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How to effectively manage stage 3 CKD?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 58 years old, and my doctor recently informed me that I have stage 3 chronic kidney disease (CKD). I do not feel physically unwell yet, but I am now genuinely worried about how serious this condition is.

  1. What causes chronic kidney disease, and can it improve over time, or does it only get worse?
  2. What foods should I avoid to help protect my kidneys and possibly slow down the progression of the disease?
  3. Also, how will I know if I will eventually need dialysis? Are there signs I should be watching for?

Kindly help me understand what I should expect and how to manage this diagnosis moving forward.
Answered by Dr. Sabeeha Noor

Education:

MBBS

Professional Bio:

Dr. Sabeeha Noor is a compassionate General Physician committed to holistic, patient-centered care. With a strong foundation in family medicine, she has a special interest in mental health and psychological well-being. She is currently expanding her expertise in psychiatry and psychotherapy, with the goal of supporting patients not only in managing physical health conditions but also in overcoming stress, anxiety, and emotional challenges.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Causes of chronic kidney disease (CKD): Several factors can contribute to the development of CKD, including:

  1. Diabetes mellitus.

  2. High blood pressure (hypertension).

  3. Heart disease.

  4. Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (NSAID – anti-inflammatory/analgesic).

  5. Family history of kidney disease.

Certain infections can also play a role in the development of CKD.

Can CKD be reversed?

Chronic kidney disease is usually progressive, meaning it tends to worsen over time. CKD can stabilize and never require dialysis.

I would suggest certain foods to avoid:

To reduce the workload on your kidneys and preserve their function:

  1. Limit sodium

  2. Moderate protein intake.

  3. Avoid excess phosphorus.

  4. Limit potassium (if levels are high).

  5. Stay hydrated.

I suggest the following investigations be done:

  1. KFT (Kidney Function Test).

  2. Blood Pressure Monitoring (BP).

  3. Fasting Blood Sugar (FBS).

  4. Serum Electrolytes (S/E).

  5. eGFR (Estimated Glomerular Filtration Rate).

  6. Serum Creatinine.

  7. Urine Protein (Urine Albumin/Creatinine Ratio).

Follow-up: Please follow up regularly with your test reports and monitor for any symptoms or changes in health.

Please consult your nephrologist for a personalized treatment and monitoring plan.

I hope this helps.

Medically reviewed by iCliniq medical review team
Published At September 13, 2025
Reviewed At September 17, 2025

Education:

MBBS

Professional Bio:

Dr. Sabeeha Noor is a compassionate General Physician committed to holistic, patient-centered care. With a strong foundation in family medicine, she has a special interest in mental health and psychological well-being. She is currently expanding her expertise in psychiatry and psychotherapy, with the goal of supporting patients not only in managing physical health conditions but also in overcoming stress, anxiety, and emotional challenges.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sabeeha Noor
Dr. Sabeeha Noor

General Practitioner

Education:

MBBS

Professional Bio:

Dr. Sabeeha Noor is a compassionate General Physician committed to holistic, patient-centered care. With a strong foundation in family medicine, she has a special interest in mental health and psychological well-being. She is currently expanding her expertise in psychiatry and psychotherapy, with the goal of supporting patients not only in managing physical health conditions but also in overcoming stress, anxiety, and emotional challenges.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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