2013年7月21日星期日

Does Peritoneal Dialysis Reduces the Urine Flow

Oliguria is defined as passing a reduced urine volume. Oliguria is defined as a urine output that is:
Less than 1 mL/kg/hour in infants.
Less than 0.5 mL/kg/hour in children.
Less than 400 mL/day in adults.
When the kidneys fail to completely remove the wastes and excess fluid out of body, dialysis can replace kidneys to accomplish this task. Firstly, we will explain the reason why decreased urine output after dialysis appears. Dialysis itself helps patients discharge the water, after water is expelled from the body, then it is not hard to explain why the decreased urine output occurs. Moreover, dialysis can reduce the blood flow of kidneys, which is another reason for the decreased urine output after dialysis. Even though dialysis can help patients remove the wastes and excess fluid, it is unable to repair the kidney damage. So after a long term of taking dialysis, there is no doubt that less and less kidney function will be left. With the decline in kidney function, the urine output will become less and less.
Following the dialysis diet
Diet is an important part of treatment for dialysis patients. Certain foods must also be counted in your daily fluid intake. In general, anything that is liquid at room temperature is considered a fluid.
These guidelines may help you follow your recommended daily fluid intake between dialysis treatments:
Avoid salt and salty foods because they can cause thirst and water retention.
Drink only recommended quantities of water and other beverages.
Limit foods that contain liquid, or are liquid at room temperature.
Measure foods accurately. Use a food scale, measuring spoons and measuring cups for both dry and liquid measures.
Monitor your daily weight gain on a digital scale.
Keep a daily food and fluid diary.
The dialysis diet isn’t easy, but your dietitian and other patients can give you tips on how to limit your daily fluid intake and still feel satisfied. For example, when the urge to quench your thirst strikes, suck on a mint, brush your teeth or use a spray bottle to squirt a small amount of water into your mouth for instant relief.

Disadvantages of Peritoneal Dialysis ( PD )


Disadvantages of Peritoneal Dialysis ( PD )
Unlike haemodialysis, the obvious advantage of peritoneal dialysis is that regular visits to a dialysis unit are not required and, in the case of home haemodialysis, there is no need to have a bulky machine installed in your house.
As the equipment that is used for peritoneal dialysis is portable, you have more freedom to travel compared with haemodialysis patients.
CAPD equipment is roughly the size of a hat stand on wheels. The equipment used for APD is the size and weight of a small suitcase.
Another advantage of peritoneal dialysis is that there are fewer restrictions on diet and fluid intake compared with haemodialys where there are strict limits on the amount of fluids that you can drink.
One of the main disadvantages of peritoneal dialysis is that you need to perform it every day, whereas haemodialysis is usually only performed three days a week.
Another major disadvantage of peritoneal dialysis is that your risk of developing peritonitis (infection of the peritoneum) is increased.
Possible Problems & Disadvantages of Peritoneal Dialysis
Peritoneal dialysis (PD) is not always trouble-free. Patients may experience both psychological and physical problems, discussed below.
Responsibility
Some kidney patients get tired of the responsibility of doing their peritoneal dialysis every day. If this is a problem, talk to your peritoneal dialysis nurse who may be able to help you incorporate more flexibility into your routine.
Body image
Some peritoneal dialysis patients find it difficult to accept a permanent PD catheter. They worry that the catheter may affect their sexual activity and their relationship with their partner.
Fluid overload
Fluid overload occurs when there is too much fluid in the body. It is characterized by a sudden increase in body weight, swollen ankles, and/or shortness of breath. Generally dialysis patients need to restrict their fluid intake to prevent fluid overload. Peritoneal dialysis patients, however, have more flexible fluid allowances than hemodialysis patients.
Dehydration
Dehydration occurs when there is too little fluid in the body. It can be caused by excess fluid loss due to diarrhea or sweating. It is characterized by dizziness, feeling sick, or a sudden decrease in weight. Dehydration is far less common than fluid overload in dialysis patients.
Discomfort
Some PD patients find that having the dialysis fluid in their abdomen is uncomfortable. They feel full or bloated. Others suffer from backache or experience shoulder pain, especially when draining in or out. Very rarely, some patients experience discomfort when fresh fluid is drained in.
Peritonitis causes symptoms that include:
abdominal pain
vomiting
chills (episodes of shivering and cold)
Repeated episodes of peritonitis can damage the peritoneum and surgery may be required to repair it.
Another drawback of peritoneal dialysis is that the dialysis fluid used can cause a reduction in protein levels, which can lead to a lack of energy and in some cases malnutrition.
Weight gain is another possible side effect of peritoneal dialysis that affects some people.

Moringa in Chronic Kidney Failure


Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. The symptoms of worsening kidney function are non-specific, and might include feeling generally unwell and experiencing a reduced appetite. Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with chronic kidney disease. Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis. It is differentiated from acute kidney disease in that the reduction in kidney function must be present for over 3 months.
Roots Medicinal Values of Moringa : used as a laxative and to treat spasms of the colon, treat circulation problems, high blood pressure, kidney dysfunctions and low back pain; for gout, asthma and hiccoughs.
Moringa oleifera is called 'Nebedaye', which means 'never die', in many African languages; it promises relief from the devastiang diseases and malfunctions that are so rampant in the African and African American communities such as:Diabetes & Complications leading to Kidney Diseases , Lupus, Arthritis & other Auto-Immune Diseases .

Insomnia with Kidney Disease

Insomnia with Kidney Disease
Insomnia is a comom signs and symptoms of kidney disease. It also include:Anemia, Blood in urine , Dark urine , Decreased mental alertness and so on.
How does kidney disease affect Insomnia ?
People who have kidney failure often have insomnia—trouble getting to sleep and staying asleep. Insomnia and other sleep disorders can worsen a person’s quality of life. People with kidney failure should discuss these problems with their health care provider.
Some people suffer from sleep apnea syndrome, which may be related to the effects of advanced kidney failure on breathing. Episodes of apnea are breaks in breathing during sleep. Over time, these sleep disturbances can lead to day-night reversal—insomnia at night, sleepiness during the day. This condition can cause headaches, depression, and fatigue. Some treatments may work with people who have sleep apnea, whether they have kidney failure or not. These treatments include losing weight, changing sleeping position, and wearing a mask connected to a small machine that gently pumps air continuously through a hose into the nostrils—nasal continuous positive airway pressure, commonly known as CPAP.
Many people on dialysis have trouble sleeping at night because of aching, uncomfortable, jittery, or restless legs. They may feel a strong impulse to kick or thrash their legs. Kicking may disturb a bed partner throughout the night. Theories about the causes of this syndrome include nerve damage and mineral imbalances.
Moderate exercise during the day may help, but exercising a few hours before bedtime can make restless legs worse. People with restless legs syndrome should reduce or avoid caffeine, alcohol, and tobacco. Some people also find relief through massages or warm baths. Health care providers may prescribe medications called benzodiazepines, often used to treat insomnia or anxiety, for relief of restless legs syndrome. Benzodiazepines include clonazepam (Klonopin), chlordiazepoxide (Librium), diazepam (Valium), and triazolam (Halcion). A newer and sometimes more effective medication therapy is levodopa (Sinemet), which is also used to treat Parkinson’s disease.
Recommended Lifestyle Changes for Insomnia Treatment
The following are some of the best possible insomnia remedies:
Establish a consistent bedtime routine. This is one of the most important factors in insomnia treatment and maintaining good sleeping habits.
Reduce your intake of caffeine, particularly in the evening.
Avoid stimulants like caffeine and limit alcohol. Both, even when consumed early in the day, can affect sleep and inhibit insomnia treatment.
Use your bed only for sleeping and sex. Don’t use it to do work or watch TV.
Avoid large meals late in the evening.
If you can’t fall asleep within half an hour of going to bed, get up and read or do something calming until you feel sleepy.
Learn and use a relaxation technique regularly.
Take a hot bath before bedtime.
Spend some time outdoors as often as you can to get exposure to bright, natural light. If you are concerned about harmful effects of solar radiation, do it before ten in the morning or after three in the afternoon or use sunscreen.
Try to give yourself some time - up to an hour - in dim light before you go to sleep at night. Lower the lighting in your house and bedroom and if other members of the household object, wear sunglasses.
The two best natural sleep aids are valerian and melatonin.
Don’t obsess about not sleeping.

2013年7月13日星期六

Is Chinese Herb Medicine Safe for PKD

Many patients with Polycystic Kidney Disease are curious whether Chinese Herb Medicine is Safe for PKD. Does it have side effects? In order to make PKD patients relax, our Chinese medicine experts introduce a principle of prescribing Chinese herb medicine. Read on to know more about it.
Chinese herb medicine that we use rarely has side effects. This is because Chinese medical science stresses a principle named Jun (Its literal meaning is King.), Chen (literally means minister), Zuo (literally means junior minister) and Shi (literally means messenger, coordinator). Jun, Chen, Zuo and Shi don’t refer to four herbs but four kinds of herbs in one prescription. For example, Jun could include one or two herbs, and Zuo could include three or even nine herbs. Jun, Chen, Zuo or Shi has its own effects and all of them cooperate with each other so as to increase curative effects and reduce side effects.
Jun signifies the major herbs. They are the most important herbs in one prescription to treat the disease and main symptoms.
Chen assists Jun to increase its curative effect and treat the minor symptoms.
Zuo is in charge of removing or reducing the side effects of Jun and Cheng.
Shi, like a messenger or coordinator, guides ingredients of herb medicines to reach lesion or nidus in the body and also coordinate all herb medicines’ function.
Therefore, a good prescription of Chinese medicine rarely has side effects. Of course, if Chinese medicines are wrongly prescribed, they will lead to bad results. The prescription for treating PKD in our hospital was prescribed by a group of senior Chinese medicine experts and it also has been applied into clinical practices for many years. Clinical practices show that there exist some people who have no response to such medicines but no case has side effects.
Don't worry, Chinese herb medicine is safe for Polycystic Kidney Disease (PKD). It won't further damage your kidneys or stimulate the cysts to grow. If you would like to know more information about such therapy, please email to kidney-symptoms@hotmail.com

Herbal Treatment and Polycystic Kidney Disease (PKD)


Nowadays, to live more freely without damaging other organs, people with Polycystic Kidney Disease, which is also known as PKD, have adopted herbal treatment as their first choice. Well then, what is Polycystic Kidney Disease, what is herbal treatment and why do people suffering from Polycystic Kidney Disease would like to choose herbal treatment?
Polycystic Kidney Disease is characterized by numerous cysts in the kidneys and it is an inherited disease which can cause kidney failure if left untreated. Although Polycystic Kidney Disease is a genetic disease, not all the children who have parent with Polycystic Kidney Disease will suffer from it. In general, if one of the parents has this disease, then the child has fifty percent possibility to suffer from this disease. However, if both of the parents suffer from Polycystic Kidney Disease, then the child will have seventy five percent possible to get this disease.
In terms of the herbal treatment of Polycystic Kidney Disease, it is not the only treatment, but the most natural treatment. Herb is a kind of plant which can be used as medicine in clinic. Among different herbs, different herb plays different role in treating Polycystic Kidney Disease. They may have opposite or similar effects in treating the same disease. They grow naturally and do not contain any hormone, so they do not cause side effects at all. This is one of the most important key points for many sufferers with Polycystic Kidney Disease to choose herbal treatment.
Besides, due to the different pathological changes or severity of Polycystic Kidney Disease, sufferers may need to use different herbs; thereby, it is different for us to tell what herbal medicine is effective in treating Polycystic Kidney Disease. Moreover, at present, with the development of medical technology, Micro-Chinese Medicine Osmotherapy, a kind of herbal treatment, is created to treat Polycystic Kidney Disease and sufferers indeed receive satisfactory treatment effects. If you want to know more about Micro-Chinese Medicine Osmotherapy, you can leave message to kidney-symptoms@hotmail.com or consult our consultant online.

Effective Treatment for Polycystic Kidney Disease

Treatment for Polycystic Kidney Disease varies in different countries.
In some westerns, sufferers with Polycystic Kidney Disease just leave their cysts alone and then receive surgical operation when the cysts enlarge to a certain degree. Just as many sufferers have experienced, surgical operation indeed display functions in removing or shrinking the big cysts, but it do nothing with the small cyst. Furthermore, once the big cysts are removed, there will be enough space for small cysts to enlarge. Therefore, surgical operation is not the real treatment for Polycystic Kidney Disease.
In China, people with Polycystic Kidney Disease usually adopt Micro-Chinese Medicine Osmotherapy as the major treatment of their disease. As foreigner, you may be not familiar with Micro-Chinese Medicine Osmotherapy as it is only owned by Kidney Disease Hospital which is the biggest specialized kidney disease hospital in China.
The occurrence of Micro-Chinese Medicine is based on the traditional Chinese medicine which has history of thousands of years and that is to say, treatment of Micro-Chinese Medicine is the combination of traditional Chinese medicine and modern medical technology. On the comparison of western treatment, say surgical operation, for Polycystic Kidney Disease, although Micro-Chinese Medicine Osmotherapy is relatively new, it indeed has been proven to be effective in treating Polycystic Kidney Disease.
In China, although we can not speak out the exact mechanism action of Chinese medicine, it plays a magical role in our heart as it always can help us get rid of some infrequent diseases. As to Polycystic Kidney Disease, through many real cases, it turned out that it can be treated from the root by treatment of Micro-Chinese Medicine Osmotherapy. Now, in China, many sufferers with Polycystic Kidney Disease have lived full life with their disease after the treatment of Micro-Chinese Medicine Osmotherapy.
There are different kinds of treatments for Polycystic Kidney Disease in this world and Micro-Chinese Medicine Osmotherapy is just one of them. If you are interested in this treatment, please consult our consultant online or leave message to kidney-symptoms@hotmail.com

Cause of Abdominal Enlargement in CKD 5

Chronic Kidney Disease, or CKD, is a term used to describe a permanent loss of kidney function or kidney injury. Most people don’t know they have CKD because they feel fine. Some symptoms of the early stages of CKD include high blood pressure, swelling of the hands, legs or feet and blood in the urine. Early signs of CKD may not be detected until blood work is drawn by their family doctor. A urine test may also be done to determine if the kidneys are functioning properly.
Nausea, vomiting, excessive production of gas, swelling, and other symptoms all may warn people with CKD to pay attention to abdominal distention, which is due to fluid retention and electrolyte imbalance. Normally, the kidney can remove excess water from the body and keep electrolyte balance. However, it indicates part or nearly all of kidney function has lost when Chronic Kidney Disease is diagnosed out. As a result, abdominal distention happens spontaneously .
Like hemodialysis, peritoneal dialysis removes waste products and excess fluid from the body. It does it by using the lining of the abdomen, the peritoneal membrane. It is
performed daily, in the comfort of the patient’s home. And like hemodialysis, an access needs to be placed well in advance of needing to start dialysis. This access is called a Peritoneal Dialysis (PD) catheter, sometimes known as a Tenckhoff catheter. Our Vascular Access Nurse will work intimately with the patient in deciding the type of access, scheduling the surgery appointment and teaching them how to take care of it.
Peritoneal dialysis solution, a special solution containing minerals and sugars, is drained into the abdomen through the PD catheter. It is clamped and allowed to dwell in the abdomen for a short period of time, and then the clamp is opened and allowed to drain out of the abdomen. This is called an “exchange”. Several exchanges are required during the course of the day. The patient may choose if he/she would prefer exchanges.

Is Aloe Vera good for Kidney disease



Is Aloe Vera good for Kidney disease
Aloe is a magic plant with medical treatment, beauty and nutrition, it is a perennial herbaceous plant which belongs to the lily family. Its thick leaves are rich in pulp and contain many lands of active matter.Aloe is one of broad multi-purpose useful plant, and orange is also a fruits with rich nutrient.
Aloe is also an excellent treatment for skin conditions such as burns and eczema. It is often reported that burns can be healed remarkably quickly and the pain reduced very quickly with topical application of Aloe Vera to the burn area. As well as applying topically, Aloe can also be taken internally so it is just as useful for internal epithelial tissue as it is for the skin. For example, mouth and stomach ulcers, nasal and sinuses, bowels, lungs and genital tracts. Aloe works on membranes and surfaces.
Although aloe has been used since ancient Egyptian times to treat skin problems and constipation, the U.S. Food and Drug Administration has removed laxatives containing aloe from the market due to safety concerns. Aloe may interact with some medicines you are taking and may worsen certain conditions that you may have, such as kidney disease, says the National Institutes of Health or NIH. As with any supplement, consult with your doctor before taking aloe medicinally.
Benefical Effects
Preliminary evidence suggests that aloe gel may have beneficial effects in certain types of kidney disease. A study published in the "Indian Journal of Experimental Biology" in 2004 showed that diabetic laboratory animals with diabetes-induced kidney disease who received aloe gel had improvement in their kidney disease as compared to a control group of animals that did not receive aloe. The authors suggested that aloe gel may have protective effects against kidney damage produced by type 2 diabetes.
Toxic effects
According to the NIH, aloe juice can cause potentially serious kidney injury and possibly death. In fact, in 2002 the "American Journal of Kidney Diseases" published a case report of a man who was hospitalized with kidney failure after taking aloe juice. After several weeks of kidney dialysis, this person slowly regained his kidney function. The NIH warns that, if you have kidney disease, you should avoid aloe juice because it can make your condition worse.
Aloe Vera juice is said to be one of the finest body cleansers, cleaning morbid matter from the stomach, liver, kidneys, spleen, bladder, and is considered the finest, known colon cleanser. Studies have shown that it is healing and soothing in the relief of indigestion, stomach distress and ulcers. People claim relief from arthritis, bladder and kidney infections; leg cramps, constipation, hemorrhoids, insomnia, and for vaginitis, it is said to be an excellent vaginal douche. An excellent internal tonic for energy and well being Aloe juice may add greatly to the strength of the food fed, digestive tract, skin, and overall good health and happiness.
If you take aloe juice, you may experience some side effects, such as stomach pain and cramping, says the NIH. When taken in large doses for an extended time, aloe juice may cause other serious problems, including heart disorders, muscle weakness, diarrhea, and weight loss. Avoid aloe juice during pregnancy or breast-feeding.
In 1997, University of San Antonio researcher Jeremiah Herlihy, Ph.D., conducted a study to observe any negative effects of drinking it daily. Rather than exhibiting negative effects, however, test animals receiving daily Aloe showed a remarkable reduction in leukemia, heart disease, and kidney disease. Dr. Herlihy concluded, "We found no indication of harm done to the rats even at high levels." In fact, the Aloe-drinking animals actually lived 25 percent longer than those in the control group (IASC Conference, Texas, 1997).

Treatment of Chronic Nephritis in United States


Treatment of Chronic Nephritis in United States
Chronic Nephritis is common type kidney disease. It is also called Glomerulonephritis. and It is a kidney disease that results in damage to the organ. Its cause can be due to a variety of factors, particularly issues with the immune system. Causes of this type of chronic kidney inflammation in individual cases, however, are often unknown.
Chronic Nephritis is among the leading causes of chronic kidney failure and end stage kidney disease. Causes include:
Diabetic nephropathy/sclerosis
Focal segmental glomerulosclerosis
IgA nephropathy (Berger's disease)
Lupus nephritis
Membranous glomerulonephritis
Mesangial proliferative disorder
Nephritis associated with disorders such as amyloidosis, multiple myeloma, or immune disorders, including AIDS
Treatment of Chronic Nephritis
Routine treatments for reducing symptoms and slowing down kidney progression mainly include the follows:
ACEI or ARB medicines to control blood pressure
Corticosteroids
Medications that suppress or quiet the immune system
A procedure called plasmapheresis may sometimes be applied for Nephritis caused by immune system. The part of fluid that contains antibodies is removed and then replaced with intravenous fluids. Removing circulating antibodies help reduce inflammation to renal tissues and relieve symptoms.
Anti-infection treatment is essential for acute Nephritis to slow down progression of the illness condition.
You may also need to limit salt, fluids, proteins and other substances.
Anti-coagulation treatment is important to reduce blood clotting and risks of stroke.

