet is to get one kidney from a brother or sister. If that is not possible, then they use one from someone who has already died. In this case it takes about three years to find a new kidney. During that time you MUST be on dialysis.

　　After a kidney transplant, most patients live another 5-10 years. But the number of patients that survive after 10 years is only about 1 in 10.

　　Kidney transplant does NOT cure diabetes; it won't even make it better. But kidney failure is a more serious problem.

Diabetic nephropathy inherited?

　　Diabetes IS inheritable, but kidney disease is not generally thought of as an "inherited" disease.
　　Actually, diabetes, itself is not ALWAYS inherited. What is inherited is the TENDENCY to develop the disease, IF other environmental factors are there. This is why some people who are 10 pounds overweight get diabetes, but other people who are 100 pounds overweight do not. Being overweight is the environmental factor, the tendency towards diabetes is inherited.
　　So, no one in your family may actually have diabetes, but they (and you) might be "carriers". The diabetes didn't show up until some other factor "kicked it into gear".
　　Now, the kidney disease is a very common side effect of diabetes. Uncontrolled diabetes damages the capillaries, which are very important to kidney function. So many diabetics have severe kidney disease (like me), but almost all diabetics have SOME kidney damage.
　　But these two problems did not "damage your DNA". The tendency towards diabetes was already there -- just dormant in your parents, probably (how about your grandparents, great gransparents, or aunts and uncles?). The kidney disease is a side effect of diabetes, and is probably not inherited.

　　There is also a possibility to you developed diabetes completely on your own, and that you have no genetic tendency at all. This would be rare, but is not unheard of.

Friday, November 22, 2013

What Are the Tests for Proteinuria?

To test for proteinuria, you will need to give a urine sample. A strip of chemically treated paper will change color when dipped in urine that has too much protein. A more sophisticated chemical analysis is needed to find smaller amounts (microalbuminuria). The most dependable measure of proteinuria requires you to collect your urine for 24 hours.

You will be given a special container and instructions for starting and stopping the collection and for storing the container.

How Is Proteinuria Treated?
If you have diabetes, hypertension, or both, the first goal of treatment will be to control your blood sugar and blood pressure. If you have diabetes, you should test your blood sugar often, follow a healthy eating plan, take your medicines, and get plenty of exercise. If you have diabetes and high blood pressure, your doctor may prescribe a medicine from a class of drugs called ACE (angiotensin-converting enzyme) inhibitors. These drugs have been found to protect kidney function even more than other drugs that provide the same level of blood pressure control.

People who have high blood pressure and proteinuria but not diabetes may also benefit from taking an ACE inhibitor. The National Heart, Lung, and Blood Institute recommends keeping blood pressure below 125/75 mm Hg for people with proteinuria greater than 1 gram per 24 hours.

In addition to blood sugar and blood pressure control, the National Kidney Foundation recommends restricting dietary salt and protein. Your doctor may refer you to a dietitian to help you follow a healthy eating plan.

What does proteinuria mean?

Proteinuria describes a condition in which urine contains an abnormal amount of protein. Proteins are the building blocks for all body parts, including muscles, bones, hair, and nails. Proteins in your blood also perform a number of important functions: protecting you from infection, helping your blood coagulate, and keeping the right amount of fluid circulating through your body.
As blood passes through healthy kidneys, they filter the waste products out and leave in the things the body needs, like proteins. Most proteins are too big to pass through the kidneys' filters into the urine, unless the kidneys are damaged. The two proteins that are most likely to appear in urine are albumin and globulin. Albumin is smaller and therefore more likely to escape through the filters of the kidney, called glomeruli. Albumin's function in the body includes retention of fluid in the blood. It acts like a sponge, soaking up fluid from body tissues.

Inflammation in the glomeruli is called glomerulonephritis, or simply nephritis. Many diseases can cause this inflammation, which leads to proteinuria. Additional processes that can damage the glomeruli and cause proteinuria include diabetes, hypertension, and other forms of kidney diseases.

Research shows that the level and type of proteinuria (whether the urinary proteins are only albumin or include other proteins) strongly determine the extent of damage and whether you are at risk for developing progressivekidney failure.

Proteinuria has also been shown to be associated with cardiovascular disease. Damaged blood vessels may lead to heart failure or stroke as well as kidney failure. If your doctor finds that you have proteinuria, you will want to do what you can to protect your health and prevent any of these diseases from developing.
Several health organizations recommend that some people be regularly checked for proteinuria so that kidney disease can be detected and treated before it progresses. A 1996 study sponsored by the National Institutes of Health determined that proteinuria is the best predictor of progressive kidney failure in people with type 2 diabetes. The American Diabetes Association recommends regular urine testing for proteinuria for people with type 1 or type 2 diabetes. The National Kidney Foundation recommends that routine checkups include testing for excess protein in the urine, especially for people in high-risk groups.

Who Is at Risk?
People with diabetes, hypertension, or certain family backgrounds are at risk for proteinuria. In the United States, diabetes is the leading cause of end-stage renal disease (ESRD), the result of progressive kidney failure. In both type 1 and type 2 diabetes, the first sign of deteriorating kidney function is the presence of small amounts of the protein albumin in the urine, called microalbuminuria. As kidney function declines, the amount of albumin in the urine increases, and microalbuminuria becomes full-fledged proteinuria.

High blood pressure is the second leading cause of ESRD. Proteinuria in people with high blood pressure is an indicator of declining kidney function. If the hypertension is not controlled, the person can progress to full renal failure.
African Americans are more likely than white Americans to have high blood pressure and to develop kidney problems from it, even when their blood pressure is only mildly elevated. In fact, African Americans ages 25 to 44 are 20 times more likely than their white counterparts to develop hypertension-related kidney failure. High blood pressure is the leading cause of kidney failure among African Americans.

Other groups at risk for proteinuria are American Indians, Hispanic Americans, Pacific Islander Americans, older people, and overweight people. People who have a family history of kidney disease should also have their urine tested regularly.
What Are the Signs of Proteinuria and Kidney Failure?
Large amounts of protein in your urine may cause it to look foamy in the toilet. Also, because the protein has left your body, your blood can no longer soak up enough fluid and you may notice swelling in your hands, feet, abdomen, or face. Alternatively, you may have proteinuria without noticing any signs or symptoms. Testing is the only way to find out how much protein you have in your urine.

My dad has high protien in his urine what does that mean.

High serum creatinine, diabetes, high blood pressure. what can i do?

There are 3 key steps to controlling glucose levels for pre diabetes:
1) EXERCISE- Walking is fine but Nordic Walking is Great. Exercise also lowers Glucose levels , lowers Cholesterol and lowers Blood Pressure. Google it.Exercise is Non-Negotiable !!!Thats why it is Number 1 on the list.
2) Knowledge- http://www.kidneyservicechina.com/ This is a great site for info
3)Diet- A low carb diet is in order. I can't count carbs so I use Mendosa's Glycemic Index Diet. Great for the whole family. http://www.mendosa.com/gilists.htm
Early chronic renal insufficiency (Stages 1 to 2)
Physical symptoms. Usually few or no physical symptoms that you can feel (other than those you may experience if you have heavy proteinuria).
Blood work. Blood work results will show abnormalities - mainly a slightly elevated serum creatinine. Note that there is often a time lag between elevations of serum creatinine, and some progression of the IgAN. By the time serum creatinine is elevated, the person may already have lost 50% of kidney function.
Urinalysis. Urine will show abnormalities. Urine can be checked by dipstick in the doctor's office (as an initial check), and followed up with a more complete urinalysis. The main urine abnormality that will suggest a kidney disease is the presence of protein and/or blood. Either will usually trigger further investigation. However, blood and/or protein in the urine doesn't say anything about actual kidney function.
Treatment. Treatment may involve some mild dietary changes (a lower protein diet may in some cases be recommended), and a blood pressure medication may be prescribed (usually of the ACE inhibitor class, the angiotensin II receptor class, or both, even if blood pressure is not really elevated much).
Blood pressure. Some people start having high blood pressure even in early chronic renal failure. IgAN is one kidney disease that can do this.
Anemia. Anemia may rarely occur at this stage. In this case, it is most often caused by having heavy proteinuria rather than actual chronic renal insufficiency.
Treatment
Diet. Dietary changes may be ordered (renal diet: low protein, low potassium, low phosphorus, low sodium, higher calorie)
Medication
High blood pressure medications. It's common to need more than one at this stage, and often 3 or more.
Other drugs/supplements. May be prescribed if needed, such as vitamin D analog (calcitriol is a common one), renal vitamins (not a regular multi-vitamin, as these contain too much vitamin A for the typical advanced renal insufficiency patient). Drugs for controlling heavy proteinuria if necessary (note that heavier proteinuria does not automatically follow with more advanced chronic renal insufficiency).

Phosphorus binder. You may be asked to begin taking a calcium supplement with meals as a phosphorus binder (or a medication may be prescribed instead of or in addition to calcium).

What are the causes of proteinuria?

Proteinuria may be a feature of the following conditions:
Nephrotic syndromes (i.e. intrinsic renal failure)
Pre-eclampsia
Eclampsia
Toxic lesions of kidneys
Collagen vascular diseases (e.g. systemic lupus erythematosus)
Dehydration
Glomerular diseases, such as membranous glomerulonephritis, focal segmental glomerulonephritis, minimal change disease (lipoid nephrosis)
Strenuous exercise
Stress
Benign orthostatic (postural) proteinuria
Focal segmental glomerulosclerosis (FSGS)
IgA nephropathy (i.e. Berger's disease)
IgM nephropathy
Membranoproliferative glomerulonephritis
Membranous nephropathy
Minimal change disease
Sarcoidosis
Alport's syndrome
Diabetes mellitus (diabetic nephropathy)
Drugs (e.g. NSAIDs, nicotine, penicillamine, gold and other heavy metals, ACE inhibitors, antibiotics, or opiates (especially heroin)
Fabry's disease
Infections (e.g. HIV, syphilis, hepatitis, poststreptococcal infection, urinary schistosomiasis)
Aminoaciduria
Fanconi syndrome
Hypertensive nephrosclerosis
Interstitial nephritis
Sickle cell disease
Hemoglobinuria
Multiple myeloma
Myoglobinuria
Organ rejection: Kidney transplant patients may have gamma-globulins in their urine if the kidneys start to reject.
Ebola hemorrhagic fever
Nail patella syndrome
Familial Mediterranean fever
HELLP Syndrome
Systemic lupus erythematosus
Wegener's granulomatosis
Rheumatoid arthritis
Glycogen storage disease type 1
Goodpasture's syndrome
Henoch Schonlein Purpura
A urinary tract infection which has spread to the kidney(s)

I know that's not overly helpful, but there are some fairly benign causes (drug causes) to severe ones like Lupus.

Monday, November 18, 2013

What clinical effects would high blood pressure have on kidneys of a bedridden client?

Hypertensive nephropathy (or "hypertensive nephrosclerosis", or "Hypertensive renal disease") is a medical condition referring to damage to the kidney due to chronic high blood pressure.
　　It should be distinguished from "renovascular hypertension" , which is a form of secondary hypertension.

　　In the kidneys, as a result of benign arterial hypertension, hyaline (pink, amorphous, homogeneous material) accumulates in the wall of small arteries and arterioles, producing the thickening of their walls and the narrowing of the lumens — hyaline arteriolosclerosis. Consequent ischemia will produce tubular atrophy,interstitial fibrosis, glomerular alterations (smaller glomeruli with different degrees of hyalinization - from mild to sclerosis of glomeruli) and periglomerular fibrosis. In advanced stages, renal failure will occur. Functional nephrons have dilated tubules, often with hyaline casts in the lumens.

What is hypertensive nephrosclerosis?

　　Hypertensive nephropathy (or "hypertensive nephrosclerosis", or "Hypertensive renal disease") is a medical condition referring to damage to the kidney due to chronic high blood pressure.
　　It should be distinguished from "renovascular hypertension" (I15.0), which is a form of secondary hypertension.

　　In the kidneys, as a result of benign arterial hypertension, hyaline (pink, amorphous, homogeneous material) accumulates in the wall of small arteries and arterioles, producing the thickening of their walls and the narrowing of the lumens - hyaline arteriolosclerosis. Consequent ischemia will produce tubular atrophy,interstitial fibrosis, glomerular alterations (smaller glomeruli with different degrees of hyalinization - from mild to sclerosis of glomeruli) and periglomerular fibrosis. In advanced stages, renal failure will occur. Functional nephrons have dilated tubules, often with hyaline casts in the lumens.

　　The diagnosis of hypertensive nephrosclerosis is dependent on the exclusion of other primary renal diseases. A careful past history, family history, search for signs for target organ damage, such as left ventricular hypertrophy and hypertensive retinal changes, careful urine microscopy, measurement of 24-h urinary protein and performance of renal ultrasound should establish the diagnosis, with additional tests for glomerulonephritic or vasculitic diseases if indicated.

Sunday, November 17, 2013

What is the cause of kidney failure?

The most common causes of kidney disease are diabetes and hypertension (high blood pressure). Studies have shown that diabetes causes around half of all cases of kidney failure, and high pressure causes just over a quarter of cases.
　　Diabetes
　　Diabetes is a condition where the body does not produce enough insulin (type 1 diabetes) or does not make effective use of it (type 2 diabetes). Our bodies need insulin because it breaks down the glucose (sugar) in our blood in order to produce carbohydrate which provides us with energy.
　　If your diabetes is not well controlled, too much glucose (sugar) can build up in your blood. The glucose can then damage the nephrons (tiny filters), which in turn, affects the abilities of your kidneys to filter out waste products and fluids.
　　Type 1 diabetes is more likely to lead to kidney disease. It is estimated that between 20-40% of people with type 1 diabetes will develop kidney disease by the age of 50.
　　Kidney disease rarely occurs in the first 10 years of diabetes, and usually between 15-25 years will pass before kidney disease occurs. However, as treatment methods for diabetes improve, and diabetes can be better controlled, the number of people with diabetes who develop kidney disease is gradually falling.
　　Hypertension
　　Blood pressure is a measurement of how much pressure is required by your heart to pump the blood around your veins and arteries. Too much pressure can result in damage to your body's organs, and can lead to heart disease.
　　The causes of 90% of cases of high blood pressure (hypertension) are unknown, but there appears to be a link between the condition and general health, diet and lifestyle
　　Hypertension causes damage by putting strain on the small blood vessels in the kidneys. This prevents the filtering process from working properly.
　　Other causes of kidney disease include:
　　•glomerulonephritis (inflammation of the kidney),
　　•pyelonephritis (infection in the kidney),
　　•polycystic kidney disease (an inherited condition in which both kidneys are several times the normal size due to the gradual growth of masses of cysts),
　　•failure of normal kidney development in an unborn baby while developing in the womb,
　　•systemic lupus erythematosus (disease of the immune system where the body attacks the kidney as though it were foreign tissue),
　　•malaria and yellow fever (tropical diseases spread by mosquitoes) ,
　　•jaundice (a yellowing of the skin),
　　•overuse of medicines, such as nonsteroid anti-inflammatory medicines (NSAIDs), the most well known of which are aspirin and ibuprofen, as well as illegal drugs, such as heroin and cocaine,
　　•prolonged exposure to fuels, solvents and lead,
　　•blockages - for example, due to kidney stones, and
　　•a sharp blow or physical injury, to the kidney.
　　If you have a chronic condition that can cause kidney disease, such as diabetes, it is important that you carefully manage your condition. Follow all the advice given to you by your GP and keep all appointments relating to your condition. People with diabetes are recommended to have their kidney function tested every year.
　　Diet
　　Diet plays an important role in preventing kidney disease. A healthy diet will lower your levels of cholesterol and keep your blood pressure at a healthy level. You should eat a balanced diet, including plenty of fresh fruit and vegetables (five portions a day) and whole grains.
　　Exercise

　　Regular exercise can help lower blood pressure and it can also help to prevent other chronic conditions, such as diabetes and heart disease. Thirty minutes of moderate exercise a day, at least five times a week, is recommended. The exercise should be vigorous enough that it leaves your heart beating faster and you should feel slightly out of breath. Examples of moderate exercise are going for a brisk walk, or walking up a hill.

