Early Symptoms of Chronic Renal Failure

Chronic Renal Failure is a relative serious kidney disease.So we should find it early.Avoid your disease become kidney failure.

In the body the kidneys maintain the correct balance of fluid, electrolytes, and waste products. Early symptoms of chronic renal failure are vague because the disease occurs slowly. The National Kidney Foundation reports 26 million American adults have CRF; many more are in the early stages and do not know it.

Decreased Glomerular Filtration Rate

Changes in lab work are the first symptoms noted in early CRF. Glomerular filtration rate, or GFR, is the amount of blood your kidneys are able to filter in one minute. Normal healthy kidneys should filter at least 90 milliliters of blood per minute. Kidney function is determined based on a person's GFR.
Early in CRF, the GFR remains stable or diminished only very slightly. According to Scott and White hospital people typically do not have symptoms until the GFR is significantly decreased. Even with a GFR between 60 and 89 mL/min, symptoms will be mild, if any.

Protein in The Urine

Diminished renal reserve is the term used for the early changes taking place in kidney function. The only clinical finding is protein in the urine, with a normal GFR and when patients have no symptoms. Unless a random urinalysis is performed, this symptom will be overlooked.

General Feeling of Illness

Donna D. Ignatavicius, MS RN, and M. Linda Workman, Ph.D, authors of "Medical-Surgical Nursing: Critical Thinking for Collaborative Care", explain that patients with early symptoms of chronic renal failure may complain of a general feeling of illness. Lack of energy and fatigue are often reported without any identifiable cause.

Headache

Headache may be present and is another vague symptom. Often attributed to other problems such as muscle tension, stress, sinus congestion or migraines, complaints of headache will go unrecognized until other more serious symptoms present themselves. For example, noticeable fluid retention and high blood pressure accompanying headache may point a health care practitioner in the right direction to assess for diminished kidney function.

Decreased Appetite

A decreased appetite is one of the early symptoms of chronic renal failure. This occurs because of the slowly increasing level of nitrogenous wastes in the body due to the kidney's inability to properly remove waste products from the blood. This vague symptom can go on for quite some time before becoming problematic.

Nausea

Just like a decreased appetite, this symptom is often attributed to other problems like fatigue, stress or a mild illness. Because the early symptoms of chronic renal failure are so vague, they are often downplayed.

Dry Itchy Skin

As waste products build up in the body, dry itchy skin develops. People will often try lotion to help alleviate the problem. Only when the symptoms become severe will patients typically seek medical care.

Treatments

Chinese herbs can relieve these symptoms naturally.In my mind Kidney Disease can be treated rootly if you keep a healthy living style and use chinese medicine rightly.

Do you heard Micro-Chinese Medicine Osmotherapy? This therapy could let Chinese Medicine through kidneys directly through you back.

Have any questions?Send me an email:kidney-treatment@hotmail.com  .

Chronic Kidney Failure Symptoms and Treatment

Chronic Kidney Failure refer to a big damage of your kidneys .And will have many Symptoms .In this article I will show you the symptoms of Chronic Kidney Failure.

Causes and symptoms of kidney Failure

Kidney failure is triggered by disease or a hereditary disorder in the kidneys. Both kidneys are typically affected. The four most common causes of chronic kidney failure include:
Diabetes. Diabetes mellitus (DM), both insulin dependant (IDDM) and non-insulin dependant (NIDDM), occurs when the body cannot produce and/or use insulin, the hormone necessary for the body to process glucose. Long-term diabetes may cause the glomeruli, the filtering units located in the nephrons of the kidneys, to gradually lose functioning.
Glomerulonephritis. Glomerulonephritis is a chronic inflammation of the glomeruli, or filtering units of the kidney. Certain types of glomerulonephritis are treatable, and may only cause a temporary disruption of kidney functioning.
Hypertension. High blood pressure is unique in that it is both a cause and a major symptom of kidney failure. The kidneys can become stressed and ultimately sustain permanent damage from blood pushing through them at an excessive level of pressure over a long period of time.
Polycystic kidney disease. Polycystic kidney disease is an inherited disorder that causes cysts to be formed on the nephrons, or functioning units, of the kidneys. The cysts hamper the regular functioning of the kidney.
Other possible causes of chronic kidney failure include kidney cancer, obstructions such as kidney stones, pyelonephritis, reflux nephropathy, systemic lupus erythematosus, amyloidosis, sickle cell anemia, Alport syndrome, and oxalosis.
Initially, symptoms of chronic kidney failure develop slowly. Even individuals with mild to moderate kidney failure may show few symtpoms in spite of increased urea in their blood. Among the symptoms that may be present at this point are frequent urination during the night and high blood pressure.
Most symptoms of chronic kidney failure are not apparent until kidney disease has progressed significantly. Common symptoms include:
Anemia. The kidneys are responsible for the production of erythropoietin (EPO), a hormone which stimulates red cell production. If kidney disease causes shrinking of the kidney, this red blood cell production is hampered.
Bad breath or a bad taste in mouth. Urea, or waste products, in the saliva may cause an ammonia-like taste in the mouth.
Bone and joint problems. The kidneys produce vitamin D, which aids in the absorption of calcium and keeps bones strong. For patients with kidney failure, bones may become brittle, and in the case of children, normal growth may be stunted. Joint pain may also occur as a result of unchecked phosphate levels in the blood.
Edema. Puffiness or swelling around the eyes, arms, hands, and feet.
Frequent urination.
Foamy or bloody urine. Protein in the urine may cause it to foam significantly. Blood in the urine may indicate bleeding from diseased or obstructed kidneys, bladder, or ureters.
Headaches. High blood pressure may trigger headaches.
Hypertension, or high blood pressure. The retention of fluids and wastes causes blood volume to increase, which in turn, causes blood pressure to rise.
Increased fatigue. Toxic substances in the blood and the presence of anemia may cause feelings of exhaustion.
Itching. Phosphorus, which is typically eliminated in the urine, accumulates in the blood of patients with kidney failure. This heightened phosphorus level may cause itching of the skin.
Lower back pain. Pain where the kidneys are located, in the small of the back below the ribs.

Nausea, loss of appetite, and vomiting. Urea in the gastric juices may cause upset stomach. This can lead to malnutrition and weight loss.

Treatment of Kidney Failure

Unhealthy blood is the chief culprit of the damage to renal tissues and root cause of lingering kidney disease. If the blood in the body is heavily contaminated, the organs and tissues where the blood flows through will be damaged. After we find the cause of kidney damage- the unhealthy blood, Clear Blood Pollution Therapy is invented to treat kidney disease fundamentally.

Clear Blood Pollution Therapy will start with treating the blood, not the kidney. Namely, we don't start from repairing the renal lesions, but start from the patients' unhealthy blood contaminated with toxic and harmful substance.
This therapy is specialized in removing the toxin and harmful substance on vascular walls and blood vessels so as to effectively restore original hematopoietic and blood circulation mechanism of the patients so as to cure kidney disease.

Have any questions about your kidney disease? Do you have interested in this therapy? Contact the expert of kidney disease by email:kidney-treatment@hotmail.com .

Protein Intake and CKD

Diet is one of important factors in your kidney disease health.I believe that every kidney disease patients knew the importance of high quality protein for their kidney problem .So I want to introduce the relationship between Protein intake and CKD.

The amount of protein you can have depends upon the progression of the disease. If you're in the earlier parts of kidney failure, you'll probably have to limit the amount of protein you can consume. That's because your kidneys will have trouble eliminating urea, which is a waste product of protein metabolism.
Protein is essential for repairing and maintaining muscles, organs and other tissues. You also need some protein to keep your immune system functioning properly. Reducing your protein intake will take some of the load off your kidneys, but, you'll still need some protein, probably about 1 gram protein per kilogram of bodyweight, or less, per day. Ask your health care provider exactly how much protein you can consume. You may also need to speak with a dietitian or nutritionist who specializes in kidney disorders. He or she will help design a meal plan that's safe for your kidneys.
If your disease progresses to the stage where you need dialysis, you'll probably need to increase your protein intake again, up to 10 ounces of high-protein foods per day. But you need to be careful about which types of proteins you choose. Some of the plant-based protein sources are also high in potassium and phosphorus, two minerals that you may still need to limit. These plant-based protein sources are nuts, seeds, peanuts, legumes and lentils. Grains and animal based protein sources should be fine.

High Protein Foods

In order to monitor your protein intake, you'll need to know which foods are highest in proteins. In general foods from animal sources contain the most protein. So poultry, meat, seafood, dairy products and eggs are generally high in protein.

Plant-based foods may also contain protein, but usually in much smaller amounts. However, foods like legumes, nuts, seeds and grains (products made from these foods) can be high in protein.

OK,that is a part I want to tell you.In the end I want to introduce some knowledge about Chinese herbs, Traditional Chinese medicine (TCM) has a history of several thousand years up to now .And can make people avoid pain caused by operation .In the aspect of curative effect,TCM can treat disease in root.And will not relapse.

I know a therapy treat CKD in TCM.It named Micro-Chinese Medicine Osmotherapy,this therapy could let herbs enter you kidneys directly through skin .And the treatment progress only 40 minutes every time.And you just need lie down on the bed for 40 minutes.

If you want to know more about this therapy send me an email: kidney-treatment@hotmail.com

Polycystic Kidney Disease Symptoms and Treatment

In the patients mind PKD is a horrific disease.Because they can't image that it has so many cyst in thus a small kidney. I want to tell you if you find early and treatment early this disease is not so bloodcurdling.


From this article you can have a deeper understanding of Polycystic Kidney Disease.

Polycystic kidney disease, or PKD, is a disease that has genetic causes, meaning it is passed through the genes from parent

To child The disease gets its name from the many cysts that cluster together on the kidneys. These cysts aren't malignant, but they are filled with fluid. With this disease, the cysts can grow in other parts of your body as well, such as the pancreas or liver. The cysts disrupt normal functioning and workings of the kidneys, and at some point, it can be too much, and the kidneys may fail. There are many symptoms associated with this disease.

Renal Symptoms

Since the kidney may be covered in cysts, this can cause the size of the kidneys to be enlarged. They can even be as big as a football. Kidney infections and UTIs (urinary tract infections) are not uncommon if you have polycystic kidney disease. You may also suffer from kidney stones. When you urinate, you may notice blood

in your urine; you may have more frequent urges to urinate at night also.

Cardiovascular Symptoms

The cysts are filled with fluid, and as they grow bigger with more and more fluid, they may put pressure on the renal blood vessels, which can, in turn, cause high blood pressure. Your readings can become very high and become critical, so it's important that you keep a daily record of your blood pressure readings if you suffer from this disease. The heart valves may be affected as well, sometimes leading to mitral valve prolapse.

Treatment

If you want to ease the cyst.First you should to do is clear the inner environment of kidneys.There is a therapy named Blood Pollution Therapy this therapy could cleared the polluted and make the kidneys have a cleared blood environment.

If you want to know more about PKD or the therapy.You can send me an email:kidney-treatment@hotmail.com

the Detailed Introduction on Stage 4-5 CKD

Stage 4-5 CKD refers to larger kidney damage in the patients.Today I will tell you some detailed introduction on stage 4-5 CKD.

Stage 4 CKD is severely reduced kidney function, 15-30% (eGFR 15-29ml/min/1.73m2)
Stage 5 CKD is very severely reduced kidney function (endstage or ESRF/ESRD), less than 15% (eGFR less than 15 ml/min).
Creatinine and eGFR in an individual are usually quite stable. Deteriorating renal function needs rapid assessment. Note that CKD staging and management outlined below are only applicable to stable renal function.

Assessment and management of stable Stages 4 and 5 CKD.

Initial assessment is identical to Stage 3 CKD, but in contrast to Stage 3, referral to or discussion with a specialist service will be usual. Exceptions to 'always refer or discuss' may include patients in whom:
severe renal impairment is part of another terminal illness
those in whom all appropriate investigations have been performed and there is an agreed and understood care pathway
those in whom further investigation and management is clearly inappropriate.

Initial assessment of stages 4 and 5 CKD

Is the patient well? Is there a history of significant associated disease?
If assessment is precipitated by a first discovery of elevated creatinine, it is important to be certain that the value is stable. Maybe there are previously recorded values? If not, and the patient is well, repeat test within 14 days. Ideally this sample should be taken after a period of at least 12h without meat consumption, and the sample must get to the lab or be separated the same day. Deteriorating renal function needs rapid assessment.
Clinical assessment - especially for sepsis, heart failure, hypovolaemia, examination for bladder enlargement (imaging indicated if obstruction suspected from symptoms or examination), cardiovascular system.
Medication review - any potentially nephrotoxic drugs, or drugs that need dose alterations when GFR reduced?
Urine tests: dipstick for blood and quantitation of proteinuria by ACR/PCR. Presence of haematuria or proteinuria may suggest progressive renal disease.

Blood tests: Ca, PO4, Hb.

Imaging - exclusion of obstruction is indicated in patients with singnificant urinary symptoms or other things to suggest obstruction.
As above, referral or discussion is usual. Referral by urgency

Management of stable Stages 4 and 5 CKD

Typically 3 monthly estimation of
Creatinine and K - hyperkalaemia that is severe or not responsive to changes in therapy should lead to discussion or referral.
Hb - if low, exclude non-renal cause. More on anaemia.
Ca and phosphate - Oral phosphate binders will often be necessary. More on Ca and phosphate.
Urinary protein for ACR or PCR. Note thresholds; ACR 30 or PCR 50 for more stringent blood pressure targets (and suffix 'p' on CKD stage), and ACR 70 or PCR 100 for specialist referral/discussion. More on proteinuria
Blood pressure - 140/90 max (130-139/90), or 130/80 max (120-129/80) for patients with proteinuria: urinary ACR>30 or PCR>50. More on hypertension
Cardiovascular risk - advice on smoking, exercise and lifestyle. Consider cholesterol lowering therapy if already have macrovascular disease, or if estimated 10 year risk of cardiovascular events =/>20%. More on CV risk in CKD
Immunization - influenza and pneumococcal, plus hepatitis B immunization if renal replacement therapy contemplated.
Medication review - regular review of medication to minimise nephrotoxic drugs (particularly NSAIDs) and ensure doses of others are appropriate to renal function.
In osteoporosis/ low bone density, do not use bisphosphonates or other agents that reduce bone turnover without detailed assessment of possibility of renal osteodystrophy. Specialist discussion required.
About CKD stages
GFR>60 Stages 1+2 CKD
GFR 30-59 Stage 3 CKD:
GFR<30 Stages 4+5 CKD

Patient info - Stages 4 and 5 CKD

Treatment options for endstage kidney disease from EdREN.
Further information about blood tests and kidney function from the Edinburgh Renal Unit website.
Further information for patients about chronic kidney disease and the K/DOQI stages from EdREN.
In all advanced kidney disease, heart and artery disease are major killers, even for patients on dialysis. Prevention of that is important too.
More general guidance on CKD and eGFR is available from the foot of the eGuide home page.

Treatments

Chinese herb is a good choice for your kidney disease,Because it will improve your kidney function naturally.Blood Pollution Therapy focuses on treating patients’ polluted blood before reversing their kidney damage.Blood Pollution therapy can let Chinese Medicine clear the polluted blood naturally.

If you want to know about this therapy or if you have any other questions send me an email:kidney-treatment@hotmail.com .

Seven Points to Prevent Polycystic Kidney Disease becoming severe

Today I will share Seven Points about Prevent Polycystic Kidney Disease becoming severe .I I Hope this article is useful for your disease.

Prevention of tiredness

The tiredness including two parts: mental and physical. Mental fatigue will affect the patient′s brain thinking and command function. Meanwhile, there will be inconsistent organic function and aggravation of kidney function.
As for physical fatigue, deposited toxins can not be excreted by the impaired kidney, so the progression of renal damage will be aggravated.

Injury

Enlarged kidneys will pose great pressure on the patients abdominal cavity, any injuries can easily cause the rupture and bleeding of cysts.

High blood pressure

As a serious complication, on the one hand, it can accelerate kidney damage, on the other hand, it may cause cardiovascular and cerebrovascular diseases. So, well control of blood pressure are crucial.

Avoid influenza

Influenza, especially the repeated influenza will cause larger immunity damage to the kidneys and delay the progression of kidney damage.

Diet

Reasonable diet plan play an significant role in delaying the progression of this disorder. Some suggestions are as follows: the intake of salt should be controlled at 2-3g/d. Eat less foods that abundant in potassium and phosphorus, choose low-fat diet and so on.

Emotion regulation

This disease is controllable and curable, if you have been diagnosed with it, being optimistic and positive are always your good choices.

Infections

The control of infections include two aspects: the internal infection of cysts and the urinary tract infection. Infections will aggravate the progression of damaged kidney or even cause irreversible consequences.

Treatments

Share a efficient therapy for PKD.This therapy named Blood Pollution Therapy,The Following content is the introduction of this therapy.

Unhealthy blood is the chief culprit of the damage to renal tissues and root cause of lingering kidney disease. If the blood in the body is heavily contaminated, the organs and tissues where the blood flows through will be damaged. After we find the cause of kidney damage- the unhealthy blood, Clear Blood Pollution Therapy is invented to treat kidney disease fundamentally.

Clear Blood Pollution Therapy will start with treating the blood, not the kidney. Namely, we don't start from repairing the renal lesions, but start from the patients' unhealthy blood contaminated with toxic and harmful substance.
This therapy is specialized in removing the toxin and harmful substance on vascular walls and blood vessels so as to effectively restore original hematopoietic and blood circulation mechanism of the patients so as to cure kidney disease.

CKD in older people

If you was diagnosed with Chronic Kidney Disease(CKD) you should treat early.Because If you Don't pay more attention to this disease.It will develop into kidney failure.If a older people had kidney failure will be difficult to get cured.Because they will not suitable for surgery.

The majority of patients diagnosed with Chronic Kidney Disease (CKD) are elderly and CKD is linked with poor cardiovascular, cognitive, and disability outcomes in these people. Only a minority of these patients will progress to end stage renal disease (ESRD) while the majority will die due to cardiovascular disease. Thus, only a small number of these patients with CKD will benefit from specialist nephrologist assessment. The priority for the remainder should be cardiovascular disease prevention. We have reviewed specific issues relevant to older people to determine high-risk groups with CKD that are likely to benefit from a more intensive risk reduction intervention and to allow identification of clinically relevant renal disease.

Introduction

The prevalence of Chronic Kidney Disease (CKD) has been rising and is causing a global challenge as a non-communicable epidemic. In the UK, the prevalence is about 10% of the po­pulation, and in people aged over 65 years, this figure reaches 40%. Risk factors predis­posing the elderly to CKD remain unknown. However, most analyses show that the majo­rity of patients affected either with microalbu­minuria (MA) or with reduced glomerular fil­tration rate (GFR) are the elderly (> 65 years). Cardiovascular disease (CVD) has a significant impact on CKD in the elderly and affects CKD progression in this age-group. It is well known that renal function declines with age. It is still not clear whether CKD in older people is merely due to age-related changes in kidney function or a genuine kidney disease that will progress to end-stage renal disease (ESRD). Nevertheless, we already know that a minority of elderly patients with CKD will progress to ESRD and that the majority will have mor­bidity and mortality related to CVD, rather than ESRD. However, labeling older, frail pa­tients with a significant disease can be wo­rrying for them, especially if that will include asking them to travel long distances for spe­cialist secondary and tertiary services. With these above concerns, there has been evolving national and international guidelines to guide primary care physicians and non-renal specialists to refer patients according to the CKD stage. Most of these guidelines have overlooked the age stratification and they have been cri­ticized for building guidance based upon esti­mated glomerular filtration rate eGFR alone (calculated by The Modification of Diet in Renal Disease [MDRD] equation, which has not been validated in patients above the age of 70 years). Currently, there are no other more accurate methods to estimate GFR in older people with CKD. Another marker which has been found to be superior to serum creatinine in measuring GFR is cystatin C, which may have future implications for older people.
The majority of elderly patients with CKD are in stage three that could well be managed in the community by primary care physicians. The most important issue is to address the high CVD risk in this population which is confoun­ded by the co-existence of CKD. In addition, CVD is known to accelerate CKD progression in elderly subjects. The importance of early detection and prevention has been the focus of many national and international guidelines and standards frameworks. Finding a simple and feasible screening tool for early CKD detec­tion has been an attractive goal.
Microalbuminuria and low GFR are very co­mmon in individuals > 65 years, which contri­butes to the large prevalence of CKD reported in this age-group. There is evidence that MA is a strong predictor of CVD risk in the general population. It is not clear, however, whether MA in early CKD is a marker of kidney da­mage or widespread CVD including atheroscle­rosis and peripheral vascular disease, which are not uncommon in the elderly.

Search Strategy

We performed a search of Medline and Embase from January 1969 to September 2009 using keywords relating to CKD in older people and vascular and renal outcomes. Only English language articles were selected. Articles were reviewed for relevance by abstract. A manual review of citations in retrieved articles was performed in addition to the electronic lite­rature search. The final list of cited references was chosen on the basis of scientific quality and relevance to the topic of review.

Definition

Chronic Kidney Disease is defined as either a low GFR rate of less than 60 mL/min/1.73 m 2 , or normal GFR plus evidence of kidney da­mage (most commonly albuminuria, hematuria or abnormal renal ultrasound for three or more consecutive months) regardless of age.The severity of CKD is classified according to the level of GFR, regardless of the etiology, into five stages:
Stage one: kidney damage with a normal or increased GFR (> 90 mL/min/1.73 m 2 );
Stage two: kidney damage with a mild decrease in GFR (60-89 mL/min/1.73 m 2 );
Stage three: a moderate decrease in GFR (30-59 mL/min/1.73 m 2 );
Stage four: a severe decrease in GFR (15­ 29 mL/min/1.73 m 2 ) and
Stage five: kidney failure (< 15 mL/min/1.73 m 2 ).

Older people are particularly susceptible to kidney damage from age-related decline in glomerular filtration as well as kidney damage from chronic disease states such as diabetes mellitus, hypertension, glomerular, and tubulo­interstitial disorders. The classification of CKD is applicable to all age-groups despite the fact that GFR gradually declines with age. Whether this decline is part of a normal ageing process is uncertain. Age-related decline in GFR is associated with impaired concentrating ability, global glomerular and vascular sclerosis and tubular atrophy with thinning of renal cortex and reduction in kidney size. These changes are considered pathological if observed in younger individuals.

Treatments

In my opinions Traditional Chinsese Medicine will ease the development of the kidney disease.Do you heard Micro-Chinese Medicine Osmotherapy,This therapy could make the herbs enter kidneys directly.And will have amazing effects in the treatment progress.

Have any questions?Send me an email kidney-treatment@hotmail.com .