2012年12月28日星期五

CKD Stage 3, Kidney Function 40-50, High Blood Pressure


Illness description: stage 3 CKD, kidney function of 40-50%, haven’t begun dialysis, high blood pressure, nausea, vomiting and poor appetite.
Illness analysis: it shows that his kidney function still belongs to the Chronic Progressive stage, in that stage, if we can not stop the progressing of the disease immediately, on one hand, it will develop into irreversible stage of renal fibrosis,on the other hand, it will cause other disease as well, which will lead to other tissue or organ damaged gradually, especially he has lots of uncomfortable symptoms as well as did some operation in the different countries, so it is important for him to ensure the normal function of the kidney and eliminate the toxin from his body. What's more, we do not only use the Micro-Chinese Medicine Osmotherapy for him, but also use the immune blocking and immune Protection treatment for him to repair the damaged kidney function as well as other tissue or organ. At the same time, according to the quantity of the immune protection treatment, it also will help him to improve the damaged kidney function more quickly. Frankly speaking, if he can receive the specific and systematic treatment earlier, then his recover rate will be more than 80%, and if you can learn how to use the acupuncture via our treatment here, then your father's hemiplegia problem will be recovered easily. In addition, it depends on your father's real condition and whether he can receive the treatment eariler or not, as you know, the earlier treatment the patient get, the more recovery rate they will have.
As a doctor, I want to remind him that he has to keep a balanced diet, avoid catching a cold or infection, which all important for his recovery. At the same time, he has to keep a sufficient and regular dialysis, so as to ensure his condition will not get worse and worse, meanwhile, it will provide a full preparation for the next step of the treatment. What's more, he has to pay attention to his diet, that is, he should be on a diet with low potassium, such as avoid eating orange or banana. Secondly, low phosphorus, please don't eat animal innards. Thirdly, low sodium, that is, he has to control his salt intake, while it depends on his real condition to choose how much salt he needs. Fourthly, low protein, he has to control his protein intake, so as not to increase the burden of his kidney. Fifthly, low fat, avoid greasy food and fried food. He can eat light meat, such as chicken and fish, but he can not eat mutton and beef. What's more, he can eat high vitamins, such as fruits and vegetables as well as milk.
One more things is that we has enough confidence to treat him well.Some of them has gotten rid of dialysis, and they has lived a normal life. Some of them has some doubt about our treatment, so they has choose the kidney transplant, while after our return visit department for such a long time of following, we has found that the successful rate of kidney transplant is not really ideal, that is, some of the patients are failed to the treatment, but some of them succeed, but they needs to take the anti-rejection medicine for his whole life, but it has a big side effect of those medicine, as far as we know, it can be used for about 5 years when they did the kidney transplant, which all belongs to our conclusion after our statistics, so we sincerely hope he can receive the specific and systematic treatment as early as possible, to protect the rest of his kidney function is pretty important for him,because the dialysis will damage the kidney function gradually.

2012年12月26日星期三

High Creatinine 442 due to Diabetes and Hypertension


Illness description: I have diabetes and high blood pressure for years and now my creatinine is higher, about 442, any advice?
The following is the report of my Renal Function Test
Sodium 127V mmoi/L
Potassiun 5.2 mmol/L
Chloride 99 mmol/L
Creatinine 433 umol/L
Urea 31.6 mmol/L
Uric Acid 676V umol/L
Illness analysis: For your condition, I don’t think it is late for you. So, please don’t worry. There are many patients in our hospital have gotten rid of dialysis, some of them had been keep dialysis for three years. So, please don’t worry.There is high possibility to get ride of dialysis for you
As you know, long term diabetes and hypertension can make kidney damaged. In your case, you have both hypertension and diabetes for a long time. That is why your kidney get damaged and creatinine increases.
For diabetes, people keep high blood glucose . Long term high blood glucose can make superabundant saccharification final products deposite in glomerular endothelial cells and mesangial cell . This process will make extracellular matrix have
pathological changes . Thus, extracellular matrix will produce excessive fiber cells and finally lead to glomerula fibrosis and necrosis. Generally, 10-15 years diabetes can lead to obvious kidney damage.
For hypertension, long term hypertension can make renal artery atherosclerosis. The artery atherosclerosis can lead renal tubular capillary hypoxic-ischemic, which will lead tubular necrosis generally. Generally 5-10 years hypertension can lead to the damage
I believe your have given you diet suggestion.So , I ‘d like to offer you some tip on daily life. Please try your best to keep your blood sugar and blood pressure well, it will reduce the burden of your kidney. And please take shower with warm water(40 degrees Celsius) . And do not have your breath and overexertwhen you are defecating.
From your last letter I can tell your helpless feelings. I am afraid that you now have already started dialysis. I remember your last time creatinine level was 433umol/L. Generally, this level does not require dialysis, but you have Diabetes. I think your doctor also take your diabetic history into consideration, so he suggested starting dialysis earlier.
By the way, dialysis is not a standard to judge renal damage level. What matters is the pathological changes within kidneys and whether certain portaion of these changes can still be reversed. Sclerotic cells are died cells, but in most cases there are still large portion of damaged but still reversible cells. This is also why some end stage patients can still stop dialysis. Hope you will also have a thorough evaluation for your condition to avoid any possible chance for improvement.

2012年12月24日星期一

New Perspective for Treating PKD


Firstly, before knowing how to treat cysts, you should know how can you have the cyst. as we know, PKD is a genetic disease, but why not 100% people with the genes get the disease? We know you have the PKD and glad to give you some suggestions. The following are two points I want to say.
The main reason is the poor immunity that virus enter your body and cause inflamation, thus inducing the cysts. Cysts grow on the connecting position of kidney tubules and collecting ducts for there is hyperplasia. More and more cells will block the tubules, thus leading the retention of urine, forming cysts. With the enlargement of cycsts, there is state of ischemia and anoxia. then renal cells will be damaged and kidney function will decrease. Patients will have some symptoms like blood urinem, waist pain and so on.
Secondly, after knowing the causes clearly, there are three aspects for treatment.
1. block inflamation. there are many western and Chinese medicines can block the inflamation, thus stop the aggravation of cysts.
2. shrink and disappear the cysts. The cyst wall are blood vessels. We should apply medicines to improve blood circulation of the cyst wall, which can improve the permeability. then cyst fluid will flow out smoothly and discharge with blood circulation.
3. improve renal function. we must apply treatment for improving renal function or repairing the damaged kidney cells in case the relapse of the disease.
In addition, you should know that there are only 10% renal units have the cyst, so there are great hope for treating the disease. Don't worry.You know, PKD is not only the disease of cyst, but a whole body disease. we also suggest the treatment for improving immunity. After a systematic treatment, the disease can be treated.

2012年12月19日星期三

Kidney Cysts, Creatinine 0.9, Treatment and Suggestions


Illness description: My kidneys are enlarged in size and there are many cysts of varying sizes. I took the ultrasound and there is no calculi or calcification seen. The right kidney measures 127*66mm and left kidney measures 149*73mm. My creatinine is now 0.9.
Illness analysis: I have checked your test report, for your illness condition. generally speaking there are two treatments for kidney cyst. One is surgery. The other is herbal medicines( not tablet, not for oral taking, it is a kind of external application)
For your illness condition, i do not suggest you chose surgery treatment, because it only can reduce and remove the cyst and can't solve the root problem so that can not treat the disease from the root.
After the big cyst removed with surgery the new one will grow in a fast speed, and the patient have to do surgery once more to remove the second one, which will lead to
vicious cycle.
As for your creatinine level, it is still in the normal range which means that your kidneys still function well and you are in the very early stage of the disease.
The following suggestion is help to control your cyst, hope my suggestion can help you.
1. Pickle needs to be avoided because excessive salt will lead to edema and much more damages on kidneys.
2. Spicy food needs to be avoided, including chilli, alcohol, shrimp, crab, etc. Taking the alcohol for instance, the alcohol has great stimulation to kidneys and will stimulate the action of protein so as to promote the growth of cysts.
3. Animal viscera needs to be avoided. Since there are much toxins left in the viscera especially the liver of animal, the disease condition of the sufferers will be aggravated thereby if they eat viscera with toxins.
4. Fermented food and food with too much protein need to be eaten as less as possible.
5. Coffee and chocolate need to be avoided as well.

2012年12月18日星期二

Multiple Renal Cysts in Kidneys, Surgery, Herbal Medicines


Illness description: I have multiple cysts on both kidneys. I had liquid taken out of one big cyst of 3cm on my left kidney last year, but now I began to have back pain which i do not know weather it is due to the cysts in my kidneys. I am going to take another ultrasound to see if the cysts have grown even larger. I know the needle in the surgery will cause damages to my kidney functions and there are more than one cyst on both my kidneys, so i do not want to undergo that operation.
Illness description: For your condition, I first suggest herbal medicines since the cysts are still small in size and surgery is not very proper. Clinical experiences have shown good curative effects. Herbal medicines can promote the blood circulation of the cysts wall, then the liquid will be absorbed and decreased. As the pressure inside the cyst is decreased, the size of cyst also can become smaller and smaller. Once the pressure to the kidney is eliminated, the renal function will recover gradually and some discomforts will disappear. What is more important, herbal medicines can have overall curative effects on shrinking cysts of all sizes without causing additional damages to the kidneys. It is conservative, natural and harmless to the body if taken under professional doctors’ guidances.
When our kidney is damaged, the kidney intrinsic cells can be divided into three parts. some are healthy, some are damaged and the rest are dead. So herbal medicines can help us to protect our healthy ones and repair the damaged ones.

2012年12月17日星期一

Treatments and Diets for Kidney Cysts and Diabetes Syndrome


western medicine will follow these steps to treat kidney cysts:1) wait the cysts become enough big. 2.) 95%anhydrous alcohol is inputed into renal cysts for solidifying capillary, then liquid can’t go into renal cysts.3) abstract the cystic liquid from renal cyst-----this operation may be called puncture. Please notice that these measures will damage the kidney, especially for the nephron which is the basic part of kidney. At present, all Western Medicine just treat the symptoms of kidney, they can’t treat the disease from the root.
We use the herbal medicines and other external application of Chinese medicines to treat the cysts and diabetes like massage, acupuncture, medicated bath, etc.
Herbal medicine is a conservative therapy without pumping fluid or relieving pressure. It is a kind of external application on the back. The Chinese medicine are micronized into one thousandths of its original size. With the action of the microwave, the medicine will permeate into the renal lesions directly through the skin and channels.Chinese medicine will improve the poor blood and oxygen then make the blood circulation around the cyst wall successful ,the cyst fluid will flow away along with the blood circulation.What is more, Chinese medicine will restrain the epithelial cell of cysts secrete the fluid, because it can make the epithelial cell lose the inactivation,so the cysts can not develop to large again .At the same time ,the chinese medicine have the function of anti-inflammation ,it can help to repair the damaged kidney.
When the cyst do not grow any longer,the cysts shrink more and more slowly as the time, then it can not develop to the kidney failure,so u can far away from the kidney failure,and extend yr life.
Some suggestions for the kidney cysts.
1. Have less salt food (including preserved food, pickles, tinned meat), spicy food (including hot pepper, liquor, shrimp, crab, etc.) contaminated food (perishable food, leftovers, etc.) broiled dishes. Limit high protein food from animal and oily food, etc
2. Have good rest. Avoid drastic physical strength, and trauma on abdomen.
3. Take nutritional food.
4. Have high-quality protein food, supply high fibre, rich vitamin food, and, eat low fat and sugar food.
5. Do some mild exercises, but not strenuous exercises.
6. Drop smoking or drinking alcohol.
And in the daily life, in order to avoid the rupture of the cysts, (your kidneys are very big now), the abdominal pressure should not be too much. When you bend down, be careful. Don't lift too heavy objects, avoid twist your waist violently, have a loose belt, and try not to have constipation.
Try not to drink coffee, coca cola. And try to be careful not to get urinary infection.
Some suggestions for coping diabetes:
1. You'd better choose the low-calorie and sugar-free drinks. Drinks like sodas, iced teas, freshly squeezed juice, ordinary soft drinks, sport drinks and cordials should be avoided because they can raise blood glucose.
2. Skim and low-fat milk are recommended for you.
3. Try to not drink alcohol.
4. Foods with high level fiber, plus fresh vegetables are suitable for you.
5. The vegetables should be eaten fresh, lightly steamed, roasted or grilled. Avoid canned vegetables because they contain large amounts of sodium. Avoid cooking vegetables with added butter, cheese or sauce.
As for the bitter gourd you mentioned, it is favorable for you. But for the funegreek ,neem dryed powder, maybe they are your local product, I do not know them. So you can ask your local doctor about them.
The above is my suggestions for your diet. Hope they are helpful for you.

2012年12月16日星期日

Cysts in Kidneys, High Blood Pressure, Natural Treatments


Illness description: I have cysts in my kidney and high blood pressure. I want to know something about conservative and natural herbal medicines for controlling high blood pressure and treating kidney cysts. Thanks! The IVP was done on 10th October 2011. The findings are:
· no kidney stones
· several cortical cysts in both kidneys
· a 3cm para-pelvic cyst on the right side
· dilation of the right upper pole chalice system, probably due to compression of the para-pelvic cyst
· ureters appear prominent, no focal dilation or obstruction
· no peri-nephrotic fat layers
· no bladder calcification
· no gall stones
· Spleen, Adrenals and pancreas NAD
· degenerative spondylolisthesis
Blood pressure is 160/110 unless I take perindopril (prexum). Blood pressure is increased since 2008. Pruritis of anterior and posterior trunk - could be a side-effect from perindopril.
Illness analysis: There are many reasons of the kidney cyst.The emotional disorder ,environment change,overfatigue or free,unreasonable diet both can cause Bad digestion and absorption. It will make the cells changed.The kidney tubules epithelial cells will increased to form polyp.It will block the cavity of kidney tubules.So the liquid will gather there to become cyst.There is also kidney stone accompany with kidney cysts.
As you know, the cysts will continue to grow larger and larger along with age. The enlarged kidney cysts will replace the normal renal tissues around and damage the renal function. The damage of barrier function of the glomeruli will lead to urine protein and leakage of red blood cells. You have to avoid spicy and stimulating food, otherwise, the cysts will grow very fast.
The following are the two kinds of treatment,you can have a look and choose one.
1.Operative treatment.
This surgery is called fluid pumping puncture. It is to pumping fluid and alcohol injection for kidney cyst under ultrasound guidance.It can move the cyst away very fast,but it has chance to infection and if made mistake,it may damage kidney function.Also the cyst may grow again.
2.Conservative Treatment.
It is a conservative therapy without pumping fluid or relieving pressure. We use Micro Chinese Medicine to expand blood vessels, speed up blood circulation on cysts walls, and improve the permeability of the cysts thus making the cysts shrink and decrease. It will restrain the proliferation of the epithelial cells, so the secretion of cyst liquid will be reduced. When the internal pressure of the cyst declined, the size of the cyst will gradually become smaller, thus relieving the compression of the tissues around, improving microcirculation, and blocking the progressing of renal fibrosis. Besides, the cysts are not easy to recur after disappearance, and the symptoms will thoroughly disappear.
Micro-Chinese Medicine Osmotherapy is a kind of conservative therapy. It can expand blood vessels, speed up blood circulation.Due to this function,we also use it for the high blood pressure problem.All the hypotensive drugs are due to expend blood vessels to lower the blood pressure level.The aim of dilating the blood vessels is to improve the blood supply in kidney blood circulation system, relieving the ischemia and hypoxia of the intrinsic kidney cells, which provides a good milieu for the repair of endothelial cells, epithelial cells and mesangial cells.

2012年12月15日星期六

How Does Herbal Medicine Treat Renal Cysts in Kidneys


Illness description: I am now 45 years old with hyspertension, and hyperthyroidism. I have found cysts in my kidneys and currently I take the following medications: buspirone
5mg a day, enalapril 5mg q d, ranitidine 75mg q d, atenolol 25mg q d, topirimate 200mg q d, clonazepam .5mg q d, ariprizole 25mg q d, levosynthroid .1mg q d. I simply have chronic flank pain in the right side and sometimes in the left side.
I did have one pain clinic procedure where they attempted to numb the back to alleviate the pain but to no relief.
Illness analysis: In kidney disease, there are two kinds of kidney cysts: 1. Polycystic Kidney Disease (PKD), this disease means the patient has many cysts grow on the kidneys. With the growth of the patient's age, the kidney cysts will press the kidney tissues and damage the kidney function. In the end, the patient has to receive the kidney transplant or dialysis. 2. Kidney cyst. The disease means patients have one or two or three or four cysts grow on the kidneys, also grow with the age, then press the kidney tissues, so the patient feel back pain or fatigue. The final result of Kidney Cyst is kidney failure if can't be controlled well.
Those kidney cysts will grow with your age, then press your kidney tissues and damage your kidney function. This is the reason why you have flank pain. If the kidney cysts become big enough, they will press the kidney tissues and damage the kidney function. The final result of kidney cysts is kidney failure. Therefore, early useful treatment for your kidney cysts is very important.
Herbal medicine has the curative effect for kidney disease, which can treat the kidney disease from the root. (1)Chinese Medicine is abstracted from natural herbs, without any side-effect. (2) The therapeutic mechanism of this therapy is to block the process of renal fibrosis, dilate blood vessels, promote the micro-blood circulation, repair the damaged renal intrinsic cells, and remove the stasis in channels. At the same time, Chinese Medicine has the effect like anti-inflammation, anti-coagulation, preventing blood viscosity and degrading extracellular matrixes. The main functions of Chinese Medicine are: block+ repair.

2012年12月14日星期五

How Does Herbal Medicines Treat PKD


I will introduce you some information about the treatment with Herbal medicines. These infromation can help you know how PKD influence kidneys and how to use Herbal medicines to treat it step by step. Hope you can read the following information.
When the kidney tissues are invaded by inflamation, the kidney tubules epithelial will appear phenotype transformation and then the permeability of cyst wall decreases so that the cyst liquid secreted by cyst wall can not be discharged out of human body. Then the cyst liquid will accumulate into the cyst which will lead to the increase in size of cysts along with the time passing by. Cysts will suppress the capillaries in kidneys, which will increase the inner pressure of blood vessels. Then red blood cells and protein with negative charge will be leaked out from blood vessels because of the damage of barrier function. Bigger and bigger pressure to kidney ti
ssues can lead to ischemia and anoxia, thus leading to renal anemia at last. So the key point to treat Polycystic Kidney Disease is to control and shrink the size of cysts and supply new nephrons to play renal function which should have been done by those necrotic nephrons.
As we clearly research the pathological change of cysts, we renovate MicroChinese Medicine Osmotherapy based on Traditional Chinese Medicine. This therapy possesses two curative effects, the first one is: expand the vessels on thevascular wall surround the cysts, accelerate the blood circulation of cyst wall, promote the permeability of cyst wall, promote the inner press decrease of cyst wall vessels, reverse the differential pressure caused by intravascular pressure higher than intracapsular pressure,
accelerate the vessels re-sorption of the cyst liquid. The second one is: the active substance of Chinese Medicine can restrain the secretion of cyst wall epithelial cell; prevent the continuous expanding of bursa wall vessels and cyst. This therapy fundamentally controls the enlargement of cysts and repairs the damaged renal nephrons.
After you read the above information, I hope you will know what is the best treatment for Polycystic Kidney Disease. At the very beginning, patients with PKD don't have high creatinine or kidney function damage. If high creatinine and hypertension occur, it means kidney function begin to be damaged. I hope you can find the size of your kidneys and cysts. These information can judge your illness history.

2012年12月13日星期四

PKD, High Creatinine of 5, High Blood Pressure


Illness description: I have PKD and both kidneys are affected. I have now high serum creatinine of 5, please advise options available. I also have high blood pressure and now am taking antihypertensive.
Illness analysis: High creatinine level means that the cysts have begin to affect your kidney functions.
PKD (polycystic kidney disease) is a kind of genetic disease and as the age increases, the cysts will become bigger and bigger. And our kidney also can be damaged. it has various complications, like backpain, abdominal mass (enlarged kidney), hematuresis, hypertension, cyst infection, in the end stage, patients may have hard breathing, nausea, vomit etc. In addition, many organs will be involved, like liver, pancreas. Patients may also some cardiovascular disease. The continuous growth of cysts can oppress kidney, damage kidney function.
Your cysts have been quite big, do you have back pain? Blood in urine?
High blood pressure is a common symptom in Polycystic Kidney Disease (PKD). With the enlargement of the cysts, they will oppress the normal renal tissues leading to renal ischemia and anoxia as well as low blood perfusion. Therefore, the blood pressure will rise. If uncontrolled, the renal high blood pressure in Polycystic Kidney Disease (PKD) will cause further pathological injury to kidneys resulting in renal fibrosis and elevated creatinine level. In return, the aggravation of the disease will cause the blood pressure to rise again, which may cause heart enlargement and even heart failure.
Now you are in the stage 4 of CKD. Please don't worry, in this stage, the kidney repair can be reversed.
For your illness condition, our hospital mainly use Herbal medicines , and other adjuvant therapies, like Chinese Herb Bath, acupuncture and so on.
The well-chosen medicines are shattered into powder and then are packed in bags made of special material. Then with the help of modern instrument, the effective medicine integrants will be able to be permeated into the kidney lesions directly from kidney area.
Then the effective medicine can work on the cysts and promote the resorption ability of the lining wall of the cysts. As a result, the cysts will stop growing and shrinking gradually.
Moreover, the medicine can dilate blood vessels to improve systemic blood circulation and increase the blood and nutrients supply to kidneys. Therefore, it can promote the self-repairing of the impaired renal functional cells due to oppression of the enlarged cysts

Serum Creatinine from 2-4, Flank Pain, Enlarged Kidneys


Illness description: The serum creatinine was 2 before, but now it is 4, is this due to the cysts of PKD? The right kidney measures 174mm*91mm and left kidney measures 174mm*85mm. At present,My father is having pains in lower side of waist, what could be the reason?
Illness analysis: now, the cysts should be treated first, otherwise, the cysts may cause more damage to kidney
Both kidneys have enlarged so much and his serum creatinine is also very high. It suggests he is in stage 4 kidney disease. If not treated in time, he may have to start dialysis. His waist pain can be caused by two reasons. The pull force of the enlarging cyst walls will cause waist pain. Too much protein leakage will cause lack of protein supply for the musles, so he may have dull pain. If his pain is serious, he may have infection inside the cyst or kidney stone which is often the complication of ADPKD. If he doesn't have edema, I suggest he drink more water.
This kind of disease cannot be cured fundamentally, however we can shrink the cysts, increase the blood flow in the kidneys and improve the kidney function so as to avoid kidney failure and dialysis. We have to do something, not waiting passively for kidney failure.
We are the largest kidney disease specialized hospital in China and over 6.4% of our patients are with PKD. The treatment I recommend are herbal medicines and "Duo Nang Xiao".
Herbal medicines is a conservative therapy without pumping fluid or relieving pressure. It is a kind of external application on the back. The Chinese medicine are micronized into one thousandths of its original size. With the action of the microwave, the medicine will permeate into the renal lesions directly through the skin and channels. We use Herbal medicines to expand blood vessels, speed up blood circulation on cysts walls, and improve the permeability of the cysts thus making the cysts shrink and decrease. It will restrain the proliferation of the epithelial cells, so the secretion of cyst liquid will be reduced. When the internal pressure of the cyst declined, the size of the cyst will gradually become smaller, thus relieving the compression of the tissues around, improving microcirculation, and blocking the progressing of renal fibrosis. Besides, the cysts are not easy to recur after disappearance, and the symptoms will thoroughly disappear. The kidney function will also be better.
"Duo Nang Xiao" is a kind of oral taking medicine prescribed by Chinese medicine professor. It is effective in shrinking the cysts according to the clinical observation.
If you have his test reports, I hope you can send to me. I will analyze it and give you specific advice.
According to our former conversation, you said your father's kidneys are 170mm. That's really big. Even his serum creatinine is lowered down, his kidney function is continuing declining if the cysts are not treated. The enlarging of the cysts will press the around kidney tissues and cause lack of blood and oxygen supply in the kidneys. Once the renal fibrosis starts, it is hard to stop it. Therefore, on diet he has to avoid spicy food, greasy food, sea food and strong tea or coffee. These things are stimulating, which may enlarge the cysts.

2012年12月12日星期三

PKD, Kidney Function of 17



Illness description: my father has PKD and high blood pressure. My creatinine is very high now and i have at present about 17 kidney functions left. Is it too late for me to treat the disease?
Illness analysis: your father is at present in stage 4 CKD according to his remaining kidney functions, but kidney function of 17 is very close to end stage PKD, therefore timely and proper treatments and home nursings are very necessary for him.
Since the GFR is already very low, doctors usually will give suggestions for dialysis according to GFR level, when it decreases to 15, dialysis will be prepared. So regular tests should be done, to examine and follow your disease progress. And there is any discomforts, you should pay attention, and consult your doctor.
The external application of herbal medicines, as you said, will be needed every day, and 2-3 times per day. These medicines are mainly to treat your cysts, to shrink them. The medicines can arrive at the kidney lesions with the urinary bladder channel, in Chinese medicine, and then act on the lining cells of the kidneys, to restrain the secretion of the cystic fluid, and also increase the permeability of the cyst wall, so the fluid can be discharged out more quickly. From these two ways, the cysts will get smaller and smaller. And the pressure caused by the enalrging cysts will be lessened. And the Chinese medicines is known as treating disease from the root, but it also has low effects, so after your condition become stable, you still need take some medicines home for consolidation treatments.
Your kidney function is very low now, and is near end stage of kidney failure, so we suggest you take cell therapy, to improve the kidney function.
There are some countries to cell therapy at present, but for PKD patients, our chinese medicines take an important role in the treatments for PKD. And for such patients, not a single treatment can improve the patient's condition. We need to combine western medicines, chinese medicines, and cell therapy, and sometimes we still need blood purification methods, together to let the patient's condition become better.
And for the payment, i am not so clear about the procedure in your country, but in China, if we go to a hospital, we need to deposit some money first, to do some tests, some initial treatments, etc. and then like, if patient needs to do a surgery, they need to pay the money first for the surgery, then the doctors will do it for the patient. That's how it works in China. So after you come, you also need to pay some deposit money first, and then, if treatment plan is made for you, you need to pay the money before the treatment starts. Hope you can understand this procedure. IF not, you can tell me, and i will explain it again.
For PKD patients, we have treated many cases, and we also had a survey, about the patients who are treated in our hospital, about their complications, you can read it. For PKD, of course, in every stage, the results will be different. We have some patients, who are treated in early stage, they are still keeping a good kidney function now. And for some later stage patients, if they haven't started dialysis, the treatments can maintain the current condition. And for some end-stage patients, after the treatments, their dialysis may be reduced gradually. So different conditions will have different results. And of course, the whole process needs the cooperation of the patients with our doctors. Then it will achieve the best result.

Early Stage PKD, Basic Knowledge of PKD


Illness description: i recently found that i have Polycystic kidney disease and both my father and cousin have it too. Both my kidneys have renal cysts and my right kidney is a bit bigger than the left one. But my kidney functions are normal and i have no started dialysis yet. So far that is all i know. I want to know some basic knowledge about PKD and the more the better.
Illness analysis: Please don't worry , PKD is a very common kidney disease , if you can treat it timely , your renal function can be protected well .
Polycystic kidney disease (PKD or PCKD, also known as polycystic kidney syndrome) is a cystic genetic disorder of the kidneys There are two types of PKD: autosomal dominant polycystic kidney disease (ADPKD) and the less-common autosomal recessive polycystic kidney disease (ARPKD).
It occurs in humans and some other animals. PKD is characterized by the presence of multiple cysts (hence, "polycystic") typically in both kidneys; however 17% of cases initially present with observable disease in one kidney, with most cases progressing to bilateral disease in adulthood.The cysts are numerous and are fluid-filled, resulting in massive enlargement of the kidneys. The disease can also damage the liver, pancreas and, in some rare cases, the heart and brain. The two major forms of polycystic kidney disease are distinguished by their patterns of inheritance.
As for PKD there is one pathogenetic regularity , generally when the patients are in 30 years old , their blood pressure will be higher ,in 40 years old their creatinine level will be higher , in 50 years old there will be renal failure .
The most common symptoms are pain in the back and the sides (between the ribs and hips), and headaches. The dull pain can be temporary or persistent, mild or severe.
People with autosomal dominant PKD also can experience the following complications:
· Urinary tract infections, specifically in the kidney cysts
· Hematuria (blood in the urine)
· Liver and pancreatic cysts
· Abnormal heart valves
· High blood pressure
· Kidney stones;
· Aneurysms (bulges in the walls of blood vessels) in the brain
· Diverticulosis (small pouches bulge outward through the colon).
Proper diets for early stage PKD
Add Flax Oil to Your Meals
Flax seed oil has also been show to help ease the symptoms of PKD. (Ogborn, M.R., et al. "Flaxseed ameliorates interstitial nephritis in rat polycystic kidney disease." Flax oil is an excellent source of a group of fatty acids (omega-3-fatty acids) that are thought to have anti-hypertensive, lipid-lowering and anti-inflammatory effects. All of these benefits can help with polycystic kidney disease.

2012年12月4日星期二

PKD and High Blood Pressure


High blood pressure is one of the common clinical manifestations of polycystic kidney disease, polycystic kidney disease early clinical manifestations. Foreign reports polycystic kidney disease in patients with blood pressure higher than the general population as early as ten years, 60% of patients in the renal blood pressure abnormalities before. Into ESRD stage, almost all patients with hypertension. Polycystic kidney disease is similar to other types of kidney disease, high blood pressure is an important factor to affect the progression of renal function, is also a major risk factor for cardiovascular complications.
Polycystic kidney disease, high blood pressure causes a great relationship with cyst size of the patient's body. Reduced local blood flow the increased cyst growing oppression of certain blood vessels in the kidney, and kidney receptors feel this reflex to a signal renin production increased, and thus the angiotensin concentration vasoconstriction caused by high blood pressure, But after the Chinese medicine, can be lifted compression symptoms of the cyst surrounded kidney unit, mitigation normal renal tissue ischemia missing oxygen, slow down the process of renal fibrosis. This will not only ease the generation of high blood pressure, and with vascular tone factor release weakened, increased vasodilator, promote blood circulation of the wall, the blood vessel becomes a degree of relaxation. blood pressure will be gradually manipulation. treatment of polycystic kidney disease, a series of clinical studies, but the most viable clinical interventions or polycystic kidney disease in patients with blood pressure control.
Strict control of blood pressure, heart and kidney function is essential for protection of polycystic kidney disease patients. Antihypertensive drug treatment should be early, the vast majority of drug therapies available to good results. ACEI, ARB, the ideal preferred drugs, and other commonly used drugs, calcium channel antagonists, beta blockers and central antihypertensive drugs.
Polycystic kidney failure patients should maintain freshness mood, work and rest, and establish the confidence to overcome the disease with treatment. Should the novelty usual diet, and nutritious, eat more fruits, appropriate manipulation protein intake, Eat cold Feigan of the goods or spicy, quit alcohol, to maintain smooth stool. Hypertension edema is significant, should be limiting sodium intake. May be appropriate to participate in a number of sports and entertainment activities, but it should prevent the waist and abdomen extrusion collision, to avoid cyst rupture. Patients with severe illness should stay in bed.

2012年12月3日星期一

Will Polycystic Kidney Disease Develop Kidney Failure


Polycystic kidney disease is a chronic kidney disease and it takes relatively longer time to develop into end stage renal disease especially if patients have timely and effective treatments and home nursing measures, even though, the risk still exists.
When PKD develops into renal failure, it will have all the symptoms and complications of chronic kidney failure besides some special symptoms of renal cystic diseases like abdominal masses, fluid-filled sacs forming in kidneys.
The symptoms and complications when PKD develop into renal failure:
Water, electrolyte and acid-base metabolism disorders
Chronic renal failure, acid-base balance and electrolyte metabolism disorders are quite common. Electrolyte balance disorder is the most common type of metabolic disorders, metabolic acidosis and water.
(1) metabolic acidosis in patients with mild to moderate chronic renal failure (GFR> 25ml/min, or serum creatinine <350 μmol / l) in some patients due to renal tubular secretion of hydrogen ions obstacles or tubular HCO3-heavy absorption capacity decreased, thereby causing renal tubular acidosis. When GFR decreased to <25ml/min (serum creatinine> 350μmol / l), renal failure metabolites such as phosphoric acid, sulfuric acid and other acidic substances due to renal excretion obstacles retention can occur uremic acidosis. Mild chronic acidosis, the majority of patients with fewer symptoms, such as arterial HCO3-<15 mmol / L, you can appear obvious loss of appetite, vomiting, weakness, breathing deep.
(2) water-sodium metabolism, mainly Shuinazhuliu, or hypovolemic hyponatremia. Renal insufficiency, renal sodium load too much or excess capacity, the ability to adapt gradually decreased. Shuinazhuliu can be expressed varying degrees subcutaneous edema and / or body cavity effusion, which is quite common in clinical; prone to high blood pressure, left ventricular dysfunction (chest tightness, activity decreased resistance even at night not supine) and brain edema. The hypovolemic performance for low blood pressure and dehydration. Hyponatremia reasons, both cause (authenticity hyponatremia) due to a lack of sodium and too much water, or other factors caused by (False hyponatremia), while the latter is more common.
(3) potassium metabolism disorders: when the GFR reduced to 20-25ml/min or lower, renal potassium row capacity decreased, is prone to hyperkalemia; especially when excessive potassium intake, acidosis, infection, trauma, gastrointestinal bleeding occurs more hyperkalemia. There is a certain danger of serious hyperkalemia (serum potassium> 6.5mmol / l), the need for timely treatment to rescue. Sometimes inadequate potassium intake, gastrointestinal excessive loss of potassium-sparing diuretics and other factors, application row hypokalemia.
(4) calcium and phosphorus metabolism, mainly for of phosphorus too much and calcium deficiency. Calcium deficiency primarily with calcium intake, lack of active vitamin D, hyperphosphatemia, metabolic acidosis related to a variety of factors, the obvious lack of calcium, hypocalcemia can occur. "Phosphate regulating intestinal absorption and renal excretion of phosphorus. When the glomerular filtration rate, urinary discharge to reduce serum phosphate levels gradually increased. In the early stage of renal failure, serum calcium, phosphorus still remained in the normal range, and usually does not cause clinical symptoms appear only in late stage of renal failure (GFR <20ml/min) hyperphosphatemia, hypocalcemia hyperlipidemia. Hypocalcemia, hyperphosphatemia, active vitamin D deficiency can be induced by elevated parathyroid hormone (PTH), secondary hyperparathyroidism (referred to as hyperparathyroidism) and renal osteodystrophy.
(5) magnesium metabolism disorders: when GFR <20ml/min reduction in kidney platoon magnesium, often mild hypermagnesemia. Patients often no symptoms; such as the use of magnesium-containing drugs (antacids, laxatives, etc.), are more prone. Hypomagnesemia can occur even magnesium intake is insufficient or excessive application of diuretics.
Metabolic disorders of protein, carbohydrates, fats, and vitamins
The CRF protein metabolism in patients with general performance of the protein metabolite accumulation (azotemia), serum albumin levels, essential amino acids in plasma and tissues levels. Metabolic disorders with protein decomposition increased or / and reduce the synthesis of negative nitrogen balance, the renal excretion disorders and other factors related to.
Abnormal glucose metabolism mainly manifested as impaired glucose tolerance and hypoglycemia both cases, the former is more common, which is rare. Hyperlipidemia is quite common, and most of the patients showed mild to moderately high hypertriglyceridemia, a small number of patients showed mild hypercholesterolemia, or both. Vitamin fairly common metabolic disorders, such as increased serum levels of vitamin A, vitamin B6 and folic acid deficiency.
Cardiovascular system
Cardiovascular disease is one of the major complications of CKD patients and the most common cause of death. Especially into ESRD stage, the mortality rate is increased further (uremia cause of death in 45% -60%). Recent studies have found that uremic patients with adverse cardiovascular events and artery atherosclerotic cardiovascular disease about 15-20 times higher than the general population.
More common cardiovascular disease, hypertension and left ventricular hypertrophy, heart failure, uremic cardiomyopathy, pericardial effusion, pericarditis, vascular calcification and arterial atherosclerosis, etc.. In recent years, found that hyperphosphatemia, calcium abnormal distribution and vascular protective proteins (such as fetuin-A) caused by a lack of vascular calcification, also plays an important role in cardiovascular disease.
Respiratory symptoms
Fluid overload or acidosis can be shortness of breath, shortness of breath, severe acidosis can cause breathing deep. Fluid overload, heart failure can cause pulmonary edema or pleural effusion. Alveolar capillary permeability induced by uremic toxins can cause lung congestion uremic pulmonary edema, chest x-ray examination at this time, there may be a "butterfly-wing" levy, timely diuresis or dialysis of the above symptoms can rapidly improve.
Gastrointestinal symptoms
Mainly loss of appetite, nausea, vomiting, oral Niaowei. Gastrointestinal bleeding are more common, and its incidence is significantly higher than normal, mostly due to the gastric mucosal erosions or peptic ulcer, especially in the former is the most common.
Blood system performance
CRF patients with abnormal blood system mainly for renal anemia and bleeding tendency. Most patients generally have light, moderate anemia, the reason is mainly due to erythropoietin lack, it is known as renal anemia; such as accompanied by iron deficiency, malnutrition, bleeding, and other factors that may aggravate the degree of anemia. Late CRF patients with bleeding tendency, such as subcutaneous or mucous membrane bleeding, petechiae, gastrointestinal bleeding, cerebrovascular bleeding.
Neuromuscular symptoms
Early symptoms may have insomnia, difficulty concentrating, memory loss. Uremia indifferent response, delirium, convulsions, hallucinations, coma, and mental disorders. Peripheral neuropathy is very common, more significant sensory nerve disorder, the most common is the loss of sensation in extremities sock-like distribution, can also be numbness, burning sensation or pain, deep reflection slow or disappear, and may have neuromuscular increased excitability, such as muscle tremors, spasms, restless legs syndrome. The initial dialysis patients dialysis disequilibrium syndrome may occur, appear as nausea, vomiting, headache, convulsions, mainly due to the intracellular and extracellular fluid osmotic imbalances and brain edema after hemodialysis, caused by increased intracranial pressure.
Endocrine dysfunction
Mainly: (1) kidney itself endocrine dysfunction: 1,25 (OH) 2 vitamin D3, erythrocyte erythropoietin and intrarenal renin angiotensin tangled II too much; ② hypothalamic-pituitary endocrine dysfunction: such as lactation hormone, melanocyte hormone (MSH), luteinizing hormone (FSH), follicle-stimulating hormone (LH), promoting increased levels of the adrenal cortex hormone (ACTH): ⑧ outside weeks of endocrine disorders: Most patients had serum PTH liter high, some patients (about a quarter) a mild lower thyroid hormone levels; well as insulin receptor disorder, hypogonadism.
Bone lesions
Renal osteodystrophy (renal osteodystrophy) is fairly common, including fibrocystic osteitis (high-turnover bone disease), poor bone formation (adynamic bone disease) and osteomalacia (low-turnover bone disease) and bone quality osteoporosis. Approximately 35% of the abnormal bone X-ray found in pre-dialysis patients, but bone pain, difficulties in walking and spontaneous fractures are quite rare (less than 10%). Abnormal bone biopsy (bone biopsy) of approximately 90%, early diagnosis is to rely on bone biopsy.
Fibrocystic osteitis is mainly caused by excessive PTH prone bone salt dissolves, rib fractures. X-ray examination showed bone cystic defects (such as the phalanx, ribs) and osteoporosis (such as the spine, pelvis, femur, etc.) performance.
Adverse occurrence of bone formation, serum PTH concentration is relatively low, some osteogenic factors related to insufficient and therefore not sufficient to maintain bone regeneration; dialysis patients, such as long-term excessive application of the active form of vitamin D, calcium, and other drugs or dialysate calcium content High, you can make relatively low concentrations of serum PTH.

