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Chronic Renal Failure

More Info about Chronic Renal Failure

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What are the stages of chronic kidney disease (CKD)? 
In chronic kidney disease, the kidneys don't usually fail all at once. Instead, kidney disease often progresses slowly, over a period of years. This is good news because, if CKD is caught early, medications and lifestyle changes may help slow its progress and keep you feeling your best for as long as possible. With early diagnosis, it may be possible to slow, stop, or even reverse CKD, depending on the cause. The National Kidney Foundation (NKF) recently published information on the stages of Chronic Kidney Disease (CKD). In the table below, the "GFR level," or glomerular filtration rate, is a measure of how well your kidneys are cleaning your blood. Your doctor can calculate your GFR, based on a formula.

Stages of Chronic Kidney Disease Stage Description GFR Level 

Normal kidney function Healthy kidneys 90 mL/min or more 

Stage 1 Kidney damage with normal or high GFR 90 mL/min or more

Stage 2 Kidney damage and mild decrease in GFR 60 to 89 mL/min 

Stage 3 Moderate decrease in GFR 30 to 59 mL/min 

Stages of Chronic Kidney Disease Stage Description GFR Level

Stage 4 Severe decrease in GFR 15 to 29 mL/min

Stage 5 Kidney failure Less than 15 mL/min or on dialysis

In Stage 1 and Stage 2 CKD, there are often few symptoms. Hence detection is difficult but if diagnosed favorable results are achieved.

In Stage 3 CKD, anemia (a shortage of red blood cells) and/or early bone disease may appear and should be treated to help you feel your best and reduce problems down the road. When CKD has progressed to Stage 4, it's time to begin preparing for dialysis and/or a kidney transplant.

Laboratory Values Showing You Have Kidney Failure

Diabetes or no Diabetes

Creatinine 6.0 mg/dl or higher 8.0 mg/dl or higher

Creatinine clearance 15 ml/min or lower 10 ml/min or lower

Glomerular Filtration Rate (GFR) calculated from creatinine, age, sex, race -15 ml/min or lower.

When should I be referred to a nephrologist?
You should be under the care of a nephrologist if your creatinine clearance, a measure of your kidney function, is 30 mL/min or lower. This translates to stage 4 chronic kidney disease (CKD).

When you first find out you have CKD (even if it is stage 2 or 3), seeing a nephrologist at least once can help you develop a plan of care. A nephrologist can help you and your primary care doctor to:

Slow the rate of decline of your kidney function

Decide if a kidney biopsy might be useful

Diagnose the type of kidney disease and whether it might be reversible with treatment

Manage complications of kidney disease, such as anemia, high blood pressure, metabolic acidosis, and changes in mineral balance

What about my diet and drugs?
Ongoing research continues on dietary changes and drugs that may help to slow the progression of CKD. Examples include:


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Posted by:  Nannie40(Guest)  Posted on: 05/12/2012
I am overweight and miserable. I am not currently on dialysis and would like to lose weight. If I eat the current high-protein diet I have been put on, I will never lose weight! HELP.



Posted by:  tkhamann  Posted on: 09/26/2011
I live in Lakeland, Florida my father has kidney failure he has been on dialyis for two years now which now he is at the ESRD...End stage of renal disease..that is the white lining developes around the kidney and draws up to nothing,no longer functioning.It is a proving fact that the FDA states the three kinds of medication to produce red blood cells is very dangerous and has caused alot of deaths NOTE:IF YOU HAVE HYPERTENION, DO NOT TAKE MEDICATION...Now what do you do for red blood cells???Kidney patients are not surpose to get blood trans..my father has to get blood trans quite often and now he has congested heart failture,which is from the medication to produce red blood cells or blood trans or BOTH...Is this a catch 22 situation??? My Question is..I know there are other things to produce red blood cells.I need to know what they are..I have heard that some steriods produce red cells..Your red cell count is surpose to read 13 to 14 count i believe..last month my fathers got down to 6.9!!!and more fluid developes around the heart...This is terrible..I pray every day for those you have kidney failture I watch what my father goes through..I hope i didnt effect anyone in a bad way with what i had to say in this comment box..Thank You and GOD BLESS...Tammy Hamann............


Posted by:  skdh-03  Posted on: 10/03/2011
Stem cell can produce red blood cells




Posted by:  sukhwinder(Guest)  Posted on: 02/07/2011
If you had all the symptoms of acute renal failure listed on Web MD, but none of them were all that bad, and you felt pretty much normal would you go to the Emergency room, wait and make a doctors appointment, or just chalk it up to being overly sensitive and a hypochondriac? acute renal failure symptoms



Posted by:  premraj  Posted on: 07/14/2009
what are the symtoms of kidney failure and can a patient eat the fish to improve the blood or meat or chicken which is mostly advised.Prem


Posted by:  skdh-03  Posted on: 10/03/2011
fish,chicken[except skin and liver and other organs],lean meat,milk,egg white are all okay, but the amount should be limited depending on your kidney function.




Posted by:  sruthi  Posted on: 11/19/2008
the article was good




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