Does Dialysis Cause the Memory Loss for the Stage 4 CKD Patients

When the CKD patients are diagnosed with the stage 4 CKD, they may be suggested to do the dialysis. in order to survive, they choose the dialysis. However, they always suffer from the memory loss. They have the same confusion of does the dialysis cause the memory loss for the stage 4 CKD patients?
A person with stage 4 chronic kidney disease (CKD) has advanced kidney damage with a severe decrease in theglomerular filtration rate (GFR) to 15-30 ml/min. It is likely someone with stage 4 CKD will need dialysis or a kidney transplant in the near future.

As kidney function declines, waste products build up in the blood causing a condition known as uremia. In stage 4, a person is likely to develop complications of kidney disease such as high blood pressure, anemia (a shortage of red blood cells), bone disease,heart disease and other cardiovascular diseases.

Symptoms of stage 4 kidney disease

Symptoms that are experienced in stage 4 include:
§ Memory loss
§ Fluid retention, swelling (edema) of extremities and shortness of breath
§ Urination changes (foamy; dark orange, brown, tea-colored or red if it contains blood; and urinating more or less than normal)
§ Kidney pain felt in their back
§ Sleep problemsdue to muscle cramps or restless legs
§ Nausea and/or vomiting
§ Taste changesa metallic taste in the mouth
§ Bad breath due to urea buildup in the blood
§ Loss of appetite: People may not feel like eating, and some people report having a metallic taste in their mouth or bad breath.
§ Difficulty in concentrating: Having trouble doing everyday things such as balancing a checkbook or focusing on reading the newspaper can occur.
§ Nerve problems: Numbness or tingling in the toes or fingers is a symptom of CKD.


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Stage 4 CKD Diet

stage 4 CKD diet

When you have stage 4 chronic kidney disease (CKD), your diet goals should help minimize symptoms and help you maintain adequate nutrient intake to prevent weight loss and malnutrition.

Potassium and stage 4 CKD
Potassium restriction may or may not be required in stage 4 CKD. If kidneys are not able to remove enough potassium to maintain normal blood levels in stage 4 CKD, you will need to limit high-potassium foods. If lab tests show potassium is too high, your doctor may prescribe a potassium restriction of 2,000-3,000 mg a day. A high potassium level may also be related to angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) prescribed to reduce protein in the urine, potassium-sparing diuretics or other blood pressure management medications and your doctor may make medication changes. To reduce high potassium, limit intake of high-potassium foods, and avoid foods with added potassium chloride. Many salt substitutes and low sodium foods contain potassium chloride. Your meal plan may limit your daily servings of fruit, vegetables and milk.

Protein and stage 4 CKD
On average, Americans consume 90-100 grams of protein a day, but our bodies only need about 46 (for women) to 56 grams (for men) of protein.
The Kidney Disease Outcome Quality Initiatives (K/DOQI) Nutrition Guidelines suggest that a protein intake of 0.6 grams per kg of body weight may be beneficial when glomerular filtration rate (GFR) drops below 25, or approximately 25 percent remaining kidney function. Ask yournephrologist or renal dietitian to calculate how much protein you should consume per day. Half of your protein should come from high-quality sources that provide all the essential amino acids (eggs, milk, poultry, seafood, red meats or soy).

This lower-protein diet is thought to have a protective effect on the kidneys. However, it also brings the risk of protein malnutrition, with muscle wasting and low albumin levels. Work with your dietitian to help monitor your nutritional status as well as the effectiveness of the diet.

If you have any follow-up questions about stage 4 CKD diet, you are welcomed to directly consult online doctor freely or email it to kidneyfailure@hotmail.com, we are glad to help.