Tag Archives: Chronic Kidney Failure

chronic kidney failure

Is Chronic Kidney Failure Curable?

Chronic kidney failure is a problem that can be treated. The approach is adapted to the needs of each person, and can bring good results in the remission of symptoms and in preventing the progression of the disease. However, the loss of kidney function cannot be reversed, explains the best nephrologist in Delhi.

Chronic kidney failure, which can also be called chronic kidney disease, is characterized by the loss of kidney function for a period longer than 3 months. This is a worrying picture because it has a slow evolution and usually does not show symptoms.

Because of this characteristic, chronic renal failure is often diagnosed late. In these cases, the loss of renal function is already very significant, which makes treatment difficult and may require dialysis sessions.

But the main question is whether chronic kidney failure can be cured. In this article the nephrologist in Delhi answers that question. Keep reading.

What Causes Chronic Kidney Failure?

Chronic kidney disease is a condition in which the kidneys lose their ability to filter blood properly. One of the tasks of these organs is to separate metabolic waste and excess water from the body, so that they are eliminated through urine.

When the kidney suffers aggressions or injuries, it begins to lose this capacity, performing its task in an increasingly deficient way. Thus, waste accumulates in the body bringing complications to other organs.

Several factors can trigger kidney failure; however, diabetes and hypertension are the two main causes of chronic kidney disease. However, there are other risk factors besides high blood sugar and high blood pressure. Are they:

  • advancing age;
  • obesity;
  • history of circulatory problems;
  • smoking;
  • cases of kidney disease in the family;
  • some medicines.

As said, this is a problem that evolves slowly, so the person can live a long time with compromised kidney function, without showing symptoms. When they happen, it is because there is already a serious impairment of the kidneys, says the best kidney specialist in Delhi.

Can Chronic Kidney Disease be Cured?

Chronic kidney failure is a different picture from acute failure. In the second case, the kidneys momentarily reduce or lose their functions because of some aggression, illness or any other, but they recover and go back to work as before.

In the chronic problem, these organs gradually stop working and it is not possible to restore kidney function. The tendency is for the problem to get worse and worse, until failure occurs, and the kidneys stop working altogether, explains the kidney specialist in Delhi.

However, there is an option for the person to have a functioning kidney again. His organs cannot be salvaged, but there is a possibility that he will be donated a healthy kidney through a kidney transplant in Delhi.

How is this Problem Treated?

It is true that chronic kidney failure cannot be cured, but there are treatments to minimize symptoms and prevent kidney loss from progressing. We are able to delay the worsening of the problem or, in some cases, stop the disease so that the person maintains the percentage of kidney function they have now.

Before, it is necessary to know the state the kidneys are in to define what will be the best approach for each patient. Blood and urine tests are mainly requested to measure and analyze kidney functions. The nephrologist in Delhi is the doctor who performs this detailed and thorough assessment of kidney function.

Afterwards, a series of measures can be adopted, such as controlling blood pressure and blood glucose. It is also necessary to give up tobacco so as not to harm the kidneys or favor complications of kidney disease.

It is also recommended to reduce the body’s cholesterol levels. Medications are used that reduce the loss of protein in the urine and help with symptoms such as bloating.

Chronic kidney failure brings complications such as bone and mineral disorders. Therefore, the person may need treatment for these problems, through the balance of nutrients such as vitamin D, calcium, and phosphorus. Still other approaches can be adopted, which, as said, depend on the need and clinical conditions of each patient.

One more recommendation for the treatment of chronic kidney disease is the adoption of a proper diet. Likewise, with an individual assessment and the follow-up of the nutritionist to provide the nutrients that the body needs, without excesses that can further harm kidney function.

Patients with more advanced loss of kidney function may need to undergo dialysis in Delhi (peritoneal dialysis or hemodialysis), in order to supply kidney functions when organs can no longer filter blood and eliminate fluids properly.

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Chronic Kidney Failure

Chronic Kidney Failure – Causes, Symptoms and Treatment

The chronic kidney failure is progressive loss of the ability of the kidney to properly perform one or more of the functions assigned, explains the Nephrologist in Delhi. These preferably consist of:

Purify waste substances produced in our body.

  • Maintain an adequate balance of the amount of water and electrolytes.
  • Manufacture and activate certain hormones necessary for the normal functioning of our body.

According to the Nephrologist in Delhi, Chronic kidney failure is a progressive process that evolves over many years and is irreversible, although strategies can be used to delay the progressive deterioration of the kidney.

Causes of chronic kidney failure

Many diseases can chronically damage the kidney. The most important ones are:

  • Metabolic diseases. By far the majority of cases of chronic kidney failure in Western societies are due to diabetes and high blood pressure.
  • Glomerulonephritis, that is, inflammation of the kidney glomeruli, the place where the blood is filtered. Glomerulonephritis can be of unknown cause or associated with other diseases, usually vasculitis or autoimmune diseases.
  • Genetic (birth) diseases such as polycystic kidney disease.
  • Medications and toxins.
  • Infectious diseases such as recurrent pyelonephritis.
  • Renal lithiasis due to the presence of large stones.
  • Or after causes.

