Some of total patients in chronic phase 4 Choose dialysis to prolong their lives. However, every coin has two sides, and dialysis is the same as well. On the one hand, it could dialysis take away some of the wastes and toxins from the body, on the other hand, the dialysis bring different types of side effects total patients with chronic phase 4. The memory loss is one of them total patients with chronic phase 4 after dialysis.
Why dialysis causes memory loss overall for patients in chronic phase 4?
Dialysis patients know that he needs three or four hours to do dialysis, which is very painful for patients with stage 4. This pain can lead to memory loss for patients. As well as, and dialysis can not get rid of all the waste and toxins from the body, and excess waste and toxins effective system Stage 4 brain of patients, which makes patients appear Phase 4 memory loss.
Other treatments to replace dialysis for patients with stage 4 chronic kidney disease shop
The best way for patients with stage 4 chronic kidney disease to deal with memory loss is to replace the dialysis with other treatments. So I will introduce one of the effective treatment for you.
You must have heard of stem cells can treat kidney disease treatment. However, it is prohibited in some countries. It is available in China. Stem cells are pluripotent cells that have a strong power. It is also an original and immature cells and have the potential of various tissues and organs. We injected the stem cells in stage 4 chronic kidney disease patients bodies. Then they can replace damaged cells and tissue in the kidneys. And it will increase the quality and quantity of healthy cells. After the application of stem cell therapy, you will be surprised to find that your kidney function will become better and better. And you do not need to do dialysis more than that, and you need not to be subjected to the formation of memory loss.
There are more effective treatments can be dealt with amnesia for patients with stage 4 chronic kidney disease after dialysis, such as the treatment of partial traditional Chinese medicines and medical showers. You can send e-mail messages to kidneyhospitalabroad@hotmail.com. To know it.
Showing posts with label chronic kidney disease. Show all posts
Showing posts with label chronic kidney disease. Show all posts
Monday, October 12, 2015
Sunday, June 14, 2015
Chronic Kidney Disease (Chronic Renal Failure)
CKD can be roughly categorized as diminished renal reserve, renal insufficiency, or renal failure (end-stage renal disease). Initially, as renal tissue loses function, there are few abnormalities because the remaining tissue increases its performance (renal functional adaptation); a loss of 75% of renal tissue causes a fall in GFR to only 50% of normal.
Chronic kidney disease (CKD) involves a loss of functional renal tissue due to a prolonged (≥2 mo), usually progressive, process. Dramatic changes in renal structure may be seen, although structural and functional changes in the kidney are only loosely correlated. CKD often smolders for many months or years before it becomes clinically apparent, and it is invariably irreversible and frequently progressive. Although congenital disease results in a transient increase in prevalence in animals <3 yr old, the prevalence increases with advancing age from 5–6 yr. In geriatric populations at referral institutions, CKD affects as many as 10% of dogs and 35% of cats.
With peritoneal dialysis, wastes and excess water from the bloodstream cross into the abdominal cavity (peritoneal space) and are eliminated from the body by coursing through a catheter that is surgically implanted (through the skin) into the peritoneal cavity.
Most people with acute kidney failure improve when the cause of the kidney failure is removed or treated and don't require dialysis. Normal kidney function is usually restored, though in some cases, residual damage only allows partial restoration of the kidney function. Such patients may not require dialysis but may need medicines to supplement lost kidney function.
kidneyhospitalabroad@hotmail.com
Chronic kidney disease (CKD) involves a loss of functional renal tissue due to a prolonged (≥2 mo), usually progressive, process. Dramatic changes in renal structure may be seen, although structural and functional changes in the kidney are only loosely correlated. CKD often smolders for many months or years before it becomes clinically apparent, and it is invariably irreversible and frequently progressive. Although congenital disease results in a transient increase in prevalence in animals <3 yr old, the prevalence increases with advancing age from 5–6 yr. In geriatric populations at referral institutions, CKD affects as many as 10% of dogs and 35% of cats.
With peritoneal dialysis, wastes and excess water from the bloodstream cross into the abdominal cavity (peritoneal space) and are eliminated from the body by coursing through a catheter that is surgically implanted (through the skin) into the peritoneal cavity.
Most people with acute kidney failure improve when the cause of the kidney failure is removed or treated and don't require dialysis. Normal kidney function is usually restored, though in some cases, residual damage only allows partial restoration of the kidney function. Such patients may not require dialysis but may need medicines to supplement lost kidney function.
kidneyhospitalabroad@hotmail.com
How long can a person live on dialysis
There is no limit to how long a person can live on dialysis. On average, the life expectancy for someone on dialysis is between five and six years, but this can vary a lot depending on a person’s age, other health concerns and how well he/she follows his/her treatment plan. With good care, it is very possible for a person to live for many years on dialysis.
You may not need to drink a full eight glasses of water every day to stay healthy, as once thought, but water is still a better choice than drinks that have caffeine, like soda, coffee or tea. These drinks can actually make you thirstier. Avoiding sugary juices and fruit punches is also a good idea, especially if you have diabetes. Drinking plenty of water may also help prevent kidney stones and urinary tract infections.
Note: If you have late stage kidney disease or are on dialysis, you may need to limit how much you drink. Talk to your doctor or a dietitian about how much fluid you should have each day.
A recent study suggests that drinking two or more cola drinks (either diet or regular) each day may increase your risk for chronic kidney disease. Other types of sodas (non-colas) did not seem to increase the risk.
If you are on hemodialysis, ask your dialysis social worker for a list of dialysis centers in the area that you plan to visit. Contact these centers at least several weeks before your trip to find out which centers can provide treatment while you travel and what other arrangements you may need to make.
kidneyhospitalabroad@hotmail.com
You may not need to drink a full eight glasses of water every day to stay healthy, as once thought, but water is still a better choice than drinks that have caffeine, like soda, coffee or tea. These drinks can actually make you thirstier. Avoiding sugary juices and fruit punches is also a good idea, especially if you have diabetes. Drinking plenty of water may also help prevent kidney stones and urinary tract infections.
Note: If you have late stage kidney disease or are on dialysis, you may need to limit how much you drink. Talk to your doctor or a dietitian about how much fluid you should have each day.
A recent study suggests that drinking two or more cola drinks (either diet or regular) each day may increase your risk for chronic kidney disease. Other types of sodas (non-colas) did not seem to increase the risk.
If you are on hemodialysis, ask your dialysis social worker for a list of dialysis centers in the area that you plan to visit. Contact these centers at least several weeks before your trip to find out which centers can provide treatment while you travel and what other arrangements you may need to make.
kidneyhospitalabroad@hotmail.com
Monday, June 8, 2015
Chronic Kidney Disease: Symptoms and Treatment
CKD is sometimes called a "silent disease." Patients rarely feel sick until their kidney disease is advanced, according to the NKF, which states that when symptoms do develop, they may include:
Need to urinate more often, especially at night
While diabetes and high blood pressure are the leading causes of CKD, natural aging also puts people at an increased risk of developing this chronic disease, according to Vassalotti.
"As we age, we tend to lose kidney function — especially over age 50, and usually in men more so than in women. Also as we age, we're more likely to develop Type 2 diabetes and high blood pressure," Vassolotti said. While aging is not a cause of CKD, doctors consider people over the age of 60 to be at increased risk of developing the disease, he added.
Those with a family history of kidney disease, such as polycystic kidney disease, are also at increased risk of developing CKD. Smoking, obesity and high cholesterol are other risk factors for the disease, according to the Mayo Clinic. African Americans are nearly four times as likely as Caucasians to develop kidney disease, and Hispanics are about 1.5 times more likely than non-Hispanics to be diagnosed with CKD, according to the NIH, which also found that American Indians and Alaska Natives are 1.8 times more likely than Caucasians to develop the disease.
Most kidney diseases do not have a specific drug treatment, according to Vassalotti, who said that the first goal in treating kidney disease is to address the underlying causes of the disease and stop the disease from progressing. This means treating conditions like diabetes and high blood pressure, he said.
here are two different kinds of dialysis treatment, according to the National Kidney Foundation. In hemodialysis, an artificial kidney called a hemodialyzer is used to remove waste and excess chemicals and fluid from the blood. To get blood from a patient's body to the artificial kidney, a doctor performs a minor surgery to connect a blood vessel (usually in the arm or leg) to the artificial kidney.
In peritoneal dialysis, a patient's blood is cleaned inside his or her body instead of by an external hemodialyzer. The doctor first performs a surgery to place a plastic tube, or catheter into the abdomen (also known as the peritoneal cavity). The abdomen is slowly filled with a fluid known as dialysate, which absorbs extra fluids and waste products from the blood located outside the abdomen walls. Once the dialysate has done its job, it travels back outside the body through the catheter. There are two main kinds of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD), which is done without a machine and automated peritoneal dialysis (APD), which requires a special machine called a cycler.
"In 1950, everybody died [of CKD]. Kidney failure was 100 percent fatal. Now, we've saved the lives of over a million people with dialysis in the United States," Vassalotti said.
Finally, kidney transplant is also a treatment option for some patients with CKD, according to Vassalotti, who said that, ideally, some patients choose a kidney transplant as their first treatment option. This is known as preemptive kidney transplantation.
- Fatigue
- Trouble concentrating
- Poor appetite
- Trouble sleeping
- Muscle cramping at night
- Swollen feet and ankles
- Puffiness around eyes, especially in the morning
- Dry, itchy skin
Need to urinate more often, especially at night
While diabetes and high blood pressure are the leading causes of CKD, natural aging also puts people at an increased risk of developing this chronic disease, according to Vassalotti.
"As we age, we tend to lose kidney function — especially over age 50, and usually in men more so than in women. Also as we age, we're more likely to develop Type 2 diabetes and high blood pressure," Vassolotti said. While aging is not a cause of CKD, doctors consider people over the age of 60 to be at increased risk of developing the disease, he added.
Those with a family history of kidney disease, such as polycystic kidney disease, are also at increased risk of developing CKD. Smoking, obesity and high cholesterol are other risk factors for the disease, according to the Mayo Clinic. African Americans are nearly four times as likely as Caucasians to develop kidney disease, and Hispanics are about 1.5 times more likely than non-Hispanics to be diagnosed with CKD, according to the NIH, which also found that American Indians and Alaska Natives are 1.8 times more likely than Caucasians to develop the disease.
Most kidney diseases do not have a specific drug treatment, according to Vassalotti, who said that the first goal in treating kidney disease is to address the underlying causes of the disease and stop the disease from progressing. This means treating conditions like diabetes and high blood pressure, he said.
here are two different kinds of dialysis treatment, according to the National Kidney Foundation. In hemodialysis, an artificial kidney called a hemodialyzer is used to remove waste and excess chemicals and fluid from the blood. To get blood from a patient's body to the artificial kidney, a doctor performs a minor surgery to connect a blood vessel (usually in the arm or leg) to the artificial kidney.
In peritoneal dialysis, a patient's blood is cleaned inside his or her body instead of by an external hemodialyzer. The doctor first performs a surgery to place a plastic tube, or catheter into the abdomen (also known as the peritoneal cavity). The abdomen is slowly filled with a fluid known as dialysate, which absorbs extra fluids and waste products from the blood located outside the abdomen walls. Once the dialysate has done its job, it travels back outside the body through the catheter. There are two main kinds of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD), which is done without a machine and automated peritoneal dialysis (APD), which requires a special machine called a cycler.
"In 1950, everybody died [of CKD]. Kidney failure was 100 percent fatal. Now, we've saved the lives of over a million people with dialysis in the United States," Vassalotti said.
Finally, kidney transplant is also a treatment option for some patients with CKD, according to Vassalotti, who said that, ideally, some patients choose a kidney transplant as their first treatment option. This is known as preemptive kidney transplantation.
Thursday, June 4, 2015
Kidney Disease and a Low Protein Diet
If you are have been diagnosed with CKD you are not alone. Dr. Mackenzie Walser writes that it is important for anyone with kidney disease to begin a low protein diet. Calling it a "life saving" approach, based on his 30 years of work with kidney patients at Johns Hopkins University, Dr. Walser recommends a very low protein diet, supplemented with essential amino acids to provide adequate nutrition. Based on many years of experience, Dr. Walser believes this diet will help people delay the need for dialysis and reduce many of the uncomfortable symptoms associated with chronic kidney disease.
The cornerstone of Dr. Walser's treatment plan is a very low protein diet supplemented with essential amino acids, that should be planned in accordance with recommendations from a nutritionist or another qualified health professional. You should not start such a diet or attempt any significant modification of your protein intake without consulting with your kidney disease specialist.
Evidence suggests that low protein diets may retard the progression of renal failure or delay the need for dialysis therapy." Again, even the moderately low protein diet recommended by the National Kidney Foundation needs to be designed by a kidney disease specialist.
kidneyhospitalabroad@hotmail.com
The cornerstone of Dr. Walser's treatment plan is a very low protein diet supplemented with essential amino acids, that should be planned in accordance with recommendations from a nutritionist or another qualified health professional. You should not start such a diet or attempt any significant modification of your protein intake without consulting with your kidney disease specialist.
Evidence suggests that low protein diets may retard the progression of renal failure or delay the need for dialysis therapy." Again, even the moderately low protein diet recommended by the National Kidney Foundation needs to be designed by a kidney disease specialist.
kidneyhospitalabroad@hotmail.com
Tuesday, June 2, 2015
Stages of Chronic Kidney Disease (CKD)
In the first stage, the GFR is equal to or greater than 90 mL/min, which is same as that of a healthy kidney. There are almost no symptoms and hence, diagnosing the condition is difficult. But it is generally recommended for patients suffering from diabetes, to undergo tests, which can give details of the amount of creatinine or urea in the blood. An increased amount of creatinine in the blood or proteins in the urine is a clear indication that a person is suffering from chronic kidney disease. Other methods used to understand the state of a person's kidney are MRI, ultrasound, X-ray and CT scan. If the problem is diagnosed at this stage, the treatment becomes relatively simpler and medication can be used to stop, retard or reverse the CKD.
The symptoms in this stage are not identifiable, just as in the first stage. The GFR lies between 60 and 89mL/min. The diagnosis can again, be done through X-ray, MRI, ultrasound and CT-scan. Kidney dialysis is generally not required if a person is detected with kidney disease at the second stage.
This is the stage where the symptoms start showing. The GFR falls somewhere in between 30 to 59 mL/min. The patient shows symptoms of fatigue and breath shortage. Liquids start accumulating in different parts of the body and this is visible due to the swelling of the hands and legs. Urine color of the person also shows identifiable changes. It changes to dark orange, red or brown. A person, if diagnosed at the third stage, is referred to a nephrologist, who performs various lab tests to understand the root cause of the problem and suggests the type of treatment. A person in this stage, should also consult a dietitian who would recommend a diet that best suits his condition. If a patient is suffering from polycystic kidney disease, he may experience pain at the back of his body, around the area where the kidneys are located.
With the GFR falling further, the patient starts showing additional symptoms. With increase in urea content in the patient's blood, he normally develops a bad breath. Nausea and loss of appetite are the common symptoms of a patient going through the fourth stage of CKD. There are a variety of nerve problems and he loses his capability to concentrate. The GFR in the fourth stage, is between 15 to 29 mL/min. Hemodialysis and peritoneal dialysis are the common treatments at this stage. A kidney transplant is also recommended by many nephrologists, if the GFR is very close to 15 mL/min.
kidneyhospitalabroad@hotmail.com
The symptoms in this stage are not identifiable, just as in the first stage. The GFR lies between 60 and 89mL/min. The diagnosis can again, be done through X-ray, MRI, ultrasound and CT-scan. Kidney dialysis is generally not required if a person is detected with kidney disease at the second stage.
This is the stage where the symptoms start showing. The GFR falls somewhere in between 30 to 59 mL/min. The patient shows symptoms of fatigue and breath shortage. Liquids start accumulating in different parts of the body and this is visible due to the swelling of the hands and legs. Urine color of the person also shows identifiable changes. It changes to dark orange, red or brown. A person, if diagnosed at the third stage, is referred to a nephrologist, who performs various lab tests to understand the root cause of the problem and suggests the type of treatment. A person in this stage, should also consult a dietitian who would recommend a diet that best suits his condition. If a patient is suffering from polycystic kidney disease, he may experience pain at the back of his body, around the area where the kidneys are located.
With the GFR falling further, the patient starts showing additional symptoms. With increase in urea content in the patient's blood, he normally develops a bad breath. Nausea and loss of appetite are the common symptoms of a patient going through the fourth stage of CKD. There are a variety of nerve problems and he loses his capability to concentrate. The GFR in the fourth stage, is between 15 to 29 mL/min. Hemodialysis and peritoneal dialysis are the common treatments at this stage. A kidney transplant is also recommended by many nephrologists, if the GFR is very close to 15 mL/min.
kidneyhospitalabroad@hotmail.com
Friday, May 22, 2015
Your Emotions and Chronic Kidney Disease
CKD can overwhelm a patient. There is new information to become aware of, a new treatment plan to begin. Your energy will be directed to your treatment and physical well-being. This can be exhausting. But you must also take control of your mental state.
You cannot allow feelings like fear or anxiety to bulldoze your mental landscape. Knowledge about chronic kidney disease and dialysis can help you become familiar with your illness and its treatment. You won’t feel as fearful or anxious if you know what to expect. Feeling calm can help you sort out things and you’ll be able to deal with your disease more effectively.
Feelings of denial are a severe problem in the long-term prognosis for your health. Denial leads to what is called “non-compliance”—that is, disregard for your healthcare team’s instructions regarding dialysis treatment, diet and fluid intake. Healthcare workers often see patients who come to dialysis in distress. They have missed several dialysis treatments or have not been following their fluid requirements. They often rely on dialysis to make them feel better. But sometimes dialysis cannot reverse the effects of non-compliance. Hospitalization may be required. Do not let this be you. CKD is a serious illness. Listen carefully to your healthcare team and follow their recommendations. If you do not understand something, ask questions.
Anger can isolate and prevent you from seeking help or solace from people who care about your health. Although expressing your anger can help it diminish, it may lead to more frustration because you do not understand the root of it. You may be lashing out at people who are not the cause of your anger. This can strain relations with those around you. Talking about why you are angry can help you determine its cause.
Depression can affect how you make decisions regarding your treatment. Since a patient on dialysis must be actively involved in their day-to-day treatment regarding fluid intake and diet, you must have a clear mind in order to make the best decisions. Depression can make you put off decisions, or even purposely make unwise ones. If your doctor diagnoses you with major depression, he may prescribe some anti-depressants. But first, he must know what you are feeling. He cannot know unless you tell him.
kidneyhospitalabroad@hotmail.com
You cannot allow feelings like fear or anxiety to bulldoze your mental landscape. Knowledge about chronic kidney disease and dialysis can help you become familiar with your illness and its treatment. You won’t feel as fearful or anxious if you know what to expect. Feeling calm can help you sort out things and you’ll be able to deal with your disease more effectively.
Feelings of denial are a severe problem in the long-term prognosis for your health. Denial leads to what is called “non-compliance”—that is, disregard for your healthcare team’s instructions regarding dialysis treatment, diet and fluid intake. Healthcare workers often see patients who come to dialysis in distress. They have missed several dialysis treatments or have not been following their fluid requirements. They often rely on dialysis to make them feel better. But sometimes dialysis cannot reverse the effects of non-compliance. Hospitalization may be required. Do not let this be you. CKD is a serious illness. Listen carefully to your healthcare team and follow their recommendations. If you do not understand something, ask questions.
Anger can isolate and prevent you from seeking help or solace from people who care about your health. Although expressing your anger can help it diminish, it may lead to more frustration because you do not understand the root of it. You may be lashing out at people who are not the cause of your anger. This can strain relations with those around you. Talking about why you are angry can help you determine its cause.
Depression can affect how you make decisions regarding your treatment. Since a patient on dialysis must be actively involved in their day-to-day treatment regarding fluid intake and diet, you must have a clear mind in order to make the best decisions. Depression can make you put off decisions, or even purposely make unwise ones. If your doctor diagnoses you with major depression, he may prescribe some anti-depressants. But first, he must know what you are feeling. He cannot know unless you tell him.
kidneyhospitalabroad@hotmail.com
Wednesday, May 13, 2015
Plant-Based Phosphorus Best for Kidney Disease (CKD) Patients
There is evidence that treatment can prevent or delay the progression of CKD, reduce or prevent the development of complications, and reduce the risk of cardiovascular disease (CVD). When symptoms are severe they can be treated only by dialysis and transplantation (end-stage kidney disease).
Researchers led by Anuja Shah, MD, of Harbor-UCLA Department of Nephrology, and fellow researchers measured urine phosphorus in 5 different stage 4 or 5 CKD patients who were living in a metabolic balance ward. Their goal was to measure the effects of 5 different dietary sources of phosphorus (plant, inorganic, meat, dairy, mixed) to study their effects on intestinal phosphorus absorption as well as 24-hour urinary phosphorus excretion.
Patients were examined on five separate occasions in two-week intervals each, and diets included 800 mg of calcium as well as 1,000 mg of phosphorus per day.
They found that the plant-based diet demonstrated the lowest urinary phosphorus excretion while the inorganic-based diet had the highest.
“Inorganic phosphorus is the most readily intestinal absorbed source of dietary phosphorus,” the authors noted. “This is the first study to examine the effects of five different food sources of phosphorus on intestinal phosphorus absorption in CKD patients.”kidneyhospitalabroad@hotmail.com
Researchers led by Anuja Shah, MD, of Harbor-UCLA Department of Nephrology, and fellow researchers measured urine phosphorus in 5 different stage 4 or 5 CKD patients who were living in a metabolic balance ward. Their goal was to measure the effects of 5 different dietary sources of phosphorus (plant, inorganic, meat, dairy, mixed) to study their effects on intestinal phosphorus absorption as well as 24-hour urinary phosphorus excretion.
Patients were examined on five separate occasions in two-week intervals each, and diets included 800 mg of calcium as well as 1,000 mg of phosphorus per day.
They found that the plant-based diet demonstrated the lowest urinary phosphorus excretion while the inorganic-based diet had the highest.
“Inorganic phosphorus is the most readily intestinal absorbed source of dietary phosphorus,” the authors noted. “This is the first study to examine the effects of five different food sources of phosphorus on intestinal phosphorus absorption in CKD patients.”kidneyhospitalabroad@hotmail.com
Higher Phosphorus, Cardiovascular Disease (CVD) Not Linked in Kidney Disease (CKD) Patients
People with any stage of CKD have an increased risk of developing heart disease or a stroke. Severity can vary but most cases are mild or moderate, occur in older people, do not cause symptoms and do not progress to kidney failure. Providers must communicate tough messages—from giving a kidney disease diagnosis to discussing renal replacement therapy options—that can be difficult both for the patient to hear and for the provider to deliver.
Using data from the Kaiser Permanente Southern California database, Dean Kujubu, MD, and colleagues at the Department of Nephrology & Hypertension at Kaiser Permanente Los Angeles Medical Center conducted a cross-sectional study of 195,097 patients across various estimated glomerular filtration rate (eGFR ranges (90 or higher, 60-89, 30-59, and less than 30 mL/min/1.73 m2) from January 1999 to December 2009.
The study excluded patients who were on dialysis or who had kidney transplants. The primary outcome was a composite of coronary artery disease (CAD), congestive heart failure (CHF), and cerebrovascular accident (CVA).
Overall, each 0.5 mg/dL increment in serum phosphorus was not associated with the primary outcome, but it was associated with a 58% increased odds of CHF.
Among patients with an eGFR of greater than 89 mL/min/1.73 m2, each 0.5 mg/dL increase in serum phosphorus was associated with 23% increased odds for the composite endpoint.
“In a large, diverse population, we did not observe increased risk of prevalent CAD, CHF, and CVA with higher serum phosphorus levels among individuals with eGFR of less than 89 ml/min,” the authors concluded.
kidneyhospitalabroad@hotmail.com
www.kidneyhospitalabroad.com/ckd/
Using data from the Kaiser Permanente Southern California database, Dean Kujubu, MD, and colleagues at the Department of Nephrology & Hypertension at Kaiser Permanente Los Angeles Medical Center conducted a cross-sectional study of 195,097 patients across various estimated glomerular filtration rate (eGFR ranges (90 or higher, 60-89, 30-59, and less than 30 mL/min/1.73 m2) from January 1999 to December 2009.
The study excluded patients who were on dialysis or who had kidney transplants. The primary outcome was a composite of coronary artery disease (CAD), congestive heart failure (CHF), and cerebrovascular accident (CVA).
Overall, each 0.5 mg/dL increment in serum phosphorus was not associated with the primary outcome, but it was associated with a 58% increased odds of CHF.
Among patients with an eGFR of greater than 89 mL/min/1.73 m2, each 0.5 mg/dL increase in serum phosphorus was associated with 23% increased odds for the composite endpoint.
“In a large, diverse population, we did not observe increased risk of prevalent CAD, CHF, and CVA with higher serum phosphorus levels among individuals with eGFR of less than 89 ml/min,” the authors concluded.
kidneyhospitalabroad@hotmail.com
www.kidneyhospitalabroad.com/ckd/
Phosphorus Pyramid for CKD Provides Diet Advice
It's a Cyclical Ketogenic Diet, or CKD for short. CKD basically means that you cycle periods of low carb, high protein, and high fat with periods of high carb, high protein, and low fat. If your potassium becomes too high, it can cause an irregular heartbeat or a heart attack. The majority of time you will be consuming a low carb diet, with a period set aside each week for carbing-up. This isn't for the fun of it; there are real scientific reasons for this, reasons with exciting implications for the bodybuilder.
