Chronic Kidney Disease

  • Chronic kidney disease is a long standing disease of the kidneys leading to renal failure.
  • The kidneys filter waste and excess fluid from the blood. As kidneys fail, waste builds up.
  • When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body.

Diagnosis

  • Urinalysis
  • Blood Test
  • Imaging Tests
    • CT Scan
    • MRI
    • Ultrasound
  • Kidney Bioscopy
  • Kidney Functioning Test

Types

  • Acute prerenal kidney failure – Insufficient blood flow to the kidneys can cause acute prerenal kidney failure.
  • Acute intrinsic kidney failure – Acute intrinsic kidney failure can result from direct trauma to the kidneys, such as physical impact or an accident.
  • Chronic prerenal kidney failure – When there isn’t enough blood flowing to the kidneys for an extended period of time, the kidneys begin to shrink and lose the ability to function.
  • Chronic intrinsic kidney failure – This happens when there’s long-term damage to the kidneys due to intrinsic kidney disease.
  • Chronic post-renal kidney failure – A long-term blockage of urrinary tract prevents urination. This causes pressure and eventual kidney damage.

Stages

  • Stage 1: with normal or high GFR (GFR > 90 mL/min)
  • Stage 2: Mild CKD (GFR = 60-89 mL/min)
  • Stage 3A: Moderate CKD (GFR = 45-59 mL/min)
  • Stage 3B: Moderate CKD (GFR = 30-44 mL/min)
  • Stage 4: Severe CKD (GFR = 15-29 mL/min)
  • Stage 5: End Stage CKD (GFR <15 mL/min)

Symptoms

  • Nausea
  • Headache
  • Vomiting
  • Loss of appetite
  • Fatigue and weakness
  • Sleep problems
  • Changes in how much a person urinates
  • Decreased mental sharpness/ Confusion
  • Muscle twitches and cramps
  • Swelling of feet and ankles
  • Persistent itching
  • Chest pain, if fluid builds up around the lining of the heart
  • Shortness of breath, if fluid builds up in the lungs
  • High blood pressure (hypertension) that’s difficult to control

Causes

  • Type 1 or type 2 diabetes
  • High blood pressure
  • low blood flow to the kidneys
  • inflammation
  • sudden high blood pressure
  • blockages, sometimes due to kidney stones
  • elevated blood sugar
  • high blood pressure
  • kidney infections
  • polycystic kidney disease
  • Heart disease
  • Glomerulonephritis , an inflammation of the kidney’s filtering units (glomeruli)
  • Interstitial nephritis , an inflammation of the kidney’s tubules and surrounding structures

Risk Factors

  • Diabetes
  • High blood pressure
  • Heart and blood vessel (cardiovascular) disease
  • Smoking
  • Obesity
  • Family history of kidney disease
  • Abnormal kidney structure
  • Older age

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