2013年7月11日星期四

Cashew Nuts Good for Kidney

Cashew Nuts Good for Kidney

Cashew are nuts. Cashew nuts it contains certain vitamins and trace elements in good bate blood-vessel role to protect blood vessels, prevention and cardiovascular disease. And, if you eat cashew nuts, then you could maximise your uptake of Vitamin K by eating them with a probiotic food.
Cashew nuts, a richly sweet product of the cashew tree, have gained popularity in North America and Europe not only for their succulent flavor but for health benefits, too. Whether roasted, salted, sugared or covered in chocolate, the cashew nut, often used as a flavorful complement to appetizers, main dishes and deserts, packs a mix of nutrients and minerals not found in many common foods.
MEDICAL BENEFITS
The cashew tree’s leaves and bark as well as the popular cashew apple possess herbal health benefits that include killing bacteria and germs, stopping diarrhea, drying secretions, increasing the libido, and reducing fever, blood sugar, blood pressure and body temperature, but unfortunately the byproducts of these parts of the cashew tree are not available in North America and Europe, mainly due to their highly perishable qualities.
But are Cashew Nuts Good for Kidney?
Cashew Nuts have Oxalates .Oxalates are chemical substances found in many plants, including cashews and other nuts. These chemical substances are eventually processed through the kidneys and excreted as urine. Oxalates sometimes combine with calcium to produce kidney stones, so if you have a tendency toward kidney stones, you should limit the number of cashews you eat.
And some time.

ALLERGIES
Tree nuts, such as walnuts, Brazil nuts and cashews, are common allergens, or substances that cause an allergic reaction. Allergens, while harmless in most people, cause the immune system to overreact in people who are allergic to them.
Alpha-Linolenic Acid
Alpha-linolenic acid is an essential nutrient that is found in some plants, and cashews have it in abundance. It can't be produced by the body, so must be ingested.
RAW CASHEWS AND TOXICITY
Cashews are never sold raw, but always roasted or steamed to remove the caustic nutshell liquid, or CNSL, which is quite toxic, according to the "Book of Edible Nuts" CNSL contains cardol and anacardic acid, substances also found in poison oak and poison ivy.

Why does your kidney enlarged


Why does your kidney enlarged
Kidney disease are very common disease in world. Kidney disease statistics for the United States convey the burden of chronic kidney disease (CKD) and end-stage renal disease (ESRD).
Kidney diseases are characterized by a decrease in kidney function for three or more months consecutively.. The kidneys serve a vital role in removing waste and excess fluid from the body through urination. Various factors can hinder this process, causing fluid retention, toxins to build up and chronic diseases in the kidneys that become life threatening. A typical symptom of kidney disturbance is inflammation or swelling. Causes range from urine reflux to coexisting medical conditions.
Glomerulonephritis
According to www.kidney-cares.org , glomerulonephritis is a form of kidney disease causing acute or chronic kidney inflammation. Glomeruli are a conglomeration of tiny filters in each kidney that connect to tubules, which collect fluid from the body. Together the glomeruli and tubules form a nephron, the main functional unit in each kidney. Filtering blood and returning nontoxic blood to the bloodstream as well as containing necessary proteins extracted from the filtration process are significant kidney functions. Bacteria and viral infections as well as immune diseases can hinder the glomeruli from completing the filtration and waste excretion required for the kidneys to work properly. Damage from these sources lead to kidney inflammation and acute or chronic kidney failure.
Polycystic Kidney Disease
A genetic disorder known as polycystic kidney disease causes multiple cysts to grow in the kidneys.
Vesicoureteral Reflux
Abnormal flow of urine from the bladder back to kidney tubules, called ureters, is a condition referred to as vesicoureteral reflux.
Hydronephrosis and Interstitial Nephritis
Hydronephrosis is distention or swelling of the kidneys due to obstructions between the ureter and renal pelvis.
There are a number of reasons for enlarged kidneys, from polycystic kidney disease to infections, alcoholism and cancer. The Kidney Cares Community reports that patients often go for years without noticing they have enlarged kidneys. Normal sized kidneys cannot be felt with a physical examination, report researchers at Merck. Enlarged kidneys may be discovered when doctors treat symptoms or as part of a prostrate or pelvic exam.
There are som sign of kidney enlarged
PAIN
Burning or pain during urination can be a sign of a urinary tract infection that can cause enlarged kidneys.
SWELLING
Swelling is sometimes noticed when a patient experiences rapid weight gain that cannot be attributed to other causes. As the kidneys fail and become enlarged, fluids cannot be processed properly and begin to accumulate in the ankles, abdomen, lower back and face. According to doctors at Merck, kidney failure results as the fluid leaks into the tissues of the body.
CHANGES IN URINATION
Changes in urination patterns may direct a physician to check out the kidneys for further examination and look for growth. When the kidneys cannot handle increased amounts of fluid intake or fluid retention caused by caffeine and alcohol, they can become enlarged and the patient either urinates more often than usual or feels the need to urinate more often.

Strawberry and diabetic kidney disease…

Strawberries are generally considered a beneficial food choice for most adults. While diets tend to have their own individual philosophies on specific foods, fruits, such as strawberries, are a welcome addition to most weight loss diets. Unfortunately, strawberries contain high amounts of calcium oxalate, making them a troublesome choice for individuals suffering from interstitial cystitis or kidney stones.

Go easy on the cream and sugar. But don't scrimp on the strawberries. Scientists at the Salk Institute in La Jolla say in a new study that strawberries contain a compound called fisetin, which could reduce kidney problems that develop in many people who have type 1 or type 2 diabetes.

Researchers David Schubert and Pam Maher tested fisetin-enriched food on diabetic mice. They found that the mice remained diabetic, but their enlarged kidneys shrank to normal. Their high urine protein levels, which is a sign of kidney disease, fell to normal levels as well.

Can i drink milk with a kidney infection


Can i drink milk with a kidney infection
A kidney infection is an illness that usually happens when bacteria travel up from your bladder into one or both of your kidneys.
But can i drink milk with a kidney infection?
Milk is a white liquid produced by the mammary glands of mammals.No other beverage gives you more complete nutrients than milk. Compared to calcium-fortified foods and beverages, milk is one of the least expensive choices for meeting daily calcium requirements, but it also provides nine other essential nutrients including:
Bone-strengthening calcium,High-quality protein, Potassium , Vitamin A ,Vitamin D , Carbohydrates, B vitamins,Phosphorus, Water for hydration.
Yogurt and Fermented Milk
Fermented milk & Yogurt contains probiotics that are healthy bacteria which support one’s digestive health. These probiotics might also assist in protecting the urinary tract against infections (stated by the University of Maryland Medical Center). If you wish to gain benefits of the probiotics, you should ideally incorporate some yogurt & live active cultures like acidophilus. Also, add milk products (fermented) in your diet, for example buttermilk or kefir and make sure your daily diet has these ingredients. Fermented milk as well as yogurt also provides a very rich amount of protein that helps to support lean tissue revival & strengthens the immune system. Furthermore, it has valuable nutrients like Vitamin D & calcium.

2013年7月7日星期日

How to Protect Your Kidney while Treating Lupus Nephritis


In the treatment of lupus nephritis, it is very necessary to control SLE by using immunosuppressant, but the protection of kidney should be neglected. Otherwise, the treatment might end up in failure, and renal inadequacy could occur.
In fact, SLE(systemic lupus erythematosus) can damage the kidney so badly that kidney condition would aggravate still, even if the SLE is not active. As a result, the hardening of kidney might appear, resulting in chronic kidney failure. So, it is obvious that kidney should be put into consideration during the course of the treatment of lupus nephritis.
Some patients with SLE may have already had renal damage on different levels, which calls for more protection of kidney to prevent from kidney function deterioration. Here are a few risk factors that should be heeded to:
The first one is high blood pressure.
Patients with lupus nephritis often develop high blood pressure as complication, which is the number one risk factor that aggravates kidney function. So, they must monitor high blood pressure and control it strictly if blood pressure rises.
The second one is proteinuria.
Proteinuria not only is a marker that glomeruli has been damaged, but also might impair tubular interstitial, so it is a major risk factor that promotes the progression of kidney disease. Reducing the amount of urine protein can ease impairment on kidney, so kidney function can be conserved. In this regard, ACEI and ARB can lower proteinuria and alleviate the hardening of kidney.
The third one is medications possessing nephrotoxicity(side effects)
Some medications tend to damage kidney, such as antibiotics(sulfanilamide, kanamycin, gentamicin, polymyxin B), Chinese medicine(especially Caulis Aristolochiae Manshuriensis and Radix Stephaniae Tetrandrae) and painkillers. Patients should avoid these kind of medications in order to protect against kidney damage.
The fourth one is infection.
Infection is likely to happen during the course of lupus nephritis treatment, especially in the initial several months. Infection can cause relapse or even aggravate the condition.
So, patients should stay away from public places, keep their homes clean, ventilate often to avoid infection. But once infection occurs, patients should go to doctors immediately.
The fifth one is obesity.
Obesity is a big risk factor harming the human health across the whole world, which not only can lead to hyperlipoidemia, high blood pressure and coronary heart disease, but also exacerbate proteinuria and kidney condition. With this in mind, obese patients with SLE should lose weight and keep their weight in the normal range.
Other risk factors, like cardiac insufficiency, acidosis, electrolyte disorder, and hyperlipidemia, should also be addressed during the course of treatment.

Diagnose Lupus Nephritis


Diagnosis of Lupus Nephritis needs to be done from different aspects which including medical tests and evaluation of symptoms.

Symptoms help to diagnose Lupus Nephritis

Knowing well the corresponding symptoms of Lupus Nephritis can help us have a general diagnosis about it. The common symptoms of Lupus Nephritis are as below:

* Changed urine color which may appears to be brown, red and dark orange.

* Foamy urine which also known as bubbly urine.

* Frequent urination at night

* Elevated blood pressure

* swelling (edema) in the eyelids, feet, ankles and legs.

* Increased body weight

Medical tests help to diagnose Lupus Nephritis

Although symptoms can help us diagnose Lupus Nephritis, your doctors may ask you to have some medical tests to confirm the diagnosis.

* Urine test: Through urinalysis, we can know whether there is excess glucose, protein, ketones or bilirubin in the urine as well as the acidity or alkalinity of the urine. All these results are helpful for us to diagnose Lupus Nephritis.

* Blood test: Blood tests may tell us the exact levels of wastes such as creatinine and urea. Increased level of these waste materials always indicates impaired renal function.

* Kidney Biopsy: To further confirm the diagnosis of Lupus Nephritis and to know how serious kidney disease has been damaged, kidney biopsy sometimes is required. Although this test in useful, people with serious kidney damages usually are not allowed to do it as it may damage the healthy renal tissues.

Both symptoms and medical tests are helpful for us in diagnosing Lupus Nephritis and usually we need to know more information before we confirm the diagnosis of Lupus Nephritis, as so to avoid the misdiagnosis. Anything unclear or you want to know more, you are welcome to consult our consultant or leave message

Update in Treatment of Lupus Nephritis

90% of SLE patients will have kidney damage, that is called Lupus Nephritis. The pathogeny is the immune disorder, which includes the abnormality of immune tolerance of the patients, T cells, and cell factors, and B cell hyperfunction. And in the process of the Lupus Nephritis, there are lots of tissues like cell nucleus, cell membrane, cytoplasm, and autoantibodies produced. When there is pathological changes happening, the antigen and antibody will form into immune complex and deposit on the glomerulus, thereby, cause the damage of the kidneys.
While the traditional methods can only control the symptoms, like proteinuria, edema, high blood pressure etc., and symptoms of lupus, like red or black flecks on skin, pain in joints etc.
Nowadays, stem cells have been a very popular topic in the medical world due to its infinite possibilities.
Stem cells have great function in treating such immune disease. Firstly Stem cells have strong potentials of proliferation and multi-directional differentiation. It can produce a large number of offspring or differentiate into various cells the body needs. So there will be more functioning cells that can replace the work of the dead or damaged cells. Secondly, Stem cells can restrain the proliferation of T cells and the immune reaction by cellular interaction and producing cell factors so as to play the roles of rebuilding immune system. That's how stem cells can help improve the immunity of the patients.
At the same time, Micro-Chinese Medicine Osmotherapy is applied to supplement stem cell transplant. They can degrade the immune complexes deposited on the glomerulus, and reduce the inflammatory reactions. So the kidney damage can be slowed down, or avoided further worsening.
If the patient's SLE or Lupus Nephritis is still in the early stage, it's better to take the treatment earlier, before the kidney damage is too severe, then there will be greater chance for a better result.

2013年7月6日星期六

Nursing Consideration for Nephritic Syndrome Patients


Nursing Consideration for Nephritic Syndrome Patients
Nephritic Syndrome is not one kind of Kidney Disease or the symptoms of kidney disease, which is not an independent disease and it is a series of kidney disease and known as Nephritic Syndrome. The nursing considerations for Nephritic Syndrome patients play an important role on the recovery of illness condition. How to nurse the Nephritic Syndrome patients? The experts in Shijiazhuang Kidney Disease Hospital put forward the following aspects that are needed to be paid attention to in the daily care.

1. Rest: proper rest can release the workload of kidney. The Nephritic Syndrome patients should stay in the bed which can increase the content of kidney blood circulation, facilitate the urination, and decrease going out, thus prevent cross-infection. However, the patients should keep bed activity and around bed activity, and prevent the form of lime vascular thrombosis. When the Nephritic Syndrome symptoms are alleviated, the patients can gradually increase the activities which can decline the complications and decrease blood fat.

2. Diet management: limit the intake of water, salt. The intake of sodium should not exceed 2 gram, and the intake of protein should be mainly high protein efficiency high quality protein. For the person with normal kidney function, the protein intake should be 0.8 to 1.0 gram per day per kilo.

3. Skin care: it should keep skin clean and dry, and prevent damage and inflammation on the edema part, and avoid long time pressed, and vary position frequently. It should be avoided latrogenic skin damage and should be used small pinhead for the injection, and the local part be pressed after the withdrawal needle.

4. Prevent inflammation: pay attention to oral cavity care. It should be brushed the teeth every morning and evening, gargled after meal, and avoid peculiar smell stimulate oral cavity. It is advisable to avoid cross infection,and disinfect the ward regular and avoid the touch with infection of the upper respiratory tract patients.

5. Psychological care: the patients often have fear, be irritable, feel sad and worried and other psychological imbalance manifestation, which are unfavorable to the treatment and recovery of the disease. The family member and the nurses should offer psychological counseling in time, which help the recovery of patients’ diseases.

6. Clinical care: the patients with obvious edema and a great deal of protein urine should stay in the bed, and the patients with edema on eyelid and face should sleep with higher pillow. The serious patients with edema should change the position frequently. The patients of pleural effusion ought to keep semireclining position and the scrotum edema patients should prop scrotum with truss and take high heat, rich vitamin and low salt diet.

7. Pharmacotherapy care: it is noted that the drug reaction after diuretic, such as the urine volume, weight, and elasticity of skin. Withdraw or change the administration method should be conducted under the guide of nephropathy specialist, and be not hurry and abrupt drug withdrawal, otherwise it may induce negative effect.

Nephrotic Syndrome and Pregnancy, Do you want do baby?

Nephrotic Syndrome and Pregnancy, Do you want do baby?

Can Nephrotic Syndrome patients get pregnant? If Nephrotic Syndrome patients want to get pregnant, what are the requirements?
The dangers for Nephrotic Syndrome patients to get pregnant:
First, for the Nephrotic Syndrome patients have a low plasma albumin, it will cause a decreased fetal growth and premature infant.
Second, gestation will aggravate the burden of the kidneys, so the disease condition will be further aggravated.
Third, the medicines the patients take like the hypotensive drugs, hormones will influence the fetal health. The option of the drugs: at the early 20 weeks of gestation, if the blood pressure is less than 150/100mmHg, the patients should better not take any medicines. For those with a higher blood pressure, methyldopa can be a good choice. ARB is forbidden. Hormones will definitely have effect on the growth of the fetus.
Then what are the requirements for them to get pregnant?
1. The Nephrotic Syndrome is stably controlled for more than two years, and in the two years, there is no hematuria, and proteinuria is under 0.5g every day.
2. Their renal functions are normal.
3. There is no hypertension or urinary tract infection.
4. The biopsy shows that pathology of Nephritis is mild, such as MCNS, mild mesangial proliferation, early stage of membranous nephropathy etc.
If all the above are followed by the patients they should ask for the doctor’s advice for starting pregnancy.
Micro-Chinese Medicine Osmotherapy can help eliminate the deposit on the glomerular basement membrane which fundamentally clears away the various pathogenicity factors. At the same time, the medicines can repair the damaged basement membrane to make the damaged charge barrier refunction. Therefore, the protein will not leak from basement membrane then there will not be excess protein in the urine. After the charge barrier is repaired, the body fluid balance is maintained, and the inside and outside environment is improved, edema and hyperlipoidemia etc. will naturally disappear. After the patients’ condition become better, of course they can have shildren.

Should the Patients with Kidney Diseases Drink More Water?


Should the patients drink more water?
During the treatment there is a strict request of food for the patients, this is directly related to the effects of treatment.
The experts told us that the nephropathy patients can drink water with a limitation.
When the kidney disease developed to the stage of uremia which indicates the exacerbation of kidney disease, the urine will decrease, the liquid intake may stay inside the body, result in a bad situation as: edema, elevation of blood pressure, even the lung edema. For this reason, the patients must strictly restrict intake of water, generally the intake of liquid approximately equals to the sum of the urination add 500 milliliter. the patients can increase the intake of water in a limitation if sweat a lot. Don’t forget to weigh the weight as a consideration of water intake.
There are totally about twenty thousand patients are treated in Shijiazhuang Kidney Disease Hospital every year and almost all of them recovered with the concerted efforts of whole medial staff.

Give Soy a Try---pkd patient


Estimates are that 600,000 Americans have polycystic kidney disease (PKD) which is characterized by the growth of numerous cysts in the kidneys that can eventually lead to kidney failure and the need for dialysis.
Give Soy a Try---pkd patient
Give Soy a Try---pkd patient
In general, eating less protein can help your kidneys, but there's one protein you may want to get a little more of. The results of a study published in the Journal of the American Society of Nephrology in 1999 showed that dietary soy protein can slow the progression of PKD in rats. Rats fed soy as their main protein source had lower kidney weights and fewer cysts compared to those fed casein. (Aukema, Harold M. et al. "Dietary Soy Protein Effects on Inherited Polycystic Kidney Disease Are Influenced by Gender and Protein Level." J Am Soc Nephrol. 10:300-308, 1999). Keep in mind, though, that you'll be better off with traditional fermented soy products like tofu, miso, and tempeh. Non-fermented soy products like soy milk and soy-based protein bars have been shown to cause health problems of their own.

Keep Your Electrolytes Balanced---PKD Patient


Keep Your Electrolytes Balanced---PKD Patient
Polcystic kidney disease are common type of kidney disease.
Polycystic kidney disease is a disorder that affects the kidneys and other organs. Clusters of fluid-filled sacs, called cysts, develop in the kidneys and interfere with their ability to filter waste products from the blood. The growth of cysts causes the kidneys to become enlarged and can lead to kidney failure. Cysts may also develop in other organs, particularly the liver.
Keep Your Electrolytes Balanced---PKD Patient
For most people, this translates to "cut back on salt." Electrolytes are vital minerals in the body, such as calcium, sodium, potassium, and magnesium. The body relies on the kidneys to keep these in balance. Most people eating a typical "Western" diet get too much salt, which can throw this delicate balance off. This is why so many people with polycystic kidney disease develop high blood pressure. In fact, in the Encyclopedia of Health published by the U.S. National Library of Medicine, the entry on PDK specifically recommends a low-salt diet.
To start reducing salt in your diet, use garlic powder, onion powder or other herbs and spices in place of salt. Try to use less of sauces like ketchup and soy sauce. Avoid highly processed foods like meats, soups, and vegetables that come in cans. Even low-sodium varieties of these have more salt that something you'd make at home.

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