If these three points are not done well, kidney disease may recur

Kidney disease is an “old and stubborn” in the eyes of many people. Once it occurs, it seems to have to be with it for life, which makes kidney friends very worried. Why can some diseases recover after a period of treatment, and even the sequelae will not remain, but kidney disease is a “lifelong disease”? For most people, nephropathy is detected early enough, and standardized scientific treatment can preserve the remaining renal function, and the risk of uremia is very small. There are also a small number of patients whose final prognosis is worse, and kidney failure or even uremia cannot be ruled out. So why is it difficult to completely cure kidney disease? You must know these three points about kidney disease! 1. Don’t just think about simply reducing the indicators. Although there are some key indicators that have a greater impact on renal function at different stages of kidney disease, simply controlling these indicators cannot fundamentally solve the problem of worsening renal function. This must be understood. . For example, creatinine value is an indicator to measure kidney function and judge uremia. Many people feel that creatinine has dropped and the condition has stabilized and they will no longer be treated. It is true that the change of creatinine means the detoxification function of the kidney. But to maintain a stable condition and delay renal failure, it is certainly not enough to control creatinine. It can’t be lowered just to lower the index. This is why some patients have creatinine that drops for a while and then rises again. 2. It is difficult to stabilize the disease by drugs alone. For the relief of some symptoms such as fatigue, nausea, edema, etc., and the reduction indicators including urinary protein, creatinine, uric acid, blood pressure, etc., targeted medication can quickly relieve symptoms and reduce indicators. But this is only temporary. To maintain stability for a long period of time, not only do you insist on medication, but also actively cooperate with daily care. Including the management of diet, changing the habits of kidney injury, and paying attention to the good habits of protecting the kidney. In the long run, kidney function can last and be stable. The causes of kidney disease are also related to some daily kidney injury habits such as long-term high-protein diet causing obesity, three highs, etc., as well as staying up late, smoking, not exercising, etc. will affect the body’s immunity, and then quietly damage the kidneys. 3. Chronic kidney disease re-examination every three months or half a year requires long-term monitoring, even if all indicators are improved. After fibrosis of kidney cells, some will be filtered by blood and metabolized with urine, but some damaged parts will form scars on the surface of the kidney, just like scars after scratching. These kidney scars are more sensitive. If infection or other disease factors occur, they may cause relapse. Therefore, regular reexamination is an important “weapon” to avoid repeated illnesses, and kidney friends should not lose it. Therefore, the “stubborn” kidney disease is not terrible. What is terrible is that after a long time of treatment, it is in vain. Kidney friends should learn to treat the condition from shallow to deep. Don’t just look at the surface, it is not difficult to get better control of your condition.

What are the rumors of kidney disease?

With the rapid development of the Internet, all kinds of news in our circle of friends are overwhelming, but these true and false content are mixed with many rumors, which makes people ridiculous to dry mouth, the liver is rising, it is really “a mouth for rumours.” , Break the rumors and break your legs” Ah! Today, the editor will tell you what are the rumors about kidney disease. Rumor 1: Kidney disease is kidney deficiency. Do you want to make up? The truth! A commercial that is often broadcast on TV, “He is good, I am good”, causes many people to confuse kidney disease with kidney deficiency in the absence of medical knowledge. In fact, kidney disease and kidney deficiency are not the same thing. Kidney disease is a disease of Western medicine. The kidney itself has a problem. The nephropathy mentioned by Western medicine must be diagnosed with evidence of kidney-related damage, such as proteinuria, increased blood creatinine, kidney puncture, and kidney pathological changes. Kidney deficiency is a concept in Chinese medicine, and Western medicine does not say “Kidney deficiency”. People diagnosed with “Kidney Deficiency” by Chinese medicine are likely to have no problem with this organ of kidney in Western medicine diagnosis. Therefore, you must not treat kidney disease as a kidney deficiency, especially some health products. If you eat it randomly, it will not only be of no benefit to the condition, but may also delay treatment and aggravate the condition. Rumor 2: Western medicine has great side effects, and Chinese medicine nourishes the kidneys. There is indeed a unique role for Chinese medicine in promoting blood circulation and activating Qi, and activating kidney function, but it cannot be denied because of this effect. Western medicine is active in anti-inflammatory and eliminating symptoms Effective. To blindly worship a treatment aspect will only drag on the condition. Therefore, whether it is to see Chinese medicine or Western medicine, the doctor is the most important. The kidney friends must follow the professional treatment principles when treating kidney disease, and do not exclude or defame any treatment. In particular, you should not believe in small recipes. Myth 3: Is it good for kidney disease to eat “low sodium salt”? Both healthy people and patients with kidney disease need to pay attention to a low salt diet, but the reason why “low sodium salt” is low in sodium is because 30% of potassium is incorporated. Although the intake of sodium is reduced, the potassium content is high, which can lead to hyperkalemia. Hyperkalemia is one of the most common and dangerous complications in patients with kidney disease, and acute attacks can be life-threatening. Therefore, patients with kidney disease want to control sodium intake. It is not the right way to consume “low sodium salt”, or they must reduce salt intake from the diet. Myth 4: The lower the blood creatinine, the better? Creatinine is one of the important indicators of kidney disease, but not the lower the better. Common causes of low blood creatinine include weight loss, muscle loss, and malnutrition. Low creatinine does not mean that this person has better kidney function than others. Therefore, kidney friends should not blindly pursue the reduction of creatinine value. Rumor 5: Corn whisker can cure kidney disease? Corn whisker does have a certain diuretic effect, but it is not so magical. There is no reliable evidence that corn whisker has a therapeutic effect on any kidney disease. If you like to drink corn whistle water, it is okay to drink, but it must be clear that these diets cannot replace regular treatment. Myth 6: Drink more water for kidney disease? Many people think that drinking more water is beneficial to maintaining kidney health. The more you drink, the better. In fact, drinking too much water can lead to lower blood sugar. For people with healthy physique, drinking plenty of water is of great help to health. However, in patients with renal failure and uremia, most of the metabolic capacity of kidney function is lost, relying on the dialysis machine to maintain the balance of the body environment, so the water intake should be limited. And drinking water is only one of the ways to maintain kidney health. Therefore, although drinking water is good, it should be consumed according to the situation. In fact, kidney disease is not so terrible, what is terrible is to avoid eating, to take medicine blindly, and to believe in remedies. Therefore, when faced with various opinions on the Internet, kidney friends must keep their eyes open and act “kidney”. If you have any questions that you do not understand or have questions, you can ask the doctor directly. My name is Yang Yanfang, a doctor of Chinese medicine, and more than 20 years of clinical and experimental research on kidney disease in Chinese and Western medicine. I am good at Chinese medicine for glomerulopathy (hematuria, proteinuria), renal vascular disease and chronic kidney injury (chronic renal insufficiency, chronic renal failure). Integrated Western medicine treatment. Everyone is welcome to pay attention to this account. If you have any relevant questions, you can leave a message or private message. After seeing it, I will answer your doubts in detail.

Kidney function is not good, there are three items that must be checked!

Whether it is a daily physical examination or a routine examination for nephropathy treatment, to determine whether the kidney function is good or bad, you need to do some kidney-related examinations. Through the examination results, you can more accurately understand the condition of the kidney and the changes in the condition. Accurate examination results are the basis of treatment. There are many nephropathy examination items. Some patients have symptoms of discomfort for the first time, but the examination is not comprehensive, and the disease is not found in time, or the treatment is not timely, resulting in more and more serious illness and missed the best treatment. Time makes it difficult to reverse the condition. Nephropathy examination mainly includes two aspects: one to check blood and two to check urine, and different indicators reflect different kidney functions. Some inspections need to be reviewed multiple times, and some indicators can judge the results only once. Kidney function is not good, these three tests must be checked, no need to struggle! The three major examination items of urine examination are the routine urine examination. The indicators in the routine urine examination mainly reflect two aspects, inflammation and kidney problems. Nephropathy treatment-related indicators mainly include urinary red blood cells, white blood cells, urine protein, and urine specific gravity. High red blood cells and white blood cells indicate inflammation, specifically kidney inflammation or urinary tract inflammation, which needs further examination. The changes in urine protein and urine specific gravity can directly reflect the condition of the kidney. The presence of urine protein + is positive, and the increase in urine specific gravity indicates a problem with the kidney. Of course, the problem of transient urine protein should also be ruled out, that is, physiological factors such as eating too many high-protein foods, vigorous exercise before examination, etc. cause abnormal urine tests. Some patients in the early stage of kidney disease have no obvious symptoms, and there are often obvious abnormalities in the examination indicators, which are of great significance for the early treatment of kidney disease. Compare and see what happens to your test order? Urine morphological analysis sounds very high, what tests are they? Many kidney friends look at the test sheet and may have seen these indicators: tube type, crystal, bacteria, epithelial cells, etc. These tests have an important role in further determining the condition of kidney damage, such as a high rate of urine red blood cell deformation, mostly kidney The damaged glomerulus indicates glomerulonephritis. Urine protein in-depth inspection routine examination can find the presence of urine protein + sign, to clarify the situation of protein leakage, the degree of glomerular damage, the degree of impaired renal function, further urine related examinations are needed. Mainly include: 24-hour urine protein quantification, urine total protein creatinine ratio, urine albumin creatinine ratio and so on. The first two indicators have similar functions and can be replaced with each other, just check some of them. A large amount of protein leakage mainly reflects the impaired glomerular filtration function and the degree of glomerular lesions. In general, the more proteinuria, the more severe the damage to kidney function. The urine albumin creatinine ratio test is more accurate than the previous two tests. It can detect patients with kidney damage, but only mild proteinuria symptoms, such as diabetic nephropathy and hypertensive nephropathy. If you have a long history of sugar friends and high blood pressure patients, you will find that there is foam in your urine and no symptoms, but you can’t find any problems in urine routine. Remember to check this indicator. Two routine blood tests include blood creatinine, uric acid, and urea nitrogen. The kidneys are detoxifying organs. The increase in these indicators is a manifestation of increased levels of toxins in the body. It also indicates that the kidneys’ detoxification function is reduced. It’s half over. Hemoglobin Hemoglobin mainly plays the role of loosening blood oxygen to ensure normal blood flow rate. If abnormality occurs, most of them indicate anemia. In the middle and late stages of kidney disease, erythropoietin production decreases and spinal cord hematopoiesis decreases, and renal anemia occurs. A small number of patients often detect anemia first, and eventually diagnose kidney disease. Anemia will cause the degeneration of various functions of the body, in particular, it will cause a decline in immunity, which is not conducive to the stability and treatment of the disease. Renal function test In addition to the above tests, to further understand the examination of renal function, there are glomerular filtration rate, memory creatinine clearance rate, renal B ultrasound, electrolyte-related tests, etc. The abnormality of these indicators further indicates changes in renal function, and is particularly critical for the prevention of renal failure. More attention should be paid to the treatment.

If the kidney is not good, go to the hospital to check for a creatinine! The doctor tells you: the reason for the increased creatinine

For all hospitalized patients, blood tests must be performed. The blood test items will definitely include renal function. The most important indicator of renal function is blood creatinine. For those suspected of having kidney problems, or those who are taking medication for a long time and worrying about kidney damage, creatinine must also be checked to confirm the diagnosis. Strictly speaking, creatinine includes blood creatinine and urine creatinine, but blood creatinine is more meaningful for clinical diagnosis and prognosis of disease, so we generally say that creatinine is blood creatinine. Some people say that if creatinine is high, it must mean that there is a problem with the kidneys, which is not necessarily! 1. What is creatinine? Creatinine is a product of muscle metabolism in the human body, which is mainly excreted by the glomerular filtration. In general, the amount of creatinine produced is constant, and the level of blood creatinine mainly depends on how much creatinine is excreted by the kidneys. The compensatory function of the kidney is very powerful. If both kidneys are normal, as long as one kidney functions, blood creatinine can be maintained at normal levels. That is to say, kidney function must be reduced to half the normal level before it will cause an increase in blood creatinine. Therefore, blood creatinine does not fully reflect the causes of early and mild renal decline. Blood creatinine comes from exogenous and endogenous sources. Exogenous creatinine is the product of meat food after metabolism in the body; endogenous creatinine is the product of muscle tissue metabolism in the body. 2. Normal levels of creatinine Serum creatinine in normal people Male 54-106μmol/L Female 44-97μmol/L Pediatric 24.9-69.7μmol/L When the blood creatinine exceeds 106μmol/L means the kidney may be damaged and renal insufficiency has occurred 1. Renal failure. 3. Causes of increased creatinine 1. Kidney disease. The blood creatinine value is higher than the normal value. In most cases, the kidney is damaged. Because the human body has two kidneys, the glomerular filtration rate drops to 1/3 of the normal person. The blood creatinine Only then rose significantly. So even if the creatinine is normal, it does not mean that there is no problem with the kidneys. The human kidney has strong metabolic capacity. When the kidney damage is relatively light, the general person does not feel uncomfortable, so many people have real symptoms of renal insufficiency, such as nausea, vomiting, and dizziness. At that time, in fact, the kidney has been seriously damaged, and at this time, blood creatinine also began to rise significantly. In people with renal insufficiency, creatinine will increase in a short period of time when infected; patients with hypertension will have high creatinine; patients with kidney disease will have increased creatinine due to relapse. When acute and chronic glomerulonephritis, etc., reduce glomerular filtration function, blood creatinine may increase. 2. Other causes are not nephropathy and renal insufficiency. They are the only cause of increased creatinine. In some cases in life, they also cause transient creatinine elevation. For example, people who have long-term strength training and have excessive muscle volume may have serum creatinine. The value will also be high; dehydration in the body, such as fever, sweating, reduced drinking water, polyuria leads to blood concentration, decreased renal blood flow, increased creatinine; fatigue, poor rest, can also cause creatinine rise high. j People with poor basic kidney function who take drugs that damage the kidneys, or use contrast agents for angiography, may have elevated creatinine, or even irreversible. Fourth, the possible symptoms of creatinine increase creatinine and symptoms must occur, especially mild chronic creatinine increase, no symptoms at the initial stage. Edema is one of the most common symptoms of high creatinine, but particularly heavy edema is not necessarily high creatinine, especially light edema is not necessarily high creatinine. Edema often starts with the eyelids, and it can spread to the whole body and even pleural effusion and ascites. In addition to edema, elevated creatinine may also present with high blood pressure, frequent urination, low back pain, polyuria, oliguria or anuria, excessive urine foam, and positive urine protein. As creatinine rises further, renal function deteriorates further, and there may be depression, itching of the skin, muscle twitching, heart failure, mental abnormalities, and life-threatening. Fifth, how to treat after creatinine rises and pay attention to life after creatinine rises, first find the reason to know how to treat, if it is irreversible creatinine rise, with the advent of anuria, eventually only dialysis treatment. When creatinine rises, you need to pay attention to the diet, low-salt diet, control protein intake, choose high-quality high-quality protein diet. Eat more foods rich in vitamins. In short, creatinine is one of the most important indicators of kidney function. Generally speaking, when creatinine is increased, in most cases, the kidney has already suffered damage.

What are the tests for poor kidney function? These three items must be checked, no need to struggle

Whether it is a daily physical examination or a routine examination for nephropathy treatment, to determine whether the kidney function is good or bad, you need to do some kidney-related examinations. Through the examination results, you can more accurately understand the condition of the kidney and the changes in the condition. Accurate examination results are the basis of treatment. There are many nephropathy examination items. Some patients have symptoms of discomfort for the first time, but the examination is not comprehensive, and the disease is not found in time, or the treatment is not timely, resulting in more and more serious illness and missed the best treatment. Time makes it difficult to reverse the condition. Nephropathy examination mainly includes two aspects: one to check blood and two to check urine, and different indicators reflect different kidney functions. Some inspections need to be reviewed multiple times, and some indicators can judge the results only once. Kidney function is not good, these three tests must be checked, no need to struggle! The three major examination items of urine examination are the routine urine examination. The indicators in the routine urine examination mainly reflect two aspects, inflammation and kidney problems. Nephropathy treatment-related indicators mainly include urinary red blood cells, white blood cells, urine protein, and urine specific gravity. High red blood cells and white blood cells indicate inflammation, specifically kidney inflammation or urinary tract inflammation, which needs further examination. The changes in urine protein and urine specific gravity can directly reflect the condition of the kidney. The presence of urine protein + is positive, and the increase in urine specific gravity indicates a problem with the kidney. Of course, the problem of transient urine protein should also be ruled out, that is, physiological factors such as eating too many high-protein foods, vigorous exercise before examination, etc. cause abnormal urine tests. Some patients in the early stage of kidney disease have no obvious symptoms, and there are often obvious abnormalities in the examination indicators, which are of great significance for the early treatment of kidney disease. Compare and see what happens to your test order? Urine morphological analysis sounds very high, what tests are they? Many kidney friends look at the test sheet and may have seen these indicators: tube type, crystal, bacteria, epithelial cells, etc. These tests have an important role in further determining the condition of kidney damage, such as a high rate of urine red blood cell deformation, mostly kidney The damaged glomerulus indicates glomerulonephritis. Urine protein in-depth inspection routine examination can find the presence of urine protein + sign, to clarify the situation of protein leakage, the degree of glomerular damage, the degree of impaired renal function, further urine related examinations are needed. Mainly include: 24-hour urine protein quantification, urine total protein creatinine ratio, urine albumin creatinine ratio and so on. The first two indicators have similar functions and can be replaced with each other, just check some of them. A large amount of protein leakage mainly reflects the impaired glomerular filtration function and the degree of glomerular lesions. In general, the more proteinuria, the more severe the damage to kidney function. The urine albumin creatinine ratio test is more accurate than the previous two tests. It can detect patients with kidney damage, but only mild proteinuria symptoms, such as diabetic nephropathy and hypertensive nephropathy. If you have a long history of sugar friends and high blood pressure patients, you will find that there is foam in your urine and no symptoms, but you can’t find any problems in urine routine. Remember to check this indicator. Two routine blood tests include blood creatinine, uric acid, and urea nitrogen. The kidneys are detoxifying organs. The increase in these indicators is a manifestation of increased levels of toxins in the body. It also indicates that the kidneys’ detoxification function is reduced. It’s half over. Hemoglobin Hemoglobin mainly plays the role of loosening blood oxygen to ensure normal blood flow rate. If abnormality occurs, most of them indicate anemia. In the middle and late stages of kidney disease, erythropoietin production decreases and spinal cord hematopoiesis decreases, and renal anemia occurs. A small number of patients often detect anemia first, and eventually diagnose kidney disease. Anemia will cause the degeneration of various functions of the body, in particular, it will cause a decline in immunity, which is not conducive to the stability and treatment of the disease. Renal function test In addition to the above tests, to further understand the examination of renal function, there are glomerular filtration rate, memory creatinine clearance rate, renal B ultrasound, electrolyte-related tests, etc. The abnormality of these indicators further indicates changes in renal function, and is particularly critical for the prevention of renal failure. More attention should be paid to the treatment. My name is Yang Yanfang. I am good at various glomerular diseases, such as IgA nephropathy, membranous nephropathy, hematuria, proteinuria, lupus nephritis, and treatment of chronic renal insufficiency. I have more than 40 years of clinical experience. Welcome to pay attention to this account. For related questions, you can leave a message or private message. After reading it, I will answer your confusion in detail.

Nephropathy urine loss must be renal failure? Don’t worry, there are chances to save if you do 2 points

Whether it is a daily physical examination or a routine examination for nephropathy treatment, to determine whether the kidney function is good or bad, you need to do some kidney-related examinations. Through the examination results, you can more accurately understand the condition of the kidney and the changes in the condition. Accurate examination results are the basis of treatment. There are many nephropathy examination items. Some patients have symptoms of discomfort for the first time, but the examination is not comprehensive, and the disease is not found in time, or the treatment is not timely, resulting in more and more serious illness and missed the best treatment. Time makes it difficult to reverse the condition. Nephropathy examination mainly includes two aspects: one to check blood and two to check urine, and different indicators reflect different kidney functions. Some inspections need to be reviewed multiple times, and some indicators can judge the results only once. Kidney function is not good, these three tests must be checked, no need to struggle! The three major examination items of urine examination are the routine urine examination. The indicators in the routine urine examination mainly reflect two aspects, inflammation and kidney problems. Nephropathy treatment-related indicators mainly include urinary red blood cells, white blood cells, urine protein, and urine specific gravity. High red blood cells and white blood cells indicate inflammation, specifically kidney inflammation or urinary tract inflammation, which needs further examination. The changes in urine protein and urine specific gravity can directly reflect the condition of the kidney. The presence of urine protein + is positive, and the increase in urine specific gravity indicates a problem with the kidney. Of course, the problem of transient urine protein should also be ruled out, that is, physiological factors such as eating too many high-protein foods, vigorous exercise before examination, etc. cause abnormal urine tests. Some patients in the early stage of kidney disease have no obvious symptoms, and there are often obvious abnormalities in the examination indicators, which are of great significance for the early treatment of kidney disease. Compare and see what happens to your test order? Urine morphological analysis sounds very high, what tests are they? Many kidney friends look at the test sheet and may have seen these indicators: tube type, crystal, bacteria, epithelial cells, etc. These tests have an important role in further determining the condition of kidney damage, such as a high rate of urine red blood cell deformation, mostly kidney The damaged glomerulus indicates glomerulonephritis. Urine protein in-depth inspection routine examination can find the presence of urine protein + sign, to clarify the situation of protein leakage, the degree of glomerular damage, the degree of impaired renal function, further urine related examinations are needed. Mainly include: 24-hour urine protein quantification, urine total protein creatinine ratio, urine albumin creatinine ratio and so on. The first two indicators have similar functions and can be replaced with each other, just check some of them. A large amount of protein leakage mainly reflects the impaired glomerular filtration function and the degree of glomerular lesions. In general, the more proteinuria, the more severe the damage to kidney function. The urine albumin creatinine ratio test is more accurate than the previous two tests. It can detect patients with kidney damage, but only mild proteinuria symptoms, such as diabetic nephropathy and hypertensive nephropathy. If you have a long history of sugar friends and high blood pressure patients, you will find that there is foam in your urine and no symptoms, but you can’t find any problems in urine routine. Remember to check this indicator. Two routine blood tests include blood creatinine, uric acid, and urea nitrogen. The kidneys are detoxifying organs. The increase in these indicators is a manifestation of increased levels of toxins in the body. It also indicates that the kidneys’ detoxification function is reduced. It’s half over. Hemoglobin Hemoglobin mainly plays the role of loosening blood oxygen to ensure normal blood flow rate. If abnormality occurs, most of them indicate anemia. In the middle and late stages of kidney disease, erythropoietin production decreases and spinal cord hematopoiesis decreases, and renal anemia occurs. A small number of patients often detect anemia first, and eventually diagnose kidney disease. Anemia will cause the degeneration of various functions of the body, in particular, it will cause a decline in immunity, which is not conducive to the stability and treatment of the disease. Renal function test In addition to the above tests, to further understand the examination of renal function, there are glomerular filtration rate, memory creatinine clearance rate, renal B ultrasound, electrolyte-related tests, etc. The abnormality of these indicators further indicates changes in renal function, and is particularly critical for the prevention of renal failure. More attention should be paid to the treatment.

Signs of impaired renal function, 4 signals detected early

The initial symptoms of kidney disease are often hidden and difficult to find. This requires us to do regular physical examinations, especially urine tests. If the following 4 signs appear, it is likely that kidney function has been damaged. Signs of impaired renal function. Early detection of 4 signals 1. When the eyelid and lower extremity edema and renal insufficiency, the metabolic capacity for sodium is reduced, which easily leads to the retention of water and sodium metabolism. Excess water accumulates in the subcutaneous tissues, and symptoms such as eyelid edema in the morning and edema of the lower limbs after fatigue can appear. Press and hold the skin of the ankle with your hand. If you press one pit and the elasticity is very poor, it is usually edema. 2. Proteinuria and hematuria When the kidney is damaged, the ability to recover protein is reduced, which makes protein easily appear in urine. People who already have kidney disease also need to regularly test urine protein levels to assess kidney function. If inflammation, stones, tumors or blood vessels rupture in the kidneys, red blood cells will be excreted in the urine to form hematuria. Some foods or medicines may also cause urine to turn red, which is pseudo-hematuria, so it cannot be judged by urine color alone, and a urine test is required. Urine test is positive, the urine contains a lot of non-dissipating foam, which is proteinuria. If the number of red blood cells in the urine exceeds the standard, it is hematuria. 3. Increased creatinine Creatinine is a product of muscle metabolism, which is mainly filtered through the glomeruli and excreted from the body. When the muscle is not consumed vigorously, the amount of creatinine produced by the human body is relatively constant. Urine creatinine is 7-18 mmol/d for men and 5.3-16 mmol/d for women; blood creatinine for men is 53-106 μmol/L for men and 44-97 μmol/L for women. Increased blood creatinine and urinary creatinine for unknown reasons may indicate impaired renal function. 4. Fatigue, weak waist and knees From the perspective of traditional Chinese medicine, the kidneys contain the body’s yang and energy. Chronic kidney disease can easily make the kidneys weak, causing fatigue, weakness in the waist and legs, frequent nocturia, and cold limbs. It is also easy to affect the spleen and lungs, leading to phlegm and stasis, at the same time causing chest tightness, shortness of breath, loss of appetite, indigestion and so on.

Pure Chinese medicine treatment of renal insufficiency, creatinine drops again and again

Mr. Huang initially checked at a hospital in Nanjing with creatinine of 830umol/L. After discharge from the hospital, he checked creatinine at 650.2umol/L in a hospital in Wuxi in March. The hospital immediately let the patient hemodialysis and waited for the kidney. The family members of patients often choked with tears. Later, a friend introduced him to seek treatment in Chinese medicine, but he was strongly opposed by the relatives of the patient. His relatives rejected the Chinese medicine very much, fearing that the patient would delay the condition of the Chinese medicine, and the consequences would be unimaginable. The family of the patient did not listen to his dissuasion and chose Chinese medicine. The patient was first diagnosed on March 25, 2020. At that time, the patient had creatinine of 650.2 umol/L, often dizziness, puffy eyes, dry mouth, anorexia, edema of both lower extremities, one line of stool on the 3rd, pale tongue, pale fur, and weak pulse. Rhubarb Aconite Asarum Decoction was added to the treatment, which was added and subtracted. Each time 14 pairs, each time the creatinine decreased significantly, and came back to the clinic today, the creatinine decreased from 650.2&nbsp.umol/L to 443.4umol/L, evidence Both are reduced, followed by the original consolidation treatment. Yesterday I went to the Nephrology Department of a top three hospital in Wuxi to check that the creatinine had dropped from 650.2&nbsp.umol/L to 518.6umol/L and then to 443.4umol/L. The condition was very stable. The director of the Nephrology Department is a relative of the patient. He said: “It is incredible that Chinese medicine can have such a curative effect.” Encourage patients to continue treatment with Chinese medicine. He turned from the original strong opposition to traditional Chinese medicine, to the strong support of traditional Chinese medicine treatment, curative effect is the vitality of traditional Chinese medicine. We will continue our efforts to work with patients to reduce creatinine to normal and return patients to a healthy future.

Diabetes, high blood pressure, and kidney disease can all develop into uremia! Final weekly hemodialysis

