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Kidney and Renal Fast Facts

Kidney disease, also known as Chronic kidney disease (CKD), often overlooked, poses a greater threat than breast cancer or prostate cancer, according to the NVS 2021 report derived from 2018 data.

  • Key statistics highlight the urgency of understanding this under-recognized health crisis
  • An estimated 37 million people in the U.S., accounting for 15% of the adult population (more than 1 in 7 adults), grapple with kidney disease, with approximately 90% unaware of their condition.
  • Shockingly, 2 out of 5 adults afflicted with severe kidney disease are oblivious to their diagnosis.
  • A staggering 1 in 3 adults (approximately 80 million) in the U.S. faces the risk of developing kidney disease.
  • While women exhibit a slightly higher prevalence at 14%, men face a starker reality, with three men experiencing kidney failure for every two women reaching end-stage kidney disease (ESKD).
  • Additionally, kidney disease ranks as a leading cause of mortality in the United States.
  • Astonishingly, half of those with significantly impaired kidney function, not reliant on dialysis, remain unaware of their kidney disease.
  • Furthermore, approximately 1 in 3 adults with diabetes and 1 in 5 adults with high blood pressure may already be living with kidney disease.
  • Compounding this issue, COVID-19 is particularly targeting individuals with kidney disease, kidney transplant recipients, and those at risk for developing kidney disease.

It is imperative to raise awareness, promote early detection, and prioritize comprehensive care to confront this pervasive yet often silent threat to public health.

Kidney and Renal Fast Facts
What is Kidney Disease/Renal Disease

Kidney disease, also known as renal disease, refers to a variety of conditions that affect the proper functioning of the kidneys. These crucial organs play a fundamental role in filtering waste products, excess fluids, and toxins from the blood, which are then excreted through urine. When the kidneys are damaged or are unable to perform these functions effectively, waste products can build up in the body, leading to various complications and potential health risks.

Kidney disease can range from mild to severe and may be acute (sudden onset) or chronic (long-term). Some common causes of kidney disease include high blood pressure, diabetes, infections, kidney stones, autoimmune diseases, genetic disorders, and certain medications. Additionally, factors such as aging, a family history of kidney disease, and certain lifestyle habits can contribute to the development of kidney problems.

What is Kidney Disease/Renal Disease
Symptoms of Kidney Disease

Symptoms of kidney disease can vary depending on the specific type and stage of the condition. Some common signs and symptoms of kidney disease include:

Changes in Urination
Changes in Urination

This can include increased or decreased frequency of urination, changes in the color of urine, blood in the urine, foamy or bubbly urine, or difficulty urinating.

Swelling
Swelling

The kidneys play a vital role in regulating fluid balance in the body. When they are not functioning correctly, excess fluid can build up, leading to swelling in the hands, feet, ankles, or face.

Fatigue and Weakness
Fatigue and Weakness

When the kidneys are unable to filter waste products effectively, it can result in a buildup of toxins in the body, leading to fatigue, weakness, and a general feeling of being unwell.

Shortness of Breath
Shortness of Breath

Excess fluid in the body due to kidney dysfunction can also accumulate in the lungs, leading to difficulty breathing or shortness of breath.

Nausea and Vomiting
Nausea and Vomiting

A buildup of waste products in the bloodstream can cause feelings of nausea, vomiting, and a loss of appetite.

Changes in Appetite
Changes in Appetite

Kidney disease can lead to a decrease in appetite and a change in taste, resulting in a metallic taste in the mouth or a persistent bad breath.

Muscle Cramps and Pain
Muscle Cramps and Pain

Electrolyte imbalances and mineral deficiencies caused by kidney dysfunction can lead to muscle cramps, particularly in the legs.

Sleep Problems
Sleep Problems

Individuals with kidney disease may experience difficulty sleeping, restless leg syndrome, or an overall feeling of discomfort during the night.

If you are experiencing any of these symptoms, especially if they are persistent or severe, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early detection and management of kidney disease can help prevent further complications and improve overall health outcomes.

Types of Kidney Diseases

There are several types of kidney diseases, each with its own set of causes, symptoms, and treatment approaches. Some common types of kidney disease include.

Chronic Kidney Disease (CKD)
Chronic Kidney Disease (CKD)

CKD is a long-term condition where the kidneys gradually lose their function over time. It is often caused by conditions like high blood pressure and diabetes.

Acute Kidney Injury (AKI)
Acute Kidney Injury (AKI)

AKI is a sudden loss of kidney function often caused by an abrupt reduction in blood flow to the kidneys, direct damage to the kidneys, or obstruction of the urinary tract.

Polycystic Kidney Disease (PKD)
Polycystic Kidney Disease (PKD)

PKD is an inherited disorder characterized by the growth of numerous cysts in the kidneys, eventually leading to kidney enlargement and impairing their function.

Glomerulonephritis
Glomerulonephritis

This condition involves inflammation of the glomeruli, the tiny filters in the kidneys responsible for filtering waste and excess fluids from the blood.

Kidney Stones
Kidney Stones

Kidney stones are hard deposits that form in the kidneys and can be painful when passed through the urinary tract.

Urinary Tract Infections (UTIs)
Urinary Tract Infections (UTIs)

UTIs can affect any part of the urinary tract, including the kidneys, and may lead to kidney infections if not promptly treated.

Nephrotic Syndrome
Nephrotic Syndrome

Nephrotic syndrome is a kidney disorder that causes the body to excrete too much protein in the urine, resulting in swelling, high cholesterol levels, and increased blood clotting risk.

Interstitial Nephritis
Interstitial Nephritis

Interstitial nephritis is an inflammation of the kidney's interstitial tissue, often caused by an allergic reaction to medications or infections.

Kidney cysts
Kidney cysts

Kidney cysts on the other hand, are fluid-filled sacs that form on the kidneys

Kidney Failure
Kidney Failure

Kidney failure, also known as renal failure, refers to a condition in which the kidneys lose their ability to adequately filter waste products and excess fluids from the blood.

Each type of kidney disease requires specific management and treatment, and it is essential to consult a healthcare professional for an accurate diagnosis and appropriate care. Early detection and treatment can help slow the progression of kidney disease and improve overall health outcomes.

Stages of Chronic Kidney Disease
  • Stage 1 with normal or high GFR (GFR > 90 mL/min)
  • Stage 2 Mild CKD (GFR = 60-89 mL/min)
  • Stage 3A Moderate CKD (GFR = 45-59 mL/min)
  • Stage 3B Moderate CKD (GFR = 30-44 mL/min)
  • Stage 4 Severe CKD (GFR = 15-29 mL/min)
  • Stage 5 End Stage CKD (GFR <15 mL/min)

Early Stage Kidney Disease (Stages 1-3)

Late Stage Kidney Disease (Stages 4-5)

Stages of Chronic Kidney Disease
What are the main causes of chronic kidney disease?

Kidney disease can be caused by a variety of factors, including medical conditions, lifestyle choices, and genetic predispositions. Some common causes of kidney disease include:

Diabetes

Uncontrolled or poorly managed diabetes can lead to damage to the small blood vessels in the kidneys over time, affecting their ability to filter waste from the blood.

High Blood Pressure (Hypertension)

Persistent high blood pressure can put excessive strain on the blood vessels in the kidneys, leading to their gradual deterioration and impairment of function.

Glomerulonephritis

Glomerulonephritis is an inflammation of the kidney's filtering units, the glomeruli, which can be caused by infections, autoimmune diseases, or other underlying health conditions.

Polycystic Kidney Disease (PKD)

PKD is an inherited disorder characterized by the growth of numerous cysts in the kidneys, leading to their enlargement and eventual impairment of function.

Kidney Infections

Infections of the kidneys, such as pyelonephritis, can cause damage to the kidney tissue and impair their ability to function properly.

Obstructions

Blockages in the urinary tract, such as kidney stones or tumors, can prevent the normal flow of urine, leading to kidney damage or infection.

Certain Medications

Prolonged use of certain medications can cause kidney damage, particularly when used in high doses or over extended periods.

Autoimmune Diseases

Conditions like lupus and other autoimmune disorders can cause inflammation in the kidneys, leading to kidney damage over time.

Toxic Exposure

Exposure to certain toxins or heavy metals, such as lead or cadmium, can result in kidney damage and impairment of their function.

10
Aging

As individuals age, the kidneys may naturally lose some of their functioning capacity, making older adults more susceptible to kidney disease.

Managing these risk factors, maintaining a healthy lifestyle, and seeking timely medical care can help prevent or slow the progression of kidney disease. It is essential to consult a healthcare professional for guidance on appropriate preventive measures and treatments tailored to individual needs.

What Tests are done to check Kidney Function

Several tests are commonly used to check kidney function and assess the overall health of the kidneys. Some of these tests include:

  1. Blood Urea Nitrogen (BUN) Test: This test measures the amount of nitrogen in the blood that comes from urea, a waste product created by the liver. Elevated BUN levels can indicate reduced kidney function.
  2. Serum Creatinine Test: This blood test measures the level of creatinine, a waste product produced by muscle metabolism, in the blood. High creatinine levels can suggest impaired kidney function.
  3. Glomerular Filtration Rate (GFR) Test: The GFR test estimates how well the kidneys are filtering waste from the blood. It is considered the most accurate indicator of overall kidney function.
  4. Urinalysis: This test examines a urine sample for the presence of abnormal elements, such as protein, blood, or certain substances that may indicate kidney issues.
  5. Cystatin C Test: This blood test measures the level of cystatin C, a protein released by the body's cells. Elevated levels can indicate reduced kidney function.
  6. Imaging Tests: Kidney imaging tests, such as ultrasound, CT scans, or MRIs, can provide visual information about the size, shape, and structure of the kidneys, helping to identify any abnormalities or blockages.
  7. Kidney Biopsy: In this procedure, a small sample of kidney tissue is extracted and examined under a microscope to assess the extent of any kidney damage.

These tests, in combination with a comprehensive evaluation of medical history and symptoms, can help healthcare professionals diagnose kidney issues, monitor kidney function over time, and develop appropriate treatment plans. If you have concerns about your kidney health or any related symptoms, it is important to consult a healthcare provider for proper assessment and guidance.

What Tests are done to check Kidney Function
Chronic kidney Disease - Diagnosis and Treatment

Treatment for kidney disease can vary depending on the specific type and stage of the condition. Some common types of kidney disease treatments include:

  • Medications: Certain medications may be prescribed to manage symptoms, control blood pressure, reduce proteinuria, regulate electrolyte levels, or treat underlying conditions contributing to kidney damage.
  • Dietary Changes: A specialized diet, often low in sodium, phosphorus, and protein, may be recommended to reduce the workload on the kidneys and manage related complications.
  • Fluid Management: Limiting fluid intake may be necessary to prevent fluid buildup and maintain a healthy balance in the body.
  • Lifestyle Modifications: Adopting a healthy lifestyle, including regular exercise, maintaining a healthy weight, quitting smoking, and limiting alcohol consumption, can help manage risk factors and improve overall kidney health.
  • Dialysis: In cases of advanced kidney failure, dialysis, a procedure that helps filter and purify the blood using a machine, may be necessary to perform the functions of the kidneys.
  • Kidney Transplantation: For some individuals with end-stage kidney disease, a kidney transplant may be recommended as a long-term treatment option to replace the failed kidneys with a healthy donor kidney.
  • Management of Underlying Conditions: Controlling conditions such as diabetes and high blood pressure is crucial in managing kidney disease and preventing further kidney damage.
  • Treatment of Complications: Managing complications such as anemia, bone disease, electrolyte imbalances, and cardiovascular issues may be necessary to improve overall health and quality of life.

It is important to consult a healthcare professional or a nephrologist to determine the most appropriate treatment plan based on the specific type and stage of kidney disease. Early detection and management can help slow the progression of kidney disease and improve overall health outcomes.

Chronic kidney Disease - Diagnosis and Treatment
When to see a kidney doctor / kidney specialist / A Nephrologist

You should consider seeing a kidney doctor, also known as a kidney specialist or nephrologist, if you experience any of the following situations:

High Blood Pressure Difficulties
High Blood Pressure Difficulties

If you struggle to manage persistent high blood pressure, consulting a nephrologist can provide specialized guidance for controlling your blood pressure and preventing kidney damage.

Diabetes-Related Kidney Concerns
Diabetes-Related Kidney Concerns

For individuals with diabetes, regular visits to a nephrologist are crucial to monitor kidney function, as diabetes is a leading cause of kidney disease.

Protein in Urine
Protein in Urine

If your urine tests consistently show the presence of protein, a nephrologist can help identify the underlying cause and determine if it is indicative of kidney damage.

Hematuria (Blood in Urine)
Hematuria (Blood in Urine)

If you notice blood in your urine, consulting a nephrologist can help investigate potential kidney-related issues and provide appropriate management.

Recurrent Kidney Infections
Recurrent Kidney Infections

Persistent or frequent kidney infections can signal underlying kidney problems that require specialized care from a nephrologist.

Family History of Kidney Disease
Family History of Kidney Disease

If you have a family history of kidney disease, regular visits to a nephrologist can help monitor your kidney function and assess any potential risks.

Chronic Kidney Disease (CKD) Diagnosis
Chronic Kidney Disease (CKD) Diagnosis

If you have been diagnosed with CKD, collaborating with a nephrologist regularly is essential for managing the condition and slowing its progression.

Electrolyte Imbalance Concerns
Electrolyte Imbalance Concerns

If you experience persistent electrolyte imbalances, such as high potassium or low calcium levels, a nephrologist can provide specialized guidance and treatment.

Seeking the expertise of a nephrologist can help you understand your kidney health status, manage existing kidney conditions, and take preventive measures to protect your kidneys from further damage. If you notice any symptoms or conditions related to kidney function, it is advisable to consult a healthcare professional, who can assess your situation and provide personalized guidance and treatment.

Alternative Treatment for Kidney Disease

Alternative treatments for kidney disease often complement traditional medical approaches and may include the following:

Herbal Supplements: Some herbal supplements, such as astragalus, dandelion root, and turmeric, are believed to have properties that support kidney function and overall kidney health. However, it is essential to consult a healthcare professional before incorporating any herbal supplements into your regimen, as some may interact with medications or have adverse effects.

Acupuncture and Acupressure: These traditional Chinese medicine practices may help alleviate symptoms associated with kidney disease, such as pain, nausea, and fatigue.

Dietary Changes: Incorporating specific foods known to support kidney health, such as berries, cabbage, garlic, and olive oil, can be beneficial. Additionally, limiting the intake of processed foods, salt, and sugar can help reduce the workload on the kidneys.

Yoga and Meditation: Engaging in yoga and meditation practices can help reduce stress, lower blood pressure, and improve overall well-being, which may have a positive impact on kidney health.

Dietary Supplements: Certain dietary supplements, such as vitamin D, omega-3 fatty acids, and probiotics, may help support overall health and well-being. However, it is essential to consult a healthcare professional before taking any supplements, as they may interact with medications or have side effects.

Ayurvedic Medicine: Ayurvedic treatments may involve a combination of herbal remedies, dietary changes, and lifestyle modifications tailored to the individual's specific constitution and condition.

Alternative Treatment for Kidney Disease
Why Naturopathy (Ayurvedic) Treatment is best for Kidney Disease?

Ayurveda is often considered beneficial for kidney disease treatment due to several reasons:

  1. Holistic Approach: Ayurveda focuses on treating the individual as a whole, considering the interconnectedness of the body, mind, and spirit. This holistic approach aims to restore balance and harmony within the body, which can be especially beneficial for individuals with kidney disease.
  2. Natural Remedies: Ayurvedic treatments often utilize natural herbs, dietary modifications, and lifestyle adjustments to promote kidney health. Many of these natural remedies are believed to have fewer side effects compared to conventional medications.
  3. Customized Treatments: Ayurvedic treatments are tailored to the individual's unique constitution and specific imbalances. This personalized approach allows for a more targeted and effective treatment plan for managing kidney disease.
  4. Emphasis on Prevention: Ayurveda emphasizes preventive measures and lifestyle modifications to maintain overall health and prevent the progression of diseases. By promoting healthy habits and dietary practices, Ayurveda aims to prevent further damage to the kidneys.
  5. Long-standing Tradition: Ayurveda has a long history of use in treating various health conditions, including kidney disease. Its time-tested principles and treatments have been passed down through generations, contributing to its reputation as a reliable healthcare system.

While Ayurveda can offer valuable insights and treatments for kidney disease, it is crucial to consult a qualified Ayurvedic practitioner or healthcare professional to ensure a comprehensive and integrated approach to treatment. Integrating Ayurvedic principles with conventional medical care can provide a holistic and well-rounded approach to managing kidney disease and improving overall well-being.

Why Naturopathy (Ayurvedic) Treatment is best for Kidney Disease?
Dr. Puru Dhawan
About Dr. Puru Dhawan

Dr. Puru Dhawan is a prominent Ayuvedic Nephrologist known for his significant contributions to the field of kidney care and research. Dr. Puru Dhawan served as the Ayuvedic Nephrologist at the SRIAAS, where he played a crucial role in advancing the organization's mission to improve kidney health and reduce the impact of kidney disease.

Dr. Puru Dhawan has been actively involved in various initiatives aimed at promoting kidney disease awareness, prevention, and treatment. His work has focused on raising awareness about chronic kidney disease (CKD) and advocating for early detection and intervention to slow its progression. He has also been involved in educational programs and campaigns to increase public understanding of kidney health and the importance of early screening for kidney disease risk factors.

In addition to his role at the SRIAAS, Dr. Puru Dhawan has been involved in clinical practice and academic research, contributing to the advancement of nephrology knowledge and patient care. His expertise and leadership have made him a respected figure in the field of nephrology, and he has been recognized for his dedication to improving kidney health and patient outcomes.

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