Tips for ESRD Patients: How to Live Well with Your New Kidneys

Patients face a choice as the illness progresses to ESRD (End-stage Renal Disease). They have to choose one to sustain their lives: dialysis or kidney transplantation. Compared with kidney transplantation, dialysis takes effects instantly but couldn’t deal with the kidney problem completely just sustain one’s life. Unlike dialysis, the kidney transplantation has a long way to go but is able to solve the problem one at a time. That explains why people would rather wait for years to receive a new kidney than count on dialysis for the rest of their lives.

Statistics collected reports that survival rate of kidney transplantation after one year is 95.2%; the number begins to slip three years later after the surgery: 85.3%; it drops to 74.2% five years later; and finally, the number bottoms out to 59.1% one decade after.

The influencing factors of kidney transplantation include chronic rejection, the recipient’s physical condition and some other factors. By taking proper measures to ensure they are live well with their new kidneys:

Rest up is vital. It is especially true for those who have just performed the surgery. The hospitalization and surgery make the patients exhausted, besides, they are pretty weak after the surgery. Rest can help them regain energy and get recovery soon.

Proper exercises are good. Taking mild exercises after the transplantation can be helpful. I strongly recommend stroll. Of course, some household chores is optional too, just don’t lift heavy within two months after the surgery.

Diet restriction is necessary for the patients who suffer from hyperuricemia, hyperlipidemia, hyperglycemia or hypertension etc. All because a long-term hyperuricemia, hyperlipidemia, hyperglycemia or hypertension will increase the incidence of renal transplantation complications, or even affect their life span.

CKD and High Blood Pressure May Lead to Death

Chronic Kidney Disease (CKD) and high blood pressure is closely associated with each other. They interplay with each other and on whatever condition, will related with Renal Failure somehow.

Chronic Kidney Disease (CKD) is a growing health problem throughout the world. According to the statistics collected, 1 in 6 individuals has CKD. Approximately no less than 8 million people have CKD stage III or ever higher. Chronic Kidney Disease accounts for more and more new cases of End-stage Renal Disease as time pass by.

High blood pressure (HBP) or hypertension refers to one’s blood pressure exceeds 140/90mmHg without taking any kind of medications. High blood pressure can be primary or secondary. Primary blood pressure refers to the elevated BP caused by no reason, while secondary hypertension means that the raised BP is induced by many other factors, for example, Chronic Kidney Disease.

Hypertension is closely connected with CKD. On one hand, elevated BP results in renal damage; and kidney problems lead to boosted BP the other way round. Evidence-based data reveals that no less than 26.8% of hypertension every single year leads to ESRD. Chronic renal disease raises the risk of early death, heart attack, stroke and bone disease. It eventually progresses to Chronic Renal Failure or ESRD. CKD causes rising BP and elevated blood pressure causes CKD. When the disease progresses to Chronic Renal Failure, 80%-100% of the patients would complicated with HBP. If left untreated, the medical condition will progress and then vicious circles forms. Here gives a kind reminder: if you have HBP, regular visiting the doctor is necessary. It can help you detect the early renal damage and stop it in the very early stage. while if you have chronic renal disease, then measure your blood pressure from time to time is vital to the progression.

What are the Causes of High Creatinine and Low Hemoglobin in Diabetes

Among people with Diabetes who consult our online experts, many of them are suffering from high Creatitine level and low hemoglobin level. And they often have no idea why this happens. In this article, we would like to explain the reasons in detail so that you can be clear about the causes as well as the corresponding treatment.

Definition

Creatinine is the waste that develops from the metabolism of the muscle, which is transported in the blood to the kidneys where it is then filtered and excreted from the body in urine. The typical reference ranges are 0.5~1.0mg/dL (about 45-90μmol/l) for women and 0.7~1.2 mg/dL (60-110μmol/l) for men.

Hemoglobin refers to a protein in red blood cells that carried oxygen. Normal result vary, but in general are 12.1~15.1gm/dL for female and 13.8~17.2gm/dL for male.

Causes of high creatinine and low hemoglobin in Diabetes

Your higher creatinine leve means that your kidneys have been damaged due to poor control of your disease and abnormal blood sugar levels. Diabetes can cause a breakdown of fat which causes a toxic acid called ketones to build up in the kidney. Without effective treatment, kidney damage may be caused, leading to high creatinine levels.

A low hemoglobin level is referred to as anemia or low red blood count. Anemia can be one complication of kidney disease. Our kidneys can secrete a type of hormone-erythropoietin, which can promote the production of RBCs. So this imply that your kidney may be impaired.

The Progression of End-Stage Renal Failure

What is End-stage Renal Failure (ESRF)? ESRF or uremia refers to the advanced stage of kidney disease. Uremia describes a series of clinical symptoms of advanced kidney disease, when one’s medical condition progresses to End-stage Renal Failure, he or she almost loses the kidney function completely. Uremia appears as a result of the Renal Failure.

The early stage of ESRF or uremia is called Chronic Renal Failure. The diving line of different stages of Renal Failure is based on the GFR (glomerular filtration rate). When one’s GFR is less than 15%, the medical definition is called ESRF. While one’s GFR is less than 30% but over 15%, it is called Chronic Renal Failure (CRF). It can be said that CRF is the prelude of ESRF. By experiences, the reduction of GFR from 30% to 15%, sometimes, is just a momentary matter.
Therefore, once the disease condition progresses to Chronic Renal Failure, the patients should be extremely careful to the treatment received. Otherwise the illness condition can progress to End-stage Renal Failure promptly even before you know it.

By clinical experience, the reduction of GFR can happen within several days or months. That’s why Renal Failure is regarded as the prelude of advanced kidney disease.

I sincerely recommend you to take timely treatment as early as possible. In the early stage of CKD (Chronic Kidney Disease), for example, CKD stage 2, there still stands a chance to reverse it if take immediate as well as correct treatment. If failed, the Renal Failure is awaiting you on the road ahead.

Signs and Symptoms of Diabetes Mellitus

There are three main types of Diabetes Mellitus:

1. Type 1 Diabetes

It takes about 5~10% of people with diabetes. This kind of disease is an autoimmune disease. The body's own immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas. Patients with type 1 diabetes have very little or no insulin. This condition is typically diagnosed in children and young adults.

2. Type 2 Diabetes

Accounting for 90~95% of those with diabetes. Usually, it's diagnosed in adults over age 40 and 80% of those with type 2 diabetes are overweight. Initially, in this case, insulin is produced, but insulin doesn't function properly, resulting in a condition called insulin resistance. Eventually, decreased insulin production occurs in most patients.

3. Gestational Diabetes

This type develops during pregnancy, and occurs more often in African Americans, Native Americans, Latinos and people with a family history of diabetes.
Common signs and symptoms of Diabetes Mellitus include:

● Increased urination frequency

● Excess thirst

● Weight loss

● Excessive hunger

● Sudden changes of vision

● Numbness in the hands and feet

● Fatigue, or tiredness

● Very dry skin

● More susceptible to infections than usual

● Sores that are slow to heal

Reduce High Creatinine Levels with Herbal Remedy

Creatinine is a waste product produced by the muscles through normal contraction. It passes through the kidneys to be filtered out through urination. When kidneys cannot work efficiently, as with kidney disease, creatinine levels will rise. Is there any herbal remedy which can reduce high creatinine levels?

Normal values

Typically, women have lower creatinine values than men, as women have less muscle mass. Women's normal creatinine levels fall between 0.5~1.1 mg/dL, while normal values for men are 0.6~1.2 mg/dL.

Elevated creatinine levels are found in kidney diseases, including glomerulonephritis, Renal Failure and Diabetic Nephropathy, etc.

Herbal remedy for high creatinine levels

Cinnamon

It is a common household spice that helps regulate blood glucose as well as can be used to treat kidney problems especially in diabetics with kidney disorders. Cinnamon can help to improve the filtration function and to strengthen weak kidneys, thus increasing the excretion of creatinine.

Ginseng

This is known to be very helpful in treating kidney diseases by stimulating the circulation to the kidneys. Ginseng is often applied with cinnamon to revitalize the kidneys and to reduce high creatinine levels.

Micro-Chinese Medicine Osmotherapy

Micro-Chinese Medicine is an conservative therapy for a wide range of kidney diseases. Chinese medicines are abstracted from herbal plants, so they have no side effects to human body. This is an external application, and patients suffer no pain. The whole process is just like a massage.
This Chinese herbal treatment can take effect to improve renal microcirculation, anti-inflammation, anti-coagulation, and degrade harmful substances. Moreover, it can provide rich micronutrients to speed up the kidney repair. With gradual recovery of kidney function, high creatinine levels can be brought to normal permanently.

Nephrotic Syndrome: Causes, Symptoms, Treatment

Nephrotic Syndrome (NS) refers to a number of signs and symptoms resulting from damages to the tiny blood vessels (glomeruli) of the kidneys. This condition allows protein (normally never passed out into the urine) to leave the body in large amounts. A number of different kidney disorders are associated with Nephrotic Syndrome, including: Minimal Change Disease (MCD), FSGS, Membranous Nephropathy, Memebranoproliferative glomerulonephritis, etc.

Causes

Nephrotic Syndrome is an autoimmune disease. Our immune system is constituted of the innate immune system and the back-up immune system. When the innate immune system fails to fight against the intrusion of pathogenic substances, the back-up system will be activated. After the intrusion is removed, the back-up system will stop working and the innate immune system work alone.

However, if the innate immune system has some disorders, it may continue sending signals to the back-up system, and the back-up system cannot stop working, there will be excessive immune reaction. The immune complex will deposit on the kidneys, so the immune reaction will continue in the kidneys and cause damage to our healthy kidney cells. That's why people have Nephrotic Syndrome.

Symptoms

● Swelling (edema)

● Foamy, or bubbly urine

● Weight gain

● Lack of appetite

● Constant fatigue

● Blood clotting problems

Treatment

Treatment of Nephrotic Syndrome depends on the underlying disorder. Medications like steroids are often used to dampen down the immune system. Specific medications are taken by patients to control high blood pressure and decrease swelling.

In Kidney Hospital China, immunotherapy is used to treat Nephrotic Syndrome from the root. This therapy may consist of:

● Brand new immunosuppressants

● Micro-Chinese Medicine Osmotherapy

● Immunotherapy

● Immune clearance: immunosorption, plasmapheresis and blood purification
Features

● No toxin or side effects-natural treatments.

● Prevention of recurrence-eliminate various symptoms and treat the disease from the root.

● Life quality improved-immunotherapy can enhance the body’s immune system and help to restore the immune function and improve the life quality.

Hematuria( Blood in Urine)--the very First Sign of IgA Nephropathy

IgA Nephropathy, also called Berger's Disease can affect children commonly. Hematuria( blood in urine) is the very first sign of the disease.

Hematuria is a classic presentation of IgA Nephropathy which usually starts with a day or two of non-specific upper respiratory tract infection. The gross hematuria resolves after a few days, though microscopic hematuria may persist. These episodes occur on an irregular basis every few months and in most patients eventually subsides (although it can take many years. Then why is there blood in urine for people with IgA Nephropathy?

IgA Nephropathy is an immune-mediated disorder, in which the immuoglobulin A deposits in the mesangium. To remove these foreign materials, the body mounts an inflammation, thus impairing the mesangium in glomeruli. Thus, the red blood cells pass through the mesangium and finally end up in urine.

Apart from red blood cells in urine, the patients with IgA Nephropathy also experience the following symptoms.

Protein in urine

In a small portion of patients with IgA Nephropathy(20~30%), they have microscopic hematuria and proteinuria(less than 2 grams/day).

Nephrotic Syndrome

Nephrotic Syndrome is related to a poor prognosis of IgA Nephropathy. In this disorder, more than 3.5 grams of protein loss in urine in 24 hours.

Renal Failure

It is either as a complication of frank hematuria or due to rapidly progressive glomerulonephritis. However, if early intervention treatment is adopted, the patients will avert developing Renal Failure.

Apart from IgA Nephropathy, there are also many causes of hematuria. So when you notice red blood cells in your urine, you need not feel panic. You should go to see a doctor to figure out its specific causes.

What Are the Causes of Azotemia in Uremia

Azotemia is a common manifestation in Uremia. It refers to the levels of creatinine, uric acid and other non-protein nitrogen levels rise obviously above the normal levels. If uncontrolled, azotemia can cause serious adverse effects for the patients with Uremia. Therefore, it is very important to prevent azotemia. Primarily, it is essential for the patients with Uremia to know the causes of azotemia.

In Uremia, as the kidneys are damaged seriously, the renal blood flow and glomerular filtration rate (GFR) decline obviously, which can affect the excretion function of kidneys. As a result, the nitrogen accumulates in blood stream resulting in azotemia.

Also the complication gastrointestinal hemorrhage of Uremia can aggravate the primary azotemia. On one hand, it can cause the systemic blood volume to decrease thus leading to renal ischemia and affecting the excretion function of kidneys. If the patients can blood flow insufficiency can be corrected in time, the symptoms of azotemia can relive to some extent. On other hand, gastrointestinal hemorrhage can lead to renal tubular necrosis and aggravate the primary kidney damage thus aggravating azotemia.

However, in some cases, if the patients have too much protein at a time. The kidneys can not discharge the metabolic product nitrogen thus leading to transient azotemia. Once they adjust their diet, the patients will recover normal. Therefore, the patients with Uremia should limit the protein intake strictly.

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What Are the Causes of Uremia in Children

Uremia is a medical disorder, in which excessive waste products building up in blood. It is a life-threatening disease which can commonly be seen in children. Therefore, it is very important for the parents have their children treated as early as possible. Firstly, it is essential for the parents to know the causes of uremia in children.

There are a number of causes of uremia. Typically, it is attributable to Acute Renal Failure or Chronic Renal Failure. As the kidneys can not operate efficiently, a mass of urea builds up in blood thus resulting in uremia in children. Also, children are also accompanied with electrolytes imbalance.

In addition, uremia also may develop because urea is not excreted out from body as quickly as before. This is usually caused by urinary tract blockage which can reduce urine excretion. Moreover, if the blood flow through kidneys reduces, it also can cause inefficient secretion of metabolic products from body. This is usually caused by cardiac failure or hypotension.

Moreover, Uremia may result from unhealthy lifestyle choices and certain types of traumas. If you children keep a too high consumption of proteins over time, it may cause excess urea to produce, which may attribute to uremia in children.
If you children have accidental trauma, surgery, infection or cancer, it may increase the protein breakdown thus resulting in increased urea in blood thus causing uremia.

To treat uremia effectively, you should firstly know its causes accurately.
If uremia of your child is caused by Renal Failure, you should have him/her treated immediately to restore the impaired kidneys. In some cases, uremia may be alleviated by eliminating the blockage in the urinary tract blockage. If uremia is attributable to specific diet, uremia in your children will be alleviated, if the daily diet is changed properly.

Through proper care and treatment addressing the underlying cause of uremia in your children, it is possible to treat the disorder effectively.

Why Patients with Uremia Suffer from Muscle Twitching

Muscle twitching is a common complication in Uremia patients. It is mainly caused by hypocalcemia. To avoid muscle twitching, the patients with Uremia should elevate blood calcium level. Therefore, it is very essential for the patients with Uremia to know the causes of hypocalcemia.

※ Diet: The patients with Uremia need to strict their daily diet resulting in insufficient vitamin D supplement.

※ Metabolic disorder of vitamin D: As the patients with Uremia lack 1α- hydroxylase，it can hinder the production of active vitamin D3 which can promote the absorption of calcium by intestines and stomach. As the vitamin D3 level decreases, the patients may suffer from hypocalcemia.

※ Hyperphophatemia: In Uremia, the patients’ glomerular filtration rate (GFR) declines. As a result, the phosphorus can not be secreted from blood normally resulting in high phosphorus level in blood. To keep the product of calcium and phosphorus stable, the calcium level in blood will decline.

Hypocalcemia can increase the neuromuscular excitability. If hypocalcemia is not serious, the patients only have numb, stabbing pain without obvious muscle twitching. If the calcium level can not be corrected, it will lead to serious hypocalcemia. In that case, the patients often have cramp in skeletal muscle and smooth muscle. For the patients with acidosis, although their serum calcium level declines, the free calcium level is not low, which can decrease the neuromuscular irritability. Therefore, although the blood calcium level decreases, the patients may not have muscle twitching. However, after the acidosis is corrected, muscle twitching may occur suddenly. Therefore, the patients should keep the calcium supplement when correcting acidosis.

There are various causes of muscle twitching in patients with Uremia. The patients should find the cause of the problem and then take relative treatment.

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Chinese Herbal Medicines Lower High Creatinine

How to lower High Creatinine level effectively in Kidney Disease? We all know that no matter what disease you get, if you can find its root cause and then treat the root cause primarily, the symptoms of the disease will disappear naturally. Therefore, you should know the cause of High Creatinine firstly.

Creatinine level is an important measurement in evaluating renal function. Creatinine is the breakdown product of muscle. In normal case, it is mainly excreted out of body by kidneys so it can keep a constant level in blood 45-90 μmol/L (about 0.5 to 1.0 mg/dL) for women and 60-110 μmol/L (about 0.7 to 1.2 mg/dL) for men. In Kidney Disease, when their kidneys are damaged, they will fail to filter blood normally. As a result, the creatinine will accumulate in blood. For the strong compensatory ability of kidneys, the creatinine level usually keeps within the normal range in the early stage of Kidney Disease and begins to rise when more than half of their kidneys are damaged.

As mentioned above, that kidneys are damaged is the root cause of high creatinine level. Therefore, if the kidneys are restored they will be able to recover their normal filtration ability and creatinine level will certainly decline.

Here Chinese herbal medicine is recommended. Chinese herbal medicine is a treasure in Chinese medical history. Its origination can be traced back to thousands of years ago. At present, not only Chinese still widely use herbal medicines, but many other countries like the United States, Australia and so on also regard it as an important part in disease treatment. Chinese herbal medicine is mainly composed of herb from the nature and it also includes insect, animal, mineral and so on. Every prescription consists of various kinds of integrants in certain dosages.

In repairing the damaged kidneys, Chinese herbal medicines can provide some micronutrients for self-renewing of the cells. Also it can also speed up DNA replication of the renal functional cells so as to promote the renal function recovery. In this way, the kidneys can improve their filtration ability so as to discharge the accumulated creatinine.

Moreover, Chinese herbal medicine can dilate blood vessels so as to improve blood circulation, which also can promote the excretion of creatinine.

Management and Treatment for Medullary Sponge Kidney

Medullary Sponge Kidney is a disorder featured with the dilation of collecting ducts. In about 10% cases, the patients will develop Chronic Kidney Disease and have to seek for intense treatment. Timely and proper treatment is very necessary for the patients with Medullary Sponge Kidney.

General treatment for Medullary Sponge Kidney

1. The incidence of urinary tract infections and renal calculi is very high in the condition. Even if the patients do not present with symptoms, they still should perform periodic urinalysis and abdominal radiographs.

2. Wilms tumor and other abdominal tumors are commonly seen in children with Medullary Sponge Kidney. The children should conduct regular surveillance for tumors.

3. Recurrent kidney stone and urinary tract infection are a major problem for the patients. Patients are advised to drink plenty of fluids in order to have a daily urinary output in excess of 2 L. Enough urinary output is helpful in eliminating the risk factors like calcium, citrate, uric acid, sodium, phosphate, etc.

4. The patients are suggested to increase the urinary pH to a maximum of 7.0-7.2. It can reduce the production of uric acid effectively. However, they should remember that overalkalinization can increase the formation of kidney stone.

5. If the patients with Medullary Sponge Kidney develop symptomatic kidney stones, ESWL, percutaneous surgery, or ureteroscopy should be administrated to remove the stone. Partial nephrectomy must be administrated in severe cases with segmental renal involvement.

Featured treatment for Medullary Sponge Kidney

Micro-Chinese Medicine Osmotherapy is administrated to treat the condition.
The effective medicines in Micro-Chinese Medicine Osmotherapy has strong anti-inflammation effect. Therefore, it can reduce the incidence of urinary tract infection effectively and immediately.

Chinese medicines are rich in various types of minerals which can regulate electrolytes balance. By this way, the incidence of kidney stone will be reduced greatly.

Chinese medicines can stimulate the self-repairing system in body to improve the regeneration of damaged renal functional cells. Thus, the patients' renal function will have a remarkable improvement.

Micro-Chinese Medicine Osmotherapy is a natural remedy free of side effects or invasions or body. It is an alternative and effective therapy for Medullary Sponge Kidney.

Matters Need to be Paid Attention to after the Kidney Transplant

For the patients of renal failure who have taken the kidney transplant, the operation is not the end point for the treatment. As we all know, the kidney transplant means we need to transplant the kidney of other body into our body, so it is hard to avoid the rejection of the body, which means the immunity system reject the transplanted kidney and attract it. For some serious cases, the rejection may lead to the failure of the kidney transplant, which is rather dangerous. Therefore, there is a series of matters need to be paid attention to after the kidney transplant.

Misunderstanding of the kidney transplant

In recent years, with the development of the kidney transplant technique, there are thousands of patients of end stage of renal failure take the kidney transplant operation and then prolong their lives. For the learning of kidney transplant, there still are some misunderstandings. For example, some people think the kidney transplant is to resection the patient’s kidney then transplant the kidney of other body in the same position of the original kidney. And some patients think the kidney transplant will solve everything and they have nothing to worry about after the operation.

Indeed, kidney transplant is to transplant the donor’s kidney into the fossa iliaca in the right or life abdomen to replace one of the patient damaged kidneys. Usually, the operation doesn’t need to resect the damaged kidney of the receptor. After the kidney transplant, as the strong rejection of the immunity system to the transplanted kidney, most patients have to take the immunosuppressive agent for the whole life.

The function of immunosuppressive agent is to make the rejection to the transplanted kidney weaker. While, at the same time, the immunosuppressive agent also weakens the immunity ability, then the bacterium and infections will threaten the patients’ health due to the weaker immunity. So after the kidney transplant, the patients need to two major problems:

First, pay close attention to prevent the infection

Infections is one the most common and dangerous complications after the operation. During the three months after the operation, the immunity of the patients is the weakest due to the large amount of immunosuppressive agent. And various of bacterium, mould, virus will take advantage of the weak point. The common infections include the upper respiratory tract infection, urinary infection, pneumonia, gastroenteritis, herpes zoster and so on. Due to the poor immunity, and the patients are not sensitive to the antibiotic, so once the patients got infection, it is hard to be controlled.

In order to prevent from infection, hope the patients can pay attention to the following aspects:

1, exam the concentration of the immunosuppressive agent in the blood and then regulate the dosage of it. The large dosage will damage the immunity, while the small dosage will induce the rejection.

2, don’t got the public place where are too many people.

3, pay attention to the dietetic hygiene and avoid the stale and raw or cold food.

Second, the lifelong anti-rejection

After about half a year of various dangers, the patients may back to work and take proper business. With the decrease of the dosage of the immunosuppressive agent, the patients’ immunity will recover. At this time, the patients need to pay attention to the chronic rejection. The symptoms of chronic rejection can be reduced as “three highs and one low”: high level of creatinine, blood pressure and temperature and low level of urine volume. And there are the proteinuria, pain of the kidney and joint.

As there is no medicine can reverse the chronic rejection, the prognosis of the patients will worse once the chronic rejection started.

So it is important to make the good precaution of the chronic rejection.

1, follow the doctor’s advice strictly and don’t reduce the medicines by oneself. Reducing the medicine by oneself is the main cause for the chronic rejection.

2, avoid the over working, staying up late, catching cold, because virus and bacterial infections all can induce the chronic rejection. The patients who have taken the kidney transplant should develop the habit of taking a nap, which can guarantee of the blood supply of the kidney.

3, avoid the medicines that are harm for the kidney, such as gentamicin, kanamycin, neomycin and so on. And patients had better not inoculate the virus vaccine adjuvant.

4, be a good nurse for yourself. Observe the weight, blood pressure, urine volume regularly.

Indeed, kidney transplant is a complex and dangerous operation. If the patients still have other chance or opportunity, they should avoid the kidney transplant. This should be the last choice for the patients.

Does Colorless and Odorless Urine Indicate Kidney Problem

In normal case, the kidneys filter metabolic wastes, extra fluid as well as salts (electrolytes) from body by producing urine. The healthy urine is light yellow with ammoniacal smell. Does colorless and odorless urine indicate kidney problem?

Colorless urine no or little color means very dilute urine. If you have a large amount of fluid intake, it may exceed the concentration ability of renal tubule. As a result, the urine will become colorless and odorless. However, if you control the fluid intake, the urine color and odor will recover normal. It is a normal condition.

Ammoniacal smell is attributable to the decomposition of urea in urine by bacteria. Urea is the metabolic products of proteins and they are filtered out of body by kidneys. However, if your kidneys can not work adequately, the urea will build up in your blood, thus resulting in increased BUN.

If the colorless and odorless urine is related to kidney problem, you may also present with the following symptoms.

Swelling: As the extra fluid can not be excreted by kidneys, they will accumulate in body, thus resulting in swelling in legs, feet, and eyelids in the morning. High blood pressure often occurs along with swelling.

Fatigue: The diseased kidneys are not able to produce a hormone called erythropoietin, thus resulting in anemia. It can make you feel tired all day long with pale face.

Poor appetite: The toxins in body can affect gastrointestinal tract, thus resulting in poor appetite. In severe case, you may experience vomiting and nausea.

Increased urination at night: If your renal tubule is involved, they will not able to concentrate urine, thus resulting in increased urination at night. You should notice if you go to toilet more frequently than before. Also, in some cases, the patients with kidney problem have reduced urine output.

As there are various causes for colorless and odorless urine, you should not feel panic. What you should do is to find out if it is related to kidney problem and take relative treatment to control it.

More Informations: http://www.kidneyabc.com/

Can Patients with Diabetes Receive Kidney Transplant

In recent years, Kidney Transplant success rate has increased greatly for the application of immunosuppressive drugs. For the patients with End Stage Renal Failure, Kidney Transplant is the main replacement therapy for them. However, for the special disease conditions of Diabetes, the patients with End Stage Renal Failure caused by Diabetes generally are not recommended to receive Kidney Transplant.

1. After Kidney Transplant, the patients need to use a large dosage of adrenal cortex hormonem. It can make it very difficult to control blood sugar.

2. The patients with Diabetes are usually complicated with neurogenic cystitis, which can influence the function of transplanted kidneys.

3. The immunity of the patients with Diabetes is usually very weak. Therefore, it is very likely for them to have infection thus decreasing the success rate of Kidney Transplant.

4. The patients with Diabetes are often accompanied by serious vascular diseases, which can shorten the life expectancy of the patients.

5. The blood vessels condition of the patients with Diabetes is usually bad. It can cause influence on the operation of Kidney Transplant.

6. If the patients can not control their blood sugar very well after Kidney Transplant, it will cause kidneys to fail once again.

Based on some researches, only in rare cases of Diabetes, the patients can live more than 20 years after Kidney Transplant.

Therefore, Kidney Transplant generally is not suggested to the patients with End Stage Renal Failure caused by Diabetes. They should choose treatment that can restore their impaired kidneys and lower high blood glucose at the same time.

Why Patients on Peritoneal Dialysis Have Angina

Angina can be found among people on peritoneal dialysis. In severe case, it can cause acute myocadial infarction and sudden death. Therefore, it is very important for the patients to avoid it during dialysis.

Why patients on peritoneal dialysis have angina?

△ If too much fluid is filtered out of body, it will cause insufficient blood volume. If the heart can not get sufficient blood supply, it is very likely to cause heart problem.

△ Renal Failure is usually complicated with hyperlipemia. If the fat accumulates in coronary artery, it will cause the coronary artery to contract thus reducing blood supply to heart. If the heart can not get sufficient blood supply, it is very likely to cause angina.

△ Hyperparathyroidism is also a common cause of angina for patients on peritoneal dialysis. Increased secretion of PTH can elevate the calcium level and reduce phosphorus level in blood. Hypercalcinemia can cause much calcium to deposit in cardiac interstitial, which can damage the cardiac cells thus resulting in arrhythmia.

How to avoid angina during peritoneal dialysis?

△ The dialysis should be conducted properly and control the fluid amount that will be filtered out strictly.

△ The patients should avoid eating too much fatty foods which can elevate the blood fat level thus increasing the risk of developing heart problem.

△ Quit smoking and drinking.

△ Hyperparathyroidism is attributable to high level of phosphorus in blood. Therefore, the patients should avoid eating foods high in phosphorus such as banana, oranges etc.

All in all, the angina and other diseases are caused by reduced kidney function. Therefore, to avoid them, what the patients should do is to improve their renal function.

Complications After Kidney Transplant

After kidney transplant, the patient is very prone to infection. Three contributive factors are as following. First, the major surgery on blood vessel and urinary system temporarily decrease patient immune ability. Secondly, for kidney failure patients, their absolute immunity is low then normal person. Thirdly, the adoption of immunosuppressive drugs further disturbs normal immune system and makes patient even more prone to Lung infection, urinary tract infection and operation wound infection.

In clinical, post organ transplant infection has become one of the toughest problems challenging doctors and patients. Global data shows that more than 50% patients will suffer from Cytomegalovirus (CMV) infection. Domestic data shows that the infection ratio for kidney transplant alone was 21%, with 29% for Liver transplant, 25% for Heart transplant and 39% for lung-Heart transplant. Consequences of infection could be Acute or Chronic rejection, cardiovascular complications, post-transplant Diabetes and shortened life-span of transplanted kidney.

Cardiovascular complication accounts for the second most dangerous factor after kidney transplant. Data shows that more than 50% mortality of kidney transplanted patients stems from cardiovascular diseases. And, Hypertension and Hyperlipidemia could be the most common cardiovascular complications after kidney transplant.
Digestive system complications include dysfunction of the Liver, upper digestive tract bleed and acute pancreatitis.

Dysfunction of endocrine and metabolism could give rise to Hypercalcemia, Hypophosphatemia, Hyperuricemia, Diabetes, Bone Disease, Sexual Abnormality and Dysfunction of Renal Tubules.

Hematological complications include Polycythemia and change of blood rheology and bone marrow suppression.

The occurrence ratio of tumor after kidney transplant is 2%-25%. The transplanted kidney has cancerous pathological change itself, but this condition is rare. In most cases, there could be a relapse or new occurring of kidney tumor after kidney transplant.

In addition, after kidney transplant, your existing kidneys will gradually shrink and lose function completely. So, once there is failure in your transplanted kidney, there is no other choice but another kidney transplant.

Polycystic Kidney: Is Having These Problems Normal?

A lot of patients with Polycystic Kidney Disease (PKD) experience many health problems but not all the same. They are scary if their health problems are warning signs of aggravation. Polycystic Kidney Disease usually presents no symptoms before spells; however, PKD will develop faster after signs and symptoms take place. Polycystic Kidney Disease plays a significant role in Uremia among the middle-aged group.

Common health problems of Polycystic Kidney Disease are listed as below. Although these problems are usual on patients with PKD, to prevent the disease from getting worse you need to notify your doctor and ask for treatment as soon as possible.

Common symptoms of Polycystic Kidney Disease:

(1). Discomforts of lower back and abdomen, dull pain or kidney twist pain.
(2). Urinary problems such as hematuria, frequent Nocturia, oliguria, anuria, frequent micturition, urgency or urodynia.
(3). Digestive problems like loss of appetite in late stage of PKD, nausea and vomiting.
(4).Other problems: ascites, dizziness, weakness, Anemia, edema, loss of consciousness and even paralysis.

People with Polycystic Kidney Disease also have many internal health problems that can be detected by certain examinations. Some of these signs may exhibit no body discomforts so they will be hard for patients to know; therefore patients with Polycystic Kidney Disease should have periodical examinations to find out internal body problems. Common unfavorable signs of Polycystic Kidney Disease include:

1. Enlargement of cysts.
2. Hypertension
3. Proteinuria and leucocyturia
4. Microscopic or macroscopic hematuria
5. kidney stone
6. Ureteral obstruction
7. Liver enlargement
8. Anemia
9. Kidney dysfunction
10. Cardiovascular problem like Aortic Root Dilatation, Tricuspid Valve Prolapse and aneurysm of aorta.
11. About 30% of patients with Polycystic Kidney will have Hepatic Cysts; 10% of them will have Spleen Cysts; 10% to 20% of them will have Cerebral Basal Aneurysm; 80% of them may have digestive tract diverticulum; and some patients may have Diaphragmatic Hernia.

Polycystic Kidney Disease is the most common hereditary kidney disease that may severely affect the patients and their next generations. At present, there are some ways can shrink the cysts instead of surgery.

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How to Treat Kidney Stone in Polycystic Kidney Disease (PKD)

Kidney stone is a common complication in Polycystic Kidney Disease (PKD) and occurs in up to 20 percent of people with the disease. Kidney stones may cause pain or obstruct urinary tract. It is also a stimulating factor for the development of Polycystic Kidney Disease (PKD). Therefore, it is very essential to treat kidney stone effectively.

How do kidney stones form in Polycystic Kidney Disease (PKD)?

Polycystic Kidney Disease (PKD) is caused by the abnormal proliferation of the renal tubular epithelial cells. If uncontrolled, the cysts will enlarge gradually and oppress the renal tubule. Hence, the renal tubule can not function well to keep electrolytes balance. Afterwards, a lot of uric substances accumulate resulting in high blood uric acid level. As a result, the calcium oxalate and calcium urate deposit gradually and form stones.

How to treat kidney stone in Polycystic Kidney Disease (PKD)?

As kidney stone can accelerate the growth of the cysts, it is extremely to remove the stones as early as possible. On one hand, alkalifying urine is a very important step in preventing the formation of stones. However, it can only treat the disease from its symptoms. To prevent the formation of kidney stones, improving the regulatory function of the renal tubule is a necessary step. Therefore, what should the patients firstly do is to relive the oppression to renal tubule and shrink the enlarged cysts.

Here Micro-Chinese Medicine Osmotherapy is suggested to the patients with Polycystic Kidney Disease (PKD). The therapeutic mechanism is as follows.
Firstly, the effective medicine ingredients can dilate blood vessels so as to improve the permeability of the cyst wall. It can improve the excretion of the cystic fluid.

Secondly, Micro-Chinese Medicine can inactivate the epithelial cells of the cyst wall. Therefore, it can decline the cystic fluid secretion from the underlying cause.

With the shrinking of the cysts, the oppression to renal tubule will diminish gradually. Once the renal tubule recovers its normal regulatory function, it will be able to inhibit the formation of the kidney stones.