How can you treat kidney failure?

The kidney is where the body derives it's power, energetically speaking. Many things cause kidney problemsbecause it is an elimination organ responsible for many functions in the body.
　　Kidney failure in so many people is due to the nanobacteria that is NOT detectable by typical lab tests doctors use. You need to have him get a PCR lab test that is expensive and will show this bacteria. This bacteria enters the body from cooked food and when a person has low levels of stomach acid, the body cannot sanitize properly and the bacteria goes after the Kidney, pancreas, or arteries around the heart.
　　There has to be a two step process to get rid of this bad guy and it can be done within a few weeks, but to ignore this possibility and rely on a bunch of drugs and surgery without trying this would seem foolish.
　　The next thing is to look at his digestion and in particular, his stomach acid concentration. The pH of the stomach must be between 1.5 and 3.0 to properly sanitize and assist in the digestive process. Calcium, magnesium, and zinc can only be absorbed if this pH is in that range. The kidney plays a role in blood calcium levels and if inadequate calcium is being processed by the body, it can become toxic to the kidneys. If he has taken ANY antacids, this can contribute heavily to this problem because the antacids destroy the body's ability to digest food properly and create lots of toxins both the liver and kidneys have to deal with. The $50 billion dollars a year business for drug companies is just too much for them to stop promoting this insanity.
　　If his liver is overburdened with toxins, it will throw them off to the kidneys and further exacerbate the problem. Eating high quantities of protein, especially red meat from cows fed GRAIN, heavy metal toxicity from typical dental work, especially amalgam fillings and root canals.
　　Here's a good video to watch if you don't think amalgam fillings are bad for your body:
　　Weak adrenal glands due to eating low salt diets, high carb, low fat, etc. will all contribute to the kidney problem.

　　If it is possible, I would have him tested using QRA testing and determine the "root cause" of the problem. Additionally, I would take the herbs necessary to kill the nanobacteria and this may help considerably. Since it is a food base, there are no side effects. I would also NOT give him any calcium supplements and encourage him to take some greens to get the minerals into his body that I'm sure he is greatly lacking now.

What can cause acute kidney failure?

Kidney failure can occur from an acute situation or from chronic problems.
　　In acute renal failure, kidney function is lost rapidly and can occur from a variety of insults to the body. The list of causes is often categorized based on where the injury has occurred.
　　Prerenal causes (pre=before + renal=kidney) causes are due to decreased blood supply to the kidney. Examples of prerenal causes are:
　　Hypovolemia (low blood volume) due to blood loss
　　Dehydration from loss of body fluid (vomiting, diarrhea, sweating, fever )
　　Poor intake of fluids
　　Medication, for example, diuretics ("water pills") may cause excessive water loss.
　　Loss of blood supply to the kidney due to obstruction of the renal artery or vein.
　　Renal causes (damage directly to the kidney itself) include:
　　Sepsis: The body's immune system is overwhelmed from infection and causes inflammation and shutdown of the kidneys. This usually does not occur with urinary tract infections.
　　Medications: Some medications are toxic to the kidney, including nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen. Others are antibiotics like aminoglycosides [gentamicin (Garamycin), tobramycin], lithium (Eskalith, Lithobid), iodine-containing medications such as those injected for radiology dye studies.
　　Rhabdomyolysis: This is a situation in which there is significant muscle breakdown in the body, and the degeneration products of muscle fibers clog the filtering system of the kidneys. Often occurring because of trauma and crush injuries, it can also be caused by some medications used to treat high cholesterol.
　　Multiple Myeloma
　　Acute glomerulonephritis or inflammation of the glomeruli, the filtering system of the kidneys. Many diseases can cause this inflammation including systemic lupus erythematosus, Wegener's granulomatosis, and Goodpasture syndrome.
　　Post renal causes (post=after + renal= kidney) are due to factors that affect outflow of the urine:
　　Obstruction of the bladder or the ureters can cause back pressure when there is no place for the urine to go as the kidneys continue to work. When the pressure increases enough, the kidneys shut down.
　　Prostatic hypertrophy or prostate cancer may block the urethra and prevents the bladder from emptying.
　　Tumors in the abdomen that surround and obstruct the ureters.
　　Kidney stones
　　Chronic renal failure develops over months and years. The most common causes of chronic renal failure are related to:
　　Poorly controlled diabetes
　　Poorly controlled high blood pressure
　　Chronic glomerulonephritis

　　Less common causes:

Saturday, November 16, 2013

Difference between peritoneal dialysis and hemodialysis?

　　n medicine, hemodialysis (also haemodialysis) is a method for removing waste products such as potassium and urea, as well as free water from the blood when the kidneys are incapable of this (i.e. in renal failure). It is a form of renal dialysis and is therefore a renal replacement therapy.
　　In medicine, peritoneal dialysis is a method for removing waste such as urea and potassium from the blood, as well as excess fluid, when the kidneys are incapable of this (i.e. in renal failure). It is a form of renal dialysis, and is thus a renal replacement therapy.
　　Peritoneal dialysis:
　　Technique that uses the patient's own body tissues inside of the belly (abdominal cavity) to act as a filter. The intestines lie in the abdominal cavity, the space between the abdominal wall and the spine. A plastic tube called a "dialysis catheter" is placed through the abdominal wall into the abdominal cavity. A special fluid is then flushed into the abdominal cavity and washes around the intestines. The intestinal walls act as a filter between this fluid and the blood stream. By using different types of solutions, waste products and excess water can be removed from the body through this process.
　　Hemodialysis:
　　A medical procedure that uses a special machine (a dialysis machine) to filter waste products from the blood and to restore normal constituents to it. This shuffling of multiple substances is accomplished by virtue of the differences in the rates of their diffusion through a semipermeable membrane (a dialysis membrane).

　　Although hemodialysis may be done for acute kidney failure, it is more often employed for chronic renal disease. Hemodialysis is frequently done to treat end-stage kidney disease. Under such circumstances, kidney dialysis is typically administered using a fixed schedule of three times per week.

Has anyone been through peritoneal dialysis?

　　If you are going through with dialysis, it is not because it is a good idea. it is because you need it to live. The pro about dialysis is that it will filter out the waste product of your blood and you will live. there are lots of cons. they are:
　　1) it takes 3 to 5 hours for 1 session and you need to go to about 3 sessions per week. this impacts your social and work life.
　　2) dialysis can not replace a real kidney. there are some proteins that dialysis can not remove in your blood and in time they will build up causing health problems such as stiff/painful joints.
　　3) dialysis only extends your life while you wait for a transplant. People live around 10 years on dialysis because like i said dialysis can not replace a real kidney.
　　4) the tube used for dialysis creates a opening for bacteria to infect.
　　5) dialysis affects people mentally such as thoughts about ones attractiveness. It may reduce sex drive also because of this.

　　althought there are lots of cons about dialysis, the biggest pro is that dialysis can help you live longer.peritoneal dialysis is better than having the line inserted into the arm in my opinion. the vein that the line needs to be inserted into usually causes problems and people have to go to surgery to repair that vein.

