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Chronic Kidney Disease - Know More About It!

Dr.Ravinder Singh Bhadoria 88% (10ratings)
DNB (Nephrology), M.D ( Internal Medicine), MBBS
Nephrologist, Noida
Chronic Kidney Disease - Know More About It!

The kidneys are bean-shaped organs located on either side of the spine behind the abdominal organs. Their main function is the removal of wastes from the body. On any given day, the kidneys filter out about 200 litres of blood and remove the toxins from the body via water.

In addition to this, the kidneys also produce hormones which help in vitamin D regulation and blood pressure control. Also, the red blood cell production in the bone marrow is promoted by the kidneys.

Due to ageing or injury, the kidneys can get damaged which can deeply affect their function. Chronic kidney disease is caused by damage to the kidneys that occurs over months to years. The normal rate of filtration of the kidneys is known as glomerular filtration rate (GFR), and the normal value is about 90.

Lower the GFR, greater the severity of the kidney disease, as below

Stage I – Slight kidney damage reduction of about 90
Stage II – Mild kidney damage with GFR in the range of 60 to 90
Stage III – Moderate kidney damage with GFR between 30 and 60
Stage IV – Severe kidney damage with GFR between 15 and 30
Stage V – Kidney failure which often requires dialysis.

GFR is calculated using a formula that includes a person’s age, gender, race, and serum creatinine levels. Once kidney damage onsets, it may take years for progression. The sooner it is identified, the better is the prognosis.

Older age, feminine gender, diabetes, hypertension, smoking, obesity, cardiovascular disease, diabetes, kidney problems like polycystic disease, and recurrent kidney infections are some risk factors for developing chronic kidney disease.

Kidney damage can occur for a long time before the symptoms become evident. Also, if one kidney is affected by the loss of function, the other kidney often will compensate by taking the additional load. Over a period of time though, given that it has various functions, different symptoms will manifest. Common ones include:

Increased frequency of urination, especially at night
Increased fluid retention in the body, leading to puffiness of the ankles and eyes
Increased blood pressure
Increased fluid accumulation in the lungs, leading to shortness of breath, even with minimal exertion
Fluid around the heart leading to chest pain
Reduced red blood cell production, leading to anemia
Weak bones, due to vitamin D deficiency, leading to bone pain and even fractures
Generalized weakness and lethargy
Increased blood pressure

In a person who has likely risk factors, these symptoms should be watched for. Early detection helps in arresting disease progression and reduced treatment interventions.

1653 people found this helpful

Soft Drinks And Kidney Disease!

Dr.Ganesh Srinivasa Prasad 91% (33ratings)
General Physician, Bangalore

In this summer many people want to drink soft drinks or packed fruit juices like real or tropicana to satisfy their thrist, but countries like india where the temperatures are high this behaviour may cause kidney damage. Hot and humid climate causes increased metabolic load on the kidney to excrete the high waste generated due to dehydration. If we take sugar based drinks which contain fructose it will further increase the load on the kidneys by increasing the uric acid production in body. So to protect your kidney better avoid soft drinks and consume more water or you can take traditional indian drinks like butter milk or lime water which provide more electrolytes to the body.

4 people found this helpful

World Kidney Day - Know More About It!

Dr.Sanjeev Kumar Singh 92% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
World Kidney Day - Know More About It!

The second Thursday of March is celebrated every year as World Kidney Day. The day is marked by a global campaign aimed at increasing awareness about kidneys. In 2006 when it had initially begun, 66 countries had taken part. In 2 years, the number had gone up to 88 countries. The International Federation of Kidney Foundations (IFKF) and the International Society of Nephrology (ISN) had come together and taken the initiative to make people aware of kidney health.

What are the objectives of World Kidney Day?

The objectives of World Kidney Day are as follows – 

  •  To increase awareness by highlighting risk factors like Chronic Kidney Disease (CKD) and high blood pressure

  • To encourage diabetics and people with hypertension to get their kidneys checked

  • To encourage people to take preventative measures

  • To push local and national health authorities to take steps to control the CKD epidemic

  • To encourage organ donation and transplantation in case of kidney failure

This year, World Kidney Day will be observed on 12th March 2020. Each year, there is a different theme for World Kidney Day.

World Kidney Day 2020 Theme

The 2020 Theme for World Kidney Day is ‘Kidney Health for Everyone Everywhere – from Prevention to Detection and Equitable Access to Care’

In 2020, the main focus is on making ‘Preventive Intervention’. It can be broken down into three parts – 

  1. Primary Prevention- This refers to intervening and making healthy life choices before the onset of the disease.

  2. Secondary Prevention- This refers to intervening as early as possible leading to a diagnosis and taking care of any sign of kidney disease to stop it from developing further.

  3. Tertiary Prevention- This refers to managing and treating kidney diseases once it is well established. The idea is to control the progression of the disease and avoid more complications.

What do your kidneys do for you?

These bean-shaped organs work relentlessly to keep you healthy. The main functions of the kidney include – 

  • They make urine

  • They help in removing toxins from your blood

  • Kidneys help in maintaining the chemical balance of the body

  • They help in regulating your blood pressure

  • Kidneys also contribute towards your bone health

  • Kidneys help in making red blood cells

What is CKD?

CKD or Chronic Kidney Disease is a condition that is characterized by the gradual loss of kidney function. The prevalence of Chronic Kidney Disease amongst Indians clocks at 17.2%. Amongst the cohorts, about 18.8% were found to be diabetics and 43.1% were suffering from hypertension.

What are the other risk factors for kidney diseases?

  • Acute kidney injury caused by damage from medicines, a sudden drop in blood flow to kidneys, or sudden blockage that stops urine

  • Diabetes

  • High Blood Pressure

  • High Blood Cholesterol

  • Smoking

  • Obesity

#MyGr8Rule- Just another hashtag?

An initiative taken by the World Kidney Day committee, #MyGr8Rule is a symbolic gesture to remind people of eight golden rules that can help them be more aware and take better care of their kidneys. The committee is urging people to complete one or more of the 8 golden rules, take a picture of themselves in action, use the ‘Rules’ photo frame and share it on their social media with #MyGr8Rule. The eight golden rules are – 

  1. Keep fit, be active – exercise more often 

  2. Have a healthy diet – fill your plates with leafy greens, fruits, whole grains, and healthy fats

  3. Check and control your blood pressure level

  4. Check and control your blood sugar level

  5. Maintain appropriate fluid intake

  6. Don’t smoke

  7. Refrain from taking over-the-counter pain-killer or anti-inflammatory pills regularly

  8. Get your kidneys checked if you have any high-risk factors like

  • Hypertension

  • Diabetes

  • Obesity

  • Family history of kidney disease

Look after these amazing organs as they look after you. This 12th March, pledge to follow the eight golden rules and keep yourself and your loved ones healthy.

Kidney Transplant - How To Identify Right Donor & Recipient?

Dr.Ravinder Singh Bhadoria 88% (10ratings)
DNB (Nephrology), M.D ( Internal Medicine), MBBS
Nephrologist, Noida
Kidney Transplant - How To Identify Right Donor & Recipient?

The kidneys are responsible for the elimination of waste from the body. The blood is filtered in the kidneys and all toxic wastes are filtered out and excreted through urine. When this filtration does not happen effectively, a lot of waste can be found in the blood, which affects normal body function.

Kidneys may lose their functioning either due to age, injury, or disease conditions. Whatever the reason, when kidney function is hampered, the body suffers. If there was an injury or congenital problem, it could be unilateral and the non-affected kidney could still do the function. However, if it is infection or old age, normally both kidneys are affected and then replacement should be looked for externally. This is where a kidney transplant comes into the picture.

What is it?

It is a surgery where a healthy, functioning kidney is placed into the body. The donor could be

  1. Living: These donors have to be related or unrelated. Related is often termed someone, who is a family member and is willing to donate one kidney (one kidney is sufficient for normal, healthy individuals) to the diseased person.
  2. Cadaver: If a person is willing to donate kidneys post death, these are used for transplant, within a specified time.

Identifying the right donor and recipient:

  1. Blood type and tissue type should be matched; a good tissue type match improves the chances of success
  2. Overall health of the donor to ensure there is no heart disease, lung disease, or diabetes
  3. The recipient also should be healthy

What to expect during surgery?

  1. Once a donor is identified, in living donors, the surgery to remove the kidney and to transplant it are done simultaneously
  2. The surgery usually takes about 3 to 4 hours
  3. Antibiotics are given prior to the surgery to prevent infection
  4. The blood vessels and ureter are connected back to the kidney after the transplant
  5. Hospital stay can range from 5 days to 2 weeks, depending on the overall health of the patient and the anticipated risk of rejection.
  6. Most transplanted kidneys work effectively almost immediately. A kidney stored from a cadaver may take a little longer compared to a fresh kidney from a living donor
  7. People who have had transplants are put on immunosuppressants on a chronic basis to reduce chances of rejection. The new kidney will always be recognised by the body as a foreign body, and so this is essential.

Kidney transplant success rates are quite high, and more and more people are opting for transplants as opposed to dialysis.

1475 people found this helpful

Urine Colour - What's Normal & What's Not?

Dr.Nikhil Sharma 89% (25ratings)
MBBS, MS - General Surgery, DNB (Urology)
Urologist, Ghaziabad
Urine Colour - What's Normal & What's Not?

Human urine is a useful tool for the diagnosis and detection of several health conditions. The colour, smell and density of your urine can reveal a lot about the state of your health. Colour, especially, is a strong determinant of many ailments or concerns.

Here is a list of the health conditions you might be suffering from, based on the colour of your urine:

  1. Straw colour to transparent yellow colour: This urine colour signifies that your body is healthy and perfectly hydrated. This should be the normal colour of urine, which shows you are in good health.
  2. Transparent or clear: Transparent and extra clear urine indicates that you have drunk too much water, which leads to the transparent appearance. It happens due to overhydration.
  3. Dark yellow colour: This shade of urine is considered normal, but it may indicate some amount of dehydration. You need to drink more water to eliminate the darker yellowish tinge from your urine.
  4. Honey colour: Urine of honey colour signifies dehydration and you must consume increased amounts of water.
  5. Pink or red colour: Your urine may have a pinkish red shade when you consume foods like carrots, beets, blackberries and rhubarb. This may also happen due to the effect of some antibiotics or a drug which treats urinary tract infections. The presence of blood in your urine is indicated by these colours too, and it can lead to kidney diseases, UTI, prostate problems or tumors.
  6. Orange colour: Your urine may have an orange colour which resembles the colour of orange soft drinks. This occurs as a result of a high dose of vitamins and several antibiotics. This colour may also indicate dehydration or problems related to the kidney or bile duct.
  7. Blue or green colour: Such shades may be present in your urine because of dyes present in food items and medications. Your urine may turn blue or green, signifying several other medical conditions which require immediate medical attention.
  8. Foamy: If your urine has a foamy appearance, irrespective of the colour and shade, you need to consult a doctor. The consistent foamy or frothy appearance of your urine may indicate the presence of protein in your urine, which further signifies problems in the kidneys.
  9. Maple syrup colour: Urine of this shade indicates a severe case of dehydration or liver diseases.

Your urine tells a lot about your health by its colour, odour and density. The colour is an essential determinant for detecting several health conditions, which may be simple or chronic in nature. In case of abnormal urine colour or appearance, you should consult a doctor without delay.

1074 people found this helpful

Kidney Problems - Have Homeopathy At Your Rescue!

BHMS, MD - Medicine
Homeopathy Doctor, Ghaziabad
Kidney Problems - Have Homeopathy At Your Rescue!

Among all body parts that play a role in human well-being, kidneys play the most important role that defines wellness of the physical system. The proper functioning of the kidneys decides the entire welfare of human body. Hence, maintaining the health of the kidneys is very vital for the young as well as the old. But in today’s age, because of the rise in unhealthy lifestyle of people, chronic renal failure has been on an increasing spree, causing fatal concerns.

The Rising Graveness Of Kidney Disturbances-

Chronic kidney failure is universally considered a fatal disease that terminates the normal functioning of bladder movements, which flush body toxins and waste products in the form of urine. In such medical conditions, generally, doctors prescribe dialysis, kidney transplantations and other such complicated and expensive treatments. Such procedures could also be a great threat of post-surgery effects that could hamper the body system permanently. At the same time, these treatments are neither feasible nor suitable for all patients. Taking into consideration the varying medical conditions of people, such complicated treatments could cause health hazards, which could endanger their well being.

Homeopathic Remedies To Oust Kidney Malfunctions-

Often it is seen that kidney failures do not occur on a sudden basis or due to certain lifestyles. Family history and hereditary conditions also cause certain problems in the long run. In such cases, conventional homeopathic remedies provide better healing results than the usual surgeries for the patients. Even diabetic patients are suggested to go the homeopathic way for renal malfunctions. It is also believed that early stages of kidney problems are best treated by homeopathic procedures, which prevent further damage to the kidneys. Even patients undergoing dialysis are prescribed the traditional homeopathic medications, which enable them to lead a healthy living.

Therefore, certain homeopathic medicines have played a powerful role in rectifying kidney problems. For instance, Aconite tackles loin aches and post-scarlatinal nephritis. Apocynum regulates the flow of urine and rectifies the amount of outlet. Belladonna handles conditions like excruciating burning pains in the lumbar areas and kidney inflammations. Cuprum Arsenicum cures uraemic disturbances.

Thus, it is a proven fact that homeopathy has an answer to all medical conditions. Be it any part of the body, externally or internally, homeopathic medications always ensure a sure shot cure. It not only heals the body from the ailment but also revitalizes the entire body system and charges the body functioning with new and improved vigor.  

1769 people found this helpful

Renal Artery Stenosis - How To Handle It?

Dr.Ashok Sarin 88% (46ratings)
MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Renal Artery Stenosis - How To Handle It?

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 a 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.


  1. 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.
  2. 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.

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:

  1. Blood and urine tests to identify abnormal kidney function tests
  2. Ultrasound to check for structural effects
  3. Doppler to measure blood flow
  4. 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.

  1. Better control of blood pressure levels, either with alternate drugs or increased doses
  2. Monitor and rigorously control sugar levels
  3. Cholesterol levels to be controlled
  4. 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.

1432 people found this helpful

Kidneys - How To Ensure Health Of Them?

Dr.Ravinder Singh Bhadoria 88% (10ratings)
DNB (Nephrology), M.D ( Internal Medicine), MBBS
Nephrologist, Noida
Kidneys - How To Ensure Health Of Them?

If you are concerned about your health, it is important for you to keep your kidneys protected from several harmful conditions. There are several types of kidney disorders, which may develop if your kidneys are not well cared for. This may include overload of toxins, acute renal failure, chronic kidney disease and end-stage renal disease. Kidney cancer is another fatal threat.

Steps to keep your kidneys healthy

There are several ways you can undertake for keeping your kidneys safe. They include the following:

  1. Take certain tests for obtaining the panel reading of your BUN or blood urea nitrogen and creatinine levels. The estimated glomerular filtration rate (EGFR) must be determined as well. The scores obtained from these tests will tell you about the condition of your kidneys at that point in time.
  2. Lower the amount of phosphorous intake. When the kidney does not function properly, phosphorus accumulation is likely, which causes serious conditions like heart disorders and calcification of the tissues. You should avoid phosphorous-rich food items and abstain from drinking carbonated drinks.
  3. You must consume several kidney-supportive food items, which may include watermelon, cranberries, cabbage, cauliflower, blueberries, strawberries, apples, garlic, onions and olive oil.
  4. Obesity is linked with kidney cancer and hence, you must maintain a healthy weight. Carry out regular exercises.
  5. Several pain relievers such as non-steroidal anti-inflammatory drugs or NSAIDS may have harmful side effects on the kidney and may lead to kidney cancer. Try to avoid these medicines.
  6. You can take an Epsom salt bath. This is a common measure for detoxification, and the wastes and toxins get removed, improving the kidney’s health rapidly. Have regular checkups of blood and urine along with ultra-sound to know kidneys are working good.
  7. You should keep your blood-sugar level and blood pressure under control as they are triggers for kidney failure. You should quit smoking and stop using tobacco in any form as the toxins from nicotine harm the kidneys.

With proper care and management of your kidneys, you will be able to prevent several harmful conditions. One should get the Kidney function test and Ultrasound done to check that the kidney is functioning normally. If you experience any symptom associated with kidney disorders, consult a doctor immediately.

1401 people found this helpful

Green Tea For Kidney - Is Green Tea Good For Kidneys?

Dr.Sanjeev Kumar Singh 92% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
Green Tea For Kidney - Is Green Tea Good For Kidneys?

Nowadays green tea has become highly popular among people not only because of its nutrients but also it’s capacity to fight chronic conditions like diabetes and heart disease. Surprisingly green tea also protects the progression of kidney disease. If a moderated amount of green tea is consumed on a regular basis then it is helpful for the people suffering from any kidney problem.

Green tea extracts are proven to solve kidney problems and give life extension by preventing kidney damage. There are various benefits of drinking green tea such as antioxidants, catechins, and ECGC which are known for showing beneficial effects on the problems related to kidney.

Is green tea good for the kidney?

It has been investigated that green tea the effects of antioxidants mainly polyphenol present in green tea prevent hyperuricemia which is responsible for chronic kidney disease and preglomerular arteriopathy. The progression of kidney disease is also stopped with the help of green tea as it activates the Jagged1/Notch1-STAT3 pathway.

