Brief Answer:
Stage four is mainly managed by medicines.
Detailed Answer:
Hello XXXX
Thanks for writing to XXXXXXX
Stage four chronic kidney failure is advanced stage of
renal disease and you can't afford more loss of renal tissue.Stage four is mainly managed by medicines,diet,exercise.
Treatment plan is decided by
serum creatinine,hemoglobin,calcium,potassium level.
If you have concomitant physical problems like hypertension,
diabetes mellitus,anemia,bone problems then it should be treated aggressively.You should take medicines regularly.
You should also modify your life style,diet.You should exercise regularly.Take restricted salt in your diet.
Stage four may lead to stage five
renal failure and it is an emergency and only option will be dialysis or renal transplant.
Stage four disease is also associated with heart problems so
lipid profile should be assessed and if there is alteration,it need correction.
You should also avoid smoking and alcohol if you take it and take calculated amount of protein.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX