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.

Leave Message

Leave your problem to us, we are here to help you with free charge!

Name*:

E-mail*:
Phone(optional):
Subject:
Message: