Kidneys are organs whose primary function is to filter waste and excess fluids from the blood. In chronic kidney disease, there is a gradual loss of function, and so, there is an accumulation of fluid and waste in the body. In very severe cases, the build-up can reach dangerous levels. But, initially, there are no to few symptoms felt by the patient. This is a bad thing as many do not realize they have a problem until kidney function has deteriorated to a great extent.
Signs and Symptoms
- Nausea and vomiting.
- Decreased appetite.
- Generalized fatigue.
- Sleep disturbance.
- Decreased urinary output.
- Dark urine.
- Blood in urine.
- Reduced mental clarity.
- Muscle cramps.
- Swelling of feet and hands.
- Puffy face.
- Persistent itching.
- Increased frequency of urination at night.
- A family history of kidney diseases.
- Age over 60 years.
- Long-standing uncontrolled diabetes.
- Kidney damage due to high blood pressure.
- Obstruction of urine flow due to a kidney stone, prostate enlargement or a tumor.
- Polycystic kidneys.
- Abuse of over-the-counter medications and illegal substances.
- Exposure to lead and other toxic chemicals.
- Blood test.
- Urine test.
- CT/MRI scan of kidneys.
- Sometimes, a biopsy may be ordered.
- GFR test (glomerular filtration rate).
In a span of 10 to 15 years, CKD can progress to kidney failure or end-stage renal disease (ESRD). Usually, kidneys are highly adaptable organs and make up their loss of function by various compensatory mechanisms. That is the reason there are no obvious symptoms initially. Later, as they fail, there is a need for an artificial filtering process known as dialysis or in some cases, a renal transplant may be required for survival. In both cases, the chance of success is good.
While without treatment, the survival rate is only a few months, with recent advancements and treatment modalities, the life expectancy goes up to many years.
There is no permanent cure for CKD, but the treatment focuses on making lifestyle changes.
- Focus on controlling chronic conditions such as diabetes and hypertension, if present.
- Take a low sodium and low potassium diet.
- Excercise regularly for at least 30 minutes a day.
- Maintain your BMI (body mass index) in the ideal range.
- Quit smoking, if you do.
- Limit alcohol intake.
For more information consult a chronic kidney disease specialist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist/chronic-kidney-disease
Last reviewed at: 07.Sep.2018
I am thinking to change my medicine for diabetes. What can I take instead of Sitaglu Met?
I am 40 years old, and my weight is 97 kilograms. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 19... Read Full »
Dr. Shazli Naseer
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Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining ...
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