Green tea also has a high level of epigallocatechin gallate which also creates a hindrance in the formation of kidney stones. Doctors also recommend green tea to prevent kidney damage and end-stage renal failure.

Green tea contains ECG (Epicatechin gallate). A potent anti-oxidant preventing kidney damage. It also reduces inflammation and cell death. Thus proves to be a potent anti-cancer therapy. Green tea also prevents oxidative stress caused during malaria infection that leads to impaired renal function, which is a common reason for death among malarial patients.

Green Tea for Kidney Stones:

  • Green tea has been proven effective for kidney stones and green tea extracts help to prevent its formation. If you already have stones in your kidney then also green tea is helpful as it also helps in the removal of stones.
  • The green tea extracts bond itself with calcium oxalate thus enabling crystals to take different shapes and also prevents them from pilling up together in the kidney to form stones.
  • According to research, green tea extracts make calcium oxalate flatter thus forming flat stones, which are not strong and breakdown easily.

Is green tea good for dialysis patients?

As it is well known that green tea consists of antioxidants and if 1 decaffeinated green tea capsule is taken by the patient going through dialysis then it can help to improve many things which include:

  • Green tea capsules are helpful if consumed regularly for 6 months. It works by reducing inflammation and also lowers down the oxidative stress.
  • Green tea also shows a positive impact on the patients going through atherosclerotic dialysis.
  • Green tea also helps to improve certain things regarding kidney disease which include blood urea nitrogen, uric acid, creatinine levels, and glucose excretion.

Green Tea Side Effects on Kidneys

Green tea can be possibly unsafe if it is consumed in a high quantity that is 7-8 cups a day because it also contains caffeine, which is not good for kidney diseases but there are very few instances of this.

If green tea is taken in larger quantity then it may disrupt kidney function by diminishing anti-oxidant enzymes and expression of heat-shock proteins. This happens due to the toxicity of polyphenols present in green tea.

People suffering from high blood pressure should consume green tea in less quantity due to the presence of caffeine in it. As it enhances the chances of the risk of kidney disease and even declines the rate of kidney functions. Thus leads to a sudden increase in blood pressure.

Hence, green tea has many potential benefits and can also be consumed during kidney problems. But if you have any doubts or you face any complication then you can consult your healthcare expert and can know more about it.

4 people found this helpful

Kidney Health - 6 Ways To Ensure It!

Dr.D.K. Agarwal 88% (211ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Kidney Health - 6 Ways To Ensure It!

The kidney is a crucial detoxifying organ that performs a lot of functions including, absorption of minerals, filtration of blood and production of hormones and urine. It also helps your body to maintain a healthy PH level. Since kidney failure can prove to be fatal, it is essential to keep it healthy, to ensure smooth function of your system.

The following are the tips to ensure the health of your kidneys:

  1. Adequate intake of water: It is advised to drink a minimum of 8 glasses of water daily, to help your kidneys function properly.  Adequate intake of water ensures that your body is able to flush out the harmful toxins at regular intervals.  However, in case if you are already suffering from kidney disease, this point is not applicable.
  2. Control your blood pressure and blood sugar level: Diabetes is one of the major causes of kidney failure. It is recommended to control your blood sugar level on a regular basis to ensure the healthy functioning of your kidney. People who have a high level of blood sugar and blood pressure are more susceptible to suffer from kidney disorders.
  3. Quit tobacco: Accumulations of toxins in your body tend to have a harmful impact on not only your kidneys but also on your overall health. It is strictly recommended to quit smoking and using other forms of tobacco to protect your kidneys from damage. 
  4. Reduce weight: Obesity and the problem of excessive body fat are harmful to your body in more than ways than one. Being overweight makes you more susceptible to develop kidney cancer. Therefore, it is advisable to lose a few kilos to ensure the proper functioning of your kidneys.
  5. Avoid intake of analgesics without prescription: Most analgesics have the tendency to be harsh on your kidneys.  Ingestion of analgesics increases your risk of developing kidney cancer. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, naproxen, and acetaminophen are some of the analgesics, which are known to affect your kidneys in the long term. Therefore, it is necessary to avoid taking them without consulting a doctor.
  6. Include healthy food in your diet: If you increase the intake of green vegetables in your diet, it will help your body to accelerate the process of detoxification.  Fruits and vegetables including watermelon, cranberries, blueberries, strawberries, apples, cabbage, cauliflower, peppers, garlic and onions provide considerable aid in removing the toxins out of your system. However, in case if you are already suffering from kidney disease, this point is not applicable.
1172 people found this helpful

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