Thursday, April 30, 2015

Dialysis Modalities Show Similar Outcomes in AKI

Extended daily dialysis (EDD) was associated with decreased mortality compared with continuous renal replacement therapy (CRRT) in observational studies, but such studies are potentially subject to allocation or selection bias, researchers reported online ahead of print in the American Journal of Kidney Diseases.

Data from randomized controlled trials show that extended daily dialysis and continuous renal replacement therapy for acute kidney injury (AKI) are associated with similar outcomes, according to the authors of a recently published meta-analysis.

A team led by Rinaldo Bellomo, MD, PhD, Austin Health, Heidelberg, Victoria, Australia, analyzed data from 17 studies: 7 randomized controlled trials (RCTs) and 10 observational studies. The 17 studies included 634 patients undergoing EDD and 574 undergoing CRRT.

RCTs revealed no significant difference in the risk of death between EDD and CRRT, but observational studies show that EDD was associated with a 16% decreased relative risk of mortality compared with CRRT.

Both the RCTs and observation studies demonstrated no significant difference between the modalities with respect to kidney recovery, fluid removal, length of stay in the intensive care unit, and laboratory findings (serum urea, serum creatinine, and serum phosphate).

This is our email kidneyhospitalabroad@hotmail.com . If you want know about more dialysis information, you can contact us online doctor or send email to us. We will reply you within 24 hours.

How to Prevent Kidney and Liver Failure at a Young Age

Stay properly hydrated by drinking water. If you exercise a lot, you may also want to consume a few sports drinks to replace electrolytes lost via sweating.

If you are at risk for diabetes due to family history or lifestyle, get evaluated for the condition periodically & seek treatment if the evaluation results suggest you are having problems with your blood sugar levels.

If you are a diabetic, properly control your blood sugar levels.

Do not consume alcoholic beverages in excess. If you already have liver damage, consult with your doctor to determine if you should consume alcohol at

Avoid recreational drugs, especially IV drugs.

Maintain healthy eating habits, exercise regularly and get enough sleep.

Do Pranayam (especially Kapalbhati) for 10 minutes daily.

People Who Have Problems with Their Kidneys

People who have problems with their kidneys need to watch how much potassium they include in their diet. That is because the kidneys regulate potassium. If they aren’t working correctly, the potassium may not be flushed out of the body properly.

To minimize potassium buildup, a person with chronic kidney disease should stick to a low-potassium diet of between 1,500 and 2,000 milligrams (mg) per day. Limiting phosphorus, sodium, and fluids may also be important for people with kidney dysfunction.

Torey Jones Armul, MS, RDN, CSSD, a national spokesperson for the Academy of Nutrition and Dietetics, offers a couple of rules of thumb:

Avoid high-potassium foods like potatoes, bananas, whole grains, milk, and tomato products.
Watch portions on all foods.
Be careful with coffee. The National Kidney Foundation recommends that people who should limit their potassium should limit their coffee in take to 1 cup per day
There are still plenty of nutritious, delicious, low-potassium options for people with kidney disease, Armul says. These include berries, squash, corn, rice, poultry, fish and non-dairy substitutes.

Low-Potassium Veggie Choices

While vegetables tend to contain a lot of potassium, Sheth says there are plenty of fresh vegetable options for those who need to watch their potassium levels. Veggies that contain less than 200 mg per serving include:

asparagus (6 spears)
broccoli (half-cup)
carrots (half-cup cooked)
corn (half an ear)
yellow squash or zucchini (half-cup)
Avoid potatoes, artichokes, beans, spinach, beet greens, and tomatoes. A half-cup of dried beans or peas can contain as much as 470 mg of potassium.

The Kidney-Potassium Connection

People who have problems with their kidneys need to watch how much potassium they include in their diet. That is because the kidneys regulate potassium. If they aren’t working correctly, the potassium may not be flushed out of the body properly.

To minimize potassium buildup, a person with chronic kidney disease should stick to a low-potassium diet of between 1,500 and 2,000 milligrams (mg) per day. Limiting phosphorus, sodium, and fluids may also be important for people with kidney dysfunction.

General Rules of Thumb

Torey Jones Armul, MS, RDN, CSSD, a national spokesperson for the Academy of Nutrition and Dietetics, offers a couple of rules of thumb:

Avoid high-potassium foods like potatoes, bananas, whole grains, milk, and tomato products.
Watch portions on all foods.
Be careful with coffee. The National Kidney Foundation recommends that people who should limit their potassium should limit their coffee in take to 1 cup per day
There are still plenty of nutritious, delicious, low-potassium options for people with kidney disease, Armul says. These include berries, squash, corn, rice, poultry, fish and non-dairy substitutes.

Substituting Effectively

A plate of beef and potatoes – the quintessential Midwestern diet – is high in potassium. But another hearty meal, chicken and carrots, is considerably lower.

3 ounces (oz) of roast beef and half a cup of boiled potatoes would amount to 575 mg of potassium. But the same size portion of chicken and carrots? That comes to less than 500 mg. Substituting carrots for boiled cauliflowers, broccoli, or asparagus also keeps you in that ballpark.

Plenty of Fish in the Sea

When it comes to fish, potassium levels fall all over the line. You want to avoid high-potassium surf such as halibut, tuna, cod, and snapper. 3-oz servings can contain as much as 480 mg of potassium.

On the low end, the same amount of canned tuna has only 200 mg. Salmon, haddock, swordfish, and perch run about 300 mg per 3-oz serving.


Low-Potassium Fruit Choices

Vandana Sheth, RDN, CDE, spokesperson for the Academy of Nutrition and Dietetics, says that some fruits are ideal for those on a low-potassium diet.

A tennis-ball sized apple or a small or medium-sized peach contain under 200 mg of potassium, as does a half-cup of berries (blackberries, blueberries, raspberries, strawberries).

You should avoid high-potassium fruits such as mangoes, bananas, papayas, pomegranates, prunes, and raisins.

Bananas are also packed with potassium. Just one medium-sized banana contains 425 mg.


Low-Potassium Veggie Choices

While vegetables tend to contain a lot of potassium, Sheth says there are plenty of fresh vegetable options for those who need to watch their potassium levels. Veggies that contain less than 200 mg per serving include:

asparagus (6 spears)
broccoli (half-cup)
carrots (half-cup cooked)
corn (half an ear)
yellow squash or zucchini (half-cup)
Avoid potatoes, artichokes, beans, spinach, beet greens, and tomatoes. A half-cup of dried beans or peas can contain as much as 470 mg of potassium.

Create Your Own Recipes

Post a list of low-potassium foods on your refrigerator for easy reference, Sheth suggests.

“Take advantage of low-potassium cookbooks and free recipes found online, like the National Kidney Foundation’s My Food Coach and Kidney Cooking family recipe book,” she says.

“If you’re struggling to follow a low-potassium diet, make an appointment with a renal dietitian at a local wellness or dialysis center. A registered dietitian nutritionist who is familiar with renal disease can provide food suggestions and a meal plan specifically tailored to your lifestyle.”

Don’t Double Down on French Fries

Sometimes, people are forced to eat on the run. That’s okay, just be mindful of how much potassium you’re getting. An American fast-food staple is a cheeseburger and French fries. A fast-food cheeseburger contains between 225 and 400 mg of potassium.

And one small order of fries? A whopping 470 mg of potassium in just 3 oz. Just 1 oz of salted potato chips contain 465 mg.

Infection Prevention Is Important for Chronic Kidney Disease Patients

Generally speaking, with the lose of protein urine and malnutrition and so on, Chronic Kidney Disease patients often are bothered by the poor immunity which is the dangerous factor for infections. Infection can lead to more serious protein lose, ultra immune response in kidneys and worsen other complications, so the infection prevention is important for Chronic Kidney Disease patients.

Therefore, all of us should strengthen physical activity so as to improve our immunity. Moreover, changing clothes properly, keeping a good mood, and developing a good daily habit and so on are also can improve our resistance against infections. For the patients with Nephritis, they should be cautious when keep proper amount of exercise based on their own disease condition. In the acute period of the disease, they should mainly stay in bed. In this way, it can decline the burden to both of their heart and kidneys.

Moreover, with the technological development, air-condition, heater and so on improve our life quality so greatly. As we all stay in the unnatural environment, it decreases our resistance against the invasion of virus and bacterium. For example, in the environment of air-condition, the air circulation are sluggish, which is very likely to cause bacterial growth thus leading to infection.
Keeping a good mood plays an important role in improving immunity. Therefore, all the patients with Nephritis should keep optimistic and hold confidence in defeating their disease. Moreover, they should develop a healthy daily habit, having enough sleep, proper diet and so on.


All in all, infection prevention is necessary for Chronic Kidney Disease patients. and if you want to know more information about the prevention of infection or ask for treatment suggestions for CKD, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Symptoms of Nephritis at the Early Stage

When you attacked by nephritis, due to the strong compensatory function, patients usually suffer less from the disease, which also cause the delay of timely treatment. This article would have a analysis about the symptoms of nephritis. And we really hope patients can pay more attention to their physical changes, preventing the Chronic Kidney Disease.

At first, let’s talk about edema which is always ignored by most people. It usually appears from eyelid and face, and then develops to the lower parts of the body. When the disease is serious, patients may get edema in the whole body and someone may have ascites. Of course, patients with many other kinds of disease may also get edema. A relative simple method to distinguish them is to see whether the edema appears in eyelid and face or not. If it happens, most of the conditions belong to kidney edema.

Secondly, another symptom is backache. Chronic Nephritis patients always cannot feel backache. We can also say that they can feel it after diagnosing the Chronic Nephritis. Patients may consider that there is something wrong with their waist, so they get backache. However, this kind of backache is different from that of the Renal Pelvis Chronic Nephritis and Renal Stone. The backache of Renal Pelvis Chronic Nephritis always happens at one side while that of the Renal Stone is severe and in inner thigh.

Thirdly, the experts of Funeng Kidney Disease Hospital point out that the most significant symptom of Chronic Nephritis is hematuria. Because parts of diseases like IgA Chronic Nephritis may appear hematuria in the early stage. There are two types of hematuria: gross hematuria and microscopic hematuria. The second one cannot be seen with the naked eyes and it can only be seen with microscope. If patients have hematuria, it shows that there are more erythrocytes in urine. Of course, hematuria cannot be the standard of Chronic Nephritis. In addition, female should confirm that whether the hematuria is caused by menses or not.
Furthermore, we should add that hypertension is not a standard for diagnosing Chronic Nephritis. It usually happens in the later stage of Uremia.


Now, if you want to know more information about the early symptoms of nephritis or ask for treatment suggestions for all kinds of Chronic Kidney Disease, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

The signs and Symptoms of Children with Chronic Kidney Disease

When Children are attacked by Chronic Kidney Disease, they are too young to express their true feelings about the disease, so parents should pay more attention to their physical changes and have a carefully treatment for their disease. This article would have a analysis about the signs and symptoms of Children with Chronic Kidney Disease, which need your attention.

1. Generally speaking, Nephritis in children develops at slowly speed. The children usually feel fatigue, listlessness, poor appetite. The onset age of Nephritis among children is younger than that of simple kidney disease. Nephritis usually occurs among the children older than 7 and it can affect more boys than girls with the proportion 4:1.

2. Swelling is an early symptom of Nephritis in children. It firstly appears around eyelids and then spread the whole body. In severe cases, the children may have ascetic, hydrothorax, scrotal edema etc which can cause vomiting, diarrhea and dyspnea. The swelling may appear frequently and occasional disappear automatically. In most cases, the swelling in Nephritis is mild so it is hard to notice it.

3. Hypoproteinemia in caused by Childhood Nephritis can cause malnutrition and slow development and growth. If the protein level in blood is low, it is very likely for the children to have infection.

4. When the swelling is serious, the urine output decreases obviously and the children even experience anuria. With 1~2 weeks, the urine output increases gradually along with eliminating of swelling.

5. Usually, the children have acute amygdalitis or skin pustules or other infections 1~4 weeks ago before the onset of the disease. At beginning, the children have low fever, headache, nausea, vomiting etc.

6. The children mostly do not have gross hematuria, but it may occur in some cases, in which, the urine becomes dark tea-colored.


Knowing these signs and symptoms can benefit to the prevention and timely treatment for the children with Chronic Kidney Disease. And if you want to know more or ask for treatment suggestions, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Wednesday, April 29, 2015

5 Important Kidney Questions

Your kidneys are two bean-shaped organs, each about the size of your fists. They remove waste products and extra water, which become urine. Kidney disease is below the radar screen even for those at risk. According to the NKF, everyone who carries a risk factor for kidney disease - regardless of ethnicity - must be screened for the disease, so we can catch it at its earliest stages, when treatment is most effective.

If you're going to see a doctor about a kidney ailment, here are five important questions to ask.

What can I do to prevent another kidney stone?

People who have had one kidney stone are at higher risk for another. If you pass a kidney stone in your urine, try to collect it in a strainer so your doctor can analyze the type of chemical it contains. Depending on the type of stone, you may need to alter your diet, drink large amounts of water, or take specific medications.

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Can I pass polycystic kidney disease on to my children?

Polycystic kidney disease is a genetic disorder that comes in two forms: autosomal dominant, which is responsible for about 90 percent of cases, and autosomal recessive. If you have the dominant form, your children have a 50 percent chance of developing the disease whether or not the other parent has it too. If you have the recessive form, your children cannot develop the disease unless both parents have it, and even then there is only a 25 percent chance. A simple genetic test can determine which form you have.

When will I need dialysis?

Most kinds of kidney disease get progressively worse and will eventually result in kidney failure, requiring dialysis or a transplant. Dialysis can require major changes in lifestyle, so it may be helpful to plan for that eventuality. Most people with kidney failure start dialysis when their kidneys have lost 85 to 90 percent of their function capabilities.

Am I a good candidate for a transplant?

Before you can begin looking for a donor kidney, you must undergo a series of exams to determine if you are a viable transplant recipient.  Doctors will run tests on your heart, lungs, and other organs to make sure your body can handle a transplant, and they will evaluate your mental health as well.

What happens if I donate my kidney?

The best candidates for kidney donation are close relatives, which means that if you have a family member with kidney failure, you may be asked to donate one of your kidneys. It is possible to lead a completely normal life with one kidney, and donors are not known to have a higher risk of kidney disease or a lower life expectancy than normal healthy adults. However, as with any surgery, there are risks associated with the kidney removal procedure itself. Before you are allowed to donate a kidney, your health will be evaluated to make sure your body can handle the process.

What diet changes will lower creatinine

As we all know, the creatinine is on behalf of the kidney function. When you have a high a creatinine, you should pay more attention to your kidney function and take effective methods to decline your creatinine. Both the diet and medical treatment should be applied.

The diet to lower creatinine

1 limit your sodium intake

Excessive sodium can cause an unhealthy amount of fluid retention and may result in high blood pressure. Both of these issues could result in high creatinnine levels. So you should stay away from salty foods and drinks, your daily average range of sodium intake should be between 2 to 3 grams per day.

2 limit your protein intake

You should avoid foods that are in rich in protein as much as possible. Red meat and dairy products can be especially bad for you. Dietary sources of creatine are most commonly obtained through animal products.

3 limite the potassium intake

When dealing with kidney issues, try to avoid eating foods with a high amount of potassium because that potassium can accumulate in the body If your kidney cannot process it correctly. Foods that are in potassium include, bananas, potatoes, beans and peas.

4 avoid phosphorus-rich foods

Your kidneys may have a hard time processing phosphorus-rich foods, particularly if you have high creatinine levels. Because of this, you should try to avoid foods like: pumpkin and squash, cheese, fish and nuts.

Chinese medical therapies

Medical Bath

It is easily to understand, the main process of medical bath is that, we boil the Chinese medicine into soup, them we mix them with hot water. When the temperature is comfortable the patients are supposed to soak in the hot water. From a long time soaking, the patients will swear a lot, as a result, the waste including ureophil, creatinine, potassium, phosphorus blood poison will get out of the body with the swear. What’s more? The Chinese medicine will penetrate into your whole body though your pore, which can repair your damaged cells and vessel and improve your blood circulation. So several times after your soaking the medical bath, your kidney function will be improved. Then your creaminine will be declined.


How do you think of my suggestions? If you want to know more methods to lower creatinine you can talk with our online doctors who are so experienced, you also can leave messages to them. And you can leave messages to kidneyhospitalabroad@hotmail.com.

Swelling on stomach in CKD: causes and treatment

So many patients with CKD always complain that there is swelling on stomach, which is one of the symptoms of Chronic Kidney Disease. And it is very necessary for CKD patients to know the causes and treatment about swelling on stomach.

Causes

1 The kidney tiny filters, glomeruli, are damaged, while kidney tubules can still work very well. The decreased kidney filtration function and good reabsorption function can lead to water and sodium retention, companying with increased permeability of small blood vessels throughout the body. Then, swelling or edema occurs easily.

2 In some cases, a lot of protein leaks from the body into the urine and forms proteinuria. Heavy protein leakage can cause low plasma protein level and then swelling. Another cause, anemia, is not as common as the above two factors. People with stage 4 CKD may be tested out decreased blood cell count and low hemoglobin that are symptoms of anemia.

Treatment

Micro-Chinese Medical Osmotherapy, an original creation of our hospital, which is making the Chinese medical herbs into tiny powder and put them into two bags. Then we apply the Chinese medical bags on the patient’s skin which is corresponding to the kidney part. With the professional equipment’s help, the active composition penetrate into the kidney part.
The main functions of this therapy are promoting the blood circulations and eliminating the composition of the cysts. Because of cysts cover on the kidney, the kidney can’t absorb the nutrient substance that the body needed and can’t discharge waste normally. When our Chinese medical powder penetrates into the damaged kidney, the kidney cells will be recovered a lot and the kidney vessels will be improved. As well as, the composition of cysts will be absorbed. So the kidney function will be improved gradually.


If you want to know more information about swelling on stomach of CKD, you can contact our online doctors, who will answer all your questions. You also can send massages to kidneyhospitalabroad@hotmail.com.

Frequent urination especially at night in CKD: Causes and Treatment

Some patients with CKD always have the frequent urination especially at night which impact the patient’s sleep quality. Imagining that, one or two of hours you will do to the wash room, how painful it is. I believe that the patients with frequent urination must want to get rid of it and want to live a better life at the same time. Do you know how the frequent urination was caused? If your answer is “no”, then you are supposed to pay more attention to the flowing information.

Causes

1 declining of kidney function

We all know that the kidney is an eminent organ of our body, which can keep the useful substance and discharged the waste out of our body. When the patients have chronic kidney disease, the kidney function of them will declining a lot. As a result, the kidney will discharge excessive substance through urine. And the kidney have to work harder at night, so there will be a frequent urination at night.

2 the damaged of glomerular

The onset of urine involves two processes, namely glomerular filtration function and tubular reabsorption. In right condition, about 99% initial urine can be reabsorbed, however, the declined tubular reabsorption can be another cause of this abnormal sign.

Treatment

1 Medical Bath

It is easily to understand, the main process of medical bath is that, we boil the Chinese medicine into soup, them we mix them with hot water. When the temperature is comfortable the patients are supposed to soak in the hot water. From a long time soaking, the patients will swear a lot, as a result, the waste including ureophil, potassium, phosphorus blood poison will get out of the body with the swear. What’s more? The Chinese medicine will penetrate into your whole body though your pore, which can repair your damaged cells and vessel and improve your blood circulation. So several times after your soaking the medical bath, your kidney function will be improved.

2 Chinese medical circle therapies

Chinese medical circle therapy is another good therapy to treat chronic kidney disease in our hospital. We make the Chinese herbs into powder and compound them to be unguent. We know there are numerous of acupoints in our body and each has different function. So we rely on the acupoints and cover the Chinese unguent on different of them. With the blood circulation of our body the Chinese medicine can penetrate the damaged kidney part and repair the vessel and cells of your kidney. Then the permeability of your body will be improved.


Do you want to get rid of the frequent urination and CKD, if the answer is “yes”, and if you want to know more information about CKD you can communicate with our experienced doctors. And you also can send messages to kidneyhospitalabroad@hotmail.com. we hope you will live a better life.

Treatment Options for Hypertensive Nephropathy

Do you know that high blood pressure also can lead to kidney disease, and we called it as hypertensive nephropathy. High blood pressure can cause damage to the renal cells and worsen the protein urine, with the released protein, the kidney fibrosis progression can be accumulated. In turn, the insufficient blood and oxygen can stimulate the renin secretion, followed by the narrowed blood vessels. so that the high blood pressure get more serious. all in all, hypertensive nephropathy patients should have a timely and effective treatment in case of the kidney failure.

1. Micro-Chinese Medicine Osmotherapy

This can dilate blood vessels, decrease coagulation and blood viscosity, decompose immune complex, restrain the release of inflammatory factors, This is given externally, neither operation nor oral medication. Patient can take this treatment by lying on their bed, the active ingredients can penetrate into kidneys through urinary bladder channel in waist areas. By this treatment, a favorable internal environment can be provided so the aggravation of your kidney function can be halted or slowed down.

2. Blood Purification

With the decrease of renal function, large amount toxins can′t be removed by the kidney timely, which can impair other organs in body. Therefore it is quite necessary to cleanse the blood. We can provide standard hemodialysis but also plasma exchange.


High blood pressure is the dangerous factor for Chronic Kidney Disease patients, so controlling the blood pressure is important for all people. Now if you want to know more information about the treatment for Hypertensive nephropathy, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

What to Eat with Chronic Kidney Disease to Control High Blood Pressure

High Blood pressure is the common complication of Chronic Kidney Disease. Due to the high blood pressure, CKD patients may feel dizziness, headache, nausea and vomiting and so on. In addition, the high blood pressure also can cause damage to the kidney cells and worsen the release of protein, accumulating the development of Chronic Kidney Disease. Then what can patients to eat in their daily life to control the high blood pressure?

1. Food with high content of potassium (K) is good for those who have high blood pressure but have normal kidney function. Potassium can be used to balance sodium (Na).

Food rich in potassium are: soybean, red bean, tomato, celery, mushroom, green vegetables; fruits such as orange, apple, banana, pear, kiwi fruit, pineapple, persimmon, nut, watermelon.

Some food with much calcium and less sodium are good choice, including potato, eggplant, kelp, asparagus lettuce, etc.; and milk, yogurt, dried small shrimp an other food with much calcium.

Broth stewed with meat need to be avoided, because there is much nitrogen in the soup which will promote the uric acid and aggravate the burden to heart, liver and kidneys.

2. Limit the intake of salt. The total intake of salt in a day need to be less than 6g if you have high blood pressure. It can be measured by means of a cover of bear bottle, and one bottle of salt is just about 6g. The total intake refers to the salt in all the meals as well as in other food with contain sodium. Less sodium will contribute to the lowering of blood pressure.

One thing worth mentioning is the natural content of sodium in food such as meat, fish, egg and milk are all included in the 6g/d standard, so when they cook, they can even put in little salt, since those sodiums in food naturally is adequate. If the blood pressure is too high, or there is obvious edema (swelling) with the sufferer, they need to take in no salt at all.


Of cause, all the diets plan should be decided by the physical condition of patients, if you want to know more information about the Chronic Kidney Disease diet, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

The Causes and Symptoms of Hypertensive Nephropathy

Hypertensive Nephropathy is one of the leading causes of Chronic Kidney Disease. And with the high blood pressure, patients usually suffer the more serious development of the disease.

The cause of Hypertensive Nephropathy

High blood pressure can cause damage to the innate renal cells and worsen the protein urine, with the release of protein urine, the kidney fibrosis can be accumulated. So the high blood pressure also can cause kidney disease.

Symptoms of Hypertensive Nephropathy

Usually, the blood pressure is persistently increasing (over 150/100 mmHg). Some have the symptoms like edema, turbid urine, nocturia, too much or too little urine volume, back pain.

If one has above symptoms, one should go to see a doctor. Early detection and treatment will help the effect improvement and can prevent it from developing into severe Kidney Disease, like Uremia or Kidney Failure.


Now if you want to know more information about the management for high blood pressure or want to know more suggestions for the treatment of hypertensive nephropathy, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Symptoms of Kidney Stones

While it can be very painful in the short-term to pass kidney stones, the good news is that doing so usually does not cause any permanent damage. In some cases, simply increasing the amount of water that you drink can help you pass a stone. Other cases may require surgery. Your doctor can help you determine proper treatment methods for your condition, and may suggest preventive measures you can take to help avoid developing more in the future.

Kidney stones are among the most common urinary tract disorders. Kidney stones can form in your kidneys when normal substances in your urine become too concentrated. When this happens, solid material can stay in your kidney or may move down your urinary tract, eventually passing out of your body. Read through this article to determine if symptoms you’re experiencing might be related to kidney stones.

What Causes Symptoms?

Kidney stones don’t always produce symptoms. When they’re small, they may pass on their own without pain. However, large stones may block urine flow, which can cause a number of painful symptoms that can be quite severe. This can happen when a kidney stone becomes stuck in the tube that connects your bladder and your kidneys, which is called the ureter. However, the size of the stone doesn’t always correspond to the severity of pain.

Short or Long, On and Off

You may experience constant pain, or the pain may come and go in waves, sometimes lasting for a few minutes and then disappearing, only to resurface again about 10 minutes later. In some cases, the pain may last for a longer time while fluctuating in intensity. A change in the level of intensity may occur as the stone moves to a different position in your urinary tract.

Accompanying Symptoms

In addition to feeling severe pain in your back and/or side below your ribs, a number of other signs and symptoms may also occur with kidney stones. One of the most common is problems with urination. This includes pain while urinating, urine that appears cloudy or smells differently than it normally does, or feeling an urge to urinate more often than usual. Blood present in the urine due to kidney stones can also cause urine to appear brown, pink, or red.

Other Signs

Some people with kidney stones may also experience nausea and vomiting—as well as chills or fever if an infection has occurred. You should see a doctor if pain accompanies nausea, vomiting, chills, or fever. Other reasons to seek medical help include:

pain that becomes so severe you can’t sit, stand, or lie down comfortably
blood in your urine
having a hard time urinating

Clock Clues

If you’re uncertain whether your symptoms might be related to kidney stones, the clock may provide you with clues. Pain from kidney stones usually starts either late or early in the morning. This is because people generally urinate less frequently at night or in the early morning, and the ureter is usually constricted in the morning.

Confirming Your Symptoms

Your doctor can help confirm the presence of kidney stones by administering diagnostic tests. Depending on your specific symptoms, your doctor may suggest a blood or urine test. You may have kidney stones if your blood contains too much calcium or uric acid, or if you’re excreting certain substances in your urine. An imaging test can actually show whether you have kidney stones in your urinary tract.

What to Watch For

The location of the stone and its progress through your urinary tract can affect the type of symptoms you experience. Many people describe the feeling of kidney stones as a sharp pain on one side of the back or lower abdomen. The pain often starts abruptly and then lingers, becoming more intense over time. The affected area can also spread to include the groin area and lower abdomen.

kidneyhospitalabroad@hotmail.com

Tuesday, April 28, 2015

Can Chronic Kidney Disease Patients Eat Mango

Mango has rich nutrition for common people. But for Chronic nephritis patients, due to the kidney function decline, there are many limitations in their daily diet. then can Chronic Nephritis patients eat mango? The answer is not, now our experts would give you the introduction the relationship between mango and Chronic Kidney Disease.

Chronic Nephritis is a group of glomerular diseases caused by various reasons. In general, the kidneys have minor injury and patients just have proteinuria or occult blood etc. In this stage, if patients received the timely and effective treatments, their disease condition may be controlled easier. Meanwhile, Chronic Nephritis is very easy to relapse due to the cold or infections. And then patients condition may worsen or even develop ESRD (End Stage Renal Disease).

While most human cases are relatively mild, a healthy diet should also be maintained. Mango contains a variety of phytochemicals and nutrients. It is rich in sugar, protein, mineral substance and vitamin. It is beneficial to inhibit the death of cerebral cells and reduce the pressure on the brain. However,mango is not good for our kidneys, especially for patients with renal damage. So Chronic Nephritis patients should not eat mangoes. Besides, high sugar in it may increase the renal burden,aggravating the kidney damage.

For all most of patients with kidney disease, keeping a healthy diet plays a very important role in controlling and relieving their disease condition. Limiting the intake of salt and water can ease the edema level and control the higher level of blood pressure. In addition, a proper intake of vegetable ans fruits are also good for patients physical condition.


So in the daily life, Chronic Nephritis patients should avoid the mango intake as much as possible. And if you want to know more healthy life for Chronic Kidney Disease patients or ask for treatment suggestions, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Is Ketchup Suitable for Chronic Kidney Disease Patients

Ketchup is commonly seen in our daily life and no matter what people cook, they would like have some ketchup for delicious taste. For Chronic Kidney Disease patients, there are too many limitations for them to protect the kidney function and improve the life quality. Then, is ketchup suitable for chronic nephritis patients?

Ketchup is rich in nutrition, such as B vitamins, dietary fiber, mineral substance, protein and so on. Ketchup has moderate health benefits. Ketchup is a source of lycopene, an antioxidant which may help prevent some forms of cancer. Besides, Ketchup, much like marinara sauce and other cooked tomato foods, yields higher levels of lycopene per serving because cooking increases lycopene bioavailability. The taste of ketchup is delicious and stomachic, which is very good for patients.

What’s more, it is especially suitable for patients with Chronic Nephritis, arteriosclerosis, high blood pressure and so on. This may because the lycopene can inhibit the growth of bacteria and clear away the free radical. And then the patients disease condition may be delay and controlled. If you like it, you can take it to supplement the vitamin and other microelement. Besides, it can also increase the immunity and reduce the refections.


now, you must have a clear knowledge about the ketchup for Chronic Nephritis patients. and the diet plan should be decided by the specific physical condition of patients, for example, the dialysis patients can increase the nutrition intake. Now if you want to know more information about the foods intake for CKD patients, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Diet Therapy for Patients with Chronic Nephritis

Without a timely and effective treatment, Chronic nephritis would develop into CKD. Except the medication treatment, diet therapy also plays an important role in protecting the kidney function and living a high quality life. Now the proper diet therapy is suggested, which would help chronic nephritis patients a lot.

1. Keep a low-salt intake

If patients have symptom of swelling or edema, they should reduce the salt intake. Because too much sodium accumulate in the blood will cause the excess fluid store in the blood, which will cause edema and high blood pressure. The high sodium foods contain table salt, baking soda, baking powder, cheese, snack foods, saltwater crab etc.

2. Take proper protein everyday

Patients with chronic nephritis often have the symptom of proteinuria because of their damaged glomeruli. In order to reduce the kidney burden, patients with chronic nephritis should take proper protein everyday. The amount of protein they need to take differs from case to case, so they should follow the advices of their doctors. On the other hand, they should take high-quality protein food such as egg whites, milk, meat and fish.

3. Limit the fluid intake

Patients who have swelling should also limit the fluid intake everyday. Taking too much fluid will aggravate the symptom of edema and damage the kidney function seriously.
4. Reduce the phosphorus intake
Chronic nephritis can increase the phosphorus level easily, so if patients have a lab test and result in a high phosphorus level, they need to get rid of the high phosphorus foods like peanut butter, sardines and so on.

5. Change potassium intake

Our kidney can keep a stable range of potassium level. When the kidney is damaged by chronic nephritis, patients may suffer from high potassium or low potassium which are both harmful to people. When the potassium level is abnormal, people should change the potassium intake based on the potassium level.


All in all, the diet therapy should be decided and changed according to the specific physical condition, for chronic nephritis patients with the steady physical condition, the limitation of foods intake is less. As for patients with serious condition, they need pay more attention to the foods intake. Now if you want to know more information about the diet therapy for chronic nephritis, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Dementia Risk Lower in Peritoneal Dialysis Initiators

Peritoneal dialysis (PD) is a treatment for patients with severe chronic kidney disease. PD is used as an alternative to hemodialysis though it is far less commonly used in many countries, such as the United States. Unlike in-center hemodialysis, you do not need to travel to a dialysis center for your treatment.

In a retrospective study of 121,623 patients initiating dialysis, Dawn F. Wolfgram, MD, of the Medical College of Wisconsin in Milwaukee, and colleagues found that those who started on PD had a 25% decreased risk of dementia compared with those who started on HD, after adjusting for age, gender, and other potential confounders. They obtained similar results when patients were matched by propensity score.

“This is the largest study to date in support of the hypothesis that the HD process itself, rather than simply the presence of ESRD, may contribute to the well-known higher prevalence of dementia among persons with ESRD,” the authors wrote in Peritoneal Dialysis International.

Dr. Wolfgram's team noted that their study “emphasizes the need for clinicians to regularly assess cognitive function among persons undergoing dialysis.” By helping clinicians tailor management to patients' cognitive abilities, early recognition of dementia may improve patient outcomes, they stated.

PD was the initial dialysis modality for 8,663 of the 121,623 study subjects. The mean age of the total cohort was 69.2 years.

The researchers used U.S. Renal Data System data for incident ESRD patients during calendar years 2006–2008. For all patients, they obtained Medicare claims data for 2004 through 2009, which includes ICD-9 comorbid disease diagnosis codes.

“Our use of Medicare data allowed us to exclude people who carried a dementia diagnosis at baseline, or who were recognized as having dementia during the 90 days after they initiated dialysis,” they wrote. “Thus we were not simply documenting that persons with dementia are unlikely to be able to initiate PD, a therapy which requires greater involvement of patients in care.”

The investigators also acknowledged study limitations. For example, they pointed out that non-medical factors impact the choice between PD and HD. “Physicians are more likely to encourage patients with subtle evidence of cognitive impairment to choose HD as their initial modality, biasing our results toward higher dementia risk in those initiated on HD. Although we excluded patients with pre-existing dementia from our analysis, it is possible that significant differences in baseline cognitive function between the PD and HD groups affected our results.” kidneyhospitalabroad@hotmail.com

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kidney Stone Prevention and Treatment Programs

Kidney stone specialist David S. Goldfarb, MD, clinical chief of nephrology at New York University Langone Medical Center in New York, pointed out the ACP's guidelines suggest that evidence for the efficacy of increasing fluid intake is weak and leave an impression that increasing fluid intake is not an important prescription for patients with kidney stones. “We know that it is an extremely important prescription, not just because it's efficacious, but because it's inexpensive and because it's safe,” Dr. Goldfarb said.

Randomized controlled trials have already provided convincing evidence of the safety and efficacy of increasing fluid intake, he said. Adding in what is understood about urine chemistry, “we know that increasing fluid intake leads to a reduction in supersaturation.”

The notion that more studies are needed to confirm that increasing fluid intake can prevent kidney stones is incorrect, said Dr. Goldfarb, who is president of the ROCK [Research on Calculus Kinetics] Society and director of kidney stone prevention and treatment programs at New York Harbor VA Healthcare System.

The new study provides “additional confirmatory evidence” of the safety and efficacy of high fluid intake for preventing kidney stones, he told Renal & Urology News.

Dr. Goldfarb's usual fluid prescription for kidney stone prevention is 96 ounces per day, assuming the weather is not very hot and the patient is not exercising too much or experiencing increased bowel losses of water. He typically instructs patients to think of 96 ounces in terms of 8 × 12 (8 12-ounce or 12 8-ounce portions). “You need a way to visualize this. “It's not enough to say to people, ‘drink a lot,' you have to say what a lot means.”

The other study by Dr. Lieske and colleagues, which was presented by Majuran Perinpam, BSc, included 416 female and 293 male subjects (mean age 64.6 and 66.5 years, respectively). Results showed that urinary calcium declined with age, and levels were higher in males than females. An increase in serum creatinine caused urine calcium to decrease. Urinary oxalate excretion was greater in males despite no difference in oxalate intake, “suggesting sex differences in metabolism or other food intake,” Dr. Lieske and his collaborators wrote in a poster presentation. Urinary uric acid excretion correlated positively with body mass index and estimated glomerular filtration rate (as calculated using cystatin C). Cystatin C correlations with uric acid may relate to hyperuricemia and inflammation, according to the researchers

Monday, April 27, 2015

Gout May Predispose Patients to Chronic Kidney Disease (CKD) and Nephrolithiasis

Gout is a disease characterized by an abnormal metabolism of uric acid, resulting in an excess of uric acid in the tissues and blood. It may also present as tophi, kidney stones, or urate nephropathy. Once the acute attack subsides, levels of uric acid are usually lowered via lifestyle changes, and in those with frequent attacks, allopurinol or probenecid provides long-term prevention.

Investigators pooled results from 17 epidemiological studies of gout patients. Estimates of CKD (stage 3 and above) and nephrolithiasis among people with gout were 24% and 14%, respectively.

In addition, gout was linked with more than twice the odds of developing CKD and one and a half times the odds of ever developing nephrolithiasis. Few of the included studies were prospective, so the researchers couldn't assess timing.

According to the researchers, patients with gout should actively be screened for CKD and its related conditions. Currently, just 1 in 5 patients with acute gout are screened for CKD within a month of presentation.

There are several possible mechanisms by which gout could lead to CKD and kidney stones, they noted. Kidney damage may result from hypertension, diabetes, nonsteroidal anti-inflammatory drugs, and endothelial dysfunction from hyperuricemia. Or, persistent inflammation from gout may cause vascular damage.

Treatment with allopurinol was believed to interfere with kidney function, but a recent systematic review suggested that it actually may protect against CKD progression. Our email kidneyhospitalabroad@hotmail.com

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Sunday, April 26, 2015

The Phosphorus Pyramid

The food pyramid color codes food items similar to a traffic light: greens for go, yellows for slow, and reds for stop.

It consists of 6 levels with foods arranged by their phosphorus content, phosphorus to protein ratio (no more than 12 mg/g is favorable) and phosphorus bioavailability. Here's an overview of each level from 1 (low phosphorus) to 6 (high phosphorus):

Green: Foods with a very low phosphorus content include protein-free foods, fruit, vegetables, egg white, olive oil, and sugar. These items are not limited, unless a patient is overweight, diabetic,  or receiving dialysis.

Light green: Foods with phytate, a less absorbable form of phosphorus, include cereal, rice, pasta, white bread, and legumes. 2–3 servings per day.

Yellow: Among meats, choose lamb, rabbit, ham, or fish (e.g., trout, tuna, cod, hake, and sole). Avoid farmed fish because it has been fed with phosphorus to promote growth. Also choose milk and yogurt. No more than 1 serving per day.

Orange: Foods with a higher phosphorus to protein ratio include turkey, offal, shrimp, squid, salmon, and soft cheeses. No more than 1 serving per week.

Orange-Red:  Foods with a very high phosphorus content include nuts, egg yolk, and hard cheeses. No more than 2-3 servings per month.
Red: Processed foods with phosphorus-containing additives include colas, processed meat, and processed cheese. Avoid as much as possible.

Renal dietitians can help patients understand and use the pyramid. “How the dietitian interacts with the patients is as important as the dietary prescription: an understanding and nonjudging relationship is crucial for the patient to successfully adhere to the suggestions…” the researchers noted.

Gout Prevalent in German CKD Cohort

Gout is fairly common among chronic kidney disease (CKD) patients, a recent analysis of the German Chronic Kidney Disease study suggests.
Investigators evaluated data from more than 5,000 CKD patients and identified gout in 24.3%, according to results published in Nephrology Dialysis Transplantation. As kidney function decreased, gout prevalence increased, from 16% among patients with eGFR above 60 mL/min/1.73 m2 (with proteinuria) to 36% among those with eGFR below 30.

Roughly a third of patients with gout were not taking any medication for treatment at the time of the analysis. In addition, half of gout patients on urate-lowering therapy still showed signs of hyperuricemia. “Pharmacological management of gout in patients with CKD is suboptimal,” the investigators suggested.

The following factors were linked with gout: serum urate, lower eGFR, older age, male sex, higher BMI and waist-to-hip ratio, higher triglyceride and C-reactive protein (CRP) concentrations, alcohol intake, and diuretics use.

The researchers hope to assess whether gout and hyperuricemia increase the risk of CKD progression and cardiovascular events with future follow-up of this cohort.

Lower CKD Risk Among Fit Veterans

As aerobic fitness increases, the risk of chronic kidney disease (CKD) progressively decreases suggesting a protective role for exercise, according to a new study of male veterans.

“The findings of the present study demonstrate that health benefits associated with higher exercise capacity also extend to lowering the risk of developing CKD,” stated Peter Kokkinos, PhD, of Veterans Affairs Medical Center in Washington DC, and colleagues.

The investigators prospectively assessed peak exercise capacity for 5,812 male veterans at the center using a standard treadmill test. The men were referred for exercise testing for clinical reasons.

All participants were free of CKD stage 3 and above at baseline with an estimated glomerular filtration rate of 60 mL/min per 1.73 m2 or higher. CKD developed in 1,010 men (17%) during follow-up.

According to results published in Mayo Clinic Proceedings, the risk of CKD declined by 22% with every 1 metabolic equivalent (MET) increase in exercise capacity. Compared to the least fit individuals, the odds of CKD were 13%, 45%, and 58% lower in the low-, moderately-, and high-fit groups, respectively.

Researchers adjusted the fitness groupings for age. They also adjusted their models for CKD predictors, such as race, diabetes, hypertension, dyslipidemia, alcoholism, glucose-lowering medication, and lipid-lowering medication.

Men with lower GFR may be deficient in vascular density and recruitment, the researchers suggested.  Also, a significant number of the veterans had a high body mass index and diabetes. Insulin resistance, dyslipidemia, and hypertension may contribute to vascular stiffness and systemic inflammation, setting the stage for CKD.

By contrast, physically active men have greater capillary recruitment during exercise, which likely corresponds to a greater renal reserve and a lower likelihood of CKD.

Starting an aerobic exercise routine is reasonable for many men with their doctors' permission, the investigators noted: “The average exercise capacity of approximately more than 6.5 METs necessary to realize these health benefits is achievable by many middle-aged and older men by daily exercises, such as brisk walking.”

Abatacept May Prevent Kidney Disease Advance in Diabetics

Abatacept may help in preventing theprogression of kidney disease in patients with diabetes, according to a study slated for publication in the Journal of the American Society of Nephrology.
Paolo Fiorina, MD, PhD, of Boston Children's Hospital, and colleagues used the drug to target B7-1, a receptor that is expressed by kidney cells during progression to diabetic nephropathy. Abatacept maintained kidney function in mice with diabetic nephropathy.
“The next steps will be to test anti-B7-1 in individuals with diabetes and diabetic nephropathy to see if they can abrogate the progression of the disease in humans as well,” Dr. Fiorina stated.
Abatacept is primarily used to treat autoimmune conditions such as rheumatoid arthritis by targeting receptors expressed in immune cells.

Numbness limbs in diabetic nephropathy: cause and treatment

It is a common phenomenon for us to appear numbness of our limbs, when we keep the posture for a long time or when we feel cold. However, if the patients with diabetic nephropathy appear numbness of limbs, it is a sign for patients which indicate that you should go to the hospital to have an examination. And you are supposed to know the reasons and treatment about numbness limbs in diabetic nephropathy.

Causes

1 lacking of blood and oxygen

With the kidney function declining, the kidney will fail to filter enough blood to support other tissues of our body, which can lead to lack of blood and oxygen. So when the diabetic nephropathy patients have the phenomenon, they will appear numbness of limbs.

2 High blood sugar

We all know, diabetic kidney disease mainly caused by long-term uncontrolled diabetes. And which is a devastating and progressive disease that affects all aspects of the human body. Diabetes can reduce the blood circulation, and can easily result to numbness of limbs.

3 High blood pressure

Hypertension is one of symptoms which can easily lead to all kidney diseases. High blood pressure can cause blockage of blood, which can give rise to deficiency of blood supply in feet and toes.

Treatment

1 medical foot bath

The medical foot bath in our hospital is an effective therapy to treat numbness of limbs. We make Chinese medical herbs into powders and mix them with hot water. When it reaches to a comfortable temperature, the patients are asked to soak foot in it. And the time should be prolonged then the usual washing foot. From this way, the vessels will be expanded and the channels will be got through. So the blood circulation will be improved and the numbness of limbs for diabetic nephropathy patients will be released, too.

2 acupuncture therapy

Acupuncture therapy, a traditional Chinese medical therapy which was also a good therapy for numbness of limbs. We know that there are a lot of acupionts in our body, and each has its function. We through pricking different acupionts get through the channels and improve the blood circulation. What’s more? The Chinese medicine can penetrate into the damaged kidney through acupuncture, and then your kidney function will be improved.


Do you want to get rid of the numbness of limbs? And do you want to gain effective treatment on FSGS? If the answer is yes, you can contact our online doctor and know more information about our therapies. You also can send emails to kidneyhospitalabroad@hotmail.com.

Cold feelings and chills in FSGS: cause and treatment

“I feel so cold and even get to chill; no matter how many clothes I wear.” Many Focal Segmental Glomerular Sclerosis (FSGS) patients complain it to me. Feeling cold and chill is one of the symptoms of FSGS, which seems to not serious but it is also a sign to tell the FSGS patients to receive the effective therapy.
How the FSGS patients can be feel cold and chills?

1 deficiency of kidney-yin

From the perspective of traditional Chinese medicine, FSGS can cause edema, and then the body is in a state of plenty of water. So as a result, the water can eventually cause deficiency of kidney-yin. When deficiency of kidney-yin keep a long time, the patients will feel cold and chills.

2 anemia

When the patients are diagnosed FSGS, the patients will cause blood circulation blocking and even cause anemia. The patients with anemia can lead to lack of oxygen so the body will produce less heat. The patients of FSGS will easily to feel cold and chills.

How to treat the FSGS with cold and chills?

1 Medical Bath

The medical bath is a good way to teat the cold and chills. It is easily to understand, the main process of medical bath is that, we boil the Chinese medicine into soup, them we mix them with hot water. When the temperature is comfortable the patients are supposed to soak in the hot water. From a long time soaking, the patients will swear a lot, as a result, cold qi will get out of the body with the swear. What’s more? The Chinese medicine will penetrate into your whole body though your pore, which can repair your damaged cells and vessel and improve your blood circulation. So several times after your soaking the medical bath, your kidney function will be improved. And the cold and chills phenomenon will disappear.

2 Mcupuncture Therapy

Acupuncture therapy, a traditional Chinese medical therapy which was imported to medicine in spring and autumn period. We combined the Chinese medicine and acupuncture to be a new therapy. The main functions are getting though venation and reconciling qi and blood. Then the dampness and poison gas will be getting out of your body. Naturally, you will feel better.


How do you think our therapies? If you have other questions about FSGS, you can communicate with our online doctors, who are willing to answer all your questions. Or you can send messages to kidneyhospitalabroad@hotmail.com.

Chronic kidney patients and weight loss

There is no doubt that there will be a lot of symptoms for chronic kidney disease (CKD) patients, which have impact their normal life seriously. When the patients who are diagnosed to chronic patients, they will become more and more thin. So it is necessary for CKD patients how cause weight loss and how to avoid the symptom.
Firstly, I will discuses the reasons for causing weight loss.

1 running of nutrient substance

When patients are diagnosed CKD that means the kidney function of patients is declining which including running of nutrient substance and retaining of the waste. We all know that proteinuria is an obvious phenomenon of CKD, so it is easily for us to understand the CKD patients will lose a lot of weight.

2 Nausea and vomiting

With the declining of kidney function, kinds of wastes will be retained in patients’ bodies, such as ammonia, which has odorous stink. The ammonia will cause nausea and vomiting, imaging that the food you ate all be vomited, how can you keep your weight.

I believe that the CKD patients are eager to get rid of the disease. The following therapy I hope will help you.

Micro-Chinese Medical Osmotherapy, an original creation of our hospital, which is making the Chinese medical herbs into tiny powder and put them into two bags. Then we apply the Chinese medical bags on the patient’s skin which is corresponding to the kidney part. With the professional equipment’s help, the active composition penetrate into the kidney part.

The main functions of this therapy are promoting the blood circulations and dispelling the blood poison. When our Chinese medical powder penetrates into the damaged kidney, the kidney cells will be recovered a lot and the kidney vessels will be improved which means the kidney function is improved. So the CKD patients will absorb nutrient substance normally.


I am absolutely sure you will feel better if you receive our Micro-Chinese Medical Osmotherapy, and can gain a healthy weight. If you want to know more information about CKD, you can contact our online doctors who are so experienced. And you can leave messages to them. What’s more? You also can send emails to kidneyhospitalabroad@hotmail.com. we hope you live a better life.

Saturday, April 25, 2015

How to Reverse 30% Kidney Function in Chronic Kidney Disease

For those people who suffering from chronic kidney disease is very painful. When the CKD patients’ kidney function is declining to 30%, that means the chronic kidney disease is developing to stage 3or 4. In this time, you should pay more attention to your kidney conditions and take effective therapies timely.

Do you know what kinds of symptoms would appear when your kidney functions only remaining 30%? Now I will discuss the symptoms with you. When you suffer the chronic kidney disease, there must lot of foam in your urine, which means the protein beginning to leak out from your body. Secondly, there may be swelling around your eyes , because with the declining of your kidney function ,a lot of water can not discharged out of body , which will resulting swelling not only around your eyes even in your whole body.

I am sure you are so worry about your conditions, but don’t be panic. There are so many effective therapies in our hospital can improve your kidney function.

1 Medical Bath

It is easily to understand, the main process of medical bath is that, we boil the Chinese medicine into soup, them we mix them with hot water. When the temperature is comfortable the patients are supposed to soak in the hot water. From a long time soaking, the patients will swear a lot, as a result, the waste including ureophil, potassium, phosphorus blood poison will get out of the body with the swear. What’s more? The Chinese medicine will penetrate into your whole body though your pore, which can repair your damaged cells and vessel and improve your blood circulation. So several times after your soaking the medical bath, your kidney function will be improved.

2 Chinese medical circle therapies

Chinese medical circle therapy is another good therapy to treat chronic kidney disease in our hospital. We make the Chinese herbs into powder and compound them to be unguent. We know there are numerous of acupoints in our body and each has different function. So we rely on the acupoints and cover the Chinese unguent on different of them. With the blood circulation of our body the Chinese medicine can penetrate the damaged kidney part and repair the vessel and cells of your kidney. Then the permeability of your body will be improved.

3 acupuncture therapy

Acupuncture therapy, a traditional Chinese medical therapy which was imported to medicine in spring and autumn period. We combined the Chinese medicine and acupuncture to be a new therapy. The main functions are getting though venation and reconciling qi and blood. Then the dampness and poison gas will be getting out of your body. Naturally, your kidney function will be improved.


With the three effective Chinese medical therapies your kidney function will be easily reversed to 50%. if you want to know more information about chronic kidney disease you can communicate with our online doctors who are glade to answer your all questions. Or you can send emails to kidneyhospitalabroad@hotmail.com. we hope you will have a better life.

Headache in dialysis: cause and treatment

Dialysis is a fast way to relieve the pain of kidney patients, which is a good choice for the kidney failure patients. While every coin has two faces, there are also advantages and disadvantages for kidney patients to have dialysis. The most important advantage is though dialysis; the waste will be getting rid of patients’ body quickly. While there many symptoms, such as headache, muscle pain, nausea and vomiting. Especially the headache is very tiresome and impacts the normal life of the patients.

Causes

1 anemia

When the patients are receiving the dialysis, the blood of the whole body is feeding into the dialysis equipment, which can take away the blood poison and other waste out from your body. At the same time, some blood will be got out the body. With the dialysis times increasing, the patients will appear anemia, that is why the patients feel dizzy after the dialysis.

2 low blood pressures

The dialysis can disturb the normal operation of the heart. There are a lot of things that are being filtered out during dialysis. The concentration of these things in your brain may be different that what it is in the rest of your body because of the blood brain barrier, which causes fluid to move into and out of the brain in painful ways.

3 Electrolyte imbalances

Dialysis also can remove the electrolyte in blood. Which include the extra and the normal that our body is needed, so there will be electrolyte imbalance, which can also lead to headache.

How to treat the headache in dialysis

1 control the blood pressure

To guarantee patients can accept correct treatment, making clear the underlying cause should be the first step. Then, some preventative management should be noted. First of all, people receiving hemodialysis need to control their blood pressure into normal range through lowering sodium intake and taking some anti-hypertensive agents.

2 reduce the times of dialysis.

Actually, dialysis do harm to both your kidneys and your health. Not only headache is a side-effect, and there are so many other refractory symptoms are also included. More dialysis will cause more problems. So you are supposed to reduce dialysis.

3 replaced the dialysis with other therapy

If you want to get rid of the headache you must get rid of the root of it, that is to say, you should find other effective method to replace the dialysis. Micro-Chinese Medical Osmotherapy, a unique creation of our hospital. The main composition is Chinese medical herbs which are crushed into powders and are putted into two bags. Then, we cover the two bags on the skin of patients, with the help of our professional equipment; the active Chinese medicine will be penetrating into the damaged kidney. Micro-Chinese Medical Osmotherapy can repair the damaged vessels and cells. what’s more? The kidney function of metabolism will be improved a lot.


If you want to know more therapies which can replaced the dialysis and get rid of the headache you can contact our online doctors. And you also can send messages to kidneyhospitalabroad@hotmail.com. we hope you will get rid of dialysis in a early time.

hyperkalemia and acidosis in kidney failure: harms and management

It is so terrible to hear the kidney failure, and there are a lot of serious symptoms along with the kidney failure. For example, the hyperkalemia and acidosis are so harmful to our body. So the patients who are diagnosed the kidney failure should pay more attention to their condition and take effective therapies. Then I will discuses the harms and management of the hyperkalemia and acidosis.

Hyperkalemia is a common clinical problem that is most often a result of impaired urinary potassium excretion due to acute or chronic kidney disease (CKD) and/or disorders or drugs that inhibit the renin-angiotensin-aldosterone axis. And it can cause the cardiovascular disease which may be lead to heart arrest.

Acidosis is another serious symptom of kidney failure, which is caused by excessive acidity substance. When the patients get acidosis, they may have a poor sleep, fever, obnubilation and coma. Which are so dangerous to the patients.
I am sure the patients who suffer the Hyperkalemia and Acidosis do want to find effective therapies to get rid of the symptoms. Now I will introduce some unique therapies which I hope will be good to you.

1 steaming therapy

There is some Chinese medical composition in the steam, after steaming, the patients’ pore will be opened and can sweat a lot. The main function of the steam is expending the blood capillary, so the channels will be dredged and the blood circulation will be improved. The hyperkalemi and acidic substance will be discharged from the body.

2 Chinese medical foot bath

Do you wash your foot everyday? I think the answer must be “yes”. So it is easy to understand the Chinese medical foot bath. We mix the Chinese medical herbs with hot water. We know there are so many acupoints on our foot, so though soaking the foot, can improve the blood circulations and with which can dispel blood toxin, cold qi, and other waste.


I am absolutely sure the Chinese medical therapies will be useful for the kidney failure patients who suffer from the hyperkalemia and acidosis. If you want to know more therapies, you can ask our online doctors who are willing to answer your all questions. And you also can send messages to kidneyhospitalabroad@hotmail.com.

What Factors would Influence the Prognosis of IgA Nephropathy

IgA Nephropathy is the common CKD which refers to that patients would suffer a long term of progression of kidney disease. of cause, different patients have different prognosis with the different physical conditions, life styles, treatment options and so on. Now this article would have a introduction about the factors which influence the prognosis of IgA nephropathy, which really need the attention of patients.

Many kidney patients would become very scared once they spot gross hematuria, and they would enter uremia eventually. In fact, the severity and frequency of hematuria has no direct relationship with the prognosis of the IgA Nephropathy. In general, the progression of IgA Nephropathy is slow, and this disease is less likely to progress into kidney failure than other types of kidney disease.

With that being said, patients with IgA Nephropathy should take this disease seriously. So patients should visit their doctors on a regular basis, stick with the treatment and do not cut back on medications on their own.

The major factors that influence prognosis of IgA Nephropathy include:

1. the gender of the patient: female patients tend to have better prognosis than male patients.

2. the starting age: on average, the children’s prognosis is better than adults. The prognosis for patients whose starting age is above 40 years old is usually not good.

3. patients whose GFR is already low and who has already kidney damage tend to have gloomy prognosis.

4. patients with less proteinuria tend to have better prognosis.

5. patients with normal blood pressure have better prognosis than patients with high blood pressure.

6. patients with the following pathological changes tend to worse prognosis: diffuse, proliferative glomerular damage with the formation of segmental or diffuse crescent, focal and segmental glomerular hardening or tubular atrophy, hardening arteriola, the thickening of the walls, the interstitial fibrosis and the deposits of IgA and C3.


Now if you want to know more information about the factors which influence the prognosis of IgA Nephropathy or ask for treatment suggestions, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Treatment for IgA Nephropathy Patients with High Creatinine Level

Creatinine is the common kidney function indicator. Then what high creatinine mean to IgA Nephropathy? And what can IgA Nephropathy patients do to lower the high creatinine? Now this article would have a analysis about the cause and treatment for IgA Nephropathy with high creatinine , which can help you a lot.

What does high creatinine levels mean?

Creatinine is a kind of micromolecule urotoxins, which is the byproduct of muscle activity. In normal condition, these urotoxins will be filtered out by kidneys and keep your blood and body healthy. However, once your kidneys cannot cleanse them out, it will elevate the levels of creatinine.

Creatinine reflects the kidney function levels, however, it is not fast enough. Only when kidney functions decline more than 30%~50%, the creatinine levels goes up later on.

Thereby, to monitor the early kidney damages, you are suggested with the specific test for early kidney damages, such as β2 microglobulin, CysC, HCY, RBP, RBP etc. These tests are smarter than creatinine to monitor kidney condition, which are especially recommended to people with diabetes, high blood pressure and whose family member suffering from kidney disease.

What treatment is necessary in this condition?

Once high creatinine levels occur, it indicates that IgA Kidney Disease patients have developed into a serious kidney damages. In this condition, the treatment that only controls the symptoms by limiting the inflammation is not enough. Patients are suggested to improve kidney functions in a short time. Otherwise, you may miss the key time and wait for kidney falling and go on dialysis or register on waiting list.

Traditional Chinese Treatment+ western drugs are suggested. Western drugs are fond of limiting inflammation and alleviating symptoms. These drugs are needed to keep the further informative response under control. Inflammation in IgA Kidney Disease is a fight between the body, that is your immune system trigger inflammation to fight against your kidney tissues. Western drugs help to control the fight and prevent the further damages to the body.


All in all, creatinine , the muscle wastes of human body, is the representative toxins in blood. the high creatinine usually refers to the serious kidney function decline and more complication occurring. Now if you want to know more information about the treatment for IgA Nephropathy with high creatinine, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

How to know there are disorders in kidneys

Kidneys are the main metabolism organ of human body, when there are some disorder in kidneys, patients would suffer some abnormal condition. Now there is a introduction about these symptoms of kidney disorder, which really need the attention of patients to prevent CKD for a timely and effective treatment.

1. Note if you have any changes in your urination habits. You may frequently have the urge to urinate but when you go to the bathroom, nothing happens. If the urine volume increase suddenly when you do not drink much water, sweat a lot, or do exercises, it may also indicate IgA Nephropathy.

2. Check if your urine is bubbly, foamy, very pale or darker than usual. You may also have blood in urine, in which case you should see a doctor immediately.
3. Look if you have any strange edema in your ankles, feet, legs or hands. If the kidneys are damaged, they are unable to remove excess fluids, which start to build up in other parts of your body.

4. Notice if your sleeping habits change. As your kidneys fail, there is less oxygen in your blood than normal. This is called anemia and causes fatigue.

5. Check for extraneous pain in your back or side. Often the side with the afflicted kidney will become sore.

6. Note if you have high blood pressure. As the initial symptom of many patients, high blood pressure is a factor which leads to grim prognosis.
Patients who want to get rid of these symptoms need try their best to reverse the kidney functions. Micro-Chinese Medicine Osmotherapy is the best choice for patients.


All in all, any symptom need our attention. The timely and effective treatment for the kidney disorder plays an important role in living a normal and long life. And now if you want to know more information about the symptoms of kidney disorder or ask for treatment suggestions, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Friday, April 24, 2015

High Fever in Patients with IgA Nephropathy: Cause and Treatment

Some IgA Nephropathy patients may suffer from high fever, with the chronic and persistent high fever, other tissues are bothered and influenced. The sever pains also urge patients to know the cause and management for the high fever in IgA Nephropathy.

Let′s talk about fever firstly. In fact, fever is the body′s natural way to protect itself from invaders like bacteria and virus, because many of them are no able to survive in the body due to the high temperature caused by a fever.
High temperature is also a signal that the infection-fighting cells of the immune system including phagocytes, neutrophils, and lymphocytes come to the body′s defence and assist with fighting against infections.

Causes of high fever in IgA Nephropathy

IgA Nephropathy is a chronic form of glomerulonephritis marked by a hematuria and proteinuria and by the depositions of immunoglobulin A in the mesangial areas of the renal glomeruli, with subsequent reactive hyperplasia of mesangial cells. Upper respiratory tract infection often happens before the onset.

High fever in IgA Nephropathy may appear as a result of infection. When people are affected by an infection, or inflammation, the body will produce substances called pyrogens. It is the pyrogens that actually cause the high fever.

Symptoms of high fever in IgA Nephropathy

If persons with IgA Nephropathy have a high fever, the muscles might repeatedly contract to keep the body warm, causing shivering. Sometimes, chills occur when this happens.

IgA Nephropathy is not a benign disease, and many people may progress into Renal Failure if improperly treated. At present, Micro-Chinese Medicine Osmotherapy is the latest treatment for IgA Nephropathy, which can guarantee the best curative effects.


Now if you want to know more information about the cause and management for high fever in IgA Nephropathy, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Urine Change in IgA Nephropathy: Cause and Management

Urine change is the common sign of kidney function disorder. So when people are attacked by IgA Nephropathy, patients may find disorder in their urine. How the proper symptoms in urine may occur, patients can have a timely prevention and treatment. This article would have a analysis.

Hematuria can be found by observing urine. Hematuria can be divided into gross hematuria and microscopic hematuria. Simply speaking, gross hematuria or macroscopic hematuria refers to that the urine is bloody, which is visible to the naked eye. So if you find you have blood urine for 3 to 7 days and you have no history of hurting urinary tract, you had better to see a doctor and take a urine test.

To patients with IgA Nephropathy, their urine will be dark in 3 days after some infections, such as cold. The dark red urine can last for several days to even several weeks, then the color of urine turn to light. It is necessary for people to take a urine test after one week dark urine. Usually, gross hematuria means that their kidneys are under the situation of acute glomerulonephritis, and microscopic hematuria means that their kidneys are under microinflammation state. Due to inflammation, calculus, tumor, injury, congenital malformation are the common causes for hematuria, if you want to make sure the real reason, you can take blood test or test for kidneys.

Bubbles in urine is another signal for IgA Nephropathy. If you have bubbles for more than one month and you have no Diabetes, the bubbles in urine maybe leaked protein. You should pay attention first to make sure you don′t have too much protein, then observe the urine again. If the bubbles still in urine, it maybe proteinurine.

we know, glomerulus blood capillary has good permeability on water and electrolyte, but big molecular protein can not be eliminated from the glomerulus blood capillary. So, protein urine can indicate the damage on glomerulus blood capillary. Most patients with IgA Nephropathy has proteinurine and over 60% of them go to see a doctor for bubbles in urine.


IgA Nephropathy patients should have a timely and effective treatment when there are some disorder in their urine, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com for more questions or ask for treatment suggestions, we will reply you within 24 hours.

Treatment of Primary Focal Segmental Glomerulosclerosis

Primary focal segmental glomerulosclerosis is showing as nephrotic syndrome including the lots of protein urine, serious edema, hypoproteinemia and hyperlipidaemia. But in this period, FSGS patients still are in the reversible period with a effective control and treatment. This article would have a introduction about the primary FSGS.

Focal and segmental glomerulosclerosis is a morphologic pattern of glomerular injury primarily directed at the glomerular visceral epithelial cell and defined by the presence of sclerosis in parts of some glomeruli by light microscopy of a renal biopsy specimen. The lesion may be found either without an identifiable cause or in response to previous glomerular injury, glomerular hypertension, or hypertrophy FSGS is distinct from focal and global glomerulosclerosis, which has a different prognosis and treatment.

Primary FSGS can present acutely with overt nephrotic syndrome characterized by hypoalbuminemia and edema. However, primary FSGS can also present insidiously with less dramatic manifestations, possibly related to the underlying histologic variant. The diagnosis of primary FSGS is confirmed by a renal biopsy that reveals the morphologic features mentioned above plus diffuse (greater than 80 percent) effacement of the foot processes by electron microscopy. In contrast, secondary FSGS most often presents as asymptomatic proteinuria without hypoalbuminemia or edema. In addition, the kidney biopsy usually reveals glomerulomegaly, focal (rather than diffuse) foot process effacement, and, sometimes, evidence of a separate kidney disease that is responsible for the development of secondary FSGS.

Renin-angiotensin-aldosterone system blockade (with angiotensin-converting enzyme [ACE] inhibitors or angiotensin receptor blockers [ARBs]) reduces proteinuria and slows progression in proteinuric kidney diseases. However, whether or not this is effective in primary FSGS is unknown.


All in all, controlling complications such as high blood pressure, protein urine and anemia is necessary to protect the kidney functions. primary focal segmental glomerulosclerosis patients should try their best to find the therapy to reverse kidney function. Now if you want to know more information about FSGS or ask for treatment suggestions, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

Study Backs Renal Transplantation in HIV-Infected Patients

Many transplanted kidneys come from donors who have died. Some come from a living family member. The kidney was the easiest organ to transplant: tissue typing was simple, the organ was relatively easy to remove and implant, live donors could be used without difficulty, and in the event of failure, kidney dialysis was available from the 1940s. Often, the new kidney will start making urine as soon as your blood starts flowing through it. But sometimes it takes a few weeks to start working.

Renal transplantation in HIV-infected patients is associated with graft and overall survival rates similar to those of HIV-negative patients, except in cases of co-infection with hepatitis C virus (HCV), according to a new study.

The study, led by Jayme E. Locke, MD, of the University of Alabama at Birmingham, is the first national study examining outcomes among the entire U.S. cohort of HIV-positive kidney transplant recipients and comparing their outcomes to appropriately matched HIV-negative controls.

The study included 510 HIV-infected renal transplant patients and 94,948 HIV-negative controls. The 5- and 10-year graft survival among the HIV-infected patients was 68.9% and 49.5%, respectively, but was highest among those who were infected only with HIV (mono-infected) but not HCV (75% and 55.9%, respectively), Dr. Locke and colleagues reported online ahead of print in the Journal of the American Society of Nephrology. Among patients co-infected with HIV and HCV, the 5- and 10-year graft survival rates were 49.9% and 25.9%, respectively.

The researchers compared the HIV group with a matched group of HIV-negative controls. Compared with the control group, the HIV-infected patients overall had significantly lower 5- and 10-year graft survival rates (69.2% vs. 75.3% and 49.8% vs. 54.4%, respectively). The 5- and 10-year graft survival rates did not differ significantly between mono-infected HIV patients and controls (75.0% vs. 75.8% and 55.9% vs. 56.0%, respectively). The 5- and 10-year survival rates were significantly worse for patients co-infected with HIV and HCV than for matched HIV-negative controls infected with HCV (52.0% vs.64.0% and 27.0% vs. 36.2%, respectively).

Patient survival rates among all HIV-infected recipients were 83.3% and 51.5% at 5 and 10 years, respectively. The rates were higher among the mono-infected HIV patients (88.7% and 63.5%, respectively) than the co-infected patients (66.3% and 29.3%).

Additionally, compared with appropriately matched HIV-negative controls, the HIV-infected patients had similar 5-year patient survival rates (83.5% and 86.2%), but significantly lower 10-year survival rates (51.6% vs. 72.1%). The 5- and 10-year patient survival rates did not differ significantly between the mono-infected HIV patients and HIV-negative/HCV-negative controls (88.7% and 89.1% and 63.5% and 77.6%). Co-infected patients, however, had significantly worse survival at 5 and 10 years compared with HIV-negative/HCV-positive controls (67.0% vs.78.6% and 29.3% vs. 56.2%, respectively).

Older Donor Kidneys Good for Seniors

We compared graft and patient outcomes of patients on maintenance dialysis after transplantation with OLD kidneys to those receiving younger live donor (YLD) kidneys and deceased donor (DD) kidneys. Competing risks models with matched controls were used to study the independent association between older donor age and allograft survival, accounting for the competing risk of recipient mortality as well as other transplant factors. 21.6 percent), patients who received older donated kidneys were no more likely to die within a decade of transplantation than those whose kidney donors were between 50 and 59.

(HealthDay News) -- Older patients who need a kidney transplant are better off receiving an available organ from an older deceased donor rather than waiting for one from a younger donor, according to a new study published online in the Journal of the American Society of Nephrology.

While kidneys from older donors can't provide younger patients with a lifetime of kidney function, they are suitable for older people because of their shorter life expectancy, the researchers explained. Even though more than 100,000 people in the United States are waiting for a kidney transplant, most kidneys from deceased donors 65 and older are discarded, the study authors said. Making greater use of those kidneys could shorten kidney transplant waiting lists.

The researchers analyzed data from Europe and the United States. They found that people aged 60 and older who need a kidney transplant are better off getting a kidney from a deceased older donor right away, rather than waiting for an organ from a younger donor.

"Older patients derive a survival benefit from rapid transplantation with an older donor kidney, while younger patients do not derive a benefit from transplantation from an older kidney," study co-leader John Gill, M.D., of the University of British Columbia in Vancouver, Canada, said in a journal news release. "Ensuring older patients can access older donor kidneys should be a priority in the United States. This may involve increased utilization of older donor kidneys or possibly excluding younger patients from receiving these kidneys," he added. Our email is kidneyhospitalabroad@hotmail.com.

Kidney Transplantation More Successful in HIV Than Hepatitis C

kidney transplantation may be the treatment option that allows you to live much like you lived before your kidneys failed. During a transplant, the surgeon places the new kidney in your lower abdomen and connects the artery and vein of the new kidney to your artery and vein. Exchanges and chains are a novel approach to expand the living donor pool.  "The healthy kidney is transported in cool salt water (saline) that preserves the organ for up to 48 hours".

Deirdre Sawinski, M.D., of the University of Pennsylvania School of Medicine in Philadelphia, and colleagues examined data from 124,035 adults who received kidney transplants between 1996 and 2013. The researchers found a 3-year survival rate of 89% for those with HIV -- nearly the same as the 90% survival seen among uninfected patients. However, survival rates were lower -- 84% -- for those with hepatitis C, and 73% for those infected with both HIV and hepatitis C.

"Our hope is that these study findings result in greater access to transplantation for HIV patients," Sawinski said in a university news release. She also hopes the findings will spur "the kidney transplant community to focus on eradicating hepatitis C in transplant patients -- either pre-transplant or if that's not possible, immediately post-transplant -- to ensure better outcomes for these patients."

Currently, HIV patients must have an undetectable viral load to receive a kidney transplant, but the same requirement does not apply to hepatitis C patients, the researchers explained. The study authors said that less than 25% of transplant centers in the United States offer kidney transplants to HIV patients. Nationwide, fewer kidney transplants are done in people with HIV than those with hepatitis C.

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