Will I need a kidney transplant because of PKD at 44?

Question

Hi doctor,

I was diagnosed with polycystic kidney disease in my early 30s after undergoing family screening because my father eventually needed dialysis. Now at 44, my kidney function is declining slowly, and my eGFR recently dropped to 42.

Will I need a kidney transplant because of PKD at 44? I still work full-time and feel mostly okay physically, but mentally, it is difficult not to constantly compare my future to what happened with my dad.

I really appreciate any help you can provide.

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concerns.

I understand your concerns, and I am sorry to hear about your discomfort.

With polycystic kidney disease (a genetic disorder) and an estimated glomerular filtration rate (eGFR) of 42, your kidneys are moderately reduced in function. However, this does not mean you will need dialysis or a transplant in the near future.

Many individuals with PKD (polycystic kidney disease) remain stable and active for years, especially when the decline is gradual. It is important to note that your father's experience does not dictate your outcome or timeline.

Advances in treatment and monitoring for PKD today are significantly better than in the past. Your main goal right now should be to slow the progression of the disease by managing your blood pressure, avoiding non-steroidal anti-inflammatory drugs (NSAIDs), reducing salt intake, maintaining a healthy lifestyle, and regularly seeing your kidney specialist.

Additionally, some patients may benefit from medications like Tolvaptan to help slow kidney decline. On a positive note, you are still working full-time, functioning well physically, and being monitored closely.

I hope you find this information helpful.

Thank you.