
How To Protect Kidneys From Further Damage?

renal infarction
Detailed Answer:
Hi XXXX
Infarction of right kidney- Infarction of kidney is a significant event and can be because of atherosclerotic disease ( calcium and cholesterol deposit in the arteries), Hypercoagulable states ( protein c and s deficiency ), some connective tissue disorders, sickle cell disease, post cardiac catheter interventions and valvular heart disease. I am sure your doctor must have tried to find the cause of infarction at that time. To prevent it from recurring a 6 month course of anti coagulant therapy is generally given and if a cause is identified and it is treatable then action is taken.
infarction may or may not recur. common symptoms are pain vomiting and blood in urine.
present episode of pain can be--
1. a similar episode of infarction in the left kidney,
2. pyelonephritis ( infection of the kidney) but then you should have fever and urine test should show WBC in large number in microscopic examination.
3. back pain from spine- this can be differentiated from the other causes by the fact that it increases by movement like bending to pick something from the floor.
Your doctor can examine you to pinpoint the cause.
Infraction can be diagnosed best by a CT scan.
Renal function monitoring is best done by serum creatinine level or estimated GFR levels. Once the GFR is reduced to less than 50ml/min or serum creatinine is increases. the disease is self progressive. but the rate of progression may be so slow that your kidney may last for you 10 to 20 years. but it can be faster also . So that is the job of the nephrologist to see what are the factors that can be modified to control the rate of progression of the kidney disease. Coming to your questions--
The two events do not describe progression of kidney disease. - that can only be concluded if there is a serial rise or serum creatinine levels or a fall in GFR levels.
what can be done- the cause of kidney damage if identified should be treated. If it is repeated episodes of infarction then anti coagulants, if it is pylonephritis then antibiotics. dietary restrictions as per the GFR levels should be followed. stop any use of painkiller ( NSAIDS) medicines, avoid tobacco products. blood pressure control if high are other measures that will decrease progression of disease.
You have to be in regular follow-up of your doctor.
Best wishes.


P.S. Just so you know, I do follow up with my primary care physician on a regular basis. I have not seen her since the most recent event. Due to the holiday weekend she only received the hospital's report today, and I expect she will be in contact with me by tomorrow re whether or not she wants me to come in. Again, thank you.
YYYY@YYYY
diet in CKD
Detailed Answer:
Diet,
proteins- 0.8 gm per kg / day
calories - 35 kcal/kg /day
avoid juices and dry fruits.
decrease meat products.
less salt , avoid foodstuff rich in potassium and phosphorus.
Best wishes

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