Describe the procedure of dialysis?

　　here are different types on analysis. This info comes from BWH.
　　Hemodialysis: an artificial kidney machine, called a dialyzer, filters the blood, and returns the cleaned blood to your body. You are connected to the dialyzer via tubes that are inserted into a vein in your arm, leg, or occasionally, neck. If hemodialysis is being performed as a temporary measure, then the catheter is likely to be inserted through the neck vein. If hemodialysis is going to be done regularly, then an access site called a fistula or shunt may be surgically created in one of your veins.
　　Hemodialysis is usually done at a dialysis center or hospital, by trained technicians or nurses, or may be done at home with assistance. Hemodialysis is usually done three times a week and each treatment lasts from two to four hours.

　　Peritoneal dialysis: instead of using a machine, this type of dialysis uses the abdominal lining, called the peritoneal membrane, to filter blood. A cleansing solution, called a dialysate, is infused through a tube inserted into your abdomen. Long-term peritoneal dialysis may require the surgical creation of a port in the abdomen through which this dialysate can be infused. Fluid, wastes, and chemicals pass from the tiny blood vessels in the peritoneal membrane into the dialysate, which is then drained after several hours. New dialysate can then be added to repeat the process.

Does anyone know anything about Kidney Dialysis?

　　Sssssss's,
　　Dialysis is the artificial process of getting rid of waste (diffusion) and unwanted water (ultrafiltration) from the blood. This process is naturally done by our kidneys. Some people, however, may have failed or damaged kidneys which cannot carry out the function properly - they may need dialysis. In other words, dialysis is the artificial replacement for lost kidney function (renal replacement therapy). Dialysis may be used for people who have become ill and have acute kidney failure (temporary loss of kidney function), or for fairly stable patients who have permanently lost kidney function (as in stage 5 chronic kidney disease). There are two main types of dialysis - haemodialysis and peritoneal dialysis. With haemodialysis the blood circulates outside the body of the patient - it goes through a machine that has special filters. The blood comes out of the patient through a catheter (a flexible tube) that is inserted into the vein. The filters do what the kidney's do; they filter out the waste products from the blood. The filtered blood then returns to the patient via another catheter. The patient is, in effect, connected to a kind of artificial kidney. Haemodialysis usually lasts about 3 to 4 hours each week. The duration of each session depends on how well the patient's kidneys work, and how much fluid weight the patient has gained between treatments. During peritoneal dialysis a sterile (dialysate) solution rich in minerals and glucose is run through a tube into the peritoneal cavity, the abdominal body cavity around the intestine, where the peritoneal membrane acts as a semi-permeable membrane. There are two principal types of peritoneal dialysis - Continuous ambulatory peritoneal dialysis (CAPD). This requires no machinery and can be done by the patient or a caregiver. The dialysate is left in the abdomen for up to eight hours. It is then replaced with a fresh solution straight away. This happens every day, about four to five times per day. Continuous cyclic peritoneal dialysis (CCPD). In this method, a machine does the dialysis fluid exchanges. It is generally done during the night while the patient sleeps. This needs to be done every night. Each session lasts from ten to twelve hours. After spending the night attached to the machine, the majority of people keep fluid inside their abdomen during the day. Some patients may require another exchange during the day.
　　ALL ANSWERS SHOULD BE THOROUGHLY RESEARCHED, IN ANY FORUM AND ESPECIALLY IN THIS ONE. - MANY ANSWERS ARE FLAWED.
　　It is extremely important to obtain an accurate diagnosis before trying to find a cure. Many diseases and conditions share common symptoms.

　　The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

Why is the dialysis tubing semipermiable?

　　Dialysis, for general use, is semi permeable, like a fish net. A fish net keeps the fish in it, but is permeable to the water, draining the water. A strainer works the same way. Dialysis however blocks larger molecules (which are still relatively small) while letting smaller molecules pass through it, like water. Water is a very small molecule, only three atoms big - H20.
　　That's the general idea. For medical use, as you might be familiar through it in that purpose, is to filter the blood. Wastes in the blood are thankfully made up of much larger molecules than water and everything else good that we want to keep in it. So a dialysis tube filters the blood by filtering larger wastes and bringing back clean blood to the body.

　　For non medical uses, it's to keep larger molecules in it, while letting smaller ones out of it.

What is the importance of dialysis?

　　Dialysis is used to treat End-Stage Renal Disease (ESRD) - the last stage of kidney failure. Dialysis is usually the last option for treatment prior to kidney transplant, and is often the only option for those for whom kidney transplant is not a viable option. Preserving kidney function is important in prolonging the survival rate in dialysis patients, although as the name of the disease implies, dialysis is usually used in the final stage of kidney disease. However, ESRD can last months or even many years, especially for young people, such as Gary Coleman, the actor who has been treated with dialysis for decades.
　　Dialysis is for people who's kidney function is not adequate enough to get rid of the body's waste and excess fluid. If the kidneys can not rid the body of it's waste, than that waste and excess fluid accumulates in the body and that's obviously not good.
　　Dialysis filters that waste and excess fluid out of the body by mechanical means. When hooked to a dialysis machine, the waste is removed from the bloodstream along with excess fluid. Dialysis patients are weighted daily because of the excess fluids that accumulate in the body. After a dialysis treatment, patients can lose several pounds of fluids.
　　Hemodialysis removes excess fluids and toxins from the body that formerly were filtered by the kidneys. It is done for those in end stage kidney disease, or for some temporarily to allow damaged kidneys to recover.
　　Dialysis can be done in several ways, five methods are done by the individual at home they are: Continuous ambulatory peritoneal dialysis (CAPD) - a manual form of peritoneal dialysis, with no machine, Continuous cycling peritoneal dialysis (CCPD) - also known as Automated Peritoneal Dialysis (APD), a form of peritoneal dialysis using a cycler at night, Conventional home hemodialysis - three-times-a-week hemo at home, Daily home hemodialysis - short (2-3 hour) treatments, 5-6 days a week, Nocturnal home hemodialysis - nightly 6-8 hour treatments, 3+ days a week. These methods do not involve removing the blood from your body. Then there is the traditional form where you go to a dialysis facility, and tubes are connected to an atrio-ventricular fistula (shunt) and your blood is taken out, filtered in a machine and returned cleaned. This is done 3 times a week and takes about 4 hours.

　　Dialysis does not do as good a job as your kidneys, all types of dialysis require you to monitor your diet, some forms are more restrictive than others, but you usually have to limit your fluid intake, your intake of potassium, phosphorus and sodium. Without dialysis, death will occur within a relatively short period of time.

so i have to undergo dialysis. I was kinda curious about whether I can still get pregnant if I'm on dialysis,and my menstrual cycle is still normal? and if i can't why not?

　　Most women on dialysis are unable to get pregnant. This is usually due to their older age as well as the effects of kidney disease on the their sexual desire and hormonal systems. However, some women retain their ability to ovulate and menstruate and thus pregnancy while on dialysis is possible and does occur.
　　The pregnancy of a dialysis patient is rarely discovered in the first trimester - the average gestational age is 16 weeks. Irregular menstruation, frequent gastrointestinal and fatigue complaints, and a perception that pregnancy rarely occurs in dialysis patients can all mask pregnancy. Thus, diagnosing pregnancy early in dialysis patients requires a high index of suspicion.
　　Unlike women with chronic kidney disease, there isn’t any concern that a pregnancy will lead to kidney disease progression. As a result, most of the risks and concerns deal with the baby and not the mother. Spontaneous miscarriage late in the pregnancy is very common. It has been estimated that over 20% of the pregnancies that make it past the first trimester will end spontaneously. If the pregnancy continues into the third trimester, premature birth is the rule not the exception – 80% of births are premature.

