Chronic Renal Failures » Discussions » Chronic kidney disease

  • Joy
    Posted August 26, 2012
    joy: im gonna ask about my boyfriend
    joy: doctor told that he had chronic kidney failure but when i observe it here in house his urination is normal and clear and he dont have the symptoms that had chronic kidney
    Doc: why did the doctor said that?
    Doc: did your friend have any symptoms?
    joy: because of his creatinine is so high
    joy: no he dont have symptoms..
    Doc: The kidneys are remarkable in their ability to compensate for problems in their function. That is why chronic kidney disease may progress without symptoms for a long time until only very minimal kidney function is left.
    Doc: Only lab tests can detect any developing problems.
    joy: only the creatinine and the blood urea is not normal but the other test is normal
    joy: can it reversable???
    Doc: There is no cure for chronic kidney disease. The natural course of the disease is to progress until dialysis or transplant is required.
    joy: doctor request to go to transplant but as we can see the patient is very strong and can urinate as well and his weight is normal too
    Doc: that is because there are still sufficient function of the kidney
    Doc: if you are not sure about the therapy proposed by the doctor, you can always seek for second opinion from an internist
    joy: what will we do??? to go transplant ?? but his very okay
    Doc: i cannot recommend you a treatment because i do not personally examine the patient
    Doc: but for chronic kidney disease, one will eventually need transplant
    Doc: if there is no donor, then dialysis is usually performed
    joy: okay thanks ahm can i ask what is chronic parenchymal disease
    Doc: for the kidney? or other organ?
    joy: kidney
    Doc: it means a long term disease of the kidney tissue
    joy: can it cure?
    Doc: parenchym is the functional part of the kidney
    Doc: generally it cannot be cured, but it can be treated/controlled
    joy: what treatment is it
    Doc: Treatment is to remove excess salt, water and harmful substances from the bloodstream. Patients learn to manage their kidney disease by restricting their intake of salt, potassium, and protein; treating their high blood pressure; managing their diabetes; and taking erythropoietin ("epo"), a hormone that helps bone marrow to produce healthy blood cells.
    Doc:
    Doc: if kidney failure develop, one need dialysis or renal transplantation
    joy: how will we know if its failure? because in his ultrasound in kidney the result discreption is chronic parenchymal kidney disease
    Doc: symptoms of acute kidney failure could be: Decreased urine output,
    Doc: Fluid retention, causing swelling in your legs, ankles or feet, Drowsiness, Shortness of breath, Fatigue, Confusion, Nausea,Seizures or coma in severe cases
    Doc:
    Doc: sometimes there is nor symptoms. so a lab test is done to diagnose it
    joy: he dosnt have that symptoms... but his potasium sometimes his kidney low his potasium
    Doc: Diagnosis of kidney failure is confirmed by blood tests measuring the buildup of waste products in the blood
    Doc: BUN, creatinine, and GFR are routine blood tests used to measure the buildup of waste products in the blood
    Doc: BUN and creatinine become elevated, and the glomerular filtration rate (GFR) decreases.
    Doc: there are also urine test and ultrasound to help with the diagnosis
    joy: but his BUN is not elevate but his creatinine is high then the kidney small
    Doc: it's one of the signs. chronic kidney disease is an ongoing process
    joy: okay but thers no herbal or any treatment about the chronic aside for going transplant
    Doc: the goals of therapy is to slow the progression of disease; treat underlying causes and contributing factors; treat complications of disease; and replace lost kidney function
    joy: what theraphy is it?
    Doc: the patient has to get control for blood pressure, blood glucose and control of diet
    Doc: and if there is any symptoms, it is advisable to seek medical examination
    joy: what is normal blood presure for that disease
    Doc: it is resommended to keep it below 130/80 mmHg
    Doc: the prognosis of the disease if best if one undergoes transplantation
    joy: what is prognosis
    Doc: prognosis is the survival rate of the patient
    joy: okay... thank you for all infomation i got