Doctor in Narayana Superspeciality Hospital
Treatment of Kidney Stones
Treatment of Urinary Tract Infection
Kidney Dialysis Treatment
Kidney Stones Treatment
Treatment of Kidney Transplant
Treatment of Nephrotic Syndrome
Kidney Transplant Treatment
Treatment of Vasculitis
Treatment of Systemic Lupus Erythematosus
Treatment of Resistant Hypertension
Treatment of Anemia With Renal Insufficiency
Treatment of Diabetic Kidney Disease
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Will adpkd patient will surely face chronic kidney disease and will need dialysis after 50 years age? They can never live a normal life long life?
My husband have CKd4 What should we do ?his creatinine is 5.1 and bun 94 phosphorus 7.0 don't want to go on dialysis.
The blood vessels are elastic tubules controlled by valves through which blood flows. Depending on the organ and the distance from the heart, these vessels should be of certain thickness to ensure proper blood supply, this maintains a constant normal pressure of the blood flow. In this condition, the blood vessels are narrowed, which results in reduced blood supply, affecting optimal function.
- With age, the elasticity of these vessels reduce and therefore blood flow and blood pressure can be affected. This is known as arteriosclerosis – hardening of the arteries.
- In parallel, with blood cholesterol levels on the rise, the vessels are narrowing due to the accumulation of plaque in the blood vessels. As blood is flowing through the arteries, the fat molecules, being sluggish and heavier, settle down along the vessel walls. They attract more fat molecules and so the fat deposit layer continues to grow thicker and the vessel narrows further. This is known as atherosclerosis.
Both conditions result in narrowed blood vessels, and when the vessels supplying the kidneys are affected, there is reduced blood flow, which is interpreted as low blood pressure, leading to hormone release which increases the blood pressure. So, one of the main symptoms of renal artery stenosis is uncontrollable blood pressure.
Risk factors: The following factors put an individual at a higher risk of developing renal artery stenosis.
- Advanced age
- Being a female
- Increased cholesterol levels
- Preexisting kidney disease
Symptoms: Though there are no obvious manifestations, uncontrolled high blood pressure can require renal artery stenosis to be ruled out. Some tests to be done include:
- Blood and urine tests to identify abnormal kidney function tests
- Ultrasound to check for structural effects
- Doppler to measure blood flow
- Advanced imaging like MRI to study for structural changes in the kidneys and its blood vessels
Treatment: This would be a two-pronged approach in terms of reducing risks and improving blood pressure.
- Better control of blood pressure levels, either with alternate drugs or increased doses
- Monitor and rigorously control sugar levels
- Cholesterol levels to be controlled
- Quit smoking
In very severe cases, angioplasty and stenting may be required. A catheter (tube) is inserted into the affected blood vessel and a balloon is then inflated to open up the artery. A stent may also be placed to keep the vessel open and ensure optimal blood flow. This comes with its own complications and requires long-term care and monitoring.
- - In very severe cases, bypass of the artery or surgical removal of the affected portion of the kidney may also be required.
The kidneys are the main part of the urinary system, which also includes the bladder, the ureter, and the urethra. Infections reach the urinary system either through the urethra or from the bloodstream when there is an infection elsewhere. Most infections are limited to the bladder and the ureter but when an infection reaches a kidney, it can be a lot more dangerous and require immediate attention.
Pyelonephritis is more commonly known as UTI or urinary infection.
Causes: This can be an acute or a chronic condition.
- Acute condition more often happens subsequent to a bladder infection, which is not completely cured
- Chronic condition develops due to recurrent infections, kidney stones, kidney failure, and impaired renal flow
- People who have impaired immunity, poorly controlled diabetes, and higher blood pressure levels are at risk
- Women and pregnancy in particular increases the risk, as the urethra in women is shorter and puts them at greater risk of developing the infection
Similar to any infection, pyelonephritis also includes general symptoms like:
- High fever with shaking chills
- Abdominal fullness
- General lethargy and fatigue
- Vomiting and diarrhea
- Warm skin with profuse sweating
- Severe cases can present with confusion
More specific symptoms include:
- Abdominal/flank pain on either side
- Bloody or cloudy urine that can be foul-smelling
- Increased frequency and urgency
- Feeling of incomplete emptying
- Painful urination
- Clinical exam can present with tenderness in the flank region
- Blood culture can reveal infection
- Urinalysis reveals impaired urine function including high levels of protein and blood
- CT scan of the abdomen area may reveal swollen kidneys
- Kidney biopsy, scan, and ultrasound may be very rarely required
- This is an acute condition, and when the elderly/pregnant are affected, immediate treatment is required
- Antibiotics are required to control the infection. The blood culture can guide to the most effective antibiotic.
- Pain relief requires the use of pain killers
- Acute cases may require admission to the hospital, with additional hydration support
- If the patient is not able to retain oral medications, they may be given as injections (antiobiotics and pain killers)
- Chronic cases may require longer use of antibiotics. Also, given the risk factors, recurrent infections need to be constantly
- Potential complications include kidney failure, recurrent infections, and chronic sepsis which can result in infection in the other organs
- Hygienic toilet habits, particularly when using public restrooms
- Hygienic sexual habits, to prevent entry of bacteria into the urinary tract
- Adequate hydration to ensure wastes and bacteria are eliminated
- Immediate treatment if you are prone for recurrent urinary infections
In case you have a concern or query you can always consult an expert & get answers to your questions!
He is my husband recently got discharged from hospital after a brain stroke. His BP levels were high due to polycystic kidney disease. He is worried that he may get this stroke again kindly suggest diet and precautions to be taken to keep him safe. Please help me with this problem.
How can I increase effectiveness of cardace (ramipril) in my body? Some diet, routine exercise or habit which can help? I am suffering from nephrotic syndrome (fsgs).
Hi, My grandmother who is 75 years old is on dialysis for the past 1 year. She has had history of knee problems (like pain, swelling etc) for the past 20 years but the general massage and medications were followed. Recently for the past 1 week, one of the knee is hurting very badly even when she is sitting (we suspect it might be due to wrong massage). There is swelling on that knee too. We got her examined in one of the hospitals in gurgaon and they suggest knee replacement to be done as the pain killers are not subsiding the pain. She is old, has 2 dialysis every week and so we are not sure if it would be the right decision or not. Also, in order to proceed with the surgery, the doctors here have conducted two dialysis within 24 hours so that her parameters are stable. Could you please suggest what should we do?
I have stage 1 ckd. My potassium remains above 6.oo It comes down with k bind sachet then after it again begin to rise. I am on insulin mixtard 30/70. Kindly suggest.
This is a type of disease wherein there is gradual loss of kidney function over a period of months or even years. About one in ten people have Chronic kidney disease.