“The phosphorus pyramid herein proposed is an original, visual, user-friendly tool for nutritional education. It can support patients and caregivers in making the right food choices by encouraging adherence to dietary prescriptions, which is a crucial component for CKD-MBD,” Adamasco Cupisti, MD, of the University of Pisa in Italy, and colleagues wrote in BMC Nephrology (2015;16:9).
Phosphorus is a concern at all stages of CKD, the researchers noted. The pyramid can help both CKD and dialysis patients understand what to eat and what to avoid, with appropriate tailoring. Here are some basic nutrition strategies:
In non-dialysis patients, consider restricting protein intake. (Those on dialysis require extra protein.) In a mixed diet, each gram of protein is usually accompanied by 12–14 mg of phosphorus.
Shift from phosphorus-rich foods to low phosphorus foods. Take into consideration bioavailability. Plant foods contain phosphorus but less than half of the mineral content is absorbed by the body. The phosphoric acid in soft drinks, by comparison, is almost completely absorbed.
Boil foods to reduce their mineral content, including phosphorus (then discard the water). According to one study, boiling reduces phosphorus by 51% for vegetables, 48% for legumes, and 38% for meats.
Try to identify and avoid phosphate additives. Processed foods contain considerable amounts of added phosphorus, including from preservatives.
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.
kidneyhospitalabroad@hotmail.com
www.kidneyhospitalabroad.com/kidney-disease/
“The phosphorus pyramid herein proposed is an original, visual, user-friendly tool for nutritional education. It can support patients and caregivers in making the right food choices by encouraging adherence to dietary prescriptions, which is a crucial component for CKD-MBD,” Adamasco Cupisti, MD, of the University of Pisa in Italy, and colleagues wrote in BMC Nephrology (2015;16:9).
Phosphorus is a concern at all stages of CKD, the researchers noted. The pyramid can help both CKD and dialysis patients understand what to eat and what to avoid, with appropriate tailoring. Here are some basic nutrition strategies:
In non-dialysis patients, consider restricting protein intake. (Those on dialysis require extra protein.) In a mixed diet, each gram of protein is usually accompanied by 12–14 mg of phosphorus.
Shift from phosphorus-rich foods to low phosphorus foods. Take into consideration bioavailability. Plant foods contain phosphorus but less than half of the mineral content is absorbed by the body. The phosphoric acid in soft drinks, by comparison, is almost completely absorbed.
Boil foods to reduce their mineral content, including phosphorus (then discard the water). According to one study, boiling reduces phosphorus by 51% for vegetables, 48% for legumes, and 38% for meats.
Try to identify and avoid phosphate additives. Processed foods contain considerable amounts of added phosphorus, including from preservatives.
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.
kidneyhospitalabroad@hotmail.com
www.kidneyhospitalabroad.com/kidney-disease/
Saturday, May 9, 2015
Phosphate Binders Cut Mortality, Up ESRD Risk
The ESRD composite rate payment system differs from most other prospective payment systems because there is a single product category to define the service Medicare is buying. Although different equipment, supplies, and labor are needed for hemodialysis and peritoneal dialysis, the current system does not differentiate payment based on dialysis method, location (home or incenter) or equipment used.
Phosphate binder use was associated with lower mortality risk but a higher risk of end-stage renal disease (ESRD) among patients with chronic kidney disease (CKD) and high phosphorus levels, according to study findings presented at the National Kidney Foundation's 2015 Spring Clinical Meetings in Dallas.
In a retrospective longitudinal cohort study, Ardeshir Khosraviani, MD, and colleagues at Kaiser Permanente Southern California compared phosphate binder use and non-use among 3,026 non-dialysis CKD patients with hyperphosphatemia (phosphorus levels 5.5 mg/dL or higher). Compared with patients who did not use phosphate binders, those who did had a 15% decreased mortality risk and a nearly 3-fold increased risk of ESRD, the investigators reported.
“These findings underscore the need to better understand whether earlier phosphorus management may impact morbidity and mortality in advanced CKD,” the authors concluded in a poster presentation. Of the 3,026 subjects, 596 used binders and 2,430 did not. Study subjects had a mean age was 65.5 years; 49% were female, 49% were white, 24% were Hispanic, 17.3% were black, and 8.5% were Asian. The binder group had higher rates of diabetes, hypertension, and coronary artery disease.
“Our study raises the question of whether earlier management and control of hyperphosphatemia in the CKD population with binder therapy may improve patient survival in terms of mortality prior to and after [transition to ESRD],” Dr. Khosraviani told Renal & Urology News.
He said he and his colleagues believe their study adds to the literature on the topic because it looked at a real-world practice environment using a large and heterogeneous CKD population, and the results provide insights into CKD mineral-bone management strategies as patients transition to ESRD.
kidneyhospitalabroad@hotmail.com
Phosphate binder use was associated with lower mortality risk but a higher risk of end-stage renal disease (ESRD) among patients with chronic kidney disease (CKD) and high phosphorus levels, according to study findings presented at the National Kidney Foundation's 2015 Spring Clinical Meetings in Dallas.
In a retrospective longitudinal cohort study, Ardeshir Khosraviani, MD, and colleagues at Kaiser Permanente Southern California compared phosphate binder use and non-use among 3,026 non-dialysis CKD patients with hyperphosphatemia (phosphorus levels 5.5 mg/dL or higher). Compared with patients who did not use phosphate binders, those who did had a 15% decreased mortality risk and a nearly 3-fold increased risk of ESRD, the investigators reported.
“These findings underscore the need to better understand whether earlier phosphorus management may impact morbidity and mortality in advanced CKD,” the authors concluded in a poster presentation. Of the 3,026 subjects, 596 used binders and 2,430 did not. Study subjects had a mean age was 65.5 years; 49% were female, 49% were white, 24% were Hispanic, 17.3% were black, and 8.5% were Asian. The binder group had higher rates of diabetes, hypertension, and coronary artery disease.
“Our study raises the question of whether earlier management and control of hyperphosphatemia in the CKD population with binder therapy may improve patient survival in terms of mortality prior to and after [transition to ESRD],” Dr. Khosraviani told Renal & Urology News.
He said he and his colleagues believe their study adds to the literature on the topic because it looked at a real-world practice environment using a large and heterogeneous CKD population, and the results provide insights into CKD mineral-bone management strategies as patients transition to ESRD.
kidneyhospitalabroad@hotmail.com
Friday, May 8, 2015
Contrast Nephropathy Associated with Long-Term Mortality in CKD
A healthcare provider may use several tests to diagnose chronic kidney disease (CKD) and determine if there is a treatable underlying cause. If one has any of the following conditions, they are at higher-than-normal risk of developing chronic kidney disease. One's kidney function may need to be monitored regularly.
Contrast-induced nephropathy (CIN) is associated with long-term mortality in patients with, but not those without, chronic kidney disease (CKD), according to a study published in The American Journal of Cardiology (2014;114:362-368).
Mitsuru Abe, MD, from the National Hospital Organization Kyoto Medical Center in Japan, and colleagues examined the effect of CIN on long-term mortality after percutaneous coronary intervention in patients with or without CKD. Data were included for 4,371 patients who had paired serum creatinine measurements before and after percutaneous coronary intervention.
The researchers found that the incidence of CIN was 5% in the study cohort overall, and 11% in patients with CKD and 2% in those without CKD. A total of 8.6% of patients died during a median follow-up of 42.3 months after discharge. After adjusting for confounders, CIN was associated with a significant 2.3 times increased risk of long-term mortality in the entire cohort. In addition, CIN was associated with a significant 2.6 times increased risk of long-term mortality in patients with CKD but a non-significant 23% increased risk patients without CKD.
kidneyhospitalabroad@hotmail.com
Contrast-induced nephropathy (CIN) is associated with long-term mortality in patients with, but not those without, chronic kidney disease (CKD), according to a study published in The American Journal of Cardiology (2014;114:362-368).
Mitsuru Abe, MD, from the National Hospital Organization Kyoto Medical Center in Japan, and colleagues examined the effect of CIN on long-term mortality after percutaneous coronary intervention in patients with or without CKD. Data were included for 4,371 patients who had paired serum creatinine measurements before and after percutaneous coronary intervention.
The researchers found that the incidence of CIN was 5% in the study cohort overall, and 11% in patients with CKD and 2% in those without CKD. A total of 8.6% of patients died during a median follow-up of 42.3 months after discharge. After adjusting for confounders, CIN was associated with a significant 2.3 times increased risk of long-term mortality in the entire cohort. In addition, CIN was associated with a significant 2.6 times increased risk of long-term mortality in patients with CKD but a non-significant 23% increased risk patients without CKD.
kidneyhospitalabroad@hotmail.com
Earlier Use of ESAs Benefits Non-Dialysis Kidney Disease (CKD) Patients
Each kidney weighs about 5 ounces and contains approximately one million filtering units called nephrons. Chronic kidney disease (CKD) means that your kidneys are not working as well as they once did. Most people with chronic kidney disease (CKD) do not have symptoms until the kidney function is severely impaired. As waste and fluids accumulate, other body systems are affected, potentially leading to complications.
PHILADELPHIA—Starting erythropoiesis-stimulating agents (ESAs) when hemoglobin levels fall below 11 rather than 9 or 10 g/dL decreases the risk of renal events in patients with chronic kidney disease (CKD) not on dialysis, according to the findings of a Japanese study presented at the 2014 Kidney Week meeting.
Tadao Akizawa, MD, of Showa University School of Medicine, and colleagues, prospectively studied 1,113 non-dialysis CKD patients not previously treated with ESAs. Researchers placed patients into 3 groups based on hemoglobin (Hb) level: at least 10 but less than 11 g/dL (group 1); at least 9 but less than 10 g/dL (group 2); and less than 9 g/dL (group 3).
The primary study endpoint was the time to the first occurrence of any renal event (initiation of renal replacement therapy, doubling of serum creatinine, or an estimated glomerular filtration rate below 6 mL/min/1.73 m2. ESA treatment consisted of epoetin beta. The follow-up period was 24 months.
Patients in group 3 had a significant 2.5 times increased risk of renal events compared with those in group 1. The risk of renal events did not differ significantly between patients in groups 1 and 2.
PHILADELPHIA—Starting erythropoiesis-stimulating agents (ESAs) when hemoglobin levels fall below 11 rather than 9 or 10 g/dL decreases the risk of renal events in patients with chronic kidney disease (CKD) not on dialysis, according to the findings of a Japanese study presented at the 2014 Kidney Week meeting.
Tadao Akizawa, MD, of Showa University School of Medicine, and colleagues, prospectively studied 1,113 non-dialysis CKD patients not previously treated with ESAs. Researchers placed patients into 3 groups based on hemoglobin (Hb) level: at least 10 but less than 11 g/dL (group 1); at least 9 but less than 10 g/dL (group 2); and less than 9 g/dL (group 3).
The primary study endpoint was the time to the first occurrence of any renal event (initiation of renal replacement therapy, doubling of serum creatinine, or an estimated glomerular filtration rate below 6 mL/min/1.73 m2. ESA treatment consisted of epoetin beta. The follow-up period was 24 months.
Patients in group 3 had a significant 2.5 times increased risk of renal events compared with those in group 1. The risk of renal events did not differ significantly between patients in groups 1 and 2.
Thursday, May 7, 2015
Sugar Cane Laborers Dying of Chronic Kidney Disease
In chronic kidney disease (CKD), the kidneys don’t usually fail all at once. Instead, kidney disease often progresses slowly over a period of years. The stages of CKD (Chronic Kidney Disease) are mainly based on measured or estimated GFR (Glomerular Filtration Rate). CKD does not usually cause symptoms until it reaches an advanced stage.
Thousands of sugar cane harvesters in Nicaragua and El Salvador are dying of chronic kidney disease (CKD), reports the Latin Post, and their disease possibly could have been prevented or treated.
Researchers say that a majority of sugar cane workers in Chichigalpa, Nicaragua, for example, have no major CKD risk factors, such as diabetes or hypertension. Yet, 68% percent of the men have CKD and the average worker is dying at age 48. It's a deplorable situation.
Field owners often blame alcoholism. The opposing side cite poor working conditions, including long hours in the field and dehydration. While labor rights legislation to protect workers exists, the mandates are frequently ignored. So far, pesticides haven't been linked to the problem.
Filmmaker Ed Kashi created the documentary “Under Cane” for La Isla Foundation to shed light on this shocking health crisis in the hopes of stirring greater action. The few groups already working to improve the situation have been facing an uphill battle.
Thousands of sugar cane harvesters in Nicaragua and El Salvador are dying of chronic kidney disease (CKD), reports the Latin Post, and their disease possibly could have been prevented or treated.
Researchers say that a majority of sugar cane workers in Chichigalpa, Nicaragua, for example, have no major CKD risk factors, such as diabetes or hypertension. Yet, 68% percent of the men have CKD and the average worker is dying at age 48. It's a deplorable situation.
Field owners often blame alcoholism. The opposing side cite poor working conditions, including long hours in the field and dehydration. While labor rights legislation to protect workers exists, the mandates are frequently ignored. So far, pesticides haven't been linked to the problem.
Filmmaker Ed Kashi created the documentary “Under Cane” for La Isla Foundation to shed light on this shocking health crisis in the hopes of stirring greater action. The few groups already working to improve the situation have been facing an uphill battle.
Acidic, Meat-Based Diet Boosts Kidney Failure
Renal failure is mainly determined by a decrease in glomerular filtration rate, the rate at which blood is filtered in the glomeruli of the kidney. Kidney failure can happen very suddenly (called acute renal failure) or slowly over time. In most cases, kidney failure is permanent. Symptoms of kidney failure are due to the build-up of waste products in the body that may cause weakness, shortness of breath, lethargy, and confusion. Inability to remove potassium from the bloodstream may lead to abnormal heart rhythms and sudden death. Initially kidney failure may cause no symptoms.
(HealthDay News) -- Patients struggling with chronic kidney disease who routinely consume meat-rich, highly-acidic diets may boost their risk for kidney failure, according to research published online Feb. 12 in the Journal of the American Society of Nephrology.
Tanushree Banerjee, Ph.D., of the San Francisco General Hospital, and colleagues conducted a nutritional analysis of 1,486 kidney disease patients over a roughly 14-year period. All were participants enrolled in a large U.S. government health study. The researchers tracked each patient's intake of high-acid foods such as meat, as opposed to their intake of low-acid foods such as fruits and vegetables.
The researchers found that those who consumed high-acid diets appeared to face triple the risk of kidney failure compared with those who consumed low-acid diets.
"Patients with chronic kidney disease may want to pay more attention to diet consumption of acid-rich foods to reduce progression to kidney failure, in addition to employing recommended guidelines such as taking kidney-sparing medication and avoiding kidney toxins," Banerjee said in an American Society of Nephrology news release. "The high costs and suboptimal quality of life that dialysis treatments bring may be avoided by adopting a more healthy diet that is rich in fruits and vegetables."
(HealthDay News) -- Patients struggling with chronic kidney disease who routinely consume meat-rich, highly-acidic diets may boost their risk for kidney failure, according to research published online Feb. 12 in the Journal of the American Society of Nephrology.
Tanushree Banerjee, Ph.D., of the San Francisco General Hospital, and colleagues conducted a nutritional analysis of 1,486 kidney disease patients over a roughly 14-year period. All were participants enrolled in a large U.S. government health study. The researchers tracked each patient's intake of high-acid foods such as meat, as opposed to their intake of low-acid foods such as fruits and vegetables.
The researchers found that those who consumed high-acid diets appeared to face triple the risk of kidney failure compared with those who consumed low-acid diets.
"Patients with chronic kidney disease may want to pay more attention to diet consumption of acid-rich foods to reduce progression to kidney failure, in addition to employing recommended guidelines such as taking kidney-sparing medication and avoiding kidney toxins," Banerjee said in an American Society of Nephrology news release. "The high costs and suboptimal quality of life that dialysis treatments bring may be avoided by adopting a more healthy diet that is rich in fruits and vegetables."
Sunday, May 3, 2015
The Relationship for Anemia and Chronic Kidney Disease
Anemia is the common symptom of Chronic Kidney Disease, the injured renal
cells fail to producing enough EPO to support the formation of red blood cells,
leading to anemia. Many patients with Chronic Kidney Disease learn of anemia,
because they are weak, tired and lack of concentration and even have trouble in
sleeping, lowering the life quality of patients a lot. Then what patients can do
to treat the anemia in Chronic Kidney Disease.
As the kidney becomes progressively diseased, mechanisms that form scar tissue take over, and with the process of scarring, cells responsible for manufacturing erythropoietin(EPO) die. When EPO is produced by the kidney, it travels to the bone marrow and turns on the mechanisms that help red blood cells mature. Without EPO, the production of red cells is diminished.
Anemia starts in the third stage of Chronic Kidney Disease when the glomerular filtration rate (GFR) is less than 60 cc/min, long before dialysis is necessary. Unfortunately, many patients do dialysis with anemia, even though it can be easily treated. As kidney disease progresses, anemia worsens.
Other factors can also cause the anemia, such as low iron stores, chronic inflammatory conditions, or even subclinical blood losses from gastrointestinal sources (ulcers, tumors and gastritis), menstruation or dysfunctional uterine bleeding. But in most cases, the cause of anemia in kidney disease is the result of decreased production of EPO, that is to say, the damage of kidney inherent tissues and cells.
Now if you want to know more information about the cause and management for anemia in 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.
As the kidney becomes progressively diseased, mechanisms that form scar tissue take over, and with the process of scarring, cells responsible for manufacturing erythropoietin(EPO) die. When EPO is produced by the kidney, it travels to the bone marrow and turns on the mechanisms that help red blood cells mature. Without EPO, the production of red cells is diminished.
Anemia starts in the third stage of Chronic Kidney Disease when the glomerular filtration rate (GFR) is less than 60 cc/min, long before dialysis is necessary. Unfortunately, many patients do dialysis with anemia, even though it can be easily treated. As kidney disease progresses, anemia worsens.
Other factors can also cause the anemia, such as low iron stores, chronic inflammatory conditions, or even subclinical blood losses from gastrointestinal sources (ulcers, tumors and gastritis), menstruation or dysfunctional uterine bleeding. But in most cases, the cause of anemia in kidney disease is the result of decreased production of EPO, that is to say, the damage of kidney inherent tissues and cells.
Now if you want to know more information about the cause and management for anemia in 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.
Saturday, May 2, 2015
Nutrition and Chronic Kidney Disease (Not on Dialysis)
Your food choices can be one of the most effective ways to manage your kidney disease. You can prevent or delay health problems from chronic kidney disease (CKD) by eating the right foods and avoiding foods high in phosphorus, potassium, and sodium. Eating too much protein can also burden the kidneys and speed the progression of CKD. Protein foods like meat and dairy products break down into nitrogen and creatinine, waste products that healthy kidneys remove from the blood. But diseased kidneys can’t stop waste products from building up in the blood and causing health problems. By determining your stage of kidney disease you can learn what diet is best for you and what foods to select.
Fluids – In the early stages of chronic kidney disease, you may not need to limit your fluid intake. However, as the disease progresses you will need to limit your fluid intake. You doctor will advise you to stick to a specific recommended fluid intake.
Carbohydrates –People who are overweight or have diabetes will need to limit the amount of carbohydrates in their food. Your doctor or dietician will advise you on the proportion of carbohydrates in your diet plan. Foods rich in carbohydrates include fruits, breads, grains and vegetables. Apart from energy, these foods will also provide you with fiber, minerals and vitamins.
Fats – Fats are a good source of calories. Use only monounsaturated and polyunsaturated fats such as olive oil or safflower oil as these oils are good for the heart.
Proteins – Too much protein in the diet can burden the kidneys and further damage them. This can speed up the progression of the disease. Proteins in foods like meat and dairy products are broken down into waste products such as nitrogen and creatinine. Your kidneys are cannot process these wastes efficiently and this leads to a buildup of these wastes in the blood and causes health problems. Foods rich in proteins include meat, fish, poultry, dairy products, eggs, lentils and pulses.
Minerals & electrolytes– The levels of calcium, phosphorus, sodium, and potassium in your diet also need to be monitored carefully. Phosphorus levels in the blood can increase even in the early stages causing calcium levels to drop, thereby affecting your bones. Dairy products should be limited because of their high phosphorus levels. Reducing your salt intake helps to control high blood pressure, reduces thirst, and helps your body to get rid of excess fluid. Look for phrases such as ‘low-sodium’, ‘sodium-free’, ‘unsalted’, and ‘no salt added’ on food labels. Kidney damage can lead to an increase in potassium levels which can affect the functioning of your heart. While fruits and veggies are healthy food choices, you will need to avoid those that are high in potassium. Instead, focus on low potassium fruits and veggies which are excellent foods for chronic kidney disease. Fruits with low levels of potassium include peaches, grapes, pears, cherries, apples, berries, plums, pineapples and watermelon. Vegetables with low potassium content include broccoli, cabbage, cauliflower, celery, cucumber, carrots, eggplant, lettuce, onions, and peppers. email kidneyhospitalabroad@hotmail.com
Fluids – In the early stages of chronic kidney disease, you may not need to limit your fluid intake. However, as the disease progresses you will need to limit your fluid intake. You doctor will advise you to stick to a specific recommended fluid intake.
Carbohydrates –People who are overweight or have diabetes will need to limit the amount of carbohydrates in their food. Your doctor or dietician will advise you on the proportion of carbohydrates in your diet plan. Foods rich in carbohydrates include fruits, breads, grains and vegetables. Apart from energy, these foods will also provide you with fiber, minerals and vitamins.
Fats – Fats are a good source of calories. Use only monounsaturated and polyunsaturated fats such as olive oil or safflower oil as these oils are good for the heart.
Proteins – Too much protein in the diet can burden the kidneys and further damage them. This can speed up the progression of the disease. Proteins in foods like meat and dairy products are broken down into waste products such as nitrogen and creatinine. Your kidneys are cannot process these wastes efficiently and this leads to a buildup of these wastes in the blood and causes health problems. Foods rich in proteins include meat, fish, poultry, dairy products, eggs, lentils and pulses.
Minerals & electrolytes– The levels of calcium, phosphorus, sodium, and potassium in your diet also need to be monitored carefully. Phosphorus levels in the blood can increase even in the early stages causing calcium levels to drop, thereby affecting your bones. Dairy products should be limited because of their high phosphorus levels. Reducing your salt intake helps to control high blood pressure, reduces thirst, and helps your body to get rid of excess fluid. Look for phrases such as ‘low-sodium’, ‘sodium-free’, ‘unsalted’, and ‘no salt added’ on food labels. Kidney damage can lead to an increase in potassium levels which can affect the functioning of your heart. While fruits and veggies are healthy food choices, you will need to avoid those that are high in potassium. Instead, focus on low potassium fruits and veggies which are excellent foods for chronic kidney disease. Fruits with low levels of potassium include peaches, grapes, pears, cherries, apples, berries, plums, pineapples and watermelon. Vegetables with low potassium content include broccoli, cabbage, cauliflower, celery, cucumber, carrots, eggplant, lettuce, onions, and peppers. email kidneyhospitalabroad@hotmail.com
Healthy Eating for People with Chronic Kidney Disease
We’ll start by reviewing the basics of a healthy meal plan. Then, we’ll take a look at the kidney-friendly meal plan and some helpful kidney-friendly resources.
Protein
Protein is one of the building blocks of your body. Your body needs protein to grow, heal and stay healthy. Having too little protein can cause your skin, hair and nails to be weak. But having too much protein can also be a problem. To stay healthy and help you feel your best, you may need to adjust how much protein you eat.
The amount of protein you should have depends on your body size, activity level and health concerns. Some doctors recommend that people with kidney disease limit protein or change their source of protein. This is because a diet very high in protein can make the kidneys work harder and may cause more damage. Ask your doctor or dietitian how much protein you should have and what the best sources of protein are for you.
Calories
Your body gets energy from the calories you eat and drink. Calories come from the protein, carbohydrates and fat in your diet. How many calories you need depends on your age, sex, body size and activity level.
You may also need to adjust how many calories you eat based on your weight goals. Some people will need to limit the calories they eat. Others may need to have more calories. Your doctor or dietitian can help you figure out how many calories you should have each day. Work with your dietitian to make a meal plan that helps you get the right amount of calories, and keep in close contact for suport and follow-up.
Carbohydrates
Carbohydrates (“carbs”) are the easiest kind of energy for your body to use. Healthy sources of carbohydrates include fruits and vegetables. Unhealthy sources of carbohydrates include sugar, honey, hard candies, soft drinks and other sugary drinks.
Some carbohydrates are high in potassium and phosphorus, which you may need to limit depending on your stage of kidney disease. We'll talk about this in more detail a little later. You may also need to watch your carbohydrates carefully if you have diabetes. Your dietitian can help you learn more about the carbohydrates in your meal plan and how they affect your blood sugar.
Healthy Eating for People with Chronic Kidney Disease. If you want know about more information. You can contact our online doctor and you can send email to kidneyhospitalabroad@hotmail.com. Best wish for you!
Thursday, April 30, 2015
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.
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.
Wednesday, April 29, 2015
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.
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.
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