CKD Diagnosis

As an important organ of the body, the kidney plays an important role in the body, which is mainly reflected in the three functions including the generation of urine, namely the function of detoxification, the regulation of endocrine

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Four Tests Should Be Done Early to Prevent Kidney Disease from Getting Worse

2019-01-24 15:15

Four Tests Should Be Done Early to Prevent Kidney Disease from Getting WorseAs an important organ of the body, the kidney plays an important role in the body, which is mainly reflected in the three functions including the generation of urine, namely the function of detoxification, the regulation of endocrine function, and the regulation of water, electrolyte and acid-base balance.

When the kidney is damaged, all aspects of function are impaired. Patients with kidney disease can no longer urinate like normal people, and internal secretion, internal water and electrolytes are out of order. The more serious the three functions are damaged, the greater the risk of kidney failure will be.

In the treatment process, most kidney patients pay more attention to the indicators of urine, such as urine protein, 24-hour urine protein quantification, microalbumin, etc., as well as indicators reflecting the renal detoxification function, such as serum creatinine, uric acid, uremic toxin, etc. But some indicators of electrolyte balance are poorly understood.

This abnormal examination index indicates that kidney function deteriorates. Do not ignore it.

Blood electrolyte examination is indispensable in the treatment of kidney disease. There are several specific indicators in the electrolyte test, including blood potassium test, blood phosphorus test, blood calcium test, blood sodium test and so on. Each has a significant effect on the progression of renal function.

Electrolyte disturbance is also mainly manifested as abnormalities in the four indicators:

1. Hyperkalemia

Electrolyte disturbances become more severe as kidney function worsens. Patients with renal insufficiency, renal failure and long-term dialysis are more prone to hyperkalemia, which is mainly caused by the weakened potassium excretion capacity of the kidney, resulting in the accumulation of blood potassium. Simply put, the presence of hyperkalemia means that kidney function is getting worse.

Hyperkalemia is usually diagnosed by measuring blood potassium more than 5.5mmol/L and severe hyperkalemia more than 7.0mmol/L. The real danger of hyperkalemia is not only that it can speed up kidney failure, but also that it can threaten the heart health of kidney patients. High blood potassium will lead to decreased myocardial tension, heart enlargement, heart sound weakening, resulting in arrhythmia, severe limb numbness, muscle soreness, and even cause sudden death.

Kidney patients should pay more attention to monitoring this indicator so as not to endanger life and health.

2. Hyperphosphatemia

Hyperphosphatemia is also a common symptom of electrolyte disturbance in kidney disease. With the decrease of glomerular filtration rate, renal blood phosphorus excretion decreases, resulting in the increase of blood phosphorus. Hyperphosphatemia can be diagnosed in adults with normal serum phosphorus concentration higher than 1.61mmol/L.

Excessive blood phosphorus can lead to two major abnormalities in the body: one is skin itching, mainly due to the high phosphorus content in the blood, which leads to the deposition of phosphate under the epidermis and dermis; the other is renal osteopathy, mainly because calcium and phosphorus are antagonistic. Increased blood phosphorus can lead to the loss of calcium in the blood, thus the bone will be more fragile. In serious case, it will lead to fracture.

3. Hypercalcemia

Hypercalcemia can be defined when serum calcium concentration is higher than 2.75 mmol/L. There are fewer patients with this symptom in the late stage of kidney disease, but some of them have hyperphosphorus. In order to reduce blood phosphorus, taking a large amount of phosphate binder containing calcium will also lead to the increase of blood calcium. Therefore, the dosage of drugs in the late stage of nephropathy must be paid attention to.

If the kidney patients appear poor appetite, nausea, vomiting, constipation, increased urination, or even lethargy, the unconscious situation should be alert to the occurrence of hypercalcemia.

4. Hyponatremia

This symptom mostly occurs in kidney patients who are severely restricted to sodium intake. Low salt diet can help alleviate hypertension, proteinuria and kidney burden. But low salt is not equal to no salt, and not eating salt at all is not good for your health.

Hyponatremia can cause headache, dizziness, nausea and vomiting, and confusion of consciousness, so please do not be negligent.

Now you know the four tests which should be done early to prevent kidney disease from getting worse. For more information on kidney disease treatment, please leave a message below or contact online doctor.

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