　　One of the biggest concerns with the pregnancy of a dialysis patient is that a premature birth leads to permanent organ damage or death. The average gestation age at the time of delivery is about 32 weeks. Survival rates for the baby born to a woman on dialysis is relatively poor (60-80%). Also, there are serous concerns about long term damage to their lungs, eyes, brains and growth because of their premature births and low birth weights.

Wednesday, November 13, 2013

Can Someone Who Is Doing Peritoneal Dialysis Keep A Pet

I Am At 12% Kidney Function, But I Feel Fine. What Should I Do
If a patient only has 12% kidney function left, but there is no obvious symptom in his body, what should he do to deal with his condition? As we know, how much kidney function is left for patient with kidney disease is defined according to his glomerular filtration rate (GFR). And for patient who has 12% kidney function left, his GFR is about 15ml/min. Which means his is in stage 5 kidney failure.
http://www.kidneyservicechina.com/renal-failure-healthy-lifestyle/1615.html

I Am Going To Undergo Dialysis Soon. What Am I Facing
Dialysis is a kidney replacement therapy. For patient who is in the end stage of kidney failure, there will be much wastes and toxins accumulating in his blood, and to keep his health, he will be recommended to accept dialysis. Dialysis is an effective way to prolong patient’s lifetime, but there are some aspects that is worthing considering before patient accepting dialysis.
http://www.kidneyservicechina.com/renal-failure-treatment/1616.html

Does Foams In Urine Indicate Kidney Failure
Patient with kidney disease may have a lot of worry if he find he has foams in his urine, because that may be a indication of kidney failure. Does foams in urine always indicate kidney failure? Why does patient with kidney disease has foams in urine? It is necessary for patient to have a better understanding about this aspect.
http://www.kidneyservicechina.com/protein-in-urine/1617.html

Is It Bad For Kidney Disease Patient To Have BUN 43
Is it bad for patient with kidney disease to have blood ures nitrogen (BUN) 43mg/dL? Patient with this situation may have this doubt. However, this also depends on patient’s condition.
http://www.kidneyservicechina.com/high-bun-Level/1618.html

How Does Overactive Immune System Affect Kidney
Kidney disease can be caused by many reasons, among which patient’s overactive immune system is a common reason, like IgA nephropathy, purpura nephritis, lupus nephritis, etc. Besides, the occurrence of kidney disease has close relation with our immunity. Thereby, how on earth does overactive immune system cause kidney disease?
http://www.kidneyservicechina.com/ckd-basics/1619.html

Can Someone Who Is Doing Peritoneal Dialysis Keep A Pet
Can someone who is doing peritoneal dialysis keep a pet? This may be a problem that many patients on peritoneal dialysis are facing with. Peritoneal dialysis is an effective way to prolong patient’s lifetime, and it is very beneficial to patient.
http://www.kidneyservicechina.com/renal-failure-treatment/1620.html

I Have Begin Diet Treatment For My CKD. When Will It Work, And What Effect Will Appear
Diet can make a significant influence to patient’s condition. Appropriate diet can help promote patient’s health condition effectively, while bad diet habit will aggravate patient’s condition obviously.
http://www.kidneyservicechina.com/ckd-treatment/1621.html

Foods That Cause Creatinine To Increase After Kidney Transplant
What foods can cause creatinine to rise after kidney transplant? Patient who has accepted kidney transplant will be more careful in protecting his kidneys, and he may want to know this aspect.
http://www.kidneyservicechina.com/diet/1622.html

Kidney Failure Stages’ Life Expectancy
Kidney failure is a stage of kidney disease, which means patient’s kidney are damaged partially or completely. Kidney failure is a severe condition, and what is the life expectancy of kidney failure stages?
http://www.kidneyservicechina.com/renal-failure-basics/1623.html

Why Are Fruits And Fruit Juices Bad For Patients With Chronic Kidney Disease
In fact, not just fruit, CKD patient is also forbidden to take many other foods, because CKD patient is easy to have some minerals’ disorder in his body. If patient take in these minerals blindly, their condition can be aggravated severely, and many complications will be caused. For example, patient with CKD often have hyperkalemia, which can cause many problems to patient. So if CKD patient who has hyperkalemia take much banana, that will aggravate his health problem.
http://www.kidneyservicechina.com/diet/1624.html

What good method can avoid the dialysis？

　　Good blood sugar level control is the best way to delay or avoid all together kidney failure or dialysis. You also have to see your nephrologist to monitor your kidney function. The nephrologist will be able to refer you to dietician and pre-dialysis nurse specialist on how to look after yourself. I always advice people with kidney failure not to drink too much fluid. Limit your fluids to 1-1.5 liters per day. since your kidney is not working properly, the extra fluids you will drink will just retain in your ankles, legs and in some instance the lungs. so limit fluid intake. As much as possible have a low salt, low fat and cholesterol diet. As much as possible avoid taking NSAIDS or non-streroidal anti-inflammatory drugs. This can harm the kidneys. I am also wondering if you are taking metformin? This medication can also harm the kidneys.
　　FYI: PKD or polycystic kidney disease is a genetic disease. Ultimately it will lead to kidney failure and needing dialysis in the end. but for diabetes, this can be control with good blood sugar control and early referral to the nephrologist.

What are the symptoms of a kidney infection and how is it cured?

1. The first condition of Renal Infection is Acute Pyelonephritis, if the infection is detected in this primary stage then the treatment is really easy and can be done with the help of some antibiotic medicines and some herbal remedies for this stage of infection are available to and are pretty successful in resolving this condition.
　　2. The second and the serious type of infection is Chronic Pyelonephritis, this type of infection is called an active infection and it spreads quickly to an uncontrollable level and it causes serious damage to the wholeurinary system.
　　3. The third infection is called Emphysematous Pyelonephritis, this type of infection is commonly found in the patients of diabetes, in this particular infection gas molecules are found in the kidneys and the adjacent areas which is not good for the working of kidneys.
　　4. The fourth type of infection is Pyonephorosis; this is a infection in which the ureters are blocked as a result of this the urine is unable to go to the bladder from kidneys, in such case the flow of urine is disturbed and the whole urinary system becomes infected and it leads to serious health problems.

　　5. The fifth type of infection is known as Renal Abscesses ; in this stage of Renal Infection the pus chunks can be found near the kidney in this sort of infection the kidney can shut its functions down and cause a complete renal failure. This is a very serious situation a patient may even die because of kidney failure.

A doctor can help you online, can talk to him in here

Tuesday, November 12, 2013

My Creatinine is 1.7 and BP is under control, never had diabeties. How much are my kidneys damaged ?

Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss of renal function over a period of months or years. The symptoms of worsening kidney function are unspecific, and might include feeling generally unwell and experiencing a reduced appetite.
　　Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with chronic kidney disease. Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis
　　Stage 1 CKD
　　Slightly diminished function; Kidney damage with normal or relatively high GFR (>90 mL/min/1.73 m2). Kidney damage is defined as pathologic abnormalities or markers of damage, including abnormalities in blood or urine test or imaging studies
　　Stage 2 CKD
　　Mild reduction in GFR (60-89 mL/min/1.73 m2) with kidney damage. Kidney damage is defined as pathologic abnormalities or markers of damage, including abnormalities in blood or urine test or imaging studies
　　Stage 3 CKD
　　Moderate reduction in GFR (30-59 mL/min/1.73 m2).[1] British guidelines distinguish between stage 3A (GFR 45-59) and stage 3B (GFR 30-44) for purposes of screening and referral
　　Stage 4 CKD
　　Severe reduction in GFR (15-29 mL/min/1.73 m2)[1] Preparation for renal replacement therapy
　　Stage 5 CKD
　　Established kidney failure (GFR <15 mL/min/1.73 m2, or permanent renal replacement therapy (RRT
　　When one reaches stage 5 CKD, renal replacement therapy is required, in the form of either dialysis or a transplant.
　　The normal value for BUN is approximately 10-20( (yours is at17.5), and for creatinine 0.7-1.2. ( (yours is at 1.7.).. With renal disease, both the BUN and creatinine usually rise together
　　The normal potassium level in the blood is 3.5 to 5.0 mEq/L (milliequivalent per liter.
　　So your Potassium and BUN are WNL- (within normal limits) creatinine is slightly higher.

　　From the above normal lab values, your kidney doesn't seem to be damged.

Why are fruits and fruit juices bad for patients with Chronic kidney disease?

　　Patients with CKD should pay attention to the intake of fluid.
　　FLUID RESTRICTION
　　There is usually no restriction in the amount of fluids you can drink until severe kidney disease (Stage 4 or 5) is reached. The amount of urine your kidneys can make will usually not decrease until it is almost time to begin dialysis. It is called “kidney failure” because eventually the kidneys fail to make urine.
　　PHOSPHORUS
　　Phosphorus is a mineral found in almost all foods. Normal kidneys will balance the amount of phosphorus in our bodies. However, when the kidneys fail to eliminate this in the urine, the phosphorus will increase in the blood. High phosphorus foods will need to be limited and/or avoided. A medication called a phosphate binder (such as Oscal, Phoslo and Tums) may be ordered by your physician to be taken every time you eat. This medication will bind the phosphorus in the food and eliminate it in the stool. Control of phosphorus is very difficult for kidney disease patients. Ignoring this problem can lead to bone disease with pain in the back and joints.

　　High phosphorus foods to eliminate are:
　　Milk (any kind) - Start learning to use a milk substitute like Cremora (powdered) or Coffeemate (liquid) - Beans (red, black, white), Black Eyed Peas, Lima Beans, Nuts, Chocolate, Yogurt, Cheese, Liver, Sardines, Desserts made with milk
　　ANEMIA
　　Healthy kidneys make a hormone that helps make red blood cells. One of the symptoms of kidney disease is anemia, which causes weakness, tiredness and shortness of breath. Your kidney doctor may give you an injection called “Procrit.” This may help improve your anemia. The doctor may also order iron injections because in order to make red blood cells, you will need enough iron. Unfortunately, in some people the special diet will not provide enough iron and iron pills would be taken.
　　VITAMINS
　　Diseases of the heart and blood vessels remain the number one health problem in the U.S. Recently, a new risk factor has been identified in kidney disease patients. It is an amino acid called homocysteine. Over 75 percent of dialysis patients have increased homocysteine levels. Too much homocysteine in the blood has been found to be associated with increased risk of heart disease, stroke and blood vessel disease. Studies have shown that homocysteine levels in the blood are strongly influenced by these specific vitamins: Folic Acid, Vitamin B12 and Vitamin B6. The American Heart Association has indicated that a reasonable therapeutic goal should be less than 10 micromoles per liter. Ask your kidney doctor if you should be taking a special vitamin to help prevent high levels of homocysteine.
　　DIABETICS
　　Since about 40 percent of all kidney disease patients are diabetic, it is important to know about good control of your blood sugar. There is a special blood test called a “hemoglobin A1C.” This test tells what your blood sugars have been in the past two to three months. The normal range is 4.5 to 6.0 percent. Poor control of blood sugar contributes to the progression of your kidney disease. Be sure to ask your doctor how you are doing with blood sugar control. It may be necessary to be referred to a diabetes educator for help.
　　Sample Menu: 40-50 grams protein
　　(For non diabetic man 5’7” tall and 150 pounds (70 kilos) with CKD)
　　BREAKFAST
　　• 1/2 cup (4 ounces) orange juice • 1 English muffin or 2 slices bread
　　• At least one tablespoon margarine with jelly
　　• Coffee or tea with non-dairy creamer and sugar
　　SNACK
　　• 2 canned pear halves in heavy syrup
　　LUNCH
　　• 2 slices white bread • At least 2 tablespoons mayonnaise with lettuce and tomato
　　• 1 ounce chicken (such as a small thigh) or 1 hard boiled egg
　　• 2 canned peach halves in heavy syrup
　　• 7-UP, lemonade or Hawaiian Punch
　　SNACK
　　• Baked apple with 1/2 cup non-dairy whipped topping
　　DINNER
　　• 3-4 ounces steak (weigh after cooking, without bone) , sauté in tablespoons olive oil
　　• 1 small baked potato with at least 2 tablespoons margarine
　　• 1/2 cup fresh green beans, carrots or broccoli with margarine
　　• Lettuce, onions, cucumbers, green pepper
　　• At least 2 tablespoons olive oil with vinegar or lemon
　　• 1/8 apple or cherry pie with 1/2 cup fruit sorbet (this is not sherbet)

　　• Iced tea with sugar and lemon or Sprite

MORE

I Am At 12% Kidney Function, But I Feel Fine. What Should I Do
If a patient only has 12% kidney function left, but there is no obvious symptom in his body, what should he do to deal with his condition? As we know, how much kidney function is left for patient with kidney disease is defined according to his glomerular filtration rate (GFR). And for patient who has 12% kidney function left, his GFR is about 15ml/min. Which means his is in stage 5 kidney failure.
http://www.kidneyservicechina.com/renal-failure-healthy-lifestyle/1615.html

I Am Going To Undergo Dialysis Soon. What Am I Facing
Dialysis is a kidney replacement therapy. For patient who is in the end stage of kidney failure, there will be much wastes and toxins accumulating in his blood, and to keep his health, he will be recommended to accept dialysis. Dialysis is an effective way to prolong patient’s lifetime, but there are some aspects that is worthing considering before patient accepting dialysis.
http://www.kidneyservicechina.com/renal-failure-treatment/1616.html

Does Foams In Urine Indicate Kidney Failure
Patient with kidney disease may have a lot of worry if he find he has foams in his urine, because that may be a indication of kidney failure. Does foams in urine always indicate kidney failure? Why does patient with kidney disease has foams in urine? It is necessary for patient to have a better understanding about this aspect.
http://www.kidneyservicechina.com/protein-in-urine/1617.html

What should be the Diet plan for kidney patients?

　　A daily diet containing the following mineral ingredients should be strictly maintained:
　　Potassium:
　　Around 90% of the potassium consumed through our diet is removed by the kidney. The normal level ofpotassium intake is 3.5-5.0 mEq/L so anything higher than that must be avoided. But in the patients having stage 5 CKD, it becomes difficult to remove the potassium from the body as kidney loses its functions altogether. So, controlling potassium is very important. Mostly, we consume potassium through milk, yogurt; fruits like avocado, kiwis, oranges, papayas, banana, cantaloupe; Legumes - nuts; vegetables like beans, potatoes, tomatoes, spinach and fellow leafy vegetables, sweet potato and animal protein. Potassium-based salt products, winter vegetable juices and squash should also be strictly avoided.
　　Sodium:
　　Kidney diseases and salt are almost synonymous. Higher the salt intake, higher the risk of the CKD, high blood pressure and heart disease. Hence a large amount of sodium intake must be restricted. Canned food, pickles, smoked meat, some frozen foods, processed cheese, packed chips, junk food and crackers must also be avoided. Develop a habit of reading the labels to get to know the level of sodium in the products we are consuming. Less than 5 mg sodium per serving is sufficient to stay healthy.
　　Protein:
　　The limit on protein intake is 0.75g per kilogram of one's total body weight, except for those suffering from haemodialysis. One must consume enough protein to keep oneself healthy but not in excess. Mainly meat, fish and dairy products are the sources of protein. Edibles such as eggs, beef, cheese, bran breads, nuts and vegetable also contain a high amount of protein.
　　Phosphorus:
　　Phosphorus consumption for normal people as well as for people with CKD non-dialysis is 2.7 to 4.6 mg/dL. For CKD dialysis patients the target range is 3.5 to 5.5 mg/dL. Anything more than that must be reduced. Poor maintenance of phosphorus can lead to not only total kidney failure but also to bone diseases and heart troubles. Dairy products, nuts and beans (the main sources of phosphorus) and drinks and beverages like cocoa, cold drinks and beer must be avoided.
　　Fluids:
　　Consumption of fluids is essential for normal people but for a patient of CKD, fluid intake must be watched. More than 48 fl oz (1.4 L) of fluids a day must be avoided. What are fluids? Edible things that are liquid at room temperature are known as fluids. e. g. soups, ice creams, Jell-O, etc. Over-consumption of such fluids can increase the level of phosphorus. Some fruits like apples, orange, grapes and vegetables like lettuce also contain a lot of water. So, avoid such fruits.
　　Now what must one eat with such dietary limits or restrictions? Following are some useful tips to follow:
　　•Vegetables like cabbage, broccoli, cauliflower, bean sprouts, cucumber, lettuce, asparagus, mustard greens, green beans, eggplant; white rice, corn cereals, popcorn and fish like tuna, catfish, swordfish, codfish, mahi fish should be consumed for a healthy diet.
　　•Use phosphorus binders such as calcium acetate (PhosLo), calcium carbonate (Caltrate and Tums) or sevalemer hydrochloride (Renagel) when necessary. But with proper prescription from your doctor.
　　•Never change any food pattern or your diet program without proper consultation with your doctor.
　　•It's important to have routine medical checkups and keeping a track of the recent changes that occur.
　　•Proper medication and exercise is a must.
　　•Smoking and alcohol consumption must be reduced, and preferably completely avoided.
　　•No meals should be skipped. Avoid taking huge meals at a time and divide meals into a 4-times a day pattern.
　　•Lower blood sugar and cholesterol levels must be maintained and observed time to time.

　　•Last and most important, is keeping your mind healthy and motivated which has the greatest power to cure any disease.

　　Do the following:
　　Do not sleep for at least 2 hours after a meal. This is most important.
　　First 2 days
　　Drink 3 glasses of water before each meal. So total should be 9 glasses a day. Stop all other liquids.
　　For example if you take lunch at 2.00 pm, take 1 glass each at 12.30, 1.00 and 1.30 pm. Some deviations from suggested times are ok.
　　Do not drink water after 7 PM.
　　Next 2 days
　　Reduce water intake to 6 glasses day. 2 Glasses before each meal.
　　Next 2 days
　　Reduce water intake to 3 glasses day. 1 Glasses before each meal.
　　Next 2 days
　　Drink 1 glass of water in the entire day.
　　Next

　　Repeat week 3 and week 4 again and again.

Monday, November 11, 2013

Can someone who is doing peritoneal dialysis keep a pet?

It is not totally forbidden at all, these patients need to live their life to keep their sanity and if that having a dog then so be it. People with peritoneal dialysis catheters shouldn't fear their pets, and there is no need for these people to get rid of pets (although they should avoid high-risk pets like reptiles). Pet owners are presumably at somewhat higher risk than non-pet-owners as there has been some cases of pet related infections, but the risk appears to be fairly low. The risk are lower than human related/transmitted infections. In most situations, the positive aspects of pet ownership probably outweigh the risks.
　　Further precautions can be done. I would kennel the dog at night, not let the dog sleep with the owner. The dog should not be allowed in the room that the dialysis is done. The cleaning routine before the dialysis should be done thoroughly and not taken lightly. In my research I have found that CATS,RODENTS and REPTILES are higher risk than dogs.

　　My dads father had to do thus and he owned a shih tzu which is a non shedding breed of dog, maybe even consider a poodle. Dont allow the dog to lick the the dialysis tube and make sure the patient/owner washes his hand every time before he/she touches the port or any part of the dialysis machine or its components.These are just steps that I have thought of the decrease risk, even though risk is already low.

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http://www.kidneyservicechina.com/for-patient/

What is a renal dialysis?It's an artificial way of removing the toxins where a machine does the work and all you have to do is rest.

The kidneys are used to filter all of the fluid that passes from your gut into your bladder. They serve various functions including regulating the amount of water you retain to avoid dehydration.
　　Their primary function is to filter nutrients and extra fluid and dispose of the toxins and other unnecessary elements. Elements which, over time, would accumulate in your body and make you very ill.
　　Since you have one kidney, it is working far harder than normal and these check-ups are to make sure that it is functioning normally. In the case of a kidney donor, both the patient and the donor will be monitored to make sure that each kidney continues to function normally.
　　You can imagine that since your single kidney is working twice as hard, it really needs to have a break every so often to reduce the risk of it failing completely.
　　This is where dialysis is used.
　　Basically you are admitted as an out-patient or day patient - you normally do not have to stay overnight. You are hooked up to a machine that gently cycles your blood through a filtration system in much the same way that your kidney filters things.
　　I'm sure that you are already on a restricted list of things that you can eat or drink.
　　It's an artificial way of removing the toxins where a machine does the work and all you have to do is rest.
　　Dialysis is commonly used for patients who are already in renal failure but doctors have discovered that preventative dialysis can take the strain off a kidney and allow it to rest in an attempt to prevent renal failure.

　　Your best bet is to talk to your doctor or renal specialist and ask these questions. Ask them to explain it in easy terms if it seems all too medical and scientific. They should show you the machine as well so you know what to expect.

More related

http://www.kidneyservicechina.com/health-information/

Benefits of having a kidney transplant compared to dialysis?

There are many health risks connected to dialysis. The access sites for the dialysis are a frequent cause of infection and hospitalization. Frequently, heart problems occur with dialysis. It's extremely restrictive as far as diet goes; there are many foods you must avoid, and also there is usually a fluid restriction. As someone else said, you'll spend fours a day plus travel time at dialysis. At the best, it's boring; at the worst, it's horrible.
　　A successful transplant gives you your life back. You are no longer restricted because you aren't on dialysis. For the most part, your diet is no longer restricted (in my case, I am still low sodium, which is pretty normal and no big deal). You could possibly have some side effects from the medication (I don't). But overall, you feel so much better after a transplant, compared to dialysis. It's healthier for you and you have a better quality of life.
　　Aside from the obvious health benefits, kidney transplants bring about massive improvements in quality of life.

　　In most countries its personal dialysis machines for every one who would need one simply isnt possible, as a result many people have to travel to their regional hospital once every 3 days or so, as you can imagine with most decent hospitals being located in the city this can place a huge burden on people who live in the country. For example in Ireland, St Vincent's hospital (located in dublin) serves people from as far away as wexford, that's roughly a 2hr drive. Additionally once the patient get there he has to go through the process of dialysis itself which depending on the machine can take up to 5-8hrs. This essentially means that these patients are essentially losing one day in four just to go for dialysis. If such a patient could recieve a kideny transplant it would basically give them back an entire day.

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I Am Going To Undergo Dialysis Soon. What Am I Facing?

