2016年2月4日星期四

The Most Concerned Things of CKD 4 Patients

Questions: I am a patient who is suffering from CKD(Chronic Kidney Disease) 4, I don’t have dialysis, and I have high creatinine, uric acid, high blood pressure. At present, I am taking vegetarian lifestyle, do you think it is good for me?
What should I do? Do you think I need kidney transplant?

1. I am very very happy to hear you don’t undergo dialysis and you have the normal urine output. That means your kidneys still working and your kidneys have the chance to get reversed. If you undergo dialysis and don’t have urine for 3 months, I can’t help you at that time.

2. I think you have wrong idea about your kidney disease. You told me that you take vitamin d, folic acid, omega 3, b12 and coq10,allopurinol,tritace and natrilix etc. These medicines only treat your symptoms of kidney disease, they can’t treat the root of kidney. The reason why you have presented high creatinine, uric acid, high blood pressure etc. is because your kidney has damaged, you should find a treatment that can treat the root of kidney, not the symptoms. And high blood pressure is very important for you to controll it, I think your medicines can control it well.

3. Normally, the symptoms of CKD(Chronic Kidney Disease) 4 are swelling,vomiting,dizzy,nausea,enuresis(more urine at night),PTH increase, high blood pressure,anemia,metabolic acidosis etc. And the reason why patients have swelling,enuresis is that the kidneys get damaged,especially the renal tubules get damaged. The main function of Renal tubules is re-absorption the useful things from initial urine, and get rid of the waster things into the urine. If the renal tubules get damaged, the water liquid can’t get rid of from the urine,so they begin to go into human body. some patients begin to present swelling in eyelid, then leg, foot etc. And because renal tubules get damaged, the water liquid can’t get rid of human body in time, so the renal tubules work long time, the urine should get rid of at daytime, but the renal tubules works very long time, so patients have more urine at night.

And the high blood pressure is caused by the kidney damaged, especially the hyperfunction of renin- Angiotensin, which lead to increase the blood pressure. Therefore, the treatment for CKD(Chronic Kidney Disease) 4 is to solve the problems of hyperfunction of renin- Angiotensin. And the dizzy is also caused by kidney damage, then lead to high blood pressure, which accompany with dizzy.

4. I think you have a low sodium vegetarian lifestyle is not correct. Do you have too much sodium? Even if you have too much sodium at present, long-term low-sodium diet is also not good for your body recovery. You know the water and electrolyte should be in a balance, only doing this our human body can remain the good condition. Electrolyte contains potassium,calcium,sodium etc.

5. Please answer my following questions:

1)Do you have more urine at night?

2) Please send me your recent physical examination report, I need blood test report, urine test report, renal function test report etc. I need every index with normal level,because different country has different level.

6. According to your illness condition, you don’t need kidney transplant at present. The most important thing for you is to find a proper treatment to reverse your kidney function. I think you are not so familiar with your kidney disease, so you are searching the kidney transplant. Your kidneys still working, why you need other’s kidney? The surrival rate of kidney transplant is only 1% after 10 years. And you need to take antibiotic medicines all your life.

Please learn more knowledge about your CKD(Chronic Kidney Disease) 4, then you will build up the confidence to fight with disease. For your diease, you should care it and scare it. It is like a barrier, you should overcome it.

8. I suggest you have low-salt diet, quit smoking,drinking,avoid eating spicy food,stimulating food,greasy food. Keep a balance between work and rest. The most import thing is to build up the confidence to fight with your disease, have a good mood everyday.


9. Please tell me your answers about my questions. I will explain more about your disesae in the next e-mail. Know more knowledge about your disease is very important for you, then you will have the confidence to fight with it.

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