How to Treat Poor Kidney Function
Instructions
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Diligently manage the underlying causes contributing to your poor kidney function. The most common causes, high blood pressure and diabetes, require commitment to certain lifestyle choices like proper diet and exercise to help manage them. You need to adhere to all of your doctor's instructions and receive all necessary testing.
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Take all medications as directed. Your doctor will probably prescribe blood-pressure-lowering medications if you are not already using them. Keeping blood pressure in check is very important for treating damaged kidneys. Initially, you will need to have blood work done regularly to check for levels of certain enzymes. Keep up with all appointments and testing. You might receive other medications depending on the presence of certain symptoms, other health problems or complications like weak bones or anemia.
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Restrict your protein intake. This can slow progression of the disease and help with symptoms like nausea, vomiting and diminished appetite. Limiting your salt intake will also help to control your blood pressure. Dr. Weil recommends keeping your protein intake at 10 to 15 percent of your daily calories. Your doctor will offer guidance on the proper diet.
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Avoid substances that are toxic to your kidneys. Your doctor will advise you. Examples include NSAIDs (nonsteroidal anti-inflammatory drugs) like aspirin, ibuprofen and naproxen, some oral phosphate preparations given before a colonoscopy, and certain contrast dyes administered before an X-ray.
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Avoid dehydration; drink at least eight glasses of fluids daily. Dr. Weil suggests water and teas are the best options. If your kidneys are severely compromised and you are in the end stages of kidney disease (kidney function is at 10 to 15 percent), you will have to restrict your fluid intake to an amount recommended by your doctor.
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Discuss treatment options for end-stage kidney disease. You can undergo dialysis, which helps remove wastes and fluids from the body when the kidneys no longer can. Many types of dialysis are available and some can even be performed at home. Your doctor can help you decide which option is most suitable. This treatment does pose risks like infection but can prolong your life. A kidney transplant might be an option if you do not have any other significant health problems. Siblings are usually the best matches but other family members might be as well. If you cannot find a live donor, you can consult a tissue-typing center which can look for cadavers that might supply a match.
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