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Tags Archives: Kidney

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2 months ago Cancer , kidney diseases

 Kidney Cancer – Symptoms and treatment of kidney cancer

kidney cancer is an illness of the kidneys, the organs commence curly reddish brown about the size of a small fist, over and above the waist on both sides spine. Kidney cancer is identified in cells of the kidney. They are closer to the back of the body, as the front. In kidney cancer, cells grow, by the signals that usually control cell growth and death, and tumors are not regulated.
Kidney cancer is cancer that begins in the kidneys. In order to realize kidney cancer, it helps to know the structure and function of typical kidneys.

Symptoms of kidney cancer

In the early stages, kidney cancer typically causes no obvious signs or troublesome symptoms. But as a kidney tumor grows, symptoms might occur. These contain:

Blood in the urine. Blood might be present for 1 day and not the subsequent. In some situations, an individual can in fact see the blood…
A mass or tumor in the kidney location.
A pain in the back just below the ribs, which does not go far.
A mass in the kidney, in a survey discovered

Other much less common symptoms are:

1.Fatigue
2.Loss of appetite
3.Weight loss
4.Relapsing fever
5.Pain in the side that does not go far, and/or
6.A common feeling of poor well being

High blood pressure or less than standard number of red blood cells in the blood (anemia) can also signal a kidney tumor. But these symptoms occur much less frequently.

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The Remedy of kidney cancer

Surgery: Surgery is the most common therapy for renal cell carcinoma, even though it may possibly not be proper for each and every patient with this sort of tumor. It is hard, the entire tumor without removing the entire kidney, although it may possibly be tempting in specific situations. Surgical removal of the <-! Next – tumor> main is generally suggested if the tumor is still present in the kidney itself, it can also be employed when the tumor extends to blood vessels or lymph nodes near the region of the main tumor ( be called local or regional lymph nodes). The aim of the operation in these circumstances is to cure the illness.

Immunotherapy: This therapy utilizes your own body’s immune program to fight cancer. An oncologist can administer a substance identified as biological response modification, such as interferon or interleukin-2. Are generally produced by the body, these substances are also produced in the laboratory. Studies show that men and women better if they are both treated with interferon and surgery to be carried out.

Radical nephrectomy: Surgical removal of the whole affected kidney, the tumor, which is known as near the adrenal gland and regional lymph nodes at radical nephrectomy is typically 4 to 5 cups, about 1 inch in size. By way of these many openings, the surgeon cautiously removes the kidneys. This approach has improved the recovery method, though the elevated risk of complications door. It requires particular training of the surgeon, and although widely offered in the U.S., it is not as readily available as standard, the open nephrectomy.

Radiation therapy: Radiation therapy, also called radiotherapy or radiotherapy, entails the use of high-energy waves (500-1000 times the power of a standard x-ray) for the remedy of cancer. These invisible rays enter the body at one point led by a very specific plan developed by radiation oncologists. They disrupt the activity of all cells in its path, damage or kill healthy cells and cancer cells.

Chemotherapy: The common chemotherapy drugs used to attack rapidly dividing cells, has not confirmed particularly beneficial for renal cell carcinoma.

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11 months ago Health

Diet for kidney patients

Patients with chronic kidney disease, a properly balanced nutrition play a vital role in maintaining the body health and preventing further kidney degeneration. In kidney disease, the body does not get rid of the waste and unwanted nutrients like toxic fluids, extra nutrients. These further buildup in the body and affect the kidney even more. Hence a change in the diet is a solution to keep the health of the kidney.
Depending on the intensity of the kidney disease, the principal component nutrients include protein, potassium, phosphorous, sodium and fluids.
1. Protein: principal function of the protein is to build and maintain bones, muscle, skin and hair. With the kidney disease, lower protein diet, he body condition worsened. Meats, seafood, eggs, legumes are good sources of protein. Seafood like shellfish, fish, and meat like beef, lean, lamb, pork, loin pork, turkey are the essential sources of protein.

2. Potassium: functions primarily for working of muscles and nerves. Any changes in the potassium level, affect the tonicity of muscles, hence their functioning. Hence a low potassium diet has to be maintained.
Apple, apricot nectar, cherries, cranberry juice, grapes, grapefruit juice, pear, lemon, lime, pineapple, plum, cabbage, corn, cucumber, onions, spinach, carrots, asparagus, alfalfa sprouts, lettuce, peppers are the fruits and vegetables giving less than 200 mg of potassium per serving.
For limiting potassium, these foods are to be eaten in a limit or avoided: banana, dried fruits, melon, mango, avocado, potatoes, broccoli, pumpkin, dried peas and beans.

3. Phosphorous: kidneys mainly control the balance of phosphorous in the body. When phosphorus is built up in the body, it removes calcium from the bones, leading to weakening of bones which break easily and cause severe pain. And too much phosphorous in the body, in the blood causes heart disease.
For a low phosphorous diet, milk substitutes like almond milk, rice milk, other supplements like angel food or cake, animal crackers, bun, cereals, cooked cereals except for oats, cookies of apple, berry, butter, popcorn, pita pocket.
To limit the phosphorous intake, boxed foods, cocoa, salad dressings, cheese(processed), light cream, soymilk.

4. Sodium: the primary and the most vital nutrient to be taken care of. The limit for sodium should be maintained, to prevent excess fluid from building in the body. When too much fluid is retained in the body, the blood pressure shoots up, suffer from breathlessness, and damage to the kidney and heart are observed.
Low sodium containing foods are bread, buns, rolls, desserts and pastries made from starch without much-added salts, fruits, meats without added sodium, homemade soups, vegetables without added salt.
The high sodium containing foods which should be prevented are boxed foods, cheese and cheese spreads, fast food, frozen dinners, soya and other Asian sauces, canned soups and vegetables.
5. Calcium: Calcium is another mineral component, calcium can affect kidney functioning, hence is limited by eating low-phosphorous containing foods. Phosphorus binders and high calcium content foods are to be avoided, as they deposit on the nephrons.

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12 months ago kidney diseases

Diet for kidney patients

Patients with chronic kidney disease, a properly balanced nutrition play a vital role in maintaining the body health and preventing further kidney degeneration.  In kidney disease, the body does not get rid of the waste and unwanted nutrients like toxic fluids, extra nutrients. These further buildup in the body and affect the kidney even more. Hence a change in the diet is a solution to keep the health of the kidney.

Depending on the intensity of the kidney disease, the principal component nutrients include protein, potassium, phosphorous, sodium and fluids.

1. Protein: principal function of the protein is to build and maintain bones, muscle, skin and hair. With the kidney disease, lower protein diet, he body condition worsened. Meats, seafood, eggs, legumes are good sources of protein. Seafood like shellfish, fish, and meat like beef, lean, lamb, pork, loin pork, turkey are the essential sources of protein.

2. Potassium: functions primarily for working of muscles and nerves. Any changes in the potassium level, affect the tonicity of muscles, hence their functioning. Hence a low potassium diet has to be maintained.

Apple, apricot nectar, cherries, cranberry juice, grapes, grapefruit juice, pear, lemon, lime, pineapple, plum, cabbage, corn, cucumber, onions, spinach, carrots, asparagus, alfalfa sprouts, lettuce, peppers are the fruits and vegetables giving less than 200 mg of potassium per serving.

For limiting potassium,  these foods are to be eaten in a limit or avoided: banana, dried fruits, melon, mango, avocado, potatoes, broccoli, pumpkin, dried peas and beans.

3. Phosphorous: kidneys mainly control the balance of phosphorous in the body. When phosphorus is built up in the body, it removes calcium from the bones, leading to weakening of bones which break easily and cause severe pain. And too much phosphorous in the body, in the blood causes heart disease.

For a low phosphorous diet, milk substitutes like almond milk, rice milk, other supplements like angel food or cake, animal crackers, bun, cereals, cooked cereals except for oats, cookies of apple, berry, butter, popcorn, pita pocket.

To limit the phosphorous intake, boxed foods, cocoa, salad dressings, cheese(processed), light cream, soymilk.

4. Sodium: the primary and the most vital nutrient to be taken care of. The limit for sodium should be maintained, to prevent excess fluid from building in the body. When too much fluid is retained in the body, the blood pressure shoots up, suffer from breathlessness, and damage to the kidney and heart are observed.

Low sodium containing foods are bread, buns, rolls, desserts and pastries made from starch without much-added salts, fruits, meats without added sodium, homemade soups, vegetables without added salt.

The high sodium containing foods which should be prevented are boxed foods, cheese and cheese spreads, fast food, frozen dinners, soya and other Asian sauces, canned soups and vegetables.

5. Calcium: Calcium is another mineral component, calcium can affect kidney functioning, hence is limited by eating low-phosphorous containing foods. Phosphorus binders and high calcium content foods are to be avoided, as they deposit on the nephrons.

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CHRONIC RENAL FAILURE

About chronic renal failure:

Kidney disease is a silent killer with no prominent signs of warning. In this disease the nephrons are severely affected, altering the normal functioning of the kidney.  It affects the kidney functions like regulating of fluid and electrolyte balance, controlling blood pressure through the renin-angiotensin system, governing blood count through erythropoietin synthesis, directing parathyroid and skeletal function through phosphate elimination and activation of vitamin D.

 The primary signs of renal failure are:

  • High blood pressure
  • Changes in the amount of urine passed and frequency of urination
  • Alteration in the urine composition
  • Presence of blood and pus cells in the urine
  • Swelling of ankles and legs
  • Loss of appetite and insomnia
  • Shortness of breath, nausea, vomiting and severe itching
  • Bad breath and metallic taste in the mouth

Chronic kidney damage is When the GFR rate is less than 60ml/min/1.73ml2 for more than 3 months or any other damage evidence for more than 3 months, calls for chronic kidney damage.

Kidney damage is of following types:

  • Albuminuria
  • Haematuria
  • Pathological abnormalities
  • Structural abnormalities.

Diagnosis of chronic renal disease:

  • Tests for presence of albumin and blood in urine
  • To check level of glomerular filtration rate and concentration of other waste products in the urine
  • Blood pressure tests, as kidney disease results in development of higher blood pressure
  • Ultrasound and CT scan to check any morphological abnormalities in the kidney and urinary tract, to locate tumours or kidney stones.

Results of the above tests determine :

  • Glomerular filtration rate
  • Albuminuria
  • Creatine
  • Urea composition
  • Potassium

 

Stages of chronic renal failure:

The rate of nephron duration differs for every individual ranging from several months to years. This progression of renal failure occurs in primarily 4 stages: diminishes renal reserve, renal insufficiency, renal failure and end-stage kidney disease.

  • Stage 1: normal GRR greater than or equal to 90 ml/min/1.73mI3
  • Stage 2: slightly decreased GFR 60-89 ml/min/1.73mI3
  • Stage 3a: mild-moderate decrease in GFR between 45-59 ml/min/1.73mI3
  • Stage 3b: moderate-severe decrease in GFR between 30-44 ml/min/1.73mI3
  • Stage 4: severe decrease in GFR between 15-29 ml/min/1.73mI3
  • Stage 5: kidney failure as GFR decreases to less than 15 ml/min/1.73mI3 or dialysis is started.

Patients at risk of chronic renal failure:

  • High blood pressure
  • Chronic Diabetes
  • History of heart problems like heart attack, failure or stroke
  • Genetic history of renal failure
  • Obese patients (BMI>30)
  • Chain smokers
  • Previous episode of acute kidney injury

 

Treatment :

  • Blockade of renin-angiotensin-aldosterone system with angiotensin-converting enzyme inhibitors or an angiotensin receptor blocker is the primary treatment to prevent progression of the disease
  • Blood pressure control (<140/90), reduces the renal disease progression and cardiology morbidity and mortality
  • Optimal management of comorbid diabetes and cardiovascular diseases
  • Monitoring of other related complications like anaemia, electrolyte abnormalities, irregular fluid balance, mineral bone disease and malnutrition
  • Dialyses like haemodialysis and periodontal dialysis or final kidney transplantation

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