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Hello, I am Sandeep Behura. I have done DM from BHU. I am a consultant Nephrologists in Delhi and I am practising in Noida also. Today I am going to talk about Acute Renal Failure which is a common problem.
Acute Renal Failure is characterized by the failure of the normal function of a kidney which occurs over a short period of time. Medically speaking, there is an accumulation of Nitrogen as a waste product in the body with fatuation of electrolyte imbalance associated with retention of fluid in the body which occurs over the period of hours to days.
The aetiology of Acute Renal Failure is varied. However, it is classified into 3;
- Prerenal ARF, which constitutes majority 55% of the cases.
- Entrance adrenal ARF, which contributes to about 45% adrenal failure.
- And 5% of the causes are Postrenal ARF
Coming to the Prerenal ARF, most of the causes are following;
- Massive dead loss, like following traffic accidents or a major surgery.
- Following fluid loss like following diarrhoea, vomiting, patients having diabetes, patients with the cardiac problem may have Acute Renal Failure.
Intense Renal ARF is 2 types. These can be ischemic in nature or toxic in nature.
I am 24 female and 1 month pregnant. I have been going through a lot of problems and the recent one is frequent urination. What to do.
I have problem in urination, the pressure made by my bladder doesn't affect much, but my weight is also too low. I have sometime pain in testis too. Help.
Age: 25, Gender: Male Hello doctor recently I have pain in my kidney so I went to. Doctor he suggested ultrasound in the report I had 2 kidney stone one of left and other on right measuring 4.2 and 4.4 I had endoscopy I had hpolyri virus and doctor gave me medicine .I had redness at the tip of my penis and started to get itching in my genitals and it's been 2 months that my redness has not gone I have completed the course now I see small blister on the shaft of my penis when I take medicine. I changed my medicine from allopathy to homeopathy after completing the course of 14 days for h pylori and kidney stones again I took kidney stone medicine .My age is 25 I am afraid of STD/hiv More details about the presenting complaint: I have pain in urinatination. Redness at the tip of penis and itching in back and also in genital. Rashes at the back and allergy Previous history of the same issue: Had a kidney stone Current medications: homeopathic Hydrangea arborescens berberis vulgaris Lab tests performed: Endoscopy Urine test Ultrasound.
I have a problem of kidney stone from last 7 years. What I have to do. I have multistone problem in my both kidneys.
Sir I have just small cuts in my anal. But no any pain burning. Just have small cut so tell me best solution for heal cuts of anal skin.
I am having urine infection and burning sensation during urine and I have important meeting tomorrow. I am drinking water and a solution mixed in water? should I start antibiotics. I want to get well soon. What to do. I am 27 years old recently married woman.
I have kidney stone. Kidney of 3.7 mm odour in urine and skin as well. Red rashes on breast and hips. Is it possible indication of some disease 74 kg wt. And acidity.
What is Chronic Kidney Disease?
Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with interstitial fibrosis.
Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) - 1 being the mildest with no distinct symptoms and 5 being end stage renal failure.
Causes and Risk Factors of Chronic Kidney Disease-
The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are:
- Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood)
Family history heritable renal disease
Older age, smoking
Past episodes of acute renal disease
The direct causes of Chronic Kidney Diseases are-
Diabetic nephropathy (leading cause)
Glomerulonephritis (swelling of the glomerulus in the kidneys)
Reno-vascular disease (ischemic nephropathy)
Transplant allograft failure
Exposure to drugs and toxins
Diet that you must maintain in Chronic Kidney Disease-
It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly.
It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet.
Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease:
Carbohydrates : Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well.
Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health.
Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood. Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include:
- Ice cream
- Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods), such as avocado, bananas, cantaloupe, honeydew, legumes, milk, nuts, potatoes, seeds, tomato products and yogurt. Some high-potassium foods to limit or avoid include:
- Cantaloupe and honeydew melon
- Dried fruit
- Nuts and seeds
- Oranges and orange juice
- Pumpkin and winter squash
- Tomato products (juices, sauces, paste)
- Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However when you are undergoing dialysis, it is necessary to consume a certain amount of protein. This detailed information can be obtained from your dietician.
Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create pressure on your kidneys.
- Sodium Or Salt Intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body. If you wish to discuss about any specific problem, you can consult a nephrologist.