Kidney Failure Stage 4 - What To Do

7 Answers

These messages are for mutual support and information sharing only. Always consult your doctor before trying anything you read here.
Does a high creatinine level in stage 4 kind disease cause you to throw up & be sick & weak
yes. it's very common. a lot of patients find out they have Uremia when they suffered throwing up.
Do you get sudden hot flashes with stage 4? I am post menopausal so I know that isn't the problem.
Natural course of kidney disease — The initial damage to the kidney can lead to a variety of clinical manifestations, from asymptomatic hematuria to kidney failure requiring dialysis. Many patients can recover completely, with no or only minor sequelae. For example, long-term prognosis for glomerulonephritis after streptococcal infection is most common. In contrast, some patients (such as patients with lupus nephritis) repeatedly develop chronic kidney damage, resulting in persistent damage. In addition, some patients with initial disease inactivity or cured may have progressive kidney disease due to hemodynamics and other mechanisms.

In addition to differences in individual disease activity, these differences are manifested to some extent by the way the kidney responds to injury. The kidneys can adapt to the injury by increasing the filtration rate of the residual normal nephron, a process known as adaptive hyperfiltration. Therefore, serum creatinine concentrations in patients with mild renal insufficiency are usually normal or near normal. A variety of other homeostatic mechanisms (mostly in the renal tubules) maintain serum concentrations of sodium, potassium, calcium, and phosphorus, as well as total body water levels, especially in patients with mild to moderate renal insufficiency.
Although the adaptive hyperfiltration mechanism is initially beneficial, it appears to cause long-term damage to the glomeruli of the residual nephron, manifested by proteinuria and progressive renal failure. This process appears to be the cause of initial disease inactivity or renal failure in cured patients. Estimation of single nephron glomerular filtration rate (SNGFR) in humans supports high filtration is an important pathophysiological mechanism [2]. Elevated SNGFR is associated with risk factors for disease progression, including obesity, a family history of end-stage renal disease (ESRD), and more severe glomerular sclerosis and arteriosclerosis suggesting that the remaining nephrons compensate for total GFR. Measu
How do you slow down the progression of kidney failure?
There are many ways to slow down the progression of kidney failure. You can use medications to control blood pressure and blood sugar, and keep a nutritional diet. Generally, you need limit sodium and provide adequate protein intake. The adequate protein intake is 0.8 g/kg body weight/day. Smoking cessation and proper physical activities matter too. You can check the diet plan for CKD at https://qa.healthtopquestions.com/48909/what-should-eat-slow-down-progression?show=48930#a48930. Hope it helps.
I have been diabetic for 25 yrs or longer on insulin shots 2 a day, I have moderate kidney disease, will be 82 July 26 so does it really matter If I try to watch what I eat or not? and? does and will it get to where I may have to go in diaries? plus I take 2 metformin xr 500 mg.a day also.Wayne
I think diet is siginificant at anytime of your life. We are what we eat. It's more so when you have diabetes.
Certainly you have to watch for your diet, since an improper diet may worsen your diabetes and accelerate kidney damage. If your kidney damage progresses to end-stage kidney disease (eGFR<15), then you have to do dialysis or kidney transplantation to survive.
What happens if I decide not to have dialysis
You could die. If your kidney stops to function, you blood potassium will be very high, which will lead to stop of your heart. High serum creatinine will make you sick and vomiting.
After having a fistula put in my arm can I change my mind how I want to do dialysis I chose going to a center I would like to do it at home
Hello, are you doing hemodialysis? It is recommended that you take complete dialysis at the Hemodialysis Center. Because you can enter hemodialysis in a smooth state, there is no need to place a temporary catheter, which reduces the risk of catheter infection, reduces the length of hospital stay, and saves a lot of treatment costs.
Yes you can change treatment . There is transplant and also peritoneal dialysis done at home via a peritoneal catheter placed in the abdomin
My mom died of renal cell carcinoma 10 months after she was diagnosed her doctor said this hardly ever happens they did surgery and didn't offer any chemo or radiation
Renal cell carcinoma is not sensitive to radiation or chemo. If operable, surgery is the first choice for renal cell carcinoma.
I  have typed 2 diabetes which is under control and has been all along. I ended up with it after being on prednisone for a while.  I'm post Cancer times 3, with chemotherapy and  radiation therapy. I'm  having some issues due to the chemotherapy treatment now. Lots of bone pain. Also I was told I would gain weight. I  thought my Dr had lost his mind. But he was right. I  went from 160 lbs to 336 lbs. I nearly flipped out. I couldn't except the weight became very depressed and it took me a few years to get this weight off I still haven't gotten it all off but I have lost almost a hundred pounds of it. I've never had cholesterol problems. I've never had hypertension. Just the opposite. So I don't understand why one doctor  (primary )is telling me I have stage 4 kidney disease, and the nephrologist says that I don't. I've seen two different nephrologist and they both say that I don't but my primary keeps saying that I do and I feel just fine I just don't know what to do. Why is he saying that I do. I've never damaged my kidneys. I have a history of kidney failure in my family,my mother my brother's. Oldest brother died of kidney failure. My mother died of kidney failure. I had a brother with kidney  and bladder cancer. I don't know if he's going according to my family's history why he's telling me this but I've had enough with cancer and foolishness.
Hello Madam, a kidney failure or chronic kidney disease is diagnosed by abnormal eGFR or high serum creatinine. Did you primary tell you the value of your serum creatinine or eGFR? If you have the numbers, it's easy to find out.
My husband has stage 4 ckd.   Protein in urine was 2018, 2 months ago.    Protein levels now is .7 (point 7).   How bad is this. Not in good health.  Hbp, hbs,      what does this actually mean.   And life expectancy?
The condition isn't promising. His CKD will progress to stage 5 soon, at that time dialysis will be necessary. Many people can live a good life with dialysis. As you know, high blood pressure and CKD are interacted, high blood sugar leads to CKD, so the key is to manage the blood pressure and blood sugar to an acceptable level, which his doctor should set target for based on his evaluation on your husband's health condition. Medications are a must in controlling BP and blood sugar.
Hello Shannon, urine protein target is less than 0.5 g / 24 hours, at this level the progression is managed. A low protein diet is helpful, with a recommended protein intake of 0.6 g/(kg·d).

In general, CKD itself does not threaten one's life, but with the worsening of CKD, more and more symptoms and complications come out, e.g. high blood pressure, anemia, heart failure, these can threaten one's life. In stage 4 CKD, as long as one gets treatment and manage the complications,  there's a good chance to live long.
At this stage, it is very important to slow the loss of kidney function.The key is to keep your kidney disease from getting worse. You’ll need to follow your treatment plan, and manage other health problems and complications.

Control other health problems, such as Diabetes and hypertension.One of the goals of your treatment is to make sure these health conditions are well managed. Discuss with your doctor and make a treatment plan. This may include:

medication – angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) that can protect your kidney function

lose weight if you’re overweight

cut down salt on your diet

monitor blood sugar and blood pressure, take medication as your doctor asks

Manage the complications

Kidney disease can cause complications throughout your body including:

Heart and blood vessel problems

Anemia (low red blood cell count)

Mineral and bone problems

High blood pressure

Poor nutritional health

If you have stage 4 kidney disease, you are probably experiencing some of these problems already. Your treatment may include diet, exercise, and medications. It is very important to strictly follow your treatment plan because it can greatly improve your quality of life and how long you live

Good self-management will help you to live a long, fulfilling life and continue to do the things you love. It can also help to slow or even stop kidney disease from getting worse – and it may even stop or delay kidney failure.
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