is a deficiency in kidney function. Kidneys clean waste from the blood. The waste then passes out of the body in urine.
Anatomy of the Kidney
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Chronic renal failure may cause: FatigueWeaknessSleeping problemsWeak appetiteNauseaItchingShortness of breathAltered tasteAltered mental state
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids and tissues may be tested. This can be done with: Blood tests
Images may be taken of your bodily structures. This can be done with utrasound.
Those who are already at high risk for kidney disease should be tested more frequently so any damage can be diagnosed early. People with kidney disease will be referred to a nephrologist (a doctor who specializes in treating kidney disorders).
Chronic renal failure cannot be cured. It is possible to slow the progression of kidney damage.
Treatment may include: Controlling protein in the urine by restricting the amount of protein in the diet or medicationTaking ACE inhibitors or angiotensin II receptor antagonistsReducing the use of and the dosages of drugs that may be toxic to the kidneysManaging the complications of chronic renal disease such as fluid overload, high blood phosphate or potassium levels, low blood level of calcium, and anemiaLowering high blood pressureControlling blood sugar and lipid levelsStaying hydratedControlling salt in the diet
Participating in an exercise training program to keep you physically fit and reduce the chance of
, a medical process that cleans the blood
Having a kidney transplantCounseling for you and your family about dialysis and/or transplant options
To help reduce your chance of chronic renal failure: Get a physical exam every year that includes a urine test to monitor the health of your kidneys.If you smoke, talk to your doctor about how you can successfully quit.Maintain a healthy weight.Drink water and other fluids to stay hydrated.People who have diabetes, previously known kidney disease, high blood pressure, or are over the age of 60 should be screened regularly for kidney disease.People with a family history of kidney disease should also be screened regularly.
Chronic kidney disease (CKD) in adults. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated May 16, 2016. Accessed June 1, 2016.
Pendse S, Singh AK. Complications of chronic kidney disease: Anemia, mineral metabolism, and cardiovascular disease.
Med Clin N Am. 2005;89(3):549-561.
Snyder S, Pendergraph B. Detection and evaluation of chronic kidney disease.
Am Fam Physician. 2005;72(9):1739-1746.
Zandi-Nejod K, Brenner BM. Strategies to retard the progression of chronic renal disease.
Med Clin N Am.
8/26/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Heiwe S, Jacobson SH. Exercise training in adults with CKD: A systematic review and meta-analysis. Am J Kidney Dis. 2014;64(3):383-393.
4/6/2016 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Park H, Adeyemi A, et al. A meta-analytic assessment of the risk of chronic kidney disease in patients with chronic hepatitis C virus. J Viral Hepat. 2015 Nov;22(11):897-905.
Last reviewed June 2016 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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