Hello, I am Dr. Fernando Lopez, one of the nephrologists at Northern Florida Kidney Care.. Today I am going to provide a high level overview of each stage of Chronic Kidney Disease, the care required at each stage, and the role of a nephrologist.. Before we jump in to the details of each stage, let’s first define Chronic Kidney Disease, or CKD. Chronic Kidney Disease is defined as the gradual decline in kidney function over time. Some of the most common pre-existing conditions that can lead to kidney damage include: diabetes, hypertension or other diseases that may impact the internal structure of the kidney, which can decrease its functioning.. CKD is divided into stages, 1 through 5, with stage 1 being the mildest and Stage 5 being the most severe. Stage 1 CKD is defined as no decline in kidney function, but your kidney is leaking protein or blood. At this point, your kidney function should be monitored periodically, in partnership with your kidney doctor or primary care provider. Your physician may start you on a treatment to manage protein spillage.. As the kidneys begin to show early signs that they may not be functioning properly, you may have progressed to CKD Stage 2. At CKD stage 2, your kidneys are functioning between 60-90% of normal. Additional testing may be required to determine the damage to your kidneys, which can include imaging such as an MRI, CT scan, or x-ray. Your overall kidney health should be monitored periodically with your nephrologist on a regular basis. At this point it is possible that prescriptions of medications are recommended in an attempt to improve your overall kidney health, but typically, no further intervention is needed.. CKD Stage 3 is classified as moderately reduced kidney function, where overall kidney function falls to 30-60%. Generally there are no symptoms. A few patients complain of general fatigue or tiredness and swelling in their legs. Your nephrologist will work closely with you to monitor these symptoms and adjust your medications appropriately to help stabilize your kidney function.. Once you reach CKD stage 4, your kidney function has been significantly reduced and is now only operating at 15-30%. You will begin to experience increasing symptoms. Such symptoms include fatigue, insomnia, loss of appetite and increasingly abnormal lab results. The functioning of your kidneys will continue to worsen without proper care and attention. Your nephrologist will continue to adjust your medications and dosages, which may include prescribing additional medications. This is the best time to start discussing options such as renal replacement therapies (dialysis) or transplantation.. CKD Stage 5 is the final stage and the most serious, your kidneys are functioning less than 15%. At this point you will need to seriously consider whether to start dialysis or receive a pre-emptive kidney transplant. In addition to the symptoms commonly felt in Stage 4, you may also experience nausea, shortness of breath and a metallic taste in your mouth.. Progressing to these final stages of CKD can be scary and overwhelming. However, with proper education, evaluation and monitoring, progression of CKD can be moderated. Working proactively with your nephrologist is key to keeping you healthier longer. In summary, in collaboration with your nephrologist and primary care provider, chronic kidney disease can be managed, treated and advancement delayed if caught early. If you have additional questions about CKD, its causes, treatment options or feel that you may be at risk for chronic kidney disease, please call our office for more information or to schedule a consultation. For more information on kidney disease or kidney health, please visit our website at northernfloridakidneycare.com.. Thank you for your time.
A major clinical trial has found that allopurinol does not prevent worsening of kidney disease – despite up to 20 per cent of kidney disease patients being prescribed the medication.. Researchers from UNSW and The George Institute for Global Health collaborated with researchers from the Australasian Kidney Trials Network to conduct a two-year trial – the CKD-FIX Study – across 31 hospitals in Australia and New Zealand and the results were published in the New England Journal of Medicine.. For more videos like this subscribe to our channel: http://www.youtube.com/user/unsw?sub_confirmation=1. .
We’re the official channel of UNSW Sydney, a brilliantly located university between the coast and the city.
Your kidneys play a vital role in keeping your body healthy. They are responsible for filtering waste products, maintain ing your bone health and avoiding anemia. Unlike many other diseases, you may not have any severe symptoms until kidney disease is advanced. At this seminar, learn how to maintain your kidney health and get answers to your FAQs about chronic kidney disease.. Presented By: Jeanie Ahn, MD. Nephrologist. Date Aired: 7/17/18. ****SOURCES AND LINKS****. Learn more about Washington Hospital at: https://www.whhs.com/. Learn More About Washington Township Medical Foundation: www.mywtmf.com. Watch more Health & Wellness videos on InHealth’s Channel: https://www.youtube.com/whhsinhealth. #InHealth #WashingtonHospital #Kidney
Chronic kidney disease affects millions of Americans. Watch Mayo Clinic kidney specialist Dr. Robert Albright discuss effective strategies to prevent and treat chronic kidney disease in this video.. For more information, visit our page here: http://www.mayoclinic.com/health/kidney-failure/DS00682/?mc_id=youtube
Chronic Kidney Disease or CKD is a common complication in our patients with long standing diabetes. CKD in turn can result in complication of it’s own including acidosis, anemia, and metabolic bone disease. We can improve the outcomes in these patients by screening for, monitoring, and treating CKD complications: including early preparations for those patients who will need kidney replacement therapy.
In this video, pharmacist Linda Awdishu, PharmD MAS at UC San Diego Health (http://health.ucsd.edu/nephrology) discusses medications used to lower high blood pressure and high cholesterol, as well as medicines used to maintain your kidney health.. For more information about kidney disease treatment at UC San Diego Health, see http://health.ucsd.edu/nephrology.
TUESDAY, Oct. 27, 2015 (HealthDay News) A common type of heartburn medication called proton pump inhibitors (PPIs) seem to be linked with increased risk of chronic kidney disease, two new studies suggest. Proton pump inhibitors (PPIs) — one of the top 10 classes of prescribed medications in the United States — may be an independent risk factor for chronic kidney disease (CKD), finds two new papers published in the Journal of the American Society of Nephrology. Apr. 14, 2016 — Patients who took proton pump inhibitors for heartburn, acid reflux, or ulcers had an increased risk of kidney function decline, chronic kidney disease, and kidney failure.
The. Medications for heartburn called proton pump inhibitors are linked to a higher risk for chronic kidney disease, according to a study. It’s the latest in a growing list of worries with these drugs. Diabetes, the leading cause of chronic kidney disease, is more common in these groups. Also, high blood pressure, the second leading cause of chronic kidney disease, appears more often in African Americans than in other ethnic groups.
Many experts believe these groups may have an inherited tendency to develop these diseases. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. A type of heartburn medication called proton pump inhibitors may be linked to long-term kidney damage, a new study suggests. Prilosec, Nexium and Prevacid belong to this class of drugs.
In addition to lowering blood pressure, these medications reduce protein in the urine, a risk factor for developing kidney disease. Managing blood sugar, blood pressure, and cholesterol levels is very important because these are all risk factors for heart disease and stroke. Two new studies have found that proton pump inhibitors (PPIs), a common medication used to treat heartburn, are associated with chronic kidney disease. PPIs are among the most commonly prescribed drugs in the U.S.
Some PPIs are also available as over-the-counter medications. Common Acid Reflux Medications Linked to Increased Kidney Disease Risk February 19, 2019 | Heather Buschman, PhD Proton pump inhibitors (PPIs), which include well-known brand names Prilosec, Nexium and Prevacid, are among the most commonly prescribed medications in the world.
List of related literature:
However, the US Food and Drug Administration (2009) warns that it may increase the risk for kidney problems; labeling changes include dosing cautions and contraindications in patients with renal impairment.
ACE inhibitors and, more recently, angiotensinreceptor blockers have been shown to slow progression of kidney failure more than would be expected from their effect on blood pressure control alone, especially among diabetics and patients with proteinuria.
However, the FDA (2009) warns that it may increase the risk for kidney problems; labeling changes include dosing cautions and contraindications in patients with renal impairment.
Patients with renal impairment are at increased risk for hypoglycemia, and drugs should be initiated and titrated cautiously.32 Various antidiabetic drugs depend on renal excretion, and accumulation in renal impairment can cause adverse effects.33 Management of diabetes in CKD is discussed in Chapter 32.
The elderly kidney is also sensitive to the effects of drugs, especially NSAIDs, which cause vasoconstriction and a decline in GFR and may be implicated in Ralph’s AKI (Jefferson et al., 2010).
The people with kidney disease reported taking both drugs two and a half times more frequently than the controls, suggesting that these drugs may have aggravated kidney disease.
Based on the high prevalence of chronic kidney disease in older adults, drug dosing in the elderly requires caution, as there is risk for renal injury from ischemia as well as medications with nephrotoxic effects [13].
Patients on dialysis are more likely to have side effects from medications, possibly because they metabolize medications more slowly than patients with normal renal function.
Exposure to potentially nephrotoxic medications is particularly common in patients with CKD, which further suggests that AKI could have increasingly important effects on the incidence of CKD.
Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.
There are many factors in reducing kidney disease quickly. One plan I found which successfully combines these is the Jaylands Kidney Kit (google it if you’re interested) definately the no.1 resource that I’ve seen. look at the great info.
Kidney Disease is a very serious illness. Never underestimate also what’s causing it. Kidney disease is a silent killer, because it has no symptoms at all in the first stage.
Hello Doctor, I’m Sweet Sagabay from Philippines and have a kidney chronic disease from more five years ago having my dialysis… I just wanted to asking you if I still have a cure for my kidney chronic disease???
Hi guys! My sour bread is REALLY healthy. Packed with nutrients, easy digestible protein, fiber, vitamins and minerals…. If interested ill share my easy recipe with you!
If you see this, I have stage 4 chronic kidney disease. (Also my grandpa went to the Mayo Clinic for about 2 years for cancer) but I have a question, I believe my nephrology, maybe my urologist, but one of them said I may be at higher chance for some kind of cancer. I can’t remember exactly what but do you have any thoughts? I was misdiagnosed as a baby, and had to have emergency surgery at the children’s hospital. Around 9 I had a mitrofanoff procedure. Just thought I’d share, thanks!
can you give an example of what might cause kidney damage other than high blood pressure or diabetes? I have my blood pressure under control and don’t have diabetes and still declining
Thank you Dr Albright. Should also be noted that several clinical trials have already confirmed safety and efficacy of stem cells, and in particular of MSC+ kidney cell based therapies for patients with renal diseases or previous kidney transplants.
May I suggest…Proactive measures to help people..at 75% not 60% EGFR. Change your lab requisitions to 75 please. You can keep your field but focus on renal health and preservation sooner. 60% is way too stressful on us humans. We must not sacrafice our selves in the name of “science”. Science needs to change their focus to wellness preservation.
I have a very sneaking suspicion your lab requisitions need to be updated instead of having the bar at less than 60 on the EFGR you need to bring it up to less than 75…that is 75 percent of kidney function. If we know our kidneys are starting to struggle at an earlier rather than at 60% we could avoid the crowning of many people as being “chronically” anything. It is almost as if we are being observed into illness and not proactively kept healthy. Did you mention Aspirin and Tylenol as damaging to kidneys? Or should I just say all and any Drugs you take often?..or what about Weed…both pharma and drama reducing dispensary…warn people not to be reliant on anything but clean non polluted air and non gmo foods…um…good luck. We are….
My mother reached stage 5 two weeks ago ever since she reached upper stage 3 that’s when the symptoms and complications started. After her hospitalization 2 weeks ago when she officially crossed over to stage 5 they’re trying sodium bicarbonate therapy to preserve what little function she has left and to help with high potassium. My mother is old but other than CKD has no real serious health issues i want them to consider dialysis because I believe her life is worth prolonging my father would not have been a good candidate due to cancer, stroke, diabetes etc. so I realize not everyone is but I cannot see why my mother would not be unless taking into consideration her age. She’s been an active person most don’t even believe her age so I’m struggling with not wanting to watch her be terminal and not survive to year’s end I will always fight for my mother and her right to live longer✌��
And taking toxic systemic medications that destroy the kidneys, but no one is talking about that. Cigarettes.. pfff dont make me laugh. Giving teens cycles of toxic antibiotics for acne and stimulants for school, having everyone in america on some kind of prescription.. people popping painkillers on a daily basis that’s why your kidneys are failing ladies and gentleman Screw the entire medical establishment massacring us.
I have kidney problems, I am 23 years old, I live in Bangladesh, sir I’m showing a lot of doctors but the problem is increasing day by day, please tell me what I can do for it
There are many factors in reducing kidney disease quickly. One plan I found which successfully combines these is the Jaylands Kidney Kit (google it if you’re interested) definately the no.1 resource that I’ve seen. look at the great info.
Kidney Disease is a very serious illness. Never underestimate also what’s causing it. Kidney disease is a silent killer, because it has no symptoms at all in the first stage.
Hello Doctor, I’m Sweet Sagabay from Philippines and have a kidney chronic disease from more five years ago having my dialysis…
I just wanted to asking you if I still have a cure for my kidney chronic disease???
Hi guys! My sour bread is REALLY healthy. Packed with nutrients, easy digestible protein, fiber, vitamins and minerals…. If interested ill share my easy recipe with you!
If you see this, I have stage 4 chronic kidney disease. (Also my grandpa went to the Mayo Clinic for about 2 years for cancer) but I have a question, I believe my nephrology, maybe my urologist, but one of them said I may be at higher chance for some kind of cancer. I can’t remember exactly what but do you have any thoughts? I was misdiagnosed as a baby, and had to have emergency surgery at the children’s hospital. Around 9 I had a mitrofanoff procedure. Just thought I’d share, thanks!
You CAN have Healthy Kidneys’… and live an active, healthy life where you never even THINK about your kidneys IF YOU KNOW THE RIGHT THINGS TO DO!
can you give an example of what might cause kidney damage other than high blood pressure or diabetes? I have my blood pressure under control and don’t have diabetes and still declining
There are a few ideas worth trying
drink plenty of water.
eat watermelon that helps prevent kidney disease.
try taking pomegranate seeds and drink organge juice these help cure kidney disease.
avoid meat, cucumber, radish and fizzy drinks.
(I read these and the reasons they work on Jaylands kidney kit website )
Thank you Dr Albright. Should also be noted that several clinical trials have already confirmed safety and efficacy of stem cells, and in particular of MSC+ kidney cell based therapies for patients with renal diseases or previous kidney transplants.
May I suggest…Proactive measures to help people..at 75% not 60% EGFR. Change your lab requisitions to 75 please. You can keep your field but focus on renal health and preservation sooner. 60% is way too stressful on us humans. We must not sacrafice our selves in the name of “science”. Science needs to change their focus to wellness preservation.
I have a very sneaking suspicion your lab requisitions need to be updated instead of having the bar at less than 60 on the EFGR you need to bring it up to less than 75…that is 75 percent of kidney function. If we know our kidneys are starting to struggle at an earlier rather than at 60% we could avoid the crowning of many people as being “chronically” anything. It is almost as if we are being observed into illness and not proactively kept healthy. Did you mention Aspirin and Tylenol as damaging to kidneys? Or should I just say all and any Drugs you take often?..or what about Weed…both pharma and drama reducing dispensary…warn people not to be reliant on anything but clean non polluted air and non gmo foods…um…good luck. We are….
Kidney Disease awerness and management during current situation of Covid https://www.youtube.com/playlist?list=PLURC-ivbwbsJmOjIk8pDtAgjT7UcmtaFC
My mother reached stage 5 two weeks ago ever since she reached upper stage 3 that’s when the symptoms and complications started. After her hospitalization 2 weeks ago when she officially crossed over to stage 5 they’re trying sodium bicarbonate therapy to preserve what little function she has left and to help with high potassium. My mother is old but other than CKD has no real serious health issues i want them to consider dialysis because I believe her life is worth prolonging my father would not have been a good candidate due to cancer, stroke, diabetes etc. so I realize not everyone is but I cannot see why my mother would not be unless taking into consideration her age. She’s been an active person most don’t even believe her age so I’m struggling with not wanting to watch her be terminal and not survive to year’s end I will always fight for my mother and her right to live longer✌��
And taking toxic systemic medications that destroy the kidneys, but no one is talking about that. Cigarettes.. pfff dont make me laugh.
Giving teens cycles of toxic antibiotics for acne and stimulants for school, having everyone in america on some kind of prescription.. people popping painkillers on a daily basis that’s why your kidneys are failing ladies and gentleman
Screw the entire medical establishment massacring us.
I have kidney problems, I am 23 years old, I live in Bangladesh, sir I’m showing a lot of doctors but the problem is increasing day by day, please tell me what I can do for it