I used to go to a clinic for dialysis. One thing I would suggest to you before you ever go on dialysis is that you arrange to visit the clinic beforehand, so that you will know what to expect. Of course you may choose another option besides dialysis in a clinic.
　　I had to have 2 surgeries beforehand, in order to create an access for the dialysis needles, because my first access did not "mature". However, don't assume that will happen to you.
　　I went on dialysis at age 45 (I had type 1 diabetes). I went 3 times a week, for about 4 hours a day. I was a pretty compliant patient and I did well on dialysis. I (mostly) stuck to the diet. (I had to avoid things like dark sodas, potatos, and tomatos, for examples). I personally did not have any fluid limits, but patients usually do. I never skipped dialysis sessions.
　　My main problem on dialysis was I was bored. Each chair has their own TV, but I don't love TV. Take a lot of things with you to do. Now is a good time to start a class in something that interests you, because you can study while on dialysis. I balanced checkbooks, read magazines, listened to books on CD. One thing I wished I had done more of was gotten to know the patients around me. Take a blanket with you, because you will get cold. If the needle insertion is painful, ask your dr. for a prescription or sample of a cream called EMLA; you put it on your access site before you go to dialysis and it numbs your arm. Don't wear good clothes because you might get blood on them.
　　It really won't be terrible, especially if you educate yourself, follow the doctor's orders, and it helps if you have a great dialysis staff. I know that I did.

　　I got in pretty good physical shape while I was on dialysis; I could walk 2 miles a day and ran up a small hill as part of my walk. You are fairly young, and I think you will do well. I hope you have the option of being evaluated for a transplant. II got a kidney and pancreas transplant in 2005 and all has been great since then. I have put some sites below

http://www.kidneyservicechina.com/

Sunday, November 10, 2013

12 articles about kidney disease, worth seeing.

What To Eat For Patient With FSGS
FSGS is a primary glomerular disease, and it can progress into kidney failure gradually. It is very important for patient with FSGS to choose their diet, which can make a significant influence to their health condition.
http://www.kidneyservicechina.com/diet/1597.html

What Are The Causes Of Dialysis Patients’ Shortness Of Breath
Shortness of breath is a common symptom in patient who is accepting dialysis, which is suffering for dialysis patient. And what are the causes of shortness of breath in dialysis patient?
http://www.kidneyservicechina.com/renal-failure-symptoms/1596.html

What To Eat For Patient With FSGS
FSGS is a primary glomerular disease, and it can progress into kidney failure gradually. It is very important for patient with FSGS to choose their diet, which can make a significant influence to their health condition.
http://www.kidneyservicechina.com/diet/1597.html

What Is The Dangerous Level Of Creatinine
Creatinine is a common standard to assess patient’s kidney condition. High creatinine level often means a dangerous condition for patient with kidney disease, while what is the dangerous level of creatinine?
http://www.kidneyservicechina.com/high-creatinine-level/1598.html

What Is The Effect Of Kidney Failure On Urine Output
Kidney failure can cause many problems to patient’s body health. As we know, the excess fluid in body will be excreted out by kidney in the form of urine, so kidney failure can cause obvious symptom on patient’s urine output.
http://www.kidneyservicechina.com/renal-failure-symptoms/1599.html

Kidney Diseases That Run In Families
Kidney disease can cause severe damage to body health. While some kidney diseases are genetic, and they can run in families, which is a huge threat for families who have these kinds of kidney disease.
http://www.kidneyservicechina.com/nephritis-basics/1600.html

How does IgA Nephropathy Affect Human Immune System
IgA nephropathy is an autoimmune kidney disease, which is caused by the accumulation of IgA in glomerular mesangium. This disease is caused by patient’s immune disorder, and it can affect patient’s immunity in turn. While how does IgA nephropathy affect human immune system?
http://www.kidneyservicechina.com/IgA-nephropathy-basics/1601.html

What’s Diet To Be Given To A Patient Suffering From Kidney Failure
Diet is important for kidney failure patient’s condition. A appropriate diet plan is very helpful for the improvement of patient’s condition, while a terrible dietary mode will boost the aggravation of patient’s disease. What’s diet on earth to be given to a patient suffering from kidney failure?
http://www.kidneyservicechina.com/diet/1602.html

Would There Be An Increased Presence Of Creatinine In The Blood Or Urine In Glomerulonephritis
Would there be an increased presence of creatinine in the blood or urine in glomerulonephritis? In fact, it is, and glomerulonephritis can cause very high creatinine level if patient has not accepted right treatment and care to control his condition.
http://www.kidneyservicechina.com/nephritis-basics/1604.html

What Does High Creatinine Mean
Creatinine is a common standard to assess patient’s kidney function, and patient may know high creatinine is a dangerous sign. It is necessary for patient to have a better understanding about this aspect, which is helpful for patient to deal with his condition.
http://www.kidneyservicechina.com/high-creatinine-level/1607.html

If Patient On Hemodialysis, Can Add olive oil To His Diet
If patient on dialysis, can add olive oil to his diet? Accepting dialysis means patient is already in stage 5 kidney failure, and patient will have strict restriction in his diet.
http://www.kidneyservicechina.com/renal-failure-healthy-lifestyle/1606.html

Foods To Avoid For Patient With 1.3 Creatinine Level
Creatinine 1.3 may mean severe kidney damage, so it is very important for patient to pay attention to his diet, because diet can make a significant influence to patient’s health condition. It is necessary for high creatinine patient to understand what foods he should avoid, because that is very helpful for patient to deal with his condition.
http://www.kidneyservicechina.com/diet/1605.html

Pathophysiology of lupus nephritis needed.?

Autoimmunity plays a major role in the pathogenesis of lupus nephritis. The immunologic mechanisms include production of autoantibodies directed against nuclear elements. These autoantibodies form pathogenic immune complexes. In the kidneys, deposition of these immune deposits initiates an inflammatory response by activating the complement cascade and recruiting inflammatory cells that can subsequently be observed on biopsy specimens. At least three potentially overlapping, immuno-pathogenic mechanisms are supported by experimental data. First, circulating immune complexes consisting chiefly of DNA and anti-DNA are deposited in the kidney. Resulting complement activation and chemotaxis of neutrophils leads to a local inflammatory process. Second, in situ formation of antigen and antibody complexes may similarly lead to complement activation and leucocyte mediated injury. Third, antibodies against specific cellular targets may produce renal injury.
　　Symptoms related to active nephritis may include peripheral edema secondary to hypertension or hypoalbuminemia. Extreme peripheral edema is more common in persons with diffuse proliferative or membranous lupus nephritis because these renal lesions are commonly associated with heavy proteinuria.

　　Autoimmunity plays a major role in the pathogenesis of lupus nephritis. The immunologic mechanisms include production of autoantibodies directed against nuclear elements. These autoantibodies form pathogenic immune complexes. In the kidneys, deposition of these immune deposits initiates an inflammatory response by activating the complement cascade and recruiting inflammatory cells that can subsequently be observed on biopsy specimens. At least three potentially overlapping, immuno-pathogenic mechanisms are supported by experimental data. First, circulating immune complexes consisting chiefly of DNA and anti-DNA are deposited in the kidney. Resulting complement activation and chemotaxis of neutrophils leads to a local inflammatory process. Second, in situ formation of antigen and antibody complexes may similarly lead to complement activation and leucocyte mediated injury. Third, antibodies against specific cellular targets may produce renal injury.

　　Symptoms related to active nephritis may include peripheral edema secondary to hypertension or hypoalbuminemia. Extreme peripheral edema is more common in persons with diffuse proliferative or membranous lupus nephritis because these renal lesions are commonly associated with heavy proteinuria.
http://www.kidneyservicechina.com/lupus-nephritis/