ABC Medical Center > Padecimientos > Chronic kidney disease

Chronic kidney disease

21:54 - 4 May , 2021

Disease

What is Chronic kidney disease?

It is a silent condition in which the kidneys progressively lose their physiological capacity of eliminating waste and excess fluid in the body, and maintaining electrolyte balance.

Chronic kidney disease does not usually have symptoms until after a long time, even years, and when it does, the level of kidney involvement is very advanced, so the condition is in its terminal phase, that is, when the kidneys no longer fulfill their function and the only possible treatment is dialysis or a kidney transplant.

The most frequent origin of this condition is usually diabetes and high blood pressure, although there are also other less common causes, such as:

  • Lupus.
  • Scleroderma.
  • Congenital kidney defects.
  • Exposure to chemicals.
  • Kidney blows or injuries.
  • Infections.
  • Kidney stones.
  • Intake of certain drugs.
  • Urinary reflux nephropathy.

Symptoms

At the beginning:

  • Lack of appetite.
  • Tiredness.
  • Weakness.
  • Headache.
  • Nausea.
  • Itch.
  • Skin dryness.
  • Decreased body weight.
  • General discomfort.

In advanced stages:

  • Excessive sleepiness.
  • Lack of concentration.
  • Swelling of hands and feet.
  • Cramps.
  • Bad breath.
  • Breathing problems.
  • Insomnia.
  • Vomit.
  • Paleness or darkening of the skin.
  • Aching bones.
  • Bruising.
  • Blood in stool
  • Continuous thirst.
  • Hiccups.
  • Impotence.
  • Amenorrhea.

Possible complications of chronic kidney disease include:

  • Stomach and intestinal bleeding.
  • Anemia.
  • Peripheral neuropathy.
  • Dementia.
  • Pleural effusion.
  • Cardiovascular problems.
  • Recurring infections.
  • Liver failure.
  • Edema.
  • Seizures.
  • Osteoporosis.

Diagnosis and treatment

Once your doctor analyzes your symptoms and medical history, they will perform a physical examination to look for signs of the condition.

They will also request a urine test to check the levels of protein and creatinine, as well as blood tests to see the amount of urea nitrogen.

You may be requested tests such as computed tomography, MRI, ultrasound, and kidney biopsy.

The treatment will depend on the direct cause, which must be attacked immediately, but in all cases, blood pressure control, and change of habits will be sought, such as: 

  • Avoiding smoking.
  • Exercising daily.
  • Keeping a balanced diet, avoiding fat, sugar, salt, and excess protein.

At ABC Medical Center’s Internal Medicine Department, we offer health care services with the highest quality and safety, from the prevention, diagnosis, timely treatment, and monitoring of infectious, respiratory, endocrinological, dermatological, rheumatic, nephrological, gastrointestinal, and hematological pathologies of both chronic-degenerative diseases and acute conditions, through a comprehensive and multidisciplinary model.

Fuentes:

  • kidneyfund.org
  • mayoclinic.org
  • medlinesplus.gov
  • msdmanuals.com
  • topdoctors.es
  • medigraphic.com
  • Loaiza-Huallpa J, Condori-Huaraka M, Quispe-Rodríguez GH, et al. Mortalidad y factores asociados en pacientes con enfermedad renal crónica en hemodiálisis en un hospital peruano. Revista Habanera de Ciencias Médicas. 2019;18(1):165-175.
  • Robalino RME, Robalino GRS, Urdaneta CGM, et al. Programa de atención de enfermería, pilar de la atención de pacientes con enfermedad renal crónica. Rev Cub de Reu. 2020;22(3):.
  • Orantes NCM, Almaguer LM, Alonso GP, et al. La epidemia de enfermedad renal crónica en El Salvador: la influencia de los agroquímicos. Rev Cubana Med Trop. 2020;72(2):1-25.
  • Saborit OY, Zaldívar SN, Collejo RY, et al. Calidad de vida en adultos con enfermedad renal crónica sometidos a hemodiálisis. Rev Cub de Med Fis y Rehab. 2020;12(3):.

						
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