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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.