Chronic kidney disease
The following lifestylemeasures are usually recommended for people with kidney disease:
Read about living with CKD for more information about what you can do to stay healthy.
There's no medicine specifically for CKD, but medication can help control many of the problems that cause the condition and complications that can occur as a result of it.
You may need totake medicationto treat or prevent:
Good control of blood pressure isvital to protect the kidneys.
People with kidney disease should usually aim to get their blood pressure down to below 140/90mmHg, but you should aim to get it down to below 130/80mmHgif you also have diabetes .
There are many types of blood pressure medication, but medicines called angiotensin converting enzyme (ACE) inhibitors are often used. Examples includeramipril, enalapriland lisinopril.
Side effects of ACE inhibitors can include:
If the side effects of ACE inhibitors are particularly troublesome, you can be given a medication called an angiotensin-II receptor blocker (ARB) instead.
This is because some of the causes ofkidney diseaseare the same as those for cardiovascular disease, including high blood pressure and high cholesterol.
You may be prescribed medication called statins to reduce your risk of developing cardiovascular disease. Examples include atorvastatin, fluvastatin and simvastatin.
Side effects of statins can include:
This is because your kidneys aren't as effective at removing fluid from your blood, causing it to build up in the body tissues (oedema) .
You may be advised to reduce your daily salt and fluid intake, including fluids in food like soups and yoghurts, to help relieve the swelling.
In some cases you may also be given water tablets (diuretics) to take, such asfurosemide.
Side effects of diuretics can include dehydration and reduced levels of sodium and potassium in the blood.
Many people with later-stagekidney diseasedevelop anaemia , which is a lack of red blood cells.
Symptoms of anaemia include:
If you experience anaemia, you may be given injections of a medication callederythropoietin. This is a hormone thathelps your body produce more red blood cells.
If you have an iron deficiency as well, iron supplements may also be recommended.
But if your phosphate level rises too much, it can upset the balance of calcium in your body andlead to thinning of the bones.
You may be advised to limit the amount of high-phosphate food in your diet, such as red meat, dairy products, eggs and fish.
If this doesn't lower your phosphate level enough, you may be given medicines called phosphate binders. Commonly used medicines include calcium acetate and calcium carbonate.
Some people withkidney diseasealso have low levels of glomerulonephritis .
In some cases this occurs as a result of the immune system mistakenly attacking the kidneys.
If a kidney biopsy finds that this is the cause of your kidney problems, you may be prescribed medicine to reduce the activity of your immune system, such as steroid medication or a medication called cyclophosphamide.
In asmallproportion of people with kidney disease, the condition will eventually get to a point where their kidneys stop working.
This rarelyhappens suddenly,so there should be time to plan the next stage of your treatment.
One of the options when CKD reaches this stage is to have dialysis. This is a procedureto remove waste products and excess fluid from the blood.
There are two main types of dialysis:
Haemodialysis is usually done about three times a week, either at hospital or at home. Peritoneal dialysis is normally done at home several times a day, or overnight.
If you don't have a kidney transplant, treatment with dialysis will usually need to be lifelong.
Talk to your doctor about the pros and cons of each type of dialysis and discuss which type you would prefer if your kidney function becomes severely reduced.
The aim is to treat and control the symptoms of kidney failure.It includes medical, psychological and practical care for both the person with kidney failure and their family, including discussion about how you feel and planning for the end of life .
Many people choose supportive treatment because they:
If you choose to have supportive treatment, your kidney unit will still look after you.Supportive care can still allow you to live for some time with a good quality of life.
Doctors and nurses will make sure you receive:
Find out what chronic kidney disease (CKD) is, including what the symptoms are, how it's diagnosed and how it can be treated.
Find out about the main symptoms of chronic kidney disease (CKD) and when to get medical advice.
Find out how chronic kidney disease (CKD) is diagnosed, who should get tested and what the stages of CKD mean.
Find out about the main treatments for chronic kidney disease (CKD), including lifestyle changes, medication, dialysis and kidney transplants.
Read advice about living with chronic kidney disease (CKD), including how to keep yourself as healthy as possible.
Read about what you can do to reduce your risk of developing chronic kidney disease (CKD).
Read about how Peter Wilkinson's immune system started to attack his own kidneys, leading to chronic kidney disease.
Diabetes left Kalwant in need of a new kidney and pancreas. After only a month on the transplant list, she was lucky enough to be given a new lease of life.
Mohamed Nanji's kidney problems started when he was a teenager in Kenya. After a successful transplant, he's able to lead a more normal life again.