Uremic disease is not the name of a disease. Uremic disease is a group of syndromes in which various kidney diseases progress to the terminal stage. Simply put chronic renal failure to the end stage is what everyone says is uremia. If it is only a problem of kidney failure itself, long-term dialysis can replace the kidney, it can also survive for a long time, but when it progresses to the uremic stage, not only will kidney problems occur, but various systemic diseases will appear in the body, which is a group of syndromes that will eventually cause disease Heavier and died. First, the cause of uremia is the end stage of chronic renal failure is uremia, then the cause of chronic renal failure is the cause of uremia, the main causes are primary glomerulonephritis, chronic pyelonephritis, hypertensive renal arteriosclerosis, Diabetic nephropathy, secondary glomerulonephritis, tubulointerstitial disease, inherited kidney disease, drug poisoning, etc. Second, the classification of chronic renal failure The traditional classification of chronic renal failure, the fourth stage, which is the end stage, which is the uremic stage. When the glomerular filtration rate in the compensated renal function period is 1/2, the blood urea nitrogen and creatinine do not increase, the metabolic balance in the body does not appear, and no symptoms appear. The blood creatinine is between 133 and 177 μmol/L. The glomerular filtration rate in the renal insufficiency stage is below 50% of the normal value, and the blood creatinine level rises above 177 μmol/L. It may have symptoms such as fatigue, loss of appetite, nocturia and mild anemia. During renal failure, the creatinine clearance rate drops below 20ml/min, creatinine rises above 442μmol/L, anemia occurs, blood phosphorus level rises, blood calcium decreases, metabolic acidosis, water and electrolyte disorders, etc. The end-stage creatinine clearance rate of uremia is below 10ml/min, creatinine rises above 707μmol/L, acidosis is obvious, and various system symptoms appear, resulting in coma. Of course, according to the glomerular filtration rate, the American Kidney Disease Foundation now divides chronic renal failure into five stages: stage 1: glomerular filtration rate stage 902: glomerular filtration rate stage 60-893: glomerular filtration rate Ball filtration rate 30-594: glomerular filtration rate 15-295 stage: glomerular filtration rate <15 Most of the current use of this stage. 3. Symptoms of uremia Because uremia is a group of syndromes, it may affect many organs, so many symptoms will also appear. Systemic conditions: loss of appetite, vomiting, weakness, deep breathing, edema, ascites, pleural effusion, fatigue, anorexia, inattention, decreased body temperature, bleeding tendency, etc.; cardiovascular complicated with hypertension, angina pectoris, myocardial infarction, heart failure, Arrhythmia, etc.; Pulmonary edema of the respiratory tract or pleural effusion, pleurisy; Anorexia of the digestive tract, nausea, vomiting, or diarrhea; Light blood pressure system, moderate anemia, with bleeding tendency, such as subcutaneous or mucosal bleeding points, ecchymosis, gastrointestinal bleeding , Cerebral hemorrhage, etc. Nervous system reaction is indifferent, delirium, convulsions, hallucinations, coma, mental abnormalities, muscle tremors, spasms, nausea, vomiting, headache, convulsions; bone salt dissolution of the skeletal system, rib fractures, osteoporosis, etc. Fourth, how to treat uremia. Urinary replacement therapy is needed during the uremic phase, which is called dialysis. Many people with renal insufficiency have reached the dialysis stage and are reluctant to undergo dialysis, worrying about the side effects of dialysis; when the uremic stage, the kidneys should be damaged by more than 90%, if you have been procrastinating without taking dialysis treatment, then Toxins remain in the body and cause irreversible damage to the organs of the body to varying degrees, such as the heart, digestive system, bones, blood system, etc. Uremic disease is a disease that cannot be cured by medical treatment, and delay can only lead to aggravation of the disease. Therefore, patients with uremia have reached the stage of dialysis, and dialysis treatment as soon as possible. Statistics show that the average survival time of patients is about 5-8 years. Of course, there are not a few patients who have survived clinically for more than 10-20 years. Kidney transplantation is the most reasonable and effective treatment method for uremic patients, but due to the lack of donors, kidney transplantation cannot play its due therapeutic role. There are only more than 5000 cases of kidney transplantation in the country every year, and about every 150 waiting patients, only 1 person may get the chance of kidney transplantation...&nbsp.&nbsp.

Bone marrow proliferative diseases have high creatinine, what should be paid attention to in the diet?

In the treatment of hematological diseases, patients with myeloproliferative diseases often have higher blood creatinine than normal. This mostly means kidney damage (blood creatinine can more accurately reflect the condition of renal parenchyma damage, not a sensitive indicator)| creatinine severity 133-177umol/L in the compensatory period of renal insufficiency. 177-442umol/L renal insufficiency Decompensation period. 442-707umol/L kidney damage reaches the stage of renal failure. 707umol/L is in line with the diagnosis of uremia; most patients with blood diseases are exposed to drugs containing liver and kidney damage, and the problem of high creatinine, It needs to be taken seriously, and it is necessary to carry out treatment in time to reverse liver function. In addition, it is dietary attention. |Diet Note: Do not eat foods with high phosphorus content: Foods with high phosphorus content mainly include aquatic products (including aquatic plants), animal offal, sesame, peanuts, walnuts, honey, egg yolk, tea and some dried fruits. Do not eat foods with high protein content: the total protein content should not exceed 20-30 grams per day, including the amount of plant protein contained in the staple food. Do not eat too salty things: you should maintain a low-salt diet, that is, the daily intake of salt should not exceed 3 grams. In summary, patients with high blood creatinine should also avoid eating high-fat foods. During the illness, for the abnormality of various indicators, we must control the dietary intake. And timely treatment for the causes of high creatinine. If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more about MPD patients: xejb120

Why does high uric acid increase creatinine? For those who have high uric acid damage to the kidneys, I will explain to you one by one

Many friends of high uric acid can cause acute gout attacks, but many friends do not know that high uric acid can also damage kidney function, resulting in increased creatinine. The relationship between high uric acid and kidney health is actually very close. The first reason for the problem of high uric acid is the problem of kidney function. Among patients with high uric acid, only about 5% of the cases belong to the simple type of increased uric acid production, and the remaining patients with high uric acid all have poor uric acid excretion. The main organ for uric acid excretion is the kidney, and excess uric acid is usually After being reabsorbed by kidney filtration, it enters the urine and is discharged from the body. If the kidney has a problem with the filtration and reabsorption of uric acid, there is too much uric acid reabsorbed into the blood, and too little uric acid discharged into the urine will make excess Uric acid cannot be excreted in a timely manner, so that the urate in the blood continues to accumulate, which eventually leads to high uric acid problems. Therefore, when high uric acid occurs, in most cases, it means that the filtration and reabsorption capacity of our kidneys has begun to appear abnormal. In turn, high uric acid will further harm our kidney health. The increased concentration of uric acid in the blood causes health hazards because the solubility of urate in serum is very low. When the concentration is increased, the urate will precipitate out of crystals when the blood flows through the kidneys for filtration It is possible that urate crystals in the blood will form deposits in the kidney. The deposited urate crystals will gradually affect the interstitial of the kidney, resulting in hardening of the small arteries in the kidney and damage of the interstitial kidney. Problems such as a decrease in functional filtration capacity gradually occur, and if excessive urate deposition causes acute kidney stones or urinary tract stones, it may also cause acute kidney function damage. If kidney function is damaged, of course, it is not surprising that the blood creatinine level is increased during the examination. Creatinine is a metabolite of muscles in the human body. This substance usually produces a relatively constant amount, and all is excreted by the kidneys. Generally speaking, creatinine in the blood will enter the glomerular filtration and then enter the renal tubules. It is reabsorbed and directly enters the urine and is excreted from the body. When the kidney function is damaged, the glomerular filtration capacity decreases, and all creatinine cannot be effectively filtered out, and the phenomenon of increased creatinine will occur, so We often use elevated creatinine as an important sign of impaired kidney function. Our kidneys have powerful compensatory functions. Generally, as long as the glomerular filtration rate is higher than 50%, the blood creatinine level in the body can be kept within the normal range, and when the blood creatinine level exceeds the standard, it means that we The glomerular filtration rate is already less than 50%. Therefore, in this case, it is usually considered that the kidney function may have been damaged to some extent. However, it should be pointed out that when blood creatinine is exceeded, it is not the starting sign of impaired kidney function. When blood creatinine is impaired, kidney function has often been damaged, and the glomerular filtration rate has been low. It’s 50%. In such a situation, it is often too late to consider the problem of impaired kidney function. If you have a problem with high uric acid and at the same time have the problem of increased creatinine, in addition to the temporary rise in creatinine caused by reasons other than the kidney, also understand that our kidney function has decreased significantly, When considering high uric acid injury to the kidney, it is also necessary to consider the possibility of kidney function damage caused by other adverse factors, such as diabetes, hypertension and other chronic diseases. If not actively regulated and controlled, it will also cause kidney function damage and increase in blood creatinine. high. Therefore, we must actively pay attention to the problem of elevated blood creatinine, high uric acid should be strengthened, and other chronic diseases such as hypertension and diabetes must also be actively controlled to reduce the risk factors of impaired kidney function in many ways. It is most important to slow down the process of impaired renal function as much as possible. After so many words, let me briefly summarize two points at the end-high uric acid may damage kidney function, we must pay attention to it, as early as possible, conditioning and control of high uric acid can reduce the kidney health hazards caused by high uric acid. Increased blood creatinine, in most cases, indicates that the kidney has suffered functional damage, but this is by no means the initial sign of impaired kidney function, nor is it that the blood creatinine does not exceed the standard and the kidney function is not damaged. Therefore, for kidney function , Or a comprehensive combination of influencing factors, actively control the related risk of chronic disease, and minimize the impairment of renal function

Is creatinine a hundred, is there a problem with the kidneys? Nephrologist gives Dingxin pills

Hello everyone, I am a nephrologist. Regarding the problem of creatinine, I can tell you that for a value of more than 100 creatinine, it is actually within the normal range in our hospital, because in our hospital, it will only prompt an increase if it is greater than 133umol/l, and In fact, the standard value of different detection methods for creatinine is also different. Today I will talk about my views on creatinine and uremia related issues. Why are the reference values ​​of creatinine different in different hospitals? ● First talk about the source of human creatinine. In fact, the sources of our blood creatinine mainly include two kinds of endogenous and exogenous. Endogenous creatinine is a product of creatine metabolism in the body, which is mainly related to muscle volume and muscle activity. However, exogenous creatinine is mainly derived from the skeletal muscle of food animals in the diet. It is the “meat dish, lean meat” we eat. ●You come to the laboratory with a tube of blood. How did the staff of the laboratory measure your creatinine value? Currently, there are two main clinical creatinine detection methods, namely alkaline picric acid method and enzymatic method. For example, the alkaline picric acid method has a characteristic of poor specificity, such as acetone, pyruvic acid, folic acid, ascorbic acid, glucose, acetoacetic acid, cephalosporin, etc. in the blood can be colored in this reaction, so it is called “Non-creatinine chromogen”. ●Note that due to these limitations, the application of this determination method has been gradually reduced or even eliminated, and the application of enzymatic analysis is more and more widely used due to its high specificity and can be automatically analyzed, although the cost is relatively high. Higher, but still popular, so this explains to me why sometimes the reference values ​​detected by different hospitals are different. How long does it take for creatinine to reach uremia? ●In fact, I think this is a pseudo-proposition. Due to the different detection methods, some hospitals are actually the upper limit of the normal value, but our hospital is 133umol/l is the upper limit of the normal value, so if you put a hundred The creatinine value of Lingji is put in the reference value of our hospital, it is completely normal. What is the reason for uremia? In addition, even if the reference value elsewhere is more than one hundred, it should not be too tight if it is slightly higher. As I said earlier, creatinine is not necessarily accurate because it is subject to fluctuations in creatinine levels in the body and renal tubules. The excretion of creatinine is related to the extrarenal excretion of creatinine and muscle volume. So if it is a single result, I suggest to check again after a few days or find another hospital for a test. ●Let me make a hypothesis, that is to say, the creatinine result of more than one hundred is indeed reexamined many times, and it is an elevated and abnormal result. For this mildly elevated situation, as a nephrologist , I want to say that we need to pay attention, but it is still far from uremia, what should I do, I have the following suggestions: ① Finding the cause of the increase in creatinine is the key, because if creatinine is indeed a pathological increase , That mostly suggests kidney damage, the following is to find out the internal cause of kidney damage, such as nephritis? Nephrotic syndrome? Primary kidney disease? Secondary kidney disease? Hereditary kidney disease? Infection-related kidney disease? Tumor-associated kidney disease? …….and many more. ②There are too many specific inspections and tests to be done, and they need to be selected according to the specific situation, so I will not repeat them one by one here. If they are basically good, it is naturally the best and only need to be reviewed regularly. That’s it. If it is found that it is caused by a primary disease, it is to treat the primary disease, thereby delaying the progress of renal function, which is actually delaying the further rise of creatinine, such as the control of blood pressure by hypertension and the control of blood sugar by diabetes. Wait. ● Let’s talk briefly about uremia. If creatinine must be measured, then creatinine needs to be >707umol/l. What’s more, after the age is old, the kidney function is slowly decreasing. Like the elderly in our department, the creatinine also slightly increased, but this is purely normal. The creatinine value does not fluctuate significantly after several years of review. What about uremia? So don’t be afraid of not being far from uremia as soon as you see elevated creatinine. This is a wrong concept. Comprehensive summary So for this question of “creatinine”, I am actually more of a guide, don’t hold on to a laboratory indicator. Let me give you an example. Some patients with IgA nephropathy and nephrotic syndrome have normal creatinine.

These two indicators of kidney friends are normal, creatinine is too high, and dialysis is not necessarily required!

Creatinine is a product of muscle metabolism in the human body, and every 20g of muscle metabolism can produce 1mg of creatinine. Creatinine is mainly excreted by glomerular filtration. Blood creatinine comes from exogenous and endogenous sources. Exogenous creatinine is the product of meat food after metabolism in the body; endogenous creatinine is the product of muscle tissue metabolism in the body. When the intake of meat food is stable, there is no big change in the body’s muscle metabolism, and the production of creatinine will be relatively constant. Creatinine is the most important indicator of kidney function in patients with nephropathy! Creatinine is also a benchmark for uremia judgment! The average patient thinks that creatinine exceeds 707umoI / L, which means that uremia should be dialyzed for life. The standard habit of hemodialysis treatment for clinical uremia is determined by the plasma creatinine value reaching 707umol / L and urinary nitrogen reaching 30mmol / L or more. In addition, when the endogenous creatinine clearance rate is <10ml / min, dialysis therapy is required. However, as long as the following two indicators of the patient are normal, renal function and drainage function, even if the creatinine exceeds the standard, dialysis treatment may not be required immediately. First: urine output is in the Department of Nephrology, doctors often say to patients "there is hope in urine"! It can be seen that an important indicator of uremia is oliguria or anuria. Clinically, some patients with nephropathy have a clear urine volume of more than 2000 ml, but they blindly take "creatinine greater than 707" as the standard and believe that they have uremia, which is a bit too anxious. Normal urine output means normal kidney drainage and normal urine production, which means that renal tubular reabsorption function and glomerular filtration function have not been seriously damaged. Second: Kidney volume The judgment of kidney size has important clinical significance. The kidney shrinks or enlarges, which can indicate kidney disease. Usually kidney B-type ultrasound examination can know whether the kidney has kidney atrophy, and this examination method does not damage the patient. The normal value of renal ultrasound is: the average adult normal kidney size is about 10 ~ 12cm long; 5 ~ 6cm wide; 3 ~ 4cm thick. Kidney disease really develops into the uremic stage, which means that more than 80% of the nephrons are atrophy and necrosis, and the kidney volume will be seriously reduced. Therefore, patients with normal kidney volume despite thousands of creatinine may be caused by "temporary" reasons such as infection, hypertension, and drug damage. As long as these "temporary" causes are resolved, creatinine will naturally fall to normal levels. Note: If the long-term creatinine value is too high, exceeding 707umol / L, you must go to the hospital in time. As long as these two indicators are normal, it means that the remaining nephrons can still bear most of the human needs. At this time, blindly lowering creatinine is not the key, and the real cause of the increase in blood creatinine is eliminated to prevent future problems, and protecting the nephron is the key! Therefore, when choosing dialysis for patients with nephropathy who have high creatinine, they must pay attention to these two indicators, and communicate with doctors more, and strictly follow the doctor's instructions for treatment according to their own kidney function. Otherwise, once you start dialysis, you may never go back! If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan

The sorrow of patients with kidney failure-how terrible ignorance

Many diseases in the world are acquired, and most of these diseases can be prevented. Among them, renal failure is a long-term process. There are countless opportunities for patients to prevent it from happening, but it eventually happened. The most important reason is probably the ignorance of the disease type and the unself-discipline of life. Recently, there was a patient, a 31-year-old boy from the countryside. He had diabetes for seven or eight years. He never took sickness seriously at his heart. He neither strictly controlled diet nor treated irregularly. Intermittently, most of the time in a state of self-indulgence. When your body is uncomfortable, you should control your diet a little, and go to the hospital to get some medicines to eat and eat. After that, how should you live? Because he didn’t check for a long time, he didn’t know the indexes of glycated red eggs, blood pressure, blood lipids and proteinuria. A physical examination at a construction site a year ago found that blood creatinine was 250, and he did not remember the specific value. The doctor in the local county told him that he was in a serious condition and he was hospitalized, but he did not listen. 1 month ago, he began to have edema in both legs. His body became heavier and heavier as if he had been given lead, and his eyelids and face were also swollen. He could not eat anything. hospital. Go to the local hospital for examination, high blood pressure, a lot of proteinuria, mild anemia, blood creatinine 760μmol / L, has developed to uremia. The local hospital wanted to give him dialysis. He was not willing to spend the rest of his life on dialysis, so he came to our hospital to seek Chinese medical treatment. The attending physician in our hospital asked him, why haven’t you been treating diabetes for so many years, why have you reached this field? He said, “I don’t feel much. It’s almost the same with or without medicine. Who knows that diabetes can cause uremia!” Small illnesses are incurable and serious illnesses are difficult to treat. For an organ that does not know the pain, such as a kidney, you may have made a mistake when you feel uncomfortable. Like this patient, he is careless, the door is wide open, and he is allowed to go straight into the disease. The patient is currently the only child in the family, has parents, has not yet been married, and the ruthless disease has cast a thick haze on the family that is not rich. A life without a plan is a boat full of holes, and no one repairs it until the hull sinks into the water and then knows to call for help. Poverty is not a reason, laziness and ignorance are the root causes! Reversing health mistakes is more important than treating diseases!

Renal insufficiency, be careful! The next step may be uremia

In 2016, I, a rural child, a 21-year-old girl who had just stepped into the society from campus, filled my heart with joy and thought that I could pursue my dream in the future. The journey of life was rough until one day, I dragged my tired body to the toilet. The moment I saw gross hematuria in the toilet, I was dumbfounded. With a fearful heart, I quickly went to the hospital to check: urine protein 2+, creatinine 150, renal insufficiency! Since then I have become a patient with chronic kidney disease. The condition has been repeated for more than 4 years, and I have been treated in my local hospital for more than 4 years. The fluctuation of the blood creatinine range has been controlled at about 200-300. However, due to gynecological problems, a lot of bleeding occurred a month ago. During this period, creatinine rose to 523. The spirit was very poor, the body was weak, lack of appetite, and had a strong vomiting. I will be transferred to hospital immediately! ” Why did Dr. Bo Lan say again, let me know that I was seriously ill, but at that moment, I was very calm. Destiny seems to be joking with me. I was only 25 years old. Considering that I was still young and still have a long way to go, I didn’t want to spend my whole life on dialysis in the future, so I refused dialysis and chose a long way to seek medical treatment. & nbsp. & nbsp. I am actively looking for relatives and contacting friends, and my parents are always with me. After inquiring about it, I finally learned that the Chinese medicine treatment method of Beijing Lianke Traditional Chinese Medicine Nephrology Hospital was outstanding, and I came here for consultation and hospitalization. After hospitalization, my mood fluctuated greatly, and I lost my enthusiasm for life and work. At one time, I often lay in a hospital bed, unwilling to communicate with others, and the parents who were beside me were also anxious. I know this is bad, but at that time, I just wanted to be quiet. The doctors and nurses here are very responsible. I often take the initiative to talk to me about my daily life, which has greatly relaxed my mind. The attending physician will often say something that makes me happy, making me feel that the status quo is not that bad. After a week of treatment, problems such as complexion and fatigue have been significantly improved, and under the advice of a doctor, he stayed for more than a week before being discharged from the hospital. At present, he has been taking Chinese medicine for conditioning and his condition is stable. At the age of 25, I am grateful for recalling this sudden medical experience. With the support of family and friends, I have gone through a hard and memorable journey. What I want to say is that I still love life, and the dream of the future has not faded, and it is even more tangy.

Definition of acute and chronic kidney disease

Acute kidney injury (AKI): meets any of the following ① blood creatinine rises more than 1.5 times the baseline in 7 days; ② urine volume & lt.0.5mL / kg / h, and lasts 6 hours; ③ blood creatinine rises to 0.3mg in 2 days / dL (26.5μmol / L) or more. Acute kidney disease (AKD): meets any of the following ① meets the definition of AKI; ② GFR decreases by 35% or creatinine rises by 50% within 3 months; ③ GFR & lt.60mL / min / 1.73m2 within 3 months; ④ kidney damage within 3 months The marker appears. Chronic kidney disease (CKD): Any one of the following appears for more than 3 months ①GFR & lt.60mL / min / 1.73m2; ②The appearance of kidney injury markers: albuminuria, abnormal urine sediment, electrolyte abnormalities caused by renal tubular lesions, histological and Abnormal imaging examination and history of kidney transplantation.

Is creatinine different in different hospitals? Nephrologist: creatinine is affected by these five factors

Speaking of blood creatinine, it is actually a metabolic product of creatine in the muscle tissue of the organism. In the blood circulation, it will not be combined with protein or metabolized by the kidney. It can filter the glomerulus freely. This index is the most widely used index for indirect assessment of glomerular filtration rate in clinical practice. Where does the body’s creatinine come from? ● The sources of our blood creatinine mainly include endogenous and exogenous. Endogenous creatinine is the product of creatine metabolism in the body, which is related to muscle volume and muscle activity, while exogenous creatinine is derived from The skeletal muscles of animals in the diet are said to be popular, that is, the “meat” we eat. ● Why a person finds that creatinine is elevated when testing kidney function. The doctor will tell you that there is a problem with the kidney. In fact, I also talked about it above. Our blood creatinine is mainly excreted after glomerular filtration, and the renal tubules Reabsorption and secretion are very few. If the source of exogenous creatinine is controlled and no intense exercise is performed, our creatinine concentration mainly depends on glomerular filtration rate, so the determination of blood creatinine concentration can be used as an assessment An indicator of glomerular filtration rate. What factors will affect the assessment of glomerular filtration rate by serum creatinine? ● Muscle volume has been confirmed by a large number of experiments. The amount of endogenous creatinine produced in our body is “positively related” to the volume of muscle. The physiological concentration of blood creatinine in muscle developed and wasted people (especially muscle atrophy) has obvious For patients with a glomerular filtration rate of 25-50 ml / min, if they receive a low-protein diet for a longer period of time, they will often cause a decrease in muscle volume, and the amount of creatinine will also decrease. At this time, the function of glomerulus is evaluated according to the situation of blood creatinine. That may overestimate the glomerular filtration rate. Note that due to the difference in muscle volume of individuals of different ages and genders, creatinine production may also occur. Difference. ● Experimental excretion of creatinine and extrarenal excretion of creatinine by renal tubules proves that when our glomerular filtration rate drops to 1/3 of normal, creatinine will start to rise, because creatinine exists in renal tubules Excretion and extrarenal excretion pathways. About 2/3 of patients with severe renal insufficiency are excreted via extrarenal route, and about 60% of urinary creatinine excretion comes from renal tubular excretion. Therefore, in the early and late stages of renal decline, creatinine cannot be directly used to judge the actual level of glomerular filtration rate, otherwise it will cause an overestimation of glomerular filtration rate, which delays the formulation and correlation of the treatment plan. The choice of drugs. ● The error of the creatinine measurement method ①The error I am referring to here is the difference between the measured value and the true value, which is also why some people may find that creatinine slightly increased in this hospital today, and hurry up the next day The higher level hospital checked and found that creatinine was normal again, which was probably caused by different methods of creatinine determination. ②The commonly used methods for measuring creatinine are mainly divided into two categories, namely alkaline picric acid method and enzymatic method. To say the difference, the main disadvantage of alkaline picric acid method is poor specificity, acetone, pyruvic acid, folic acid, Ascorbic acid, glucose, acetoacetate, cephalosporin, etc. can all show color in this reaction, so it is called “non-creatinine chromogen”. Due to these limitations, the application of this determination method has gradually decreased, and enzymatic analysis Because of its high specificity, the application is more and more widely used and can be automatically analyzed, but the cost is relatively higher. ● Fluctuation of creatinine level in our body The physiological change of our blood creatinine in a day is usually about 10%. Of course, the level of individual blood creatinine will change with the short-term fluctuation of daily renal function. The fluctuation of renal function is mainly related to the extracellular Volume, daily different time points and different postures are related. The value of creatinine measured several times in a short time will also fluctuate. ● Other influencing factors such as the increase of glomerular filtration rate due to physiological reasons during pregnancy, but the rate of creatinine production remains unchanged, and blood creatinine is lower than that of ordinary people due to plasma dilution. For example, pregnant women with blood creatinine> 70.4umol / l There is a tendency to increase, and eating meat also has a certain effect on blood creatinine. According to the observation of healthy people, creatinine can increase by 34-44umol / l within 2-4 hours after intake of cooking meat, which can exceed the upper limit of normal value. After about 12 hours, it is close to the normal level. If it is a vigorous activity, the blood creatinine will also increase transiently. Comprehensive summary

Pure Chinese medicine can overcome part of uremia

Some uremia patients can recover.] On March 15, 2020, I received a 26-year-old Mr. Huang. He suddenly went to the hospital for examination because of a sudden severe headache. Immediately found creatinine 830umol / L, the patient saw the test results It was difficult to accept, and without any incentives, it was suspected that the test was wrong. At that time, he decided to go to the Nephrology Department of the General Hospital of Nanjing Military Region. The result was confirmed diagnosis of renal failure. Faced with the sudden illness, the young Mr. Huang immediately adjusted his mind and immediately booked a consultation with a nephrologist. Experts gave two options at the time: First: choose dialysis. Second: Wait for the source of the kidney to prepare for a kidney replacement surgery. Such a plan makes Mr. Huang and his family feel more pressured. Is there no better way? Mr. Huang can only choose to be hospitalized first. After 40 days of hospitalization, his creatinine dropped from 830 & nbsp.umol / L to 643.6 & nbsp.umol / L, and he was discharged independently. When he was discharged from the hospital, the director of the nephrology department suggested that he could try a Chinese medicine. When Huang first came to the clinic, he complained of dizziness, puffy eyes, swollen mouth, anorexia, edema of both lower extremities, a line of stool on the 3rd, pale tongue and pale coating, and I weakened my pulse. At that time, the Western medical examination report showed that creatinine was 643.6 & nbsp.umol / L uric acid 684, urine occult blood 3+, and urine protein 3+. I dialectical syndrome is spleen and kidney yang deficiency. Stop drinking water and poisoning evil, and give rhubarb aconite asarum decoction. With this addition and subtraction, each time 7 pairs, the weekly creatinine decreased. After 42 days of treatment, the creatinine decreased from 643.6 & nbsp.umol / L to 518 & nbsp.umol / L, followed by the original consolidation treatment. Many people must ask me how Chinese medicine expels toxins from the kidneys? Uremia is the last stage of renal failure. My experience is whether Chinese medicine can treat uremia. Some patients can fully recover. If the kidneys of patients with renal insufficiency have atrophy, treatment is very difficult. Although the theory of traditional Chinese medicine is not generally accepted by modern medicine, it does exist and is very effective. As early as in the “Internal Classic”, it is stated that the bladder, the official of Zhuzhu, and the secretion of Jinye can only be gasified. The discharge of toxins is mainly due to gasification. It is like a pot of cold water. After heating, many blisters pop up. This is called “transpiration gasification”. Among our kidneys, there are both kidney yin and kidney yang. Kidney yin is water and kidney yang is fire, so our Chinese medicine tries to increase the transpiration and gasification function of the kidney, so that toxins can be eliminated from the body. In this case, the patient’s body was swollen, the cold was too cold, and the yang was weak, so the attack method was used to achieve a certain effect.

Urgent treatment of creatinine

One patient, Ms. Xu, 66 years old, has been suffering from chronic nephritis for 15 years and has been treated in a hospital in Nanjing with a stable condition. At the end of last year, after suffering from a cold, creatinine suddenly increased and accompanied by nausea and vomiting. The highest value of creatinine reached 460umol / L. Immediately after hospitalization, the family members were very anxious and consulted many chiefs of Western medicine to ask if they had a good treatment plan. All shook their heads, helpless. If the condition progresses further, a kidney replacement is required. After hospitalization, symptoms such as nausea, vomiting, dizziness, and fatigue have not improved significantly. The director of the Western Medicine Nephrology Department invited me to consult. Ms. Xu was diagnosed in the ward. The tongue was yellow and greasy at the time, and the stool was dry. When Dachaihu soup was taken, the symptoms disappeared 7 days later. The patient was discharged from the hospital. The biochemical test report showed that the creatinine value was 301.2umol / L. Because the treatment effect of traditional Chinese medicine is very good, after discharge, continue to choose traditional Chinese medicine for treatment. At the initial diagnosis, Ms. Xu still had yellow complexion but good spirits, good appetite, no nausea and vomiting, no abdominal distension and abdominal pain, low back pain and chills, pale tongue with dents, and weak pulse. After more than one month of treatment with Jinkui Shenqi Pills, the creatinine was reduced from 301.2umol / L to 162umol / L. His complexion also improved significantly, and his waist weakness disappeared, followed by the original treatment. As we all know, high creatinine is an important indicator to measure renal insufficiency. If it develops further, it will lead to uremia and treat renal insufficiency. There are two ways to cure the symptoms: one is the attack method, and the other is the lowering and stopping vomiting method. Treatment of symptoms is an important way to intercept the further development of renal insufficiency. When the pathogenesis is seized, it can be done overnight. The cure for the problem is to restore the kidney function, and it should be treated slowly.

Are kidney patients afraid of high creatinine? Doctor: This way can reduce creatinine!

When creatinine reaches a certain index, it will cause uremia, and creatinine is too high, which largely means that kidney function has declined. So avoiding elevated creatinine is the common goal of nephrologists and kidney friends. What is blood creatinine? Creatinine is a product of muscle metabolism in the human body. 20g of muscle will metabolize 1mg of creatinine, including blood creatinine and urine creatinine. Among them, blood creatinine is more meaningful to measure renal function. Nephropathy patients often say that high creatinine refers to high blood creatinine. Creatinine is a small molecular substance that can be filