Kidney Disease: Myths vs. Facts

 

kidney cancer surgery

Many people receive a lot of misinformation related to kidney functionality and kidney diseases, and are therefore, not suitably aware of how this disease affects our lives. In this post we compare some of the most common myths surrounding kidney diseases and the actual facts about them.

# 1

Myth: Kidney disease is rare.

Fact: Kidney disease affects millions across the globe every year, and is quite common. Almost 10% of the world’s population suffers from Chronic Kidney Disease.

# 2

Myth: Kidney disease tests are expensive and cumbersome.

Fact: The diagnostic tests required to determine kidney disease are very simple and painless. One is a simple urine test which checks for protein in the urine, while the other is a blood test which checks for GFR (Glomerular Filtration Rate). Both are pretty affordable and accurate.

# 3

Myth: If there are no obvious discomforts like difficulty in passing urine, it means the kidneys are fine.

Fact: Kidney diseases don’t present any symptoms until they have progressed to very advanced stages. And hence, the lack of any external symptoms is no guarantee that a person doesn’t have a kidney disease; it should be thoroughly ruled out by conducting appropriate medical tests.

# 4

Myth: Kidney disease cannot be prevented for at-risk groups.

Fact: At-risk groups include those with high blood pressure, diabetes, family history of kidney failure, over 60 years of age, and people of Asian, Hispanic, American Indian, Pacific Islander and African-American ethnicities. However, not everyone who falls into these risk groups will develop a kidney disease. By following a healthy lifestyle including balanced diet, regular exercise to maintain weight, controlled blood pressure and blood sugar, and by quitting smoking, among other things, the kidneys can be kept healthy thereby reducing your chances of getting kidney disease.

# 5

Myth: Dialysis is the only treatment for kidney disease.

Fact: Dialysis is required by only those patients whose kidney disease has progressed to advanced stages or those who have kidney failure. Otherwise those patients whose disease is diagnosed in early stages usually require only diet modification, exercise and medication.

# 6

Myth: Dialysis is a painful and exhaustive process which restricts the patient from working or travelling.

Fact: The dialysis process by itself is painless, and generally the only discomfort caused is by the needles which are inserted in the graft or fistula. Certain patients may experience headaches, cramps, nausea, etc. but this can be avoided by taking proper diet and fluid restrictions. Also, the patients undergoing dialysis feel sufficiently fine to work or travel if they take proper care of themselves and follow the doctor’s advice correctly.

[Image credit: hywards at FreeDigitalPhotos.net]

Chronic Kidney Disease: Facts, Symptoms & Treatments

Chronic Kidney Disease (CKD) is a term used to describe the slow loss of kidney function in a person. Normal kidneys are able to filter wastes and extra fluids from the blood, which then get excreted in the urine. But due to chronic kidney disease this normal functionality is impaired, and when the disease progresses further, it can lead to the building up of dangerous levels of fluid, electrolytes and wastes in the body. When the level of kidney function falls below a certain level, it is called kidney failure.

Chronic Kidney Disease: Quick Facts

  • Diabetes and high blood pressure are the two leading causes of kidney disease.
  • Kidney disease is likely to cause kidney failure in men more than in women.
  • African Americans, Hispanics, Pacific Islanders, and American Indians are at increased risk.
  • Kidney disease can develop at any age, but affects the elderly more. Around 50% of people aged 75 and above are estimated to have CKD.
  • In the developing countries, around 1 million people die annually due to untreated kidney disease.
  • Generally, kidney transplant success rates are very good, with around 85-90% success rate for deceased donor transplant and 90-95% rate for live donor transplant.
  • Almost 8-10% of the adult population suffers from some type of kidney damage.
  • There are five stages of kidney disease, stage 5 being the End-Stage-Renal-Disease (ESRD), also known as kidney failure.

Causes of Kidney Disease

There are a number of conditions and diseases that can lead to CKD, such as diabetes, high blood pressure, polycystic kidney disease, interstitial nephritis, family history, etc. Out of these, diabetes and high blood pressure are two main causes contributing to around 2/3rd of all CKD cases. Kidney disease can make a person develop various health complications including weak bones, anemia, nerve damage, and heart diseases and stroke. Most often these problems manifest very gradually and therefore, aren’t easily noticed. As a result, chronic kidney disease can get significantly worse before it can be diagnosed and treated. In many situations, this can lead to kidney failure in the patient which can prove to be fatal without dialysis or kidney transplant.

Some of the other, less prevalent causes of CKD are glomerulonephritis (inflammations) or pyelonephritis (infections). CKD can also be caused due to inherited conditions (such as polycystic disease), enlarged prostate, kidney stones, malformations in a baby when in the mother’s womb, tumors, frequent urinary infections, lupus and other diseases that affect body’s immune system.

Certain drugs like analgesics (pain-killers), if taken over a prolonged period of time, can also lead to kidney disease.

Symptoms of Chronic Kidney Disease

Chronic kidney disease usually doesn’t present any symptoms until it has advanced to a much later stage. In the advanced stages, kidney disease can cause:

  • Fatigue, weakness, lethargy
  • Pain during urination
  • Foamy/Pink/Dark urine (blood in urine)
  • Need to urinate more often
  • Fluid retention leading to swelling of ankles, face, hands, abdomen, ankles, feet, eyes
  • Increase in thirst
  • Loss of appetite
  • Difficulty in concentrating
  • Difficulty in sleeping
  • Muscle cramps
  • Dry, itchy skin

Diagnosis and Treatment

Chronic kidney disease can be diagnosed by means of certain tests and procedures such as:

Blood tests: These can include a blood creatinine test to determine the Glomerular Filtration Rate (GFR), a blood urea nitrogen (BUN) test, a fasting blood glucose test and some other tests that check for the amount of waste products and electrolytes in the blood.

Click here to learn more about GFR and its correlation to Chronic Kidney Diease.

Urine tests: These are used to measure the amount of protein in urine (ideally none), by means of Urinalysis (UA) and a urine test for microalbumin.

Imaging tests: A renal ultrasound and/or angiogram may also be conducted by the doctor to check any obstructions to the kidney or reasons for restricted blood flow.

Kidney biopsy: This procedure may also be used by the doctor to find out the reason for kidney disease, particularly after a kidney transplant if there is the possibility of organ rejection. The biopsy process involves removing a sample of kidney tissue by inserting a thin, long needle through your skin and into the kidney.

Early screening of kidney disease is recommended to those who are suffering from high blood pressure or diabetes. Unless the disease has reached the advanced stages, it can be managed by means of medications and leading a healthy lifestyle.

In patients suffering from either diabetes or high blood pressure, it is crucial to control the sugar levels and blood pressure respectively, in order to prevent further damage to the kidneys. By properly assessing the extent of damage to the kidneys as well as the contributory factors, the doctor will create a comprehensive treatment plan.

With inputs from:

1. Webmd.com

2. Worldkidneyday.org

 

કિડની રોગના સંકેત

આપણા શરીરમાં કોઈપણ રોગ થયો હોય તો તેના લક્ષણોની અગાઉથી ઓળખ થઈ જાય તો સમય પહેલાં જ મોટી બીમારીથી બચી શકાય અને યોગ્ય ઈલાજ કરાવી શકાય છે. મોટા ભાગના કિડનીનાં રોગો પણ ભેદી અને છૂપા હોય છે. આ રોગો ગુપચુપ પોતાનું કામ કરતાં રહીને આપણને નુકસાન પહોચાડી શકે છે. આ રોગોમાં શરૂ શરૂમાં ક્યારેય લક્ષણો દેખાતા નથી. જ્યાં સુધી પરિસ્થિતિ ખુબ વણસી ના જાય ત્યાં સુધી રોગીને તેની ખબર જ પડતી નથી. જેથી આપણે તેને વહેલી તકે પકડી પાડવું તે જ યોગ્ય ઉપાય છે.

આપણા શરીરમાં ઘણા એવા ફેરફારો થવા લાગે છે જે કિડનીના રોગના સંકેત હોય છે. જો આ ફેરફારોને યોગ્ય સમયે પારખી લેવામાં આવે તો વહેલી તકે તેનુ નિદાન થઈ શકે છે અને ગંભીર બીમારીમાંથી બચી શકાય છે. તો આજે જાણી લો શરીરમાં કેવા ફેરફાર થાય તો સમજવુ કે આ છે

kidney.

પેશાબની પ્રક્રિયામાં ફેરફારો

કિડની રોગનું પ્રથમ લક્ષણ છે પેશાબની માત્રા અને આવર્તનમાં ફેરફાર. ઘણીવાર પેશાબની માત્રા અને આવર્તનમાં વધારો અથવા ઘટાડો જોવા મળે છે ખાસ કરીને રાત્રિનાં સમયે. ક્યારેક ઘેરા રંગનુ પ્રવાહી પણ નીકળે. ઘણીવાર એવું થાય કે પેશાબ કરવા માટે અરજ લાગે પરંતુ કરવા જતાં પેશાબ થાય નહી. પેશાબ દરમ્યાન પીડા થવી અથવા કરવામાં તકલીફ થવી, ક્યારેક એવું પણ બને કે પેશાબ કરવામાં જોર પડે, તકલીફ પડે અથવા ખૂબ પીડા થાય. પેશાબની નળીઓમાં (કે અવયવોમા) ચેપનાં કારણે દુઃખાવો અને સખત બળતરાં થાય. જ્યારે આ ચેપનો વિસ્તાર કિડની સુધી પહોંચે ત્યારે પીઠમાં દુખાવો અને તાવ આવવાની શરૂઆત થાય.

પેશાબમાં લોહી

પેશાબમાં લોહી આવવું એ કિડની રોગનું એક ચોક્કસ લક્ષણ છે કે જે એક ચિંતાનો વિષય છે. આના અન્ય કારણો પણ હોઈ શકે છે, પરંતુ જો આવા લક્ષણો દેખાય તો તે માટે તમારે ડોક્ટરની મુલાકાત લેવી જરૂરી છે.

સોજો

કિડની આપણા શરીરમાંથી કચરો અને વધારાનું પ્રવાહી દૂર કરે છે. જ્યારે તે આવું કરવા માટે અસમર્થ થાય, ત્યારે શરીરનો કચરો અને વધારાનું પ્રવાહી સોજાનું રૂપ લે છે અને આ સોજા આપણા હાથમાં, પગમાં, ઘૂંટી અને ચહેરા પર ઉપસી આવે છે.

ઉબકા અને ઊલ્ટી

કિડનીનાં રોગને લીધે લોહીમાં જમા થતી અશુધ્ધિનાં કારણે ઉબકા અને ઊલ્ટી પણ થઇ શકે છે.

સતત નબળાઇ અને ભારે થાક

આપણી કિડની એરાઈથ્રોપોટિન નામનું એક હોર્મોન ઉત્પન્ન કરે છે જે લાલ રક્ત કોશિકાઓ બનાવવા મદદ કરી શરીરમાં ઓક્સિજનનું વહન કરે છે. કિડનીના રોગોમાં, એરાઈથ્રોપોટિનનો ઘટાડો થતાં લાલ રક્ત કોશિકાઓમાં ઘટાડો થાય છે અને શરીરમાં રક્તક્ષય થાય છે. શરીરનાં કોષોને ઓક્સિજન ઓછું મળે છે અને તેથી શરીરમાં નબળાઇ અને ભારે થાક લાગે છે.

ચક્કર આવવા અને એકાગ્રતામાં મુશ્કેલી

કિડનીનાં રોગમાં રક્તક્ષય (લોહીનો અપૂરતો પુરવઠો) થતાં મગજમાં ઓક્સિજનનો પુરવઠો ઘટી જાય છે જેથી આપણને ચક્કર આવે છે અને એકાગ્રતામાં મુશ્કેલી થાય છે.

આખો દિવસ દરમ્યાન ઠંડી લાગવીઃ

જો તમને કિડનીનો રોગ થયો હોય તો રક્તક્ષયનાં કારણે શરીર ઠંડુ લાગે અથવા ટાઢ લાગે છે. આસપાસનું વાતાવરણ ગરમ હોય ત્યારે પણ શરીરને ટાઢનો અનુભવ થાય. પાયલોનફ્રીટિસને લીધે તમને ઠંડીથી તાવ પણ આવી શકે છે.

ત્વચા પર ખંજવાળ અને ઘસરકા :

કિડનીનું કામ બગડતાં લોહીમાં અશુધ્ધિ અને કચરો જમા થાય છે જેને કારણે સખત અને તીવ્ર ખંજવાળ આવે છે અને ત્વચા પર ઘસરકાના નિશાન જોવા મળે છે.

શ્વાસમાં દુર્ગન્ધ અને જીભમાં અપ્રિય સ્વાદ

કિડનીમાં કોઈ સમસ્યા ઉદભવે તો લોહીમાં યુરિયાનું પ્રમાણ વધી જાય છે. આ યુરિયા દુર્ગંધરૂપે મોઢામાં થતી લાળમાં ભળી જાય છે અને પેશાબ જેવી દુર્ગંધ પેદા કરે છે. ઘણીવાર આને લીધે મોઢામાં એક અપ્રિય સ્વાદ જેવું પણ લાગે છે.

પીઠ અથવા પડખામાં પીડા

કિડનીના રોગના કેટલાક કિસ્સાઓમા પીઠમાં ખેંચાણ પણ થઇ શકે છે. જો મૂત્રનળીઓમાં પથરી હોય તો આ ખેંચાણ પીઠના નીચલા ભાગથી લઇને પેઢુંના ભાગ સુધી પહોંચી શકે છે. આ દુખાવા પોલિસિસ્ટિક નામના રોગને લીધે પણ થઇ શકે છે, આ એક પ્રકારનો કિડનીનો આનુવાંશિક વિકાર છે. જેને કારણે મૂત્રાશયમાં પાણી ભરાય છે. મૂત્રાશયની દિવાલમાં ચીરા કે કાપા પડતા તીવ્ર બળતરા અને તકલીફ થાય છે.

હાંફ ચઢવી:

કિડની રોગમાં ફેફસાંમાં એક પ્રકારનું પ્રવાહી/સ્ત્રાવ પેદા થાય છે અને તેને લીધે રક્તક્ષય, કિડનીના રોગની આડઅસર, શરીરને ઓક્સિજનની ઉણપ વગેરે થાય છે. આ પરિબળોને લીધે શ્વાસ લેવામાં તકલીફ થઇ શકે છે.

જો પથરીનો દુખાવો ખૂબ સતાવતો હોય અને તમે તેનાથી છુટકારો મેળવવા માંગતા હોવ તો અજમાવી જુઓ આ ઉપાય.

-કિડનીના રોગોથી બચવા વધુમાં વધુ પાણી પીઓ અને કોઈપણ સમસ્યા જણાય તો તરત જ ડોક્ટરને બતાવો.

-લીંબુના રસમાં સિંધવ મીઠું મેળવીને ઊભાં ઊભાં પીવાથી પથરી ઓગળી જાય છે.

-ગોખરૂનું ચૂર્ણ મધમાં ચાટવાથી પથરી ઓગળી જાય છે.

-નાળિયેરના પાણીમાં લીંબુનો રસ મેળવી રોજ સવારે પીવાથી પથરીમાં રાહત થાય છે.

-દરરોજ દિવસમાં એક વખત કળથીનો જમવામાં ઉપયોગ કરો, (આ એક કઠોળ છે) જે અક્સિર ઇલાજ છે.

-પાણી અને છાશ વધુમાં વધુ પીવાનું રાખો.

-તુલસીના બીજને હિમજીરા દાણાદાર ખાંડ અને દૂધની સાથે લેવાથી મૂત્ર પિંડમાં ફસાયેલી પથરી નિકળી જાય છે.

– મહિનામાં પાંચ દિવસ નાની ચમચી અજમો લઈ પાણી સાથે પી જાઓ.

-જો કિડનીની પથરી હોય અને પેશાબ અટકીને આવી રહ્યો હોય તો એક ગાજરને રોજ ખાવાથી ફાયદો મળે છે.

કિડની સ્ટોનની સમસ્યા માટે કારેલા

કિડની સ્ટોનના દર્દીઓ માટે કારેલા ખૂબ જ ફાયદાકારક છે. આયુર્વેદમાં પણ એવું માનવામાં આવે છે કે તેના સેવનથી પથરી તૂટીને મૂત્ર માર્ગે બહાર નિકળી જાય છે. અર્થાત્ કિડનીમાં પથરીની સમસ્યા હોય તો ડાયટમાં કારેલા જરૂર સામેલ કરો.

ઊંટડીનું દૂધ

ઊંટડીના દૂધમાં મધુમેહ, અલ્સર, હૃદયરોગ, ગેંગરિન, કિડની સંબંધી બીમારીઓથી શરીરનો બચાવ કરવાની રોગપ્રતિકારક ક્ષમતા હોય છે. તે શરીરમાં એવી કોશિકાઓના નિર્માણમાં મદદ કરે છે જે સંક્રમણ રોગોની વિરૂદ્ધ એન્ટીબોડીઝના રૂપમાં કામ કરે છે.

જવનો ઉપાયઃ-

એક મુઠ્ઠી ખાંડેલા જવ બે ગ્લાસ પાણીમાં નાખી ઉકાળવા. ઊકળતા ઊકળતા એક ગ્લાસ પાણી રહે, ત્યારે ઉતારી ઠંડું પાડી ગાળીને આ પાણી સવારે અને રાત્રે તાજેતાજું બનાવી પીવાથી લાંબાગાળે દરેક પ્રકારની પથરી મટે છે.

Source

An Introduction to Kidney Stones Part – 2

KIDNEY STONE
Small hard deposits made of acid salts and minerals forms on the interior of Kidneys and are commonly known as Kidney Stones. There are many reasons for why this Stones are formed and it can have severe effect on the Urinary Tract System, Kidneys, and Urinary Bladder. Stones are formed when the Urine gets concentrated, allowing mineral to crystallize and later they stick together in their solid state.
As the Kidney Stone passes through the Urinary Bladder it causes immense pain. While it causes no permanent damage, it does pain a lot. A lot of water intake would help the Kidney Stone pass effortlessly.
There are instances wherein the Stones have to be removed with the help of a surgery. The type of treatment would depend on the doctor’s recommendation to reduce the risk of recurrent Kidney Stones and also to be away from the risk of developing it again.

SYMPTOMS OF KIDNEY STONE
A Kidney Stone shows no symptoms until it starts moving inside the Kidney or when it passes into the Ureter. Ureter is the tube connecting Kidney and Bladder and when the Stone touches the walls of Ureter, it causes various symptoms.
Following are the symptoms of Kidney Stones:

  • Severe pain in the side and back, below the ribs
  • Pain that spreads to the lower abdomen and groin
  • Pain that comes in waves and fluctuates in intensity
  • Pain on urination
  • Pink, red or brown urine
  • Cloudy or foul-smelling urine
  • Nausea and vomiting
  • Persistent urge to urinate
  • Urinating more often than usual
  • Fever and chills if an infection is present

DIAGNOSIS OF KIDNEY STONES
If you suspect a Kidney Stone, it’s better to get it diagnosed. It requires certain tests and procedures:
Blood Test: It determines the level of Calcium and Uric acid in the blood. Also it helps monitor the heath of Kidneys and diagnose its conditions.
Urine Test: It requires 24 hours collection of the Urine to know the amount of stones that the person is excreting through Urine.
Imaging Test: With the help of this test, one can see the amount, and size of stones, present in the Kidney. The person would have to undergo X-ray or CT scan that may reveal the required information. Normally, tiny stones are missed during an X-ray but CT scan would capture it all. Other imaging options include an ultrasound, a noninvasive test, and intravenous pyelography, which involves injecting dye into your arm vein and taking X-rays as the dye travels through your kidneys and bladder.
Analysis of stone: In this test, the person is asked to urinate through a strainer to catch the stones. A further lab analysis would reveal the make-up of this stones. Doctor would determine the causes of stones through this analysis.

PROGNOSIS
More than 80% of the Kidney stones passes on their own but it has been observed that Kidney Stones often have high recurrence rate and the patient can develop another stones within 10 years of life span.
Once the type of the stone is determined, the risk of recurrence can be minimized. Analysis of the stone after capturing it would tell its type. In otherwise healthy patients, the major complications of a kidney stone is the potential for infection or the inability to control pain or nausea.

PREVENTING THE KIDNEY STONES

  • Keeping yourself hydrated is the best way to prevent the Kidney Stones. One should be drinking adequate amount of water especially those who sweat more
  • For those with underlying medical conditions, chronic medications are very important
  • It is very essential to drink more water and urinate more for the stone to be excreted in the initial stages itself

An Introduction to Kidney Stones

Kidney Stone and Kidney Stone Surgery

At times a small Calcium Crystal Stone forms inside the part of the Kidney where the Urine is collected. The stones cause pain while urinating. The problem increases when Calcium Crystal Stones falls into the Ureter, a tube that drains the fluid from the Kidneys in to the bladder. There the stones prevent Urine from coming out of the Kidneys and causes severe pain.kidney stone surgery

Kidney removes waste from the body and filters the Blood to make Urine. The same Urine flows from the kidney into the bladder through the Ureter, a thin tube that connects the two. The Bladder empties through the Urethra, a tube much wider than the Ureter.

Urine from the Kidney excrete a variety of minerals and chemicals, when sometimes these minerals and chemicals combine to form stones. With the passage of time, the stones grow in size, sometimes almost an inch in diameter or even larger.

How are they formed?

The reason isn’t exactly known, but usually changes in the acid-base balance (pH) of the urine and the concentration of minerals and chemicals within the urine are all factors that can signify the formation of a stone. Concentrated urine often occurs during an episode of dehydration, setting the stage for the beginning of stone formation. The consequences of that stone, when it is large enough to cause an obstruction, may occur weeks, months, or years later.

Risks Involved

A Kidney stone can infect the Kidney with Pyelonephritis, an inflammation of the renal parenchyma, calyces, and pelvis that is commonly caused by bacterial infection that can spread to the urinary tract or travel through the bloodstream to the kidneys.

When kidney stones pass from the urine collection system into the ureter, they can act like a dam preventing easy flow of urine from the kidney into the bladder. This causes urine to back up, increasing pressure and swelling within the kidney.

Pain in the process

Pain from the Kidney and as the stone passes through the Ureter, the pain increases. Kidney Pain is also known as renal colic Stone can be excruciating and its intensity is similar to that of pain experienced during a child birth. The pain starts from the lower back and radiates to the front of abdomen and in males, it may cause testicular or scrotal pain. It makes the individual totally uncomfortable. Kidney Stone has side effects like Nausea, Vomiting and Sweating.

If not treated the intense pain would be continuous and the pain would considerably increase. Once the stone is in the Bladder, the obstruction is relieved.

Passing of the stone

Since a Urethra is much larger in size than the Ureter, passing of the stone is an easy thing. It passes easily while Urinating and most patients cannot tell when they have eliminated the stone from their bladder.

The severity of the pain does not depend on the size of the stone, but it rather depends on the amount of obstruction and Kidney swelling. Many a times, when Kidney stone passes through the urine’s, a small amount of blood is visible.

Next Article:

In next article we will understand the symptoms and kidney stone surgery.

Expert tips for reducing your risk of kidney disease.

WHY ARE KIDNEYS IMPORTANT ?

Your Kidneys are responsible for five critical body functions

  1. Keeps the blood clean through filtration of the waste products and elimination of excessive fluids from the body in the form of urine
  2. Maintains proper balance of fluid in the body
  3. Secretes a hormone called Erythropoietin, responsible for stimulating the production of RBC (Red Blood Cells) in the Bone Marrow
  4. Produces an Enzyme called Renin, which helps maintain the body Blood Pressure
  5. Converts Vitamin D to its most active form

EFFECTS OF MODERN LIFESTYLE ON KIDNEYS
There is a general notion that all Kidney Diseases are rare and untreatable. This is far from the truth and with the progress in Science and Technology, most of the noted diseases can now be treated but modern lifestyle of a majority of people still negatively impacts people’s health which includes damage to the Kidneys. It is therefore important for everyone to be responsible and maintain a healthy lifestyle.
For Kidneys especially, bigger the load, faster they deteriorate.  In this article, we focus on some simple but effective ways that can help a person minimize the stress on their Kidneys.
First of all let us look at some factors that puts considerable stress on Kidneys,

PRIMARY RISK FOR KIDNEY DISEASES

  • High Diabetes,
  • High Blood Pressure,
  • Genetic,

SECONDARY RISK FOR KIDNEY DISEASES

  • Heart Disease
  • Obesity;
  • Autoimmune Diseases;
  • Urinary Tract Infections
  • and Systemic Infections

STAGES OF KIDNEY DAMAGE

Stage 1: Slight Kidney damage
Stage 2: Mild decrease in Kidney function
Stage 3: Moderate decrease in Kidney function
Stage 4: Severe decrease in Kidney function
Stage 5: End-stage Renal Disease

TIPS FOR HEALTHY KIDNEY

Be active and eat healthy: Weight control is an important factor to control the Kidney Disease. A healthy routine and active lifestyle helps control the weight. Several studies indicate that Kidney malfunctions and Obesity are inter-related and an overweight person has double the chances of developing Kidney problems. Regular exercising with proper diet not only keeps a person fit, but also act as a preventive measure against Kidney disease.

Control BP and Diabetes: Cases of Kidney diseases as a secondary illness are getting more and more evident, especially with the people suffering from Diabetes and Hypertension. Such people should be extra careful regarding their health and take steps to control their blood sugar level to keep the Kidney disease at bay.

Reduce the salt intake: Excessive salt in the diet effects the body blood pressure. An increased blood pressure would put excessive amount of strain on Kidneys resulting in various Kidney disease. Hence once should control the excessive amount of salt intake in the body.

Smoking and Tobacco: Chewing Tobacco deteriorates the Kidneys. People who smoke a lot have higher chances of Heart Diseases. Both the factors combined to contribute towards harming the Kidneys. A Tobacco users and smokers should cut down the intake and slowly quite the practice.

Regular Screenings: There is a need to encourage patients suffering from Diabetes and Hypertension to undergo a systematic CKD screenings at regular intervals. People with Diabetes and high Blood Pressure have high risk of developing a CKD. Get your Kidneys screened regularly and know the disease in early stages.

Tips for healthy Kidney

Kidney performs the central role in a human body. It is as important as Heart or Lungs. Many organs of the body are dependent on Kidney to function healthily. Kidney removes toxic waste and excessive fluid from blood. It also helps control the Blood Pressure and produce Hormones which are responsible for Strong and healthy bones.

According to a survey conducted for Kidney Disease, Approximately 26 million Americas were suffering from Chronic Kidney Disease till 2012. Since then the number has multiplied. In order to bring down this ever increasing number, people needs to be serious about preventing such fatal disease.

Primary risk for Kidney disease includes factors like High Diabetes, High Blood Pressure, Family History, Heart Disease etc. Obesity; Autoimmune Diseases; Urinary Tract Infections and Systemic Infections are the secondary risks.

Kidney damage occurs in stages and in most of the cases, body does not show any kind of symptom till Kidney is damaged up to 90%.

Stages of Kidney Damage

Stage 1: Slight Kidney damage

Stage 2: Mild decrease in Kidney function

Stage 3: Moderate decrease in Kidney function

Stage 4: Severe decrease in Kidney function

Stage 5: End-stage Renal Disease

Steps for maintaining a Healthy Kidney

  • Keep a control on the Blood Pressure and take every preventive measures against its increased level
  • For people suffering from Diabetes, have a control on your Glucose Level
  • Keep the cholesterol level in the appropriate range
  • If on medications, take the prescriptions on time
  • If you have a high salt intake, cut-off the intake and aim for less than 1,500 milligram sodium per day
  • Eat healthy food like fruits, frozen vegetables etc.
  • Have a limit on your alcohol intake
  • Exercise should be a compulsory part of daily routine
  • For those who are overweight need to work on reducing the weight

Smokers need to quit it slowly and gradually as smoking would led to serious Kidney damages

Symptoms of Kidney Failure

People suffering from Chronic Kidney Diseases suffer from a very subtle symptoms which often go unnoticed. The time period between Chronic Kidney Disease (CKD) and Kidney failure is undetermined. It may take years and also may happen soon, depending on case-to-case basis. Kidney failures can be determined with early stage symptoms which are necessary to be identified. Let us discuss the symptoms of kidney failures:

•    The beginning is often asymptomatic which means there would be a very less amount of visible symptoms but as the disease advances the kidneys would be unable to regulate water, balance the electrolytes, remove the waste from the body, and produce red blood cells. Such a person would often undergo Lethargic behavior, uneasiness, weakness, short of breath, and general swelling.

•    The body would be unable to manufacture bicarbonate due to which the body acidity increases. It is known as metabolic acidosis. Such body dysfunction would alter the enzyme and oxygen metabolism which would end with an organ failure.

•    Kidney would not be able to excrete the potassium from the body thereby increasing its level in the serum and it causes fatal heart rhythm disturbance.

•    Urea level rises in the blood and it affects various body organs like brain, heart, muscles and would also be responsible for low calcium levels in the body.

•    Weakness may be due to anemia but in certain cases the red blood cell counts starts decreasing due to the lower level of erythropoietin which is caused due to the kidney failure. It reduces the oxygen carrying capacity of the blood and hence the body gets tired very soon.

•    Loss of appetite and fatigue becomes regular and if it continues, it may affect the mental balance which may end up in comma.
•    Rising blood pressure due to excess of fluid present in the body is another symptom for kidney failure and the fluid may start to deposit on lungs which ends with heart failure.

The symptoms of kidney failure would vary a lot depending on patient to patient and also it depends on what kind of treatment you undergo.

Test required to diagnose the Kidney Failure

•    Kidney failures can be diagnosed with blood test. The buildup of waste product would determine the kidney failures. BUN, GFR, and Creatinine are essential factors to determine the condition of kidneys. When the BUN and Creatinine level rises up in the blood and the GFR level decreases, the kidney failure is confirmed. The above mentioned three factors determines the rate with which the blood is filtered through the kidneys. The rate would always differ depending on the age, gender, and race of the person.

•    Urine can be used to determine the Kidney failure. With a urine test, the doctor would measure the amount of protein and the presence of abnormal cells in it. If protein is found in the urine, it points towards something abnormal in the body. Abnormally aggregated red and white blood cells in the kidney denotes the presence of Kidney Disease.

•    Abdominal Ultrasound test can determine the size of the kidney. If any obstruction is seen in he reports, it denotes presence of Kidney Disease.

Overview of Diabetic Nephropathy

The disease or damage in kidney occurs due to diabetes is known as Diabetic Nephropathy or Diabetic Kidney Disease in some cases; it could lead to kidney failure as well. At the “Muljibhai Patel Urological Hospital (MPUH)” – Centre For Robotic Surgery (CRS), best urology hospital , we give world class treatments for various Urological Diseases. In terms of Diabetic Kidney Disease, treatment aims to prevent or delay the progression of the disease. It also helps in reducing the risk of developing cardiovascular diseases such as heart attack. All types of diabetes cause kidney disease and diabetes is also noted as the number one cause of Chronic Kidney Disease (CKD), where it causes damage to the tiny blood vessels in the kidney. So, it is important to manage diabetes and maintain healthy blood sugar levels within your body.

Causes of Diabetic Nephropathy

Each kidney is made thousands of small units called Nephrons. These tiny structures refine the blood and help to remove waste from the body. There are very high chances Diabetic Nephropathy, if you have diabetes with high blood pressure. It is recommended to regularly check about the blood sugar to check the level of diabetes. In some cases, a person’s family history may also play an important role for the onset of Diabetes. For reasons doctors don’t yet understand; only some people who have diabetes get kidney damage. For example, it is estimated that out of every 100 people with diabetes, as many as 40 will get kidney damage.

In this problem the nephron thickens and becomes scarred so kidney begins to leak and the protein passes through the urine. In many cases this problem is not observed in the early stages, thus damages already occur before getting to know about this disease. Generally smoking increases the level of blood pressure. So those who have diabetes and who smoke have higher chances to develop diabetic kidney disease.

In people with diabetes, Nephrons get thicken and slowly get scarred over time. Then the kidneys begin to leak and protein (albumin) passes into the urine. This damage can happen years before any symptoms are noticed. Though the exact cause is unknown, kidney damage is more likely if diabetes and high blood pressure remain untreated. Certain things make people more likely to get Diabetic Nephropathy. If you also have high blood pressure or high cholesterol, or if you smoke, your risk is higher.

Symptoms of Diabetic Nephropathy
If you are in later stage of diabetic nephropathy, then probably either one of both of your kidneys have stopped functioning. Then you either have to rely on dialysis or do kidney transplant.

As stated in our earlier articles, kidneys act as a water purifier. If the candles of water purifier don’t work properly, we do not come to know unless we taste the water. Similarly if the kidneys are damaged, but you cannot come to know about this disease unless you get the test in laboratory. Sometimes it takes around 5-7 years before starting of any symptoms.

Symptoms are not visible in the early stages in person suffering from Diabetes. The first sign of kidney damage is a small amount of protein in the urine, which is found by a simple urine test. So it is quite important to take regular urine tests to find out kidney damage at an early stage. Occasionally, early kidney damage can be treated and overturned.

If you are suffering from Diabetes, you should watch out symptoms such as, feeling fatigued most of the time, unusual headaches, nausea and vomiting, poor appetite, and swelling of the legs.

What does diabetes do to the kidneys?
Diabetes is also called slow death. It is one of the most dangerous diseases. It actually weakens your immunity power. With diabetes, the small blood vessels in the body get injured. When the blood vessels in the kidneys get injured, kidneys cannot refine your blood properly. Then the body will recall more water and salt than it usually should, which can result in weight gain and ankle swelling. This will lead to more protein in your urine and certain waste materials will build up in your blood, harm the nerves in the body, can create trouble in evacuating the bladder and the pressure ensuing from the full bladder can back up and damage the kidneys. Similarly, if urine remains in the bladder for a long time, it can develop into an infection from the speedy growth of bacteria in urine that has a high sugar level.

Treatment of Diabetic Nephropathy
Check your blood sugar level regularly. Especially if your family have the history of diabetes, after reaching a mature age – say around 45-50 you should be more aware and do regular checkups.

Once kidney damage is fixed in its early stages, it can be reduced with proper treatment. When higher amounts of protein seem in the urine, kidney damage will get worse. Keeping the blood pressure under control (under 130/80) is one of the best ways to reduce kidney damage.

A doctor may recommend medicines to reduce the blood pressure and protect the kidneys from more damage.  The key treatment is through medicines to lessen blood pressure and prevent or slow the harm to the kidneys.  It may require taking more than one medicine, especially when the patient has high blood pressure. Intake of low-fat diet, taking drugs to control blood cholesterol, and doing regular exercise can also help stop or slow kidney damage.

As it is said – prevention is better than cure – keeping blood sugar and blood pressure under control is the best way to avoid such disease.