CKD Stage 3 Symptoms

Urinary protein is the most common factor leading to the progression of chronic kidney disease. It must be controlled within 0.5 g/24h to effectively prevent the progression of kidney disease to uremia. There are many ways to reduce it.

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The 7 Most Effective Ways to Reduce Proteinuria

2018-07-25 06:42

The 7 Most Effective Ways to Reduce ProteinuriaUrinary protein is the most common factor leading to the progression of chronic kidney disease. It must be controlled within 0.5 g/24 hours to effectively prevent the progression of kidney disease to uremia.

There are many ways to reduce urinary protein, the most effective of which are these 7:

1. Low salt diet

It does not only lower high blood pressure, but also reduce proteinuria at over 20%. And it is suggested to take about 6g salt every day.

Salt restriction is to reduce the sodium intake. However, sodium-rich foods don't just contain salt. Nearly everything we eat regularly contains sodium. The amount of sodium in the daily diet is the same as 2-3 grams of salt, so patients with kidney disease should try to limit their daily salt intake to about 3 grams.

How to judge whether sodium salt intake exceeds bid? You can take a look at sodium in urine. If it's more than 100 mmol/24h, it means you're eating too much salt. Some patients think that they are low-salt diet, but in fact their salt intake is still too much, because their urine sodium has exceeded bid.

2. Monitor blood pressure.

Here it refers to measure blood pressure at home.

60% of kidney patients have high blood pressure, which can worsen proteinuria, or even cause further damage to kidneys and cardiovascular system.

It is recommended that all renal patients monitor their blood pressure at home regardless of whether they have hypertension or not. Especially for kidney patients with hypertension, the changes in blood pressure should be recorded so that when going to the hospital for treatment, the doctor will know in his mind, and then the medication is more accurate and effective so as to reduce hospitalization time.

3. Flu shot

Patients with Nephrotic Syndrome may have a deep feeling that proteinuria is finally managed, and the medicine will stop soon, but after catching a cold, the disease gets relapse, proteinuria increases again. As a result, it needs to be treated again from the beginning.

Infection is a major enemy of kidney disease, which not only causes elevated urinary protein. Severe cold infections can even lead to acute kidney failure. It is recommended that all kidney patients without vaccine contraindication be vaccinated for a cold, such as pneumococcal vaccine.

4. ACEI and ARBs

They do not only lower high blood pressure, but also reduce proteinuria. They are the most commonly and effective medicine for kidney disease treatment.

Both are equally effective. Generally, ACEI is cheaper and can be the first choice. Some patients may have side effects such as cough after taking ACEI, which can be replaced by ARBs.

5. Glucocorticoid

It is the preferred drug for the treatment of proteinuria. There are three types:

-Short-acting steroids

-Medium-acting steroids

-Long-acting steroids

At the beginning of treatment, the dose of steroids is usually sufficient according to the weight (intravenous administration is optional), and then every two to four weeks the dosage is reduced by one-tenth, and the doctor will make some adjustments based on different conditions and drugs.

6. Immunosuppressants

These include tacrolimus, cyclophosphamide, cyclosporine, mortenoxolate, fluomide, thiazathopurine, and the Chinese medicine immunosuppressant tripterygium.

Immunosuppressants are often used when the disease is urgent and severe. Depending on the condition, it can be used in combination with steroids or separately.

7. Combination of Chinese medicine and western medicine

The causes of urinary protein are complex, and western medicine alone is sometimes difficult to be effective or the disease gets relapse frequently. The application of traditional Chinese medicine (in a few cases, single use of traditional Chinese medicine) can significantly improve the bad situation.

From the perspective of traditional Chinese medicine, urinary protein is produced in three pathological phenomena:

One, weak spleen Qi.

Second, lung qi depression;

Third, kidney qi depletion.

Neither can be easily solved. If all three occur at the same time, refractory proteinuria will be formed, steroid resistance or steroid dependence will occur, and the disease will not be cured for a long time. Proteinuria will disappear only when Chinese medicine is used to restore renal function of clearing and lowering turbidity and storing.

Finally, I wish all patients with kidney disease can control the urinary protein within 0.5g /24 hours to achieve clinical cure, or even complete cure. For more information on CKD treatment, please leave a message below or contact online doctor.

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