2014年4月1日星期二

Stage 3 CKD symptoms and diet

Stage 3 CKD is a critical period to treat kidney disease.So in my opinion you could avoid your kidney disease into stage 3.Now let us learn some knowledge about stage 3 CKD.

A person with stage 3 chronic kidney disease (CKD) has moderate kidney damage. This stage is broken up into two: a decrease in glomerular filtration rate (GFR) for Stage 3A is 45-59 mL/min and a decrease in GFR for Stage 3B is 30-44 mL/min. Askidney function declines waste products can build up in the blood causing a condition known as “uremia.” In stage 3 a person is more likely to develop complications of kidney diseasesuch as high blood pressure,anemia (a shortage of red blood cells) and/or early bone disease.

Symptoms may start to become present in stage 3, such as:

Fatigue: Feeling tired is common for people with CKD and is often caused by anemia.
Too much fluid: The kidneysmay lose their ability to control how much fluid stays in the body. A person may notice swelling (edema) in their lower legs, hands or face around the eyes. With too much fluid someone could even feel short of breath.
Urination changes: Urine may be foamy if there is protein in it, or dark orange, brown, tea colored or red if it contains blood. A person may urinate more or less, or get up at night to go to the bathroom.
Kidney pain: Most people with CKD do not have kidney pain, but with some kinds of kidney problems, such as polycystic kidney disease (PKD) or infections, they may have pain in their back where the kidneys are.
Sleep problems: Some people have trouble falling asleep or staying asleep. Itching, muscle cramps or restless legs can keep them awake.
As stage 3 progresses, the NKF recommends the patient see a nephrologist (a doctor who specializes in treating kidney disease). Nephrologists examine kidney patients and perform lab tests so they can gather information about their condition to offer the best advice for treatment. The nephrologist’s goal is to help their patient keep their kidneys working as long as possible.
Someone in stage 3 may also be referred to a dietitian. Because diet is such an important part of treatment, the dietitian will review a person’s lab work results and recommend a meal plan individualized for their needs. Eating a proper diet can help preserve kidney function and overall health. For stage 3 a dietitian will usually recommend eating a healthy diet withprotein at the Daily Reference Intake (DRI) level of 0.8 grams protein per kilogram body, the same level recommended for all healthy people. Special attention may be given to the quality of protein eaten. Phosphorus may be limited to help keep blood phosphorus or PTH normal and prevent renal bone disease. Controlling phosphorus may also help preserve existing kidney function. Calcium may be limited if blood levels are too high. Potassium is usually not restricted in stage 3 CKD unless blood levels are high. The dietitian will also take into consideration if the patient has diabetes and provide tips on limiting carbohydrates in their diet. They may also recommend a diet low in sodium for those with high blood pressure orfluid retention. Supplementation with water soluble vitamins may be recommended. Vitamin C may be limited to 100 mg per day from supplements. Nutrients like Vitamin A and some minerals may not be recommended because levels can build up in the blood as kidney function declines. The dietitian may recommend avoiding over the counter dietary supplements unless approved by the nephrologist. It is helpful to work with a registered renal dietitian because as the stages of CKD change, so will the diet.
A healthy diet for stage 3 CKD may recommend:
Including a variety of grains, fruits and vegetables, but whole grains and some fruits and vegetables may be limited if blood tests show phosphorus or potassium levels are above normal.
A diet that is low in saturated fat and cholesterol and moderate in total fats, especially if cholesterol is high or if you have diabetes or heart disease
Limiting intake of refined and processed foods high in sodium and prepare foods with less salt or high sodium ingredients
Aiming for a healthy weight by consuming adequate calories and including physical activity each day
Keeping protein intake within the DRI level recommended for healthy people with attention to high quality protein.
Consuming the DRI for the water soluble vitamin B complex and C.
Vitamin D and iron may be tailored to individual requirements
Limiting phosphorus if blood levels of phosphorus or PTH are above normal
Limiting calcium if blood levels are above normal
Potassium is usually not restricted unless blood levels are above normal
Many people who develop CKD have diabetes or high blood pressure. By keeping theirglucose level under control and maintaining a healthy blood pressure, this can help them preserve their kidney function. For both of these conditions, a doctor will likely prescribe ablood pressure medicine. Studies have shown that ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) help slow the progression of kidney disease even in people with diabetes who do not have high blood pressure.Patients should ask their doctors about all of their medicines and take them exactly as prescribed.
In addition to eating right and taking prescribed medicines, exercising regularly and notsmoking are helpful to prolonging kidney health. Patients should talk to their doctors about an exercise plan. Doctors can also provide tips on how to stop smoking.
People in Stage 3 CKD will usually visit their doctor every 3-6 months. Blood tests for creatinine, hemoglobin, calcium and phosphorus levels will be performed to see how well the kidneys are functioning. The doctor will also monitor other conditions such as high blood pressure and diabetes.
There is no cure for kidney disease, but it may be possible to stop its progress or at least slow down the damage. In many cases, the correct treatment and lifestyle changes can help keep a person and their kidneys healthier longer.

Treatment for stage 3 CKD 


Traditional Chinese Medicine which is always shortened as TCM has evolved over thousands of years. It is a unique view of the world and the human body that is totally different from western medicine concepts. Traditional Chinese Medicine is not a simple medicine or treatment, but a broad name of different kinds of medical methods which share common concepts and these medical methods include:
Herbal Medicine
Acupuncture
Massage
GuaSha
Foot Bath
QiGoing

TaiChi

If you want to know more about your kidney disease.Or you want to know more about our therapy .Send me an email:kidney-treatment@hotmail.com .

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