What symptoms does chronic kidney failure produce?

Most people with chronic kidney failure have no symptoms. The appearance of symptoms depends on the severity of the kidney deterioration.

In the early stages, when there are no symptoms, kidney failure is discovered by taking a blood test for any reason and discovering an increase in creatinine.

As kidney deterioration progresses, vague and nonspecific symptoms may appear such as loss of appetite, weight loss, fatigue, nausea, vomiting, headache, mental dullness, cramps, itchy skin, loss of sexual interest, easy bleeding, irritability, tendency to sleep, lack of concentration, etc, states the Best Nephrologist in Delhi.

When renal failure is advanced, in addition to the previous symptoms, a series of important alterations occur that require adequate treatment:

  • Arterial hypertension. Both high blood pressure can lead to the appearance of chronic kidney failure, and chronic kidney failure can favor the development of high blood pressure and its possible complications.
  • Increased potassium (hyperkalemia). Potassium is eliminated by the kidney. If it doesn’t work well, it can build up in the blood and be life-threatening due to the possibility of serious heart arrhythmias.
  • Increased phosphorus. It is associated with the appearance of calcifications in various areas of the body and facilitates itching.
  • Anemia. The kidney manufactures erythropoietin, a substance necessary for the manufacture of red blood cells. In kidney failure, not enough erythropoietin is produced and, as a consequence, anemia occurs.
  • Bone problems (renal osteodystrophy). The kidney is the organ where vitamin D is activated, a hormone necessary for calcium to be deposited in the bones. If the kidney does not work well, there is not enough active vitamin D and the bones become decalcified.
  • Cardiovascular disease Patients with kidney failure frequently develop cardiovascular complications (myocardial infarction, angina pectoris, stroke, transient ischemic attack, peripheral arterial disease, etc.). In fact, cardiovascular complications are the leading cause of death in these patients.
  • Other alterations. In addition to those previously discussed, patients with chronic kidney failure can present various complications of the brain, heart, and joints, etc.

How is the disease diagnosed?

The diagnosis of suspected chronic kidney failure occurs when observing an elevation of creatinine and urea in the blood. These alterations must be confirmed with successive analyzes. Glomerular filtration, that is, the kidney’s ability to filter waste from the body, must then be calculated.

Glomerular filtration is the best marker of the severity of kidney failure. The lower said filtering, the worse the situation of the kidneys, says the Kidney Specialist in Delhi.

The diagnosis of the cause of chronic kidney failure is sometimes very obvious, for example in patients with diabetes, but at other times it requires additional studies such as new blood or urine tests, ultrasound, CT or MRI of the kidneys and sometimes a kidney biopsy.

Chronic Kidney Failure Treatments

According to the Best Kidney Specialist in Delhi, Patients with chronic kidney failure should maintain a special diet (diet in patients with chronic kidney failure). In the initial stages, when the kidney still maintains a certain degree of function, treatment consists of preventing renal deterioration from continuing or making it slower, and treating all the symptoms and complications that appear:

  • Arterial hypertension. Medicines should be used to adequately control blood pressure. In general, combinations of several of them are usually necessary, being appropriate to use, if there are no contraindications, medicines that block the renin angiotensin system. It is convenient to maintain a blood pressure close to 130 mmHg high (systolic) and 80 mmHg low (diastolic).
  • Increased potassium. In patients with high potassium in the blood, a diet low in potassium (potassium content of food) should be recommended and, if it persists high, treat with medicines that prevent its absorption from the intestine, such as resincolestyramine.
  • Increased phosphorus. A diet low in phosphorus should be followed and, if necessary, medicines that reduce its absorption in the intestine can be used.
  • Anemia. Depending on the intensity of the anemia, treatment with iron and erythropoietin injected under the skin is recommended.
  • Bone problems (renal osteodystrophy). Treatment with calcium and active forms of vitamin D.

In advanced situations, when symptomatic treatment does not help to control one or more of these alterations, and in general when glomerular filtration rate drops below 15 ml / min / 1.73 m2, there is an indication for Dialysis in Delhi (hemodialysis or dialysis peritoneal) or to perform a kidney transplant in Delhi.

In addition to these treatments, it is important that patients adequately control the disease that has led to the development of kidney failure, such as diabetes, high blood pressure, kidney infections, etc.

Patients with kidney failure are at high risk of cardiovascular complications. For this reason, it is essential that they do not smoke, that they maintain a diet low in fat and cholesterol and that they receive medicines to lower cholesterol, recommends the Top Nephrologist in Delhi.

Chronic kidney failure patients are at increased risk for infections, so they should get vaccinated against influenza and pneumococcus every year, says the nephrologist in Delhi.