What is meant by Chronic Kidney Disease (CKD)?

Chronic Kidney Disease (CKD) occurs when the kidneys can no longer clean the toxins and waste products found in the blood. This condition can occur suddenly or even gradually over a long period of time.

One of the things you need to know is, this kidney disease has multiple stages and knowing which stage of your disease is important to determine how you treat it. CKD has five stages, starting with stage 1 where the kidneys are still functioning close to normal, to stage 5 damage and is known as end stage renal disease (ESRD). At this stage, the patient’s kidneys are only functioning at 10-15 percent of their normal capacity and the patient will need to undergo dialysis treatment or a kidney transplant.

In most cases, ESRD (stage 5) only occurs years after the patient has had kidney disease. But there are also cases where the kidneys stop functioning suddenly and this condition is known as ‘acute kidney failure’. No matter what your condition is, if you have been diagnosed with ESRD, then it is necessary for you to undergo dialysis or a kidney transplant so that you can live a healthy life. At DaVita we provide a variety of services to suit your lifestyle.

There are various ways to treat ESRD (stage 5). The most common treatment is dialysis. If you and your nephrologist agree to choose a kidney transplant as a way to treat ESRD, chances are you will still need to undergo dialysis while waiting to get a kidney from a suitable donor.

Understanding Your Kidneys

Understanding how your kidneys work is the first step in controlling your health. When you take care of your diet, don’t smoke, control your diabetes, control your high blood pressure, it can help your kidneys to function better and last longer, even if you have kidney disease. The kidneys play an important role in regulating the health of your body. They form the body’s filtration system, cleaning out waste products and removing excess water from your body, while producing a series of chemicals that your body needs.

Can You or Your Loved Ones Be Risk of CKD?

The risk factors are as follows:

    • Diabetes

    • High blood pressure

    • Heart related diseases

    • History of kidney disease by family members

    • Aged 55 years and above

What are the Symptoms of Kidney Disease?

Knowing the symptoms of kidney disease can help individuals detect the disease at an early stage so that early treatment can be done. The symptoms of this disease are, among others, as follows:

  • Changes in urination — Urinating more often or less than usual, feeling pressure when trying to urinate, changes in urine color, changes in urine conditions where your urine foams a lot, or waking up often night to urinate.

  • Swelling of the feet, ankles, hands or face — fluid that cannot be removed by the kidneys can accumulate in body tissues.

  • Fatigue and lethargy — Accumulation of toxins or a lack of red blood cells (anemia) can lead to this problem when the kidneys begin to malfunction.

  • Shortness of breath — The kidneys are sometimes confused with asthma or heart disease because fluid accumulates in the lungs.

  • Breath smelling of ammonia or mouth tastes like iron — Accumulation of waste products in the body can result in bad breath, changes in the sense of taste or loss of appetite for protein -rich foods such as meat.

  • Pain in the back or sides — The kidneys are located in both lower parts of the spine.

  • Itching — The accumulation of waste products can cause your body to experience itching, especially in the legs.

  • Lack of appetite.

  • Nausea and vomiting.

What are the 5 Stages of Kidney Disease?

Chronic kidney disease has 5 stages. Stage 1 is the stage where the kidneys can still function almost at a healthy rate of function while Stage 5 is the stage where the patient needs to undergo dialysis or a kidney transplant.

GFR is a reference to the glomerular filtration rate, which will estimate the percentage of renal function. If your GFR shows a reading of 26, this means your kidneys are working at a rate of 26 percent of the normal rate.

LEVEL 1, GFR> 90

LEVEL 2, GFR 89-60

  • Kidney damage at a low rate of loss of function

  • Little or no symptoms

  • Controlled through a healthy diet and stable blood pressure regulation

LEVEL 3A, GFR 59-45

LEVEL 3B, GFR 44-30

  • May experience lethargy, changes in urination, difficulty sleeping and pain in the kidneys

  • You can talk to your doctor about a diet that is right for your kidneys for this stage, how to control your high blood pressure and get the right medicine


LEVEL 4, GFR 29-15

  • May have high blood pressure, anemia, bone disease or heart related disease

  • Symptoms include lethargy, nausea, changes in the sense of taste, nerve problems, difficulty sleeping, poor appetite and lack of energy.

  • You should see a kidney specialist to help you manage your disease better and you can also ask more about kidney transplants

  • A nutritionist can help you in managing foods that are appropriate for your stage of the disease

LEVEL 5, GFR <15

  • Shows symptoms such as loss of appetite, nausea, itching, swelling and produces little or no urine

  • Treatment options include dialysis and kidney transplantation

If you are likely to be at risk for kidney disease, you are advised to make an appointment with your doctor to get a kidney screening. Also can be treated with THE TOLE’s acupuncture kidney disease and kidney disease herbal medicine. For the recovery time, it’s all depend on how long and how severe the problem is.

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