2012年12月2日星期日

PKD, Alcohol and Diets, Treatments


Question: my father has PKD and high blood pressure. He drinks a lot alcohol everyday and i worried a lot. What are the influences of alcohol to his illness conditions. Can you offer him some healthy daily diets?
Answer:Alcohol can cause deterioration of Polycystic Kidney Disease. It can stimulate the liveness of polycystin and accelerate secretion of cyst fluid as well as promote the growth of the cysts. In addition, kidneys of PKD patients have already been damaged. If they drink too much alcohol, the organic nitrogen balance can be influenced. Then there will be increased protein decomposition as well as blood urea nitrogen, which then inevitably add to burden of the kidneys. For healthy people, this may not be very serious. But for PKD patients, this can be a stumbling block on their way to recovery.
There are some diet suggestions for you:
1. Water intake
To decrease all those risk factors, fluid intake is advised to be 500-700 ml more than urine output the day before. For instance, if urine output is 500 the last day, water intake should be within 1000-1200ml in the following day.
2.Salt intake
Excess salt intake can aggravate edema and high blood pressure in kidney disease, especially kidney failure. Generally, salt intake should be less than 5g per day. But for those with severe swelling and obviously reduced urine output, sodium intake should be limited more strictly.
3.Restrict high potassium foods
(1) High potassium vegetables: celeries, spinach, mushroom, seaweed, potatoes, carrots, tomatoes, onions, cucumbers, celeries, rape, parsley.
(2) High potassium fruits: bananas, dates, oranges, grapefruits, dates, persimmons, mango, cantaloupe and carambola.
Of course, the medical treatment is must important than the diet. You can send the test reports to us, then we will give you better suggestions.
common treatment .
Pain. Mild to moderate pain can be treated by over-the-counter (OTC) pain medications prescribed by the doctor. In rare cases, your doctor may recommend surgery to shrink the cysts and relive pain.
High blood pressure. Treatments involve anti-hypertensive medications and changes in lifestyle (exercise, diet, stress reduction).
Urinary tract infections . The infection needs to be treated as soon as possible with antibiotics.
Liver cysts. Non-surgical management may include avoiding hormone replacement therapy (HRT), or hormone therapy (HT). Occasionally, surgery may be needed to drain cysts or remove diseased parts of the liver. In rare cases, a liver transplant is needed.
Kidney Failure. If PKD results in kidney failure (end-stage renal failure), patients will eventually need either dialysis or a kidney transplant.
Firstly, before knowing how to treat cysts, you should know how can you have the cyst. as we know, PKD is a genetic disease, but why not 100% people with the genes Dear Madame or friend,
Long time to hear from you, hoping you are fine. We know you have the PKD and glad to give you some suggestions. The following are two points I want to say.
have the disease? The main reason is the poor immunity that virus enter your body and cause inflamation, thus inducing the cysts. Cysts grow on the connecting position of kidney tubules and collecting ducts for there is hyperplasia. More and more cells will block the tubules, thus leading the retention of urine, forming cysts. With the enlargement of cycsts, there is state of ischemia and anoxia. then renal cells will be damaged and kidney function will decrease. Patients will have some symptoms like blood urinem, waist pain and so on.
Secondly, after knowing the causes clearly, there are three aspects for treatment.
1. block inflamation. there are many western and Chinese medicines can block the inflamation, thus stop the aggravation of cysts.
2. shrink and disappear the cysts. The cyst wall are blood vessels. We should apply medicines to improve blood circulation of the cyst wall, which can improve the permeability. then cyst fluid will flow out smoothly and discharge with blood circulation.
3. improve renal function. we must apply treatment for improving renal function or repairing the damaged kidney cells in case the relapse of the disease.
In addition, you should know that there are only 10% renal units have the cyst, so there are great hope for treating the disease. Don't worry.You know, PKD is not only the disease of cyst, but a whole body disease. we also suggest the treatment for improving immunity. After a systematic treatment, the disease can be treated.

2012年12月1日星期六

Kidney Cysts, Hypertension, Gout


Description of illness conditions:
I am 55 years old and stage 3 chronic kidney disease due to a few cysts in bilateral kidneys. I also have hypertension and gout for several years. I take Atenonol for controlling high blood pressure and colchicine for gout and my diet is vegatarian.
Illness analysis and suggestions
You said that you have many years hypertension and gout, so your renal damages may not only due to the cysts in the kidneys. Long term high blood pressure and gout can all damage your renal functions. Therefore it is very necessary to first control blood pressure and gout. Your stage is middle stage. Given proper treatment and right daily care, it can be well controlled.
As for these cysts on kidneys, do you have any discomforts or symptoms such as back pain, abdominal mass, blood in urine, bubble urine, etc. I recommend you to take B ultrasound to make clear the size, location and growth conditions so that more specific suggestions can be given to you.
In this case, you should pay much attention to your condition,because you still have chance to improve your kidney function by taking both TCM (traditional Chinese medicines) and some western medicine. It can help to repair the damaged kidneys. You are at 3rd stage, which means your kidney function is bettew 30% to 60%. Your kidney are damaged,so kidney function decrease. If you want to protect your present and even improve it, repairing the kidneys is necessary.
Diets for controlling high blood pressure
A serving size of whole grains is roughly one slice of bread, one ounce of dry cereal or 1/2 cup of cooked rice, pasta or cereal. Examples of whole grains well suited for the DASH diet are whole wheat bread and rolls (with visible grains), whole wheat pasta, oatmeal, brown rice, unsalted pretzels, popcorn and English muffins.
Diets for controlling gouts
Eliminate foods that are high in purines. These are typically protein-rich foods, but there are other foods and beverages that contain significant amounts of purines. Doing this helps prevent severe symptoms and may enhance the effectiveness of drug therapy. Foods to be avoided on a low-purine diet include: organ meats (liver, kidney and sweetbreads), sardines, anchovies, mackerel, canned fish, mussels, beef, pork roast, chocolate, beer, red wine and beans. Foods that offer a moderate amount of purines (eat less of these foods) include: peas, legumes, oatmeal, spinach, asparagus, mushrooms and luncheon meats.

2012年11月30日星期五

What are the Tests and Examinations of Kidney Cysts



Kidney cyst is the general term kidney cystic mass ranging in size. It is not connected with the outsides the common renal cysts can be divided into adult polycystic kidney disease, simple renal cysts and acquired renal cysts.
Suggestion:
Laboratory tests
Urinalysis showed mostly normal. Microscopic hematuria is rare. Renal function tests are normal, unless the cyst as multiple or bilateral (rare) even if one side of the kidney surface extensive destruction of the contralateral kidney may also be due to the compensatory hypertrophy while maintaining the total renal function normal.
X-ray examination
Can be seen in the abdominal plain film often part of the kidney shadow enlargement or mass oppression. Cyst weight or position can cause the kidneys to reverse the abnormal renal axis. Sometimes striped calcification can be seen in the tumor edge. Excretory urography angiography can be diagnosed. 1 to 2 minutes after the intravenous injection of a contrast agent to radiography, visible renal vascular density increased, the cyst occupied part of the space that is not, because no blood vessels. urography continuous radiography shows mass presence of cysts around one or renal calyx or pelvis often become dented or bent, widened, flattened or lumen disappeared. oblique or lateral radiographs are also helpful in the diagnosis when the mass occupy lower pole of kidney, ureter segment will shift to the spine. kidney itself will rotate through the radiopaque sac or to see the psoas muscle. conventional urography can not effectively distinguish opaque renal parenchyma when renal tomographic X-ray photography to increase vascular renal parenchymal cysts contrast. occasionally renal tumors also relatively free of blood vessels, which is easy to be confused with the cyst. rare cases, the cyst wall tumors may also occur, Therefore, it is necessary for further identification of the diagnostic check.
CT scan
Identify renal cysts and tumors, CT is the most accurate. Cyst fluid density similar to water, and the density of the tumor and normal renal parenchyma similar after intravenous contrast agents, the renal parenchyma becomes more dense, and the cyst remains unaffected ; clear boundaries of the cyst wall and the renal parenchyma, tumor no; cyst wall is thin, but not with tumor. many ways, the identification of cysts and tumors CT is superior puncture fluid judgment.
Renal ultrasound
Ultrasound to take a non-invasive diagnostic techniques to identify renal cysts and substance of mass, a large proportion of ultrasound examination and found to comply with the image of the cyst ultrasound image monitoring can puncture the cyst and suction capsule fluid.
Isotope scan
Straight line scan shows the mass outline, but it is difficult to distinguish between a cyst or tumor. Technetium scan photography avascular mass.
In the cyst photography percutaneous cyst aspiration
When the above checks on the identification of cysts and tumors still have questions, necessary rows aspiration.
Differential Diagnosis
Basic checks
Urine check normal urine bag oppression renal parenchyma or merge sac infection, there may be a small amount of red blood cells and white blood cells in the urine.
B ultra understand the cyst number, size, wall. Renal mass can be differentiated as the preferred method of examination. Typical B-performance anechoic lesion, wall smooth, clear boundary how when imaging prompted; When the wall irregular echo should be alert to the malignant transformation; limitations echogenic wall thickening secondary infection, lesion fine echo intracystic echogenic bleeding. cysts with multilocular cysts, polycystic kidney distinguished.
Intravenous pyelogram (ivp) can show the extent of the cyst oppression renal parenchyma can identify hydronephrosis phase.
Further examination
CT B-ultrasound can not determine who rendered valuable cyst with bleeding infection malignant not homogeneous CT value increased when CT shows cyst characteristics do not have to be a cyst puncture
(1) Kidney cancer: was occupying lesions, but prone to deep, causing more obvious calyceal bending. Hematuria is common, while the cyst is not seen when the renal tumor pressure above the psoas muscle, abdominal plain chip to see less than the edge of the muscle, and the cyst is still visible. transfer evidence (such as weight loss, fatigue, touched supraclavicular lymph node enlargement, chest X-ray shows metastatic nodules), polycythemia, high calcium hyperlipidemia and accelerated ESR prompt cancer. remember the cyst wall can also occur cancerous change. renal vein cancer clogging, unclear or even not developing excretory urography. ultrasound image and CT is always the last to do differential diagnosis. angiography and renal tomography X-ray photography is rich in blood vessels in the tumor, a contrast agent-intensive "pond" cyst density unaffected. prove other diseases before, assume that the space-occupying lesions of all kidney cancer is wise.
(2) polycystic kidney disease: As shown in urography, the disease is almost always bilateral diffuse renal calyx and pelvis distorted its law has become a simple renal cysts isolated solitary. polycystic kidney disease is often associated with renal dysfunction and hypertension, renal cysts.
(3) renal carbuncle: the disease is rare. Acquisition history, history of skin infections in the weeks prior to the projection of fever and local pain urography showed similar lesions, cysts and tumors, but because of renal inflammation around the impact the renal contour waist muscles shadow blurred., kidney more than fixed. patients in the supine and upright kidney position to compare can be confirmed. angiography may be a non-vascular lesions. Gallium scan can display the inflammatory nature of the lesions, but simple renal cyst infection may also have similar performance.
(4) hydronephrosis: signs and symptoms may be entirely consistent performance with simple renal cysts, urography distinct. Cysts cause kidney deformation, while hydronephrosis will not.

2012年11月28日星期三

Chinese Herbal Medicines for Treating Adult PKD


Question: both my wife and daughter have Adult PKD. My wife is found have PKD in 2005 and she began dialysis from the year of 2011 and this year it was found that my daughter have multiple cysts on her kidneys. Ask for possible treatment options.
Here is my wife’s illness condition:
Before dialysis urea is 220 and creatinine is 9.9; after dialysis urea is 127 and creatinine is 5.3. The largest renal cysts on right kidney are 9.5*5.3cm,8.5*6.1 and largest on left kidney are 8.1*5.1,7.7*4.9.
Here is my daughter’s illness condition:
Early impairments in bilateral renal parenchyma, the larges cyst on left kidney is 2.7*2.7 and right one is 2.2*2.0cm.
Answer: To be honest, your wife’s condition is severe. Her kidney cysts are very large and the big cysts have caused damage to her renal tissues. Besides, among her medicines, the first four medicines are taken for controlling blood pressure. Others are for relieving various symptoms, such as vomiting, nausea, difficult breathing, etc. That is to say, no medicine can shrink her cysts or repair the damaged renal tissues. Therefore, the medicines she takes don’t treat her PKD but just relieve her symptoms.
Also, the levels of urea and creatinine are high. This is because the damaged kidneys cannot filter metabolic wastes in the blood normally. A healthy kidney mainly has three functions, namely filtration function, secretion function as well as regulating electrolyte and water in blood. Due to the excess pressure from big cysts to renal tissues, the kidneys are damaged and kidney functions are impaired.
Of course, her condition is not too severe to be handled with. She still have chance to get improvements by receiving Chinese herb medicine. As you mentioned, she has no anemia, which indicates that her kidneys can produce moderate EPO. She has no itching problem, which shows that her blood phosphorus is not very high and eletrolyte is relatively balanced.
At present, your wife faces two problems. One is the increasing cysts; the other is the damaged renal tissues, or rather renal functional cells. Chinese herb medicine is mainly used to shrink and restrain the cyst.
As to your daughter, she is at the early stage. The most important thing for her is to restrain the growth of her cysts. The doctor doesn’t give her any medicine. This is because there is no effective medicine in western medical science to prevent kidney function impairment. In western medicine, only when PKD patients have symptoms, for example, hypertension, the doctor will give them anti-hypertensive medicine to relieve such problem. However, Chinese medical science is different. Chinese herb medicine can restrain the growth of the cysts so as to protect kidney function.

2012年11月24日星期六

Multiple Cysts on Right Kidney, Diabetes, Diets and Treatments


Question: I was told by my doctor that I have multiple cysts in kidney, but the cysts are only found in right kidney and the largest one is 28mm. I also have a cyst on my liver. What makes the condition even more complex is that I became diabetes about 2 years ago. Will I develop kidney failure and how to prevent that?
Answer: your illness condition is not very severe since the cyst is not very large and it is in the early stage, so do not worry. With proper and effective preventions and treatments, the illness conditions can be brought under control and you can just live a normal life.
Since you have diabetes which makes the condition a little bit complex, if you suffer from high blood sugar, you need first to control and maintain blood sugar within safe and stable level. Here are some diet suggestions for diabetic and renal patients.
Your diabetic and renal diet also should consist of non-carbohydrate high-protein foods. You can eat limited amounts of cottage cheese (which has high sodium levels, so sparingly), eggs (or a low-cholesterol substitute), fish, lean cuts of meat, poultry and seafood (without boiling in high-sodium seasonings).
Among meat and high-protein foods you should avoid are cheeses (American, cheddar and Swiss); dried beans (such as kidney, lentil, lima, pinto or soy); high-sodium meats (such as bacon, canned and luncheon meats, hot dogs, organ meats, pepperoni, salami and sausages); nuts and peanut butter.
As for treatments for shrinking these multiple cysts in right kidney, I recommend natural way---herbal medicines. It takes effects through the following ways.
First, Effective ingredients of Herbal medicines promotes the blood inflow to kidneys and enhance the flow speed of blood circulation. By this, the Suction of blood flow will be more powerful. Just imaging blood flow as a tornado, the quicker the pace of ration, the harder things can avoid its suction. Second, ingredients of TCM soften the cyst wall, and inactivate cyst wall’s secretion of liquid. Softened cyst wall paves way for easier cyst liquid filtrating out into blood capillaries, and inactivated cyst wall become incapable of secreting more cyst liquid. So, once these cysts in kidney are shrunk, they hardly have the chance for relapse.

2012年11月22日星期四

Therapies and Diets for PKD


Question: I am now 35 years old and suffering from PKD. I want to know is it curable and is there any chance of death? What are the differences between western therapy and Chinese therapy? What kind of diets should I follow to not aggravate the cysts?
Answer: You asked about the differences between Chinese and western therapies. I think you must know that in western treatment, they treat polycystic kidney disease through removing big cysts by operation which is considered as another kind of trauma to kidney, though operations can relieve patients' symptoms in a short time. Besides, many foreign patients told me that their doctor told them there is no way to treat this disease due to its genetic feature and they have to wait for Dialysis or Kidney Transplant. In our Chinese medicine treatment, we deal with the cysts by reducing cyst fluid secretion and increasing the reabsorption of cysts fluid through improving blood circulation on cysts wall and the permeability of cyst wall. Through this way, cyst can be shrunk gradually and then patients can avoid operations.
As for the diets for you, it depends on your illness and physical conditions and which stage you are in. I will just give you brief and general suggestions and you can consult the doctor for more detailed explanations and choose foods that are most suitable for your illness conditions.
1. Have less salt food (including preserved food, pickles, tinned meat), spicy food (including hot pepper, liquor, shrimp, crab, etc.) contaminated food (perishable food, leftovers, etc.) broiled dishes. Limit high protein food from animal and oily food, etc.
2. Have good rest. Avoid drastic physical strength, and trauma on abdomen.
3. Take nutritional food.
4. Have high-quality protein food, supply high fibre, rich vitamin food, and, eat low fat and sugar food.
5. Do some mild exercises, but not strenuous exercises.
6. Drop smoking or drinking alcohol.
And in the daily life, in order to avoid the rupture of the cysts, (your kidneys are very big now), the abdominal pressure should not be too much. When you bend down, be careful. Don't lift too heavy objects, avoid twist your waist violently, have a loose belt, and try not to have constipation.
Try not to drink coffee, coca cola. And try to be careful not to get urinary infection.

2012年11月21日星期三

What Cause too much Bubbles in Urine


Excessive bubbles in urine are generally formed in the following three circumstances.
One kidney disease or urethral secretions increase. This situation changes in other parts of the body to be combined with detailed diagnosis to determine the specific cause.
Second, bacteria formed in the urinary tract. If there are too much bacteria in the urinary tract, the bacteria will destroy the composition and structure of the urine, resulting in urine excessive bubbles.
Third, life without sex is too long. Because they often occur nocturnal emission, or often in a state of sexual arousal, resulting in increased mucus secretion by the bulbourethral glands, mixed with urine, you can bubble. In addition to the above three cases, there is a situation is a normal physiological performance, that is, very few people urinate containing proteins, while the lower the surface tension of a protein, when too much of the protein content in the urine, urine surface will naturally form a foam. Of course, this is only a very small number, the vast majority of patients, urine bubble caused by one of the above three conditions are.

2012年10月28日星期日

How to Treat Chronic Kidney Disease with Creatinine of 900


Question: my aunt has chronic kidney disease and her creatinine was 900 and kidney function is 15%. She has started dialysis for about 2 month. Is there any hope that her kidney functions been improved. And can you tell me some diet suggestions for we really do not know what safe foods for her are because everything is restricted.
Answer: You said that your aunt just started the dialysis for about 2 months, and the creatinine level is still high, about 900, for she has not been on dialysis for that a long time, so it is hopful for her to get rid of the dialysis. Her current GFR is about 15 now, which means she is still in the boardline between stage 4 and 5, where there is still room for the kidney function to get raised,
To keep the kidney function, the most important is to keep a balanced diet; here i will give you a detailed diet list for the diabetes and renal failure patient.
The following menu will maintain not only low caloric intake, but low glucose levels to help manage diabetic neuropathy.
BREAKFAST: 2 slices whole wheat toast, 4 tsp. natural peanut butter, 1 banana and 8 oz. of 1 percent milk.
LUNCH: a small salad consisting of lettuce, radish, cucumber, 1/2 cup carrots, 1/2 cup green pepper (diced) with 3/4 cup tuna fish packed in water and 1 tbsp. low-fat ranch salad dressing. Top it off with 10 small green olives. 12 soda crackers (unsalted tops), 1 peach and water or sugar-free beverage.
DINNER: 6 oz. sirloin steak (with the fat trimmed), 1/2 cup cooked onions and 1/2 cup cooked mushrooms, 1 tsp. canola oil to saute the onions and mushrooms for topping steak, 1/2 cup cooked spinach, 1 large baked sweet potato (approximately 9 oz.), 2 tbsp. sour cream (optional) and water or sugar-free beverage.
SNACK: 1/2 cup strawberries.

2012年10月26日星期五

Proper Diets for End Stage Renal Disease


Question: can you give me some suggestions on proper daily diets for end stage renal disease patients, thanks!
Answer: And according to the information you told me, I would like to give you some suggestions, mainly for the diet. The dietary principle for patients at the final stage of kidney disease includes low salt (salt intake for one day should be around 3-6g), low fat (no fat meat of the animals), high quality protein (such as egg white, white lean meat, and some tofu if his uric acid level is not high), low phosphrus (no animal organs, sea food or dry fruit, nut), low potassium (do not eat food rich in potassium, such as banana, organge, potato, cauliflower, etc.) As far as he can follow this principle, your condition will be better.
And the most important is the treatment, first of all, he needs to control your blood pressure under 140/90mmHg. Second, we suggest that he improve his anemia, his hemoglobin level should be around 110g/L, and also no electrolyte disturbance is better. Because you did not mention about his electrolyte condition, so I can not tell you more detailed information about his medication. Well, the most important is to protect his residual kidney function through treatment. I hope that he can receive such kind of treatment as soon as possible so as to protect his residual kidney function.

Creatinine 7, Blood Urea 110, Treatments


Question: My wife is now 45 years old and her current creatinine is 7 and blood urea is 110. The doctor has suggested her to take dialysis and kidney transplant. Kindly suggest me which treatment beneficial to whole life. Thanking you.
Answer: Your wife's creatinine level is really high she need take the dialysis timely , you know that dialysis can help her to discharge out the toxins timely and maintain her life , this is very important .
I really understand your feeling, most of the patients will not choose dialysis as we know that dialysis is only a tool which can help us to discharge the toxins timely but it can't help us to repair the damaged kidneys and recover our renal function.
About your wife's kidney disease, the most important for her is to survive, so she need take the dialysis now. Then we can find a good treatment to help her to repair the damaged kidneys and help her renal function then she can get rid of dialysis later.

2012年10月25日星期四

Medullary Sponge Kidney: Symptoms, Complications and Treatments


Medullary sponge kidney is also known as renal medullary cystic disease and it is a rare inherited disorder where the tubes in the kidneys that collect urine are wider than normal.
Medullary sponge kidney is usually a benign condition, and patients can remain asymptomatic. In the general population, the frequency of medullary sponge kidney disease is reported to be 0.02% - 0.005%; that is, 1 in 5000 to 1 in 20,000. The frequency of medullary sponge kidney has been reported by various authors to be 12 – 21% in patients with nephrolithiasis.
What are the symptoms of medullary sponge kidneys?
Common symptoms of medullary sponge kidneys include blood in urine, urinary pain, back pain, flank pain, protein in urine, fever, increase of blood uric acid level, etc.
What are the complications of medullary sponge kidneys?
Medullary sponge kidney can cause a series of complications such as renal stones, urinary tract infections, distal renal tubular acidosis and renal insufficiency though it is very rare.
If patients have no obvious symptoms, obtaining periodic urinalysis and abdominal radiographs is recommended, although guidelines for the frequency of radiologic surveillance in asymptomatic adults are unclear.
If patients have recurrent nephrolithiasis, they are recommended to drink plenty of fluids in order to have a daily urinary output in excess of 2L. A 24-hour urine collection for potential kidney stone risk factors (eg, calcium, citrate, uric acid, magnesium, sodium, oxalate, phosphate) can be very helpful in treating the metabolic factors contributing to nephrolithiasis.
If the patients have frequent urinary tract infections, they should receive antibacterial therapy.
Proper diet is also very important for preventing the formation of kidney stones which are very common among medullary sponge kidneys.

2012年10月24日星期三

Creatinine Level and Kidney Functions


Creatinine is the breakdown product of creatine. It is released into the blood and filtered by the kidneys. When kidney function declines, the kidneys are unable to transfer the creatinine to the urine and levels in the body rise. The creatinine itself has no known negative effects on the body, but serves as a marker of kidney function.
With declining kidney function, creatinine rises, indicating the state of the kidneys, and can be used as a marker for starting dialysis, which is the artificial filtering of blood by a machine. Without therapy, the kidney becomes dysfunctional. Low vitamin D affects calcium levels in the body and the bones. Without vitamin D, the level of calcium in the body drops. This has negative effects on nerves and muscles, making them prone to contract too forcefully and frequently, and the nerves will have trouble communicating. In order to restore the calcium balance, the bones release calcium into the blood, making them brittle.
High blood pressure and diabetes pose major risk factors for a decline in kidney function. Hereditary and environmental causes and other diseases such as infections can also contribute to a decline in kidney function.
Qigong is the practice of aligning the breath, body, and mind as one. Through this, a deeper connection to yourself and life is established and greater awareness and peace is achieved. At its heart, Qigong is a philosophy. The practice of Qigong is at least two thousand years old, and it has roots in Traditional Chinese Medicine, martial arts, Taoism and Buddhism (note: in much of the same way as yoga, Qigong can be practiced by all, from all religions). The best way one can understand what Qigong is at a glance, is by drawing parallels to the practice known as Tai Chi. And thus Qigong can help improve physical, mental, and emotional health, and awaken to one’s spiritual true nature.
How will this help improve kidney function naturally? Good question. The very core of this practice is to harmonise you, your soul, on a much higher level. By doing this, your whole body will be in complete harmony. A body free from mental and emotional stress is a body that has unbounded potential.
On top of this, Qigong has a number of exercises that strengthen, nourish, and draw energy to the kidneys. One of these includes lightly striking the back with open hands 10 times at kidney level (just below where the rib cage) daily. This stimulates Chi (=life force) within the kidneys, to “awaken” them, and heal. Again, this may seem too simple, but why does improving kidney function need to be difficult?

2012年10月23日星期二

What does High Level of Creatinine and Urea Nitrogen Mean


BUN (blood urea nitrogen) is an indication of renal health. Normal ranges 2.5-6.5mmol/L. If Glomerular Filtration Rate (GFR) and blood volume decrease (hypovolemia) then BUN will increase.
A high BUN value can mean kidney injury or disease is present. Kidney damage can be caused by diabetes or high blood pressure that directly affects the kidneys. High BUN levels can also be caused by blockage of the urinary tract (by a kidney stone or tumor) or low blood flow to the kidneys caused by dehydrationor heart failure.
Many medicines may cause a high BUN. Be sure to tell your doctor about all the nonprescription and prescription medicines you take.
A high BUN value may be caused by a high-protein diet, Addison's disease, tissue damage (such as from severe burns), or from bleeding in the gastrointestinal tract.
High BUN-to-creatinine ratios occur with sudden (acute) kidney failure, which may be caused by shock or severe dehydration. A blockage in the urinary tract (such as a kidney stone) can cause a high BUN-to-creatinine ratio. A very high BUN-to-creatinine ratio may be caused by bleeding in the digestive tract or respiratory tract.
Creatinine is a break-down product of creatine phosphate in muscle, and is usually produced at a fairly constant rate by the body (depending on muscle mass).
Because creatinine is excreted by the kidneys, its level in the blood is considered an indicator of kidney health. When the kidneys are functioning normally, the blood creatinine level is relatively constant day to day, though minor increases can occur after a high-protein meal
Any disease that affects the filtration process of the kidneys will tend to raise serum creatinine levels over time. Doubling of serum creatinine levels is indicative of a 50 percent reduction in the filtration rate of the kidneys. Diseases linked to increased creatinine levels include glomerulonephritis, pyelonephritis, diabetic nephropathy and conditions such as shock and congestive heart failure that reduce blood flow through the kidneys.

2012年10月21日星期日

Elevated Serum Creatinine Level and Dialysis


Serum creatinine is a blood test that is commonly performed as part of a physical examination if have blood work done. Blood is drawn and sent to a lab to be analyzed to find out how much creatinine is in the bloodstream. Serum creatinine helps evaluate kidney function.
Generally creatinine levels in the blood remain unchanged from day to day because muscle mass usually stays the same. Taking certain medicines, eating a lot of meat or building muscles through weight training or other exercise may show higher amounts of creatinine, even in those who do not have chronic kidney disease. Creatinine levels can be lower than normal for people who are elderly, malnourished or are vegetarians.
Women usually have lower creatinine levels compared to men, because women have less muscle tissue. Among adults without kidney disease, men have approximately 0.6 to 1.2 milligrams/deciliters (mg/dL) of creatinine, whereas women have between 0.5 to 1.1 mg/dL of creatinine.
Any disease that affects the filtration process of the kidneys will tend to raise serum creatinine levels over time. Doubling of serum creatinine levels is indicative of a 50 percent reduction in the filtration rate of the kidneys. Diseases linked to increased creatinine levels include glomerulonephritis, pyelonephritis, diabetic nephropathy and conditions such as shock and congestive heart failure that reduce blood flow through the kidneys.
If the creatinine levels cannot be controlled through diet or medication, doctors may conclude that the kidneys are failing, and the patient should begin dialysis.
Kidney dialysis is a necessary treatment for people with end-stage kidney disease or permanent kidney failure. You need dialysis if you've lost about 85% to 90% of your kidney function. Temporary dialysis may be needed in some cases.
Hemodialysis is most commonly used to treat people with end-stage kidney disease. However, children who need dialysis usually receive peritoneal dialysis.
The kidney dialysis treatment itself usually does not cause any pain or discomfort. However, some patients may develop low blood pressure, which can lead toheadache, cramping, nausea, and vomiting. This usually goes away after a few treatments.
You will have blood tests done, about once a month, to determine if kidney dialysis is removing enough wastes from your body. Your health care provider will specifically look at the level of blood urea nitrogen (BUN), which provides an overall measurement for the amount of waste products in your body. Electrolytes such as sodium, potassium, calcium, and bicarbonate will also be monitored.

What is Normal Serum Creatinine Level


What is the normal serum creatinine level? It may vary from person to person due to age, gender, physique and different hospitals may have different criteria.
Normal levels of creatinine vary by age and gender. Normal creatinine levels in males at age 4-20 years are 0.2-1.2 mg/dL, at age 20-69 are 0.7-1.5 mg/dL and above 70 years are 0.7-1.7 mg/dL. The normal level of creatinine in females at age 4-20 years are 0.2-1.2 mg/dL, at age 20-69 years 0.6-1.4 mg/dL and above 70 years are 0.6-1.5 mg/dL.
Creatinine is chiefly filtered out of the blood by the kidneys (glomerular filtration and proximal tubular secretion). There is little or no tubular reabsorption of creatinine. If the filtering of the kidney is deficient, creatinine blood levels rise. Therefore, creatinine levels in blood and urine may be used to calculate the creatinine clearance (CrCl), which reflects the glomerular filtration rate (GFR).
The creatinine levels are determined by muscle mass. Men will have higher levels of creatinine than women. This is due to the fact that men typically have more muscle mass than women. There are other factors that determine the levels of creatinine. These factors include age and weight. Elderly individuals will have lower levels of creatinine than what is considered normal due to the decrease in muscle mass with age. Infant levels are much lower strictly due to size.
There are several reasons why your levels of creatinine may be higher than normal. These reasons include diabetes, high blood pressure, certain medications and kidney disease. When your kidneys are failing, they do not have the capability of removing creatinine. This condition leads to the need for dialysis and possible kidney transplant. High blood pressure and diabetes are a major cause of kidney disease. It is important to keep these conditions under control.
In a recent Japanese study a lower serum creatinine level was found to be associated with an increased risk for the development of type 2 diabetes in Japanese men.

2012年10月18日星期四

What are the Proper diets for Renal Parapelvic Cysts Patients


An alkaline diet rather than an acidic diet cleanses and tones the kidneys. An alkaline diet involves eating foods such fresh vegetables and fruits, lemon juice, water, brown rice, miso soup and vegetable juices. An acidic diet is foods like sugar, wheat, dairy, red meat, oranges, alcohol, preserved and processed foods.
Drink herbal teas such as Dandelion Leaf and Green Tea as they support the function of the kidneys filtration and are also gentle diuretics
Have a vegetable juice each day to encourage liver detoxification and kidney filtration. Some ideas are fresh juiced beetroot, carrot, celery and ginger or watermelon or pineapple, green apple and mint.
Vegetable broths are very nutrient rich for the health of the kidneys as well as alkalising excess acidity levels to help take the burden off the kidneys filtration system. You can make a broth by boiling kidney beans and a mix of vegetables such as onions, celery, carrot, beetroot, spinach, sea salt, wakame (sea vegetables/ seaweed) and drinking a cup of the broth daily. This recipe is also very rich in minerals which again will help to fortify and nourish the kidneys.
The best advice to support the role of the kidneys is to ensure adequate fluid intake, at least 2 litres of water/ day. There is a saying which goes “the solution to pollution is dilution” which explains the role the kidneys place in removal of wastes from the body
Reduce diuretics in the diet such as sugar, tea, alcohol, coffee and carbonated drinks. These place an extra burden on the kidneys filtration and can cause the body to lose more water and disrupt the sodium and potassium balance. Reduce alcohol intake as alcohol can dramatically reduce kidney function by causing a diuretic action which leads to dehydration and places a burden on the kidneys to remove the waste aldehyde from the system
Decrease sodium (table salt) consumption in your diet and replace with sea salt or vegetable salt. Sodium is important for the health of the kidneys but not in excessive amounts. Sea salt is rich in many minerals without being refined and does not contain aluminium (used in table salt to keep the salt dry)

2012年10月17日星期三

Diagnosis for Parapelvic Kidney Cysts


Parapelvic cysts of the kidneys are one common type of simple cysts, which are adjacent to the renal pelvis or the renal sinus.
B ultrasound should be sufficient for the diagnosis; in doubtful situations an intravenous pyelography, CT scan or renal scintigraphy can rule out urinary obstruction. And in case of parapelvic kidney cysts, it should be distinguished with hydronephrosis (upper urinary tract obstruction).
A parapelvic renal cyst is usually identified during excretory urography as a mass causing extrinsic compression on the renal pelvis. This appearance is nonspecific, however, and the etilology of such a mass must be further investigated. Recently computed tomography (CT) and sonography have replaced angiography as the preferred methods of evaluating masses in this region. The CT appearance of tumors involving the renal pelvis has recently been reported, but the spectrum of findings with parapelvic cysts has not been described. Their recognition is important in order to avoid invasive diagnostic evaluation. The appearance of parapelvic cysts on both CT and sonography may mimic hydronephrosis and unnecessarily lead to further studies. Parapelvic kidney cysts need to be distinguished with renal hilar masses and hydronephrosis.
We found that on CT, a parapelvic cyst has smooth or lobulated margins. The lobulated appearance often suggested that either multiple small adjacent cysts were present or a single large cyst had multiple lobulations. Differentiation of these two possibilities is not possible unless surgery or cyst puncture with injection of contrast material is performed. Although surgical proof was not obtained in most of our cases, the CT criteria we used were identical to those shown to be virtually pathognomonic for cysts of the renal parenchyma.
On sonography, a parapelvic cyst appears as an anechoic mass with a well demarcated wall. The part of the wall projecting into the renal sinus is thick and echogenic because it is surrounded by the prominent pelvocalyceal echo complex which is composed of fibrous tissues, sinus fat, vessels, and collecting systems. The echos arising from the cyst wall cannot be distinguished from those arising from the adjacent renal sinus tissue. This thickened appearance of the cyst wall is also noted on CT. The part of the wall projecting into the renal parenchyma or perinephric tissue has the same wall characteristics of simple parenchymal cysts.

2012年10月16日星期二

What are the Symptoms and Complications of High Creatinine


Creatinine is a waste product in the blood that results from energy metabolism of muscle, which is transported in the bloodstream to the kidneys where it is then filtered and excreted from the body in urine. This chemical by-product of muscle metabolism is produced by creatine, and author and doctor of internal medicine Siamak Nabili states that around 2 percent of creatine in the body is transformed into creatinine on a daily basis. Creatinine is important because it is an indicator of kidney function; thus, decreased renal filtering and disposal (urine) may be reflected if the level of this waste product is high.
What are the general symptoms of high creatinine
With increasing creatinine levels, some possible signs may include a low-grade fever, fatigue, lethargy or a generalized sense of malaise. Loss of appetite and changes in weight may be identified. Dehydration may be present as well as headache complaints, and shortness of breath or problems with breathing. Also, a change in mental state may be noticed, for example, the individual may appear confused or disoriented.
What are the specific symptoms of high creatinine
An individual may present with decreased output of urine (oliguria) and urine may appear dark in color. Edema or puffiness such as in the face and around the eyes or other areas may be found upon examination. Additionally, the individual may report pain occurring in the lower back or lumbar region.
What are the complications of high creatinine level
Long time persistent high level of creatinine will cause a series of complications such as hyperkalaemia, hyperuricemia, hyperlipidemia, hypoalbuminemia, metabolic acidosis and disorders and imbalances in many other systems.

2012年10月14日星期日

Why Kidney Cyst is Easy to Relapse


I had a renal cyst on my left kidney aspirated it was 6.9cm and then it came back to a 5cmm and again aspirated with alcohol and now it came back to be 2cmm and can you tell me the reason why is will relapse so easily?
There are two types of kidney cysts. More common type of kidney cysts is simple cysts. These are small and thin walled sac filled with fluid. Simple kidney cysts are usually not cancerous. Simple cysts don't harm and need no treatments if there is no obvious symptom. But larger size cysts can cause pain on back, belly or sides, fever, blood in urine and increased urination. These can be treated by urologist easily.
The other type of kidney cyst is called complex cysts. These are said complex cyst because of their irregular and complex structures. These can be non cancerous and may develop to cancer. Only those complex cysts which have many thick walls with septations can develop in to cancer.
Sometimes, kidney cysts are inherited and can cause problems like blood in urine, increased urination, pain on back, belly or sides, repeated kidney infections and high blood pressure. Inherited kidney cysts are called polycystic kidney disease. These cysts can cause problems in other parts like brain, liver, intestines, pancreas, ovaries and spleen.
What are the traditional therapies for kidney cysts?
The use of antibiotics
If the patient complains of fever, pain in the back, abdominal pain or blood in the urine, the doctor may recommend antibiotics to treat the infected cyst. Antibiotic medications work by killing bacteria, which allows the body to heal and overcome the infection. As with most antibiotic medicines, the patient must complete the full treatment cycle to overcome the infection.
Surgical removal of the cysts
One option for removing a symptomatic cyst consists of puncturing the cyst and instilling alcohol inside the cyst to shrink it. This procedure is performed with local anesthesia and involves inserting a needle through the skin and into the wall of the kidney to the cyst site. The physician withdraws the fluid in the cyst and fills the empty cyst with alcohol. However the recurrent rate is quite high.
If the cyst appears difficult to remove, another option for treatment utilizes surgery for removal of the kidney cyst. The physician uses a laparoscopic procedure that requires several small incisions through which a video monitor and tools are placed in the area of the cyst. He then uses the tools to drain the fluid from the cyst. Next, the physician cuts out or burns away the walls of the cyst. It has the advantages of few injuries, quick recover and short hospitalization.
Traditional treatments for kidney cysts are mainly surgery which can help drain the cysts or remove the cysts in a short time. However these therapies only aim at removing the necrotic parts without solving the root problem---the continuous secretion of cystic fluid by the cystic epithelial cells and that is why the cysts are so easy to relapse. When the large cysts are removed by surgery, it will provide more space for the small ones to grow large.

2012年10月11日星期四

What are the Treatments for Parapelvic Kidney Cysts


Parapelvic cysts are also called renal sinus cyst, pelvic cyst, peripelvic cyst or parapelvic lymphangiectasia. Parapelvic cysts are a rare form of simple renal cysts, and they are much more commonly associated with the symptoms of obstruction, pain, infection and stone formation. Surgical management is usually done for big cysts, lumbar pain, hematuria, hypertension and other complications. Otherwise there is nothing to be worried about.
Symptoms of large parapelvic kidney cysts
Fever
Frequent urination
High blood pressure
Pain in the abdomen
Pain in the back
Pain in the side
Blood in urine
Treatment options for parapelvic kidney cysts
1. Pain Management
People with kidney cysts can experience mild to severe pains in the back and side area. Mainstream treatments include taking acetaminophen or prescription pain medications; however, some natural treatments may also help.
Touch therapies such as acupressure and massage may relieve tension and pain in the affected area. During acupressure, the therapist works to restore energy flow in the body through specific pressure points. Massage focuses on working out points of tension and promoting relaxation.
2. High Blood Pressure Management
If you have high blood pressure, talk with your doctor about switching to a low-sodium and reduced-fat diet. Calorie consumption should also be limited for weight management, which can help lower blood pressure. Also, smokers should consider giving up the habit, which can aggravate this condition.
3. Needle Puncture
One option for removing a parapelvic cyst consists of puncturing the cyst and inserting alcohol inside the cyst to shrink it, according to MayoClinic.com. This procedure is usually performed under local anesthesia. The physician inserts a needle through the skin until it punctures the cyst site on the kidney. Fluid is withdrawn from the cyst and re-filled with alcohol to decrease the chances of infection.
4. Laparoscopic Decortication
If the position of the cyst makes it difficult to remove, the physician may recommend a laparoscopic procedure. While using a video monitor to guide progress, the physician makes several incisions through the skin with tools that are placed near the cyst, explains the American Academy of Family Physicians. The tools are used to drain fluid from the cyst. Subsequently, the physician burns or cuts away the walls of the cyst. This procedure usually requires an overnight stay in the hospital.
5. Herbal medicines. Some herbs can help slow down the growth rate of the parapelvic cyst or even shrink the cyst so as to improve the ischemia and hypoxia in the kidneys and provide favorable internal environment for repairing renal damages and recovering kidney functions.

2012年10月10日星期三

Female of 55 Years Old with Creatinine 5.1


Generally speaking, women have relatively lower serum creatinine than men because it is the metabolic product of muscle and the male usually have more muscle mass than the female. The same reason, under normal circumstance, the elderly tends to have lower creatinine level than the young people.
The general value of normal creatinine range from 0.5-1.0mg/dl for women and for 55 year old female the creatinine should be lower than this value.
How to lower the creatinine of 5.1?
Work with your doctor to develop a personalized diet that is low in protein. High creatinine levels in diabetic people are generally a sign of poor kidney function. This is definitely cause for concern. The amount of protein you eat on this diet depends on how much you weigh, so do not attempt this diet on your own. You will also need to test frequently to be sure that the creatinine levels in your urine are increasing and the levels in your blood are decreasing. This indicates that the creatinine is being excreted properly. Doctors will prescribe Lasix, a strong diuretic, to promote urination. This is another reason a person with high creatinine levels must drink plenty of water.
Avoid foods that are rich in protein such as dairy products, meat and fish. If you cannot avoid eating these, considering constructing a protein tracker or planning your meals to regulate your intake of protein. You need to keep your protein levels in check in order to keep your kidneys healthy from the inside. It can also be a good idea to regularly check your serum creatinine levels to see if there is any improvement. If there is not, then you should consider a visit to your doctor just to check that there is nothing wrong.
Aim to drink lots of water throughout the day, at least six glasses a day, as this helps to clear out your system. Avoid coffee, tea or any caffeine which can clog it up.

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