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Chronic Kidney Disease: Symptoms, Causes, Treatment, Cost, and Side Effects

Last Updated: Jul 01, 2023

What are Chronic Kidney Diseases?

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Chronic kidney disease, also known as chronic kidney failure or chronic renal failure, is a long-term condition in which the kidneys are unable to function properly. The kidneys are a vital organ responsible for filtering waste and excess fluids from the body, as well as regulating electrolyte balance, blood pressure, and the production of red blood cells. When the kidneys become damaged or diseased, they are unable to perform these functions efficiently, leading to a build-up of toxins and fluids in the body. Chronic kidney disease can range from mild to severe, and if left untreated, it can lead to serious complications and even death.

There are several different types of chronic kidney disease, including glomerulonephritis, polycystic kidney disease, and chronic interstitial nephritis. The most common cause of chronic kidney disease is uncontrolled high blood pressure or diabetes, although it can also be caused by other conditions such as autoimmune diseases, kidney infections, or kidney stones.

Can chronic kidney disease be cured?

There is currently no cure for chronic kidney disease, but early diagnosis and treatment can help slow the progression of the disease and prevent further damage to the kidneys. Treatment options may include medications, lifestyle changes, and in severe cases, dialysis or kidney transplantation.

Is chronic kidney disease serious?

Chronic kidney disease can be a serious condition that requires ongoing medical treatment and close monitoring. If left untreated, it can lead to complications such as high blood pressure, anemia, nerve damage, and even death. It is important to seek medical attention if you are experiencing any signs or symptoms of kidney disease, and to follow your healthcare provider's recommendations for treatment and management of the condition.

Kidney Diseases Signs and Symptoms

Kidney diseases are a group of disorders that affect the kidneys and their ability to function properly. Some common signs and symptoms of kidney diseases include;

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What are the first signs of kidney disease?

The early stages of kidney disease often have no symptoms, or the symptoms may be so mild that they go unnoticed. As the disease progresses, common signs and symptoms may include:

  • Fatigue
  • Swelling in the face, hands, and feet
  • Dry, itchy skin
  • Difficulty concentrating
  • Nausea and vomiting
  • Loss of appetite
  • Urinating more or less frequently
  • Changes in the appearance or smell of urine
  • Chest pain or pressure
  • Shortness of breath

What are the major signs of kidney problems?

As kidney disease progresses, more serious signs and symptoms may develop, including;

  • High blood pressure
  • Anemia (low red blood cell count)
  • Nerve damage
  • Bone weakness or osteoporosis
  • Difficulty sleeping
  • Poor appetite
  • Nausea and vomiting
  • Difficulty concentrating
  • Changes in the appearance or smell of urine
  • Swelling in the face, hands, and feet
  • Dry, itchy skin

Types of Chronic Kidney Disease

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There are several types of chronic kidney disease (CKD), which are classified based on the underlying cause and severity of kidney damage;

Most common types of Chronic Kidney Disease

The most common types of chronic kidney disease are:

  • Glomerulonephritis: This type of kidney disease is caused by inflammation of the glomeruli, which are small filters in the kidneys. It can be caused by autoimmune diseases, infections, or other underlying conditions
  • Polycystic kidney disease: This is a genetic disorder that causes numerous cysts (fluid-filled sacs) to develop in the kidneys. These cysts can grow and become large enough to damage the kidneys and lead to kidney failure
  • Chronic interstitial nephritis: This type of kidney disease is characterized by inflammation of the tubules and interstitium (tissue surrounding the tubules) in the kidneys. It can be caused by autoimmune diseases, infections, or the use of certain medications.

What are the top 4 chronic kidney diseases which are fetal?

There are several types of chronic kidney disease that can be inherited, or passed down from a parent to their child. These are known as hereditary or genetic kidney diseases. Here are the top four chronic kidney diseases that can be inherited;

  • Polycystic kidney disease: This is a genetic disorder that causes numerous cysts (fluid-filled sacs) to develop in the kidneys. These cysts can grow and become large enough to damage the kidneys and lead to kidney failure. Polycystic kidney disease is one of the most common inherited kidney diseases, and it can be passed down from a parent to their child
  • Alport syndrome: This is a genetic disorder that affects the structure of the glomeruli, which are small filters in the kidneys. It can cause kidney damage and lead to chronic kidney disease, as well as hearing loss and eye abnormalities. Alport syndrome is inherited in an autosomal recessive pattern, meaning that a child must inherit the mutated gene from both parents in order to develop the condition
  • Fabry disease: This is a rare genetic disorder that affects the body's ability to break down a specific type of fat called ceramide. It can cause kidney damage and lead to chronic kidney disease, as well as heart and nerve problems. Fabry disease is inherited in an X-linked recessive pattern, meaning that it is passed down on the X chromosome and is more common in males
  • Nephrotic syndrome: This is a group of symptoms that occur when the kidneys are unable to filter protein from the blood properly. It can cause proteinuria (excess protein in the urine) and edema (swelling due to fluid buildup), as well as an increased risk of infections and blood clots. Nephrotic syndrome can be inherited or acquired due to other underlying conditions.

New Discovered Chronic Kidney Disease

There have been a few new discoveries in the field of chronic kidney disease in recent years. One of these is the identification of a new genetic cause for chronic kidney disease, known as APOL1 gene mutations. These mutations are more common in certain racial and ethnic groups, such as African Americans, and are associated with a higher risk of developing kidney disease. Another new discovery is the role that inflammation may play in the development and progression of chronic kidney disease. Research has shown that chronic inflammation may contribute to the damage and scarring of the kidneys in some cases of chronic kidney disease.

How are Chronic Kidney Disease diagnosed?

Chronic kidney disease (CKD) is typically diagnosed through a combination of physical examination, laboratory tests, and imaging studies;

What tests will be done to diagnose Chronic Kidney Disease?

Chronic kidney disease is usually diagnosed through a combination of medical history, physical examination, and laboratory tests. Some common tests used to diagnose kidney disease include;

  • Blood tests: These tests measure the levels of creatinine and urea in the blood, which can be elevated in cases of kidney disease
  • Urine tests: These tests measure the amount of protein and other substances in the urine, which can be increased in cases of kidney damage
  • Imaging tests: These may include CT scans, MRI scans, or ultrasound to visualize the kidneys and look for signs of damage or abnormalities
  • Kidney biopsy: In this procedure, a small sample of kidney tissue is removed and examined under a microscope to determine the extent of damage and the underlying cause of the kidney disease.

Chronic Kidney Diseases Treatments

Treatment for chronic kidney disease (CKD) is aimed at slowing the progression of the disease and managing the symptoms. The specific treatment plan will depend on the underlying cause of the CKD and the severity of the kidney damage. Some common treatments for CKD include;

How is it treated, and is there a cure?

There is currently no cure for chronic kidney disease, but treatment can help slow the progression of the disease and prevent further damage to the kidneys. Treatment options may include;

  • Medications: These may include medications to control blood pressure, lower cholesterol, or manage other conditions that may be contributing to the kidney disease
  • Lifestyle changes: Making healthy lifestyle choices, such as eating a balanced diet, getting regular exercise, and quitting smoking, can help manage the symptoms of chronic kidney disease and prevent further damage to the kidneys
  • Dialysis: In cases of severe kidney failure, dialysis may be necessary to remove waste and excess fluids from the body. Dialysis can be done in a hospital or at home and involves using a machine to filter the blood
  • Kidney transplantation: In some cases, a kidney transplant may be necessary if the kidneys are no longer able to function properly. A kidney transplant involves surgically removing a healthy kidney from a living or deceased donor and transplanting it into the patient.

What medications and treatments are used?

Medications and treatments used to manage chronic kidney disease may include;

  • Blood pressure medications: These may include ACE inhibitors, angiotensin receptor blockers, beta blockers, and diuretics. These medications help to lower blood pressure, which can help protect the kidneys from further damage
  • Cholesterol-lowering medications: These may include statins or other medications that help to lower cholesterol levels, which can help prevent plaque build-up in the arteries and protect the kidneys
  • Diabetes medications: If diabetes is contributing to the kidney disease, medications may be prescribed to help control blood sugar levels and prevent further damage to the kidneys
  • Anemia medications: If anemia is present, medications such as erythropoietin or iron supplements may be prescribed to increase red blood cell production
  • Bone-strengthening medications: If bone weakness or osteoporosis is present, medications such as calcium and vitamin D supplements may be prescribed to strengthen bones and prevent fractures.

How can I take care of myself or manage the symptoms?

There are several steps you can take to manage the symptoms of chronic kidney disease and improve your overall health;

  • Follow your healthcare provider's recommendations for treatment and management of the condition. This may include taking prescribed medications as directed and making lifestyle changes such as quitting smoking, eating a healthy diet, and getting regular exercise
  • Monitor your blood pressure and keep it under control. High blood pressure is a common cause of kidney damage, so it is important to keep it within a healthy range
  • Manage other conditions that may be contributing to the kidney disease, such as diabetes or high cholesterol
  • Drink plenty of fluids to help flush toxins and excess fluids from the body
  • Avoid taking over-the-counter medications without consulting with your healthcare provider, as some medications may not be safe for individuals with kidney disease
  • Get plenty of rest and try to reduce stress.

How soon after treatment will I feel better, and how long will it take to recover?

The length of time it takes to feel better and recover from chronic kidney disease will depend on the severity of the condition and the effectiveness of the treatment. Some individuals may experience improvement in their symptoms within a few days of starting treatment, while others may take longer to notice a difference. It is important to follow your healthcare provider's recommendations for treatment and management of the condition, and to be patient as you work towards improving your overall health.

Chronic Kidney Disease Prevention

There are several measures that can be taken to prevent the development or progression of chronic kidney disease (CKD). Some tips for preventing CKD include;

How can I reduce my risk or prevent this condition?

There are several steps you can take to reduce your risk of developing chronic kidney disease;

  • Maintain a healthy blood pressure: High blood pressure is a leading cause of kidney disease, so it is important to keep your blood pressure within a healthy range. This can be achieved through lifestyle changes such as eating a healthy diet, getting regular exercise, and quitting smoking, as well as taking blood pressure medications as prescribed.
  • Manage diabetes: If you have diabetes, it is important to control your blood sugar levels to prevent damage to the kidneys. This may involve taking medications as prescribed, eating a healthy diet, and getting regular exercise.
  • Avoid smoking: Smoking can increase your risk of developing kidney disease, as well as other serious health conditions.
  • Protect your kidneys from infection: Kidney infections can lead to kidney damage and chronic kidney disease. To protect your kidneys from infection, drink plenty of fluids, use a condom during sexual activity, and avoid using contaminated needles or sharing personal hygiene items.
  • Get regular check-ups: Regular check-ups with your healthcare provider can help identify early signs of kidney disease, allowing for early diagnosis and treatment.

What can I expect if I have chronic kidney disease?

If you have chronic kidney disease, you may experience a range of symptoms and complications depending on the severity of the condition. Some common symptoms of chronic kidney disease include fatigue, swelling in the face, hands, and feet, dry and itchy skin, difficulty concentrating, and changes in the appearance or smell of urine. As the disease progresses, more serious symptoms such as high blood pressure, anemia, nerve damage, and bone weakness may develop.

Treatment for chronic kidney disease may involve medications to control blood pressure and other conditions that may be contributing to the kidney disease, as well as lifestyle changes such as eating a healthy diet and getting regular exercise. In severe cases, dialysis or kidney transplantation may be necessary to remove waste and excess fluids from the body.

It is important to make healthy lifestyle choices to help manage the symptoms and prevent further damage to the kidneys. With proper medical care and lifestyle changes, individuals with chronic kidney disease can live long and productive lives.

How do I take care of myself?

To take care of yourself if you have chronic kidney disease, it is important to follow your healthcare provider's recommendations for treatment and management of the condition. This may include taking prescribed medications as directed, making lifestyle changes such as quitting smoking and eating a healthy diet, and getting regular exercise. It is also important to drink plenty of fluids to help flush toxins and excess fluids from the body, and to avoid taking over-the-counter medications without consulting with your healthcare provider.

When should I see my healthcare provider or when should I seek care?

It is important to see your healthcare provider regularly if you have chronic kidney disease, as they can help monitor the progression of the disease and make recommendations for treatment and management. You should also seek medical attention if you experience any new or worsening symptoms, such as difficulty breathing, chest pain, or a significant change in the appearance or smell of your urine.

How does a person get Chronic Kidney Disease?

Chronic kidney disease can be caused by a variety of factors, including uncontrolled high blood pressure or diabetes, autoimmune diseases, kidney infections, kidney stones, and certain medications. In some cases, the cause of the kidney disease is unknown.

What are the early warning signs of Virus infection?

Kidney infections, also known as pyelonephritis, are a serious condition that can lead to kidney damage and chronic kidney disease if left untreated. Early diagnosis and treatment are important to prevent complications and ensure a quick recovery. Here are some common early warning signs of kidney infection:

  • Pain or discomfort in the back, side, or lower abdominal area
  • Fever, chills, and sweating
  • Nausea, vomiting, and loss of appetite
  • Frequent or urgent urination, or difficulty urinating
  • Cloudy, foul-smelling, or bloody urine
  • Flank pain (pain on the side of the body, just below the ribcage)
  • Fatigue and general feeling of illness

If you experience any of these symptoms, it is important to see your healthcare provider for evaluation and treatment. Kidney infections can be caused by bacteria that travel up the urinary tract and enter the kidneys, and they are usually treated with antibiotics.

It is important to practice good hygiene to help prevent kidney infections, such as wiping from front to back after using the bathroom and avoiding holding your urine for long periods of time. It is also important to drink plenty of fluids and urinate regularly to flush bacteria from the urinary tract.

Are Chronic Kidney Disease fatal?

Chronic kidney disease can be fatal if left untreated or if the disease progresses to end-stage kidney failure. In end-stage kidney failure, the kidneys are no longer able to function properly and waste and excess fluids build up in the body, leading to serious complications and death. However, with early diagnosis and treatment, the progression of chronic kidney disease can be slowed, and the risk of complications and death can be reduced.

Can Chronic Kidney Disease be cured?

There is currently no cure for chronic kidney disease, but early diagnosis and treatment can help slow the progression of the disease and prevent further damage to the kidneys. Treatment options may include medications, lifestyle changes, and in severe cases, dialysis or kidney transplantation.

Complications or side effects possible with Chronic Kidney Disease treatments

There are potential complications and side effects associated with the treatment of chronic kidney disease. These may include:

  • Side effects of medications: Some medications used to treat chronic kidney disease may cause side effects such as nausea, diarrhea, or allergic reactions
  • Dialysis: Dialysis can cause side effects such as fatigue, muscle cramps, and low blood pressure. It may also increase the risk of infection and heart problems
  • Kidney transplantation: Kidney transplantation is a major surgery that carries risks such as infection, bleeding, and organ rejection. Long-term use of immunosuppressive medications to prevent organ rejection may also increase the risk of infections and other complications.

What’s the outlook for Chronic Kidney Disease?

The outlook for individuals with chronic kidney disease depends on the severity of the disease and the effectiveness of treatment. In some cases, early diagnosis and treatment can help slow the progression of the disease and prevent further damage to the kidneys. However, if the disease progresses to end-stage kidney failure, the kidneys may no longer be able to function properly and the individual may require dialysis or kidney transplantation to survive. With proper medical care and lifestyle changes, individuals with chronic kidney disease can live long and productive lives.

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Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
Reviewed By
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Reviewed ByDr. Bhupindera Jaswant SinghMD - Consultant PhysicianGeneral Physician
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