I may not know unless I undergo some screening tests, because chronic kidney disease is usually asymptomatic in the early stage.
Screening for chronic kidney disease can be done by checking my blood pressure, blood glucose/sugar, blood cholesterol, urine analysis, abdominal scan & others as deemed necessary by the nephrologist.
Body swelling, foamy urine, waking up more often to urinate at night, reduction in urine output, passing coke-colored urine, and others.
First, serum creatinine is measured and this is then imputed into a calculator to derive the estimated glomerular filtration rate (e GFR).
CKD has 5 stages.
Stage I = e GFR is > 90 ml/min
Stage II = e GFR is 60-89 ml/min
Stage III = e GFR is 30-59 ml/min
Stage IV = e GFR is 15-29 ml/min
Stage V = e GFR is < 15 ml/min
e GFR = estimated glomerular filtration rate.
Dialysis is a treatment that is able to reduce the nitrogenous wastes in the body and improve the health of such clients. Dialysis is offered to anyone whose e GFR is < 15ml/min and has symptoms of excess accumulation of nitrogenous wastes described earlier.
When the e GFR is less than 15ml/min, and there are symptoms suggestive of accumulation of nitrogenous wastes in the body.
Dialysis is usually for 4 hours but the first session should be 2 to 2.5 hours.
The frequency of dialysis for CKD stage V is two to three times weekly, each lasting 4 hours.
Confusion, coma, restless, daytime somnolence, poor appetite, nausea, vomiting, hiccups, itching, chest pain, fluid accumulation in the lungs and others.
We are a clinical practice that offers services in all aspects of kidney care. We apply the knowledge from recent research and international exposures to solve local problems plaguing our society in the field of nephrology and internal medicine in general.
