{"id":4202,"date":"2020-04-22T10:56:49","date_gmt":"2020-04-22T10:56:49","guid":{"rendered":"http:\/\/edren.org\/ren\/education\/resources\/kidney-disease-in-3-minutes\/"},"modified":"2020-12-17T08:11:19","modified_gmt":"2020-12-17T08:11:19","slug":"kidney-disease-in-3-minutes","status":"publish","type":"page","link":"https:\/\/edren.org\/ren\/education\/other-resources\/kidney-disease-in-3-minutes\/","title":{"rendered":"Kidney disease in 3 minutes"},"content":{"rendered":"<h3><strong><span style=\"color: #993300;\">What do the kidneys do?<\/span><\/strong><\/h3>\n<p>They filter the blood to remove waste products, and to get rid of excess water and other things that you eat and drink.\u00a0 Healthy kidneys filter well over 100mls of blood every minute.\u00a0\u00a0That&#8217;s about 150 litres, or 33 gallons (40 US\u00a0gallons)\u00a0every day.\u00a0 This is known as the GFR, short for Glomerular Filtration Rate.\u00a0 Commonly we use a simple blood test to get an estimate of GFR, as is it tricky to measure GFR accurately.<\/p>\n<h3><strong><span style=\"color: #993300;\">eGFR is an estimate of kidney filtration<\/span><\/strong><\/h3>\n<p>eGFR is an\u00a0<em>estimate<\/em>\u00a0of how well your kidneys are filtering. \u00a0It is calculated from the result of a blood test (creatinine)\u00a0along with your age and sex.\u00a0\u00a0As normal eGFR is round about 100, the eGFR gives you an approximate &#8216;percentage function&#8217;.\u00a0\u00a0So\u00a0 if your eGFR is 50, your kidneys are probably filtering at\u00a0<em>about<\/em>\u00a050% of normal. \u00a0 It&#8217;s very approximate though, and there are times when it can&#8217;t be very reliable at all. It is not accurate at near-normal levels, so many labs report eGFR over 60 as just &#8220;&gt;60&#8221; (more than 60).<\/p>\n<h3><strong><span style=\"color: #993300;\">What are the signs my kidneys aren&#8217;t working properly?<\/span><\/strong><\/h3>\n<p>Most people with kidney trouble don&#8217;t have any symptoms at all.\u00a0 Most of the diseases that cause pain (urine infections and kidney stones are examples) only rarely cause kidney failure. \u00a0Kidney failure only starts to cause much trouble when you&#8217;re down to 30% kidney function or less.\u00a0 Even then the symptoms aren&#8217;t very obviously coming from the kidney.\u00a0 More often high blood pressure or abnormal urine tests or something else leads to a blood test being done, and that shows it up.<\/p>\n<p>Some of the signs of kidney trouble that you read about are very\u00a0<em>late<\/em>\u00a0signs, and not very helpful for picking up early kidney disease.<\/p>\n<h3><strong><span style=\"color: #993300;\">What is CKD?<\/span><\/strong><\/h3>\n<p>CKD means Chronic Kidney Damage.\u00a0\u00a0It means your kidneys aren&#8217;t 100% because<\/p>\n<ul style=\"list-style-type: disc;\">\n<li>They are filtering less than they should. \u00a0Filtering less than about 60% of normal is called stage 3 CKD, and less than 15% is stage 5 or;<\/li>\n<li>They leak blood or protein into the urine. \u00a0If filtration is good, this would be stage 1 or 2.<\/li>\n<\/ul>\n<p>Chronic renal failure (CRF)\u00a0is the old term for CKD\u00a0and it sometimes still used to mean more advanced kidney failure.<\/p>\n<h3><strong><span style=\"color: #993300;\">Should I be tested for CKD?<\/span><\/strong><\/h3>\n<ul style=\"list-style-type: disc;\">\n<li>You should be tested if you have<\/li>\n<li>High blood pressure (maybe once a year)<\/li>\n<li>Diabetes (once a year)<\/li>\n<li>Another disease known to affect the kidney<\/li>\n<li>And maybe if there is someone in your family who has developed severe kidney failure (perhaps every 5 years).<\/li>\n<\/ul>\n<h3><strong><span style=\"color: #993300;\">I&#8217;ve got something wrong with my kidneys &#8211; are they going to fail?<\/span><\/strong><\/h3>\n<p>Most people with CKD have steady kidney function that doesn&#8217;t change much with time.\u00a0 Warning signs that make eventual kidney failure more likely are:<\/p>\n<ul style=\"list-style-type: disc;\">\n<li>If you are young<\/li>\n<li>If you have blood in your urine (but there are other causes of this)<\/li>\n<li>If you have a lot of protein in your urine<\/li>\n<li>If you have worse kidney function<\/li>\n<li>If your kidney function is getting worse<\/li>\n<\/ul>\n<p>So any of these are signs that things need to be looked at more closely.<\/p>\n<h3><strong><span style=\"color: #993300;\">What should I do if I have stable CKD?<\/span><\/strong><\/h3>\n<p>Stable CKD means that your kidney tests aren&#8217;t changing much.\u00a0 Most people in this position have a very low risk of getting severe kidney disease, but their risk of heart disease and other health problems is increased. \u00a0So to look after yourself:<\/p>\n<ul style=\"list-style-type: disc;\">\n<li>Lead a healthy life and eat a healthy diet<\/li>\n<li>Look after your blood pressure<\/li>\n<li>Look after your cholesterol and general health<\/li>\n<li>Take regular exercise<\/li>\n<li>Get checked occasionally to make sure your kidney function remains steady<\/li>\n<li>Don&#8217;t fret about it, lead a full life<\/li>\n<\/ul>\n<h3><strong><span style=\"color: #993300;\">What if my kidney function is getting worse?<\/span><\/strong><\/h3>\n<p>If it is definitely getting worse you may need to be seen by a kidney specialist to see what can be done to stop it, or make plans if it can&#8217;t be stopped. \u00a0They will look for<\/p>\n<ul style=\"list-style-type: disc;\">\n<li>Diseases that can be treated<\/li>\n<li>High blood pressure that can be improved<\/li>\n<li>Other ways to protect you and your kidney function against further damage<\/li>\n<\/ul>\n<p>and if necessary they will talk to you about what should be done if your kidneys carry on getting worse. <a href=\"http:\/\/edren.org\/ren\/edren-info\/ckd-chronic-renal-failure-and-its-progression\/\">More about CKD (patient info)<\/a>; and\u00a0<a href=\"http:\/\/edren.org\/ren\/education\/textbook\/chronic-kidney-disease\/crf-ckd-4-5\/\">more about CKD stages 4-5 (staff info)<\/a><\/p>\n<h3><strong><span style=\"color: #993300;\">What about dialysis and transplantation?<\/span><\/strong><\/h3>\n<p>Dialysis and transplantation are a modern miracle for people with &#8216;end stage&#8217; kidney disease whose health is otherwise good.\u00a0 They are no picnic though. Prevention is much better.\u00a0More about\u00a0<a href=\"http:\/\/edren.org\/ren\/edren-info\/dialysis-and-endstage-renal-failure\/\">dialysis<\/a>\u00a0and\u00a0<a href=\"http:\/\/edren.org\/ren\/edren-info\/transplantation\/\">transplantation<\/a>.<\/p>\n<h3><strong><span style=\"color: #993300;\">3\u00a0minutes wasn&#8217;t enough?<\/span><\/strong><\/h3>\n<p>Most pages here at www.edrep.org are aimed at staff rather than patients. \u00a0You may find\u00a0<a href=\"http:\/\/www.edren.org\/ren\">www.edren.org<\/a>\u00a0good for further info, in particular<\/p>\n<ul style=\"list-style-type: disc;\">\n<li><a href=\"http:\/\/edren.org\/ren\/edren-info\/\">Edren\u00a0Info<\/a>\u00a0has a page each on many kidney diseases, and more info about normal kidneys and kidney tests<\/li>\n<\/ul>\n<p>Here are some other places you can go for info:<\/p>\n<ul style=\"list-style-type: disc;\">\n<li><a href=\"http:\/\/www.patientview.org\/\">PatientView<\/a>\u00a0&#8211; If you are a regular patient of a renal unit in the UK, at most units you can sign up for RPV, which\u00a0lets you look up your test results, with explanations, and will give you links to info about your disease and its treatment.<\/li>\n<li><a href=\"https:\/\/kidneyresearchuk.org\/\">Kidney\u00a0Research UK<\/a><\/li>\n<li><a href=\"http:\/\/www.kidney.org.uk\/\">NKF (UK) patient info page<\/a><\/li>\n<li><a href=\"http:\/\/www.nhs.uk\/Pathways\/kidneydisease\/Pages\/Landing.aspx\">NHS\u00a0Choices<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>What do the kidneys do? They filter the blood to remove waste products, and to get rid of excess water and other things that you eat and drink.\u00a0 Healthy kidneys filter well over 100mls of blood every minute.\u00a0\u00a0That&#8217;s about 150 litres, or 33 gallons (40 US\u00a0gallons)\u00a0every day.\u00a0 This is known\u2026<\/p>\n<p> <a class=\"continue-reading-link\" href=\"https:\/\/edren.org\/ren\/education\/other-resources\/kidney-disease-in-3-minutes\/\"><span>Continue reading<\/span><i class=\"crycon-right-dir\"><\/i><\/a> <\/p>\n","protected":false},"author":2,"featured_media":0,"parent":5302,"menu_order":72,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-4202","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/4202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/comments?post=4202"}],"version-history":[{"count":3,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/4202\/revisions"}],"predecessor-version":[{"id":5163,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/4202\/revisions\/5163"}],"up":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/5302"}],"wp:attachment":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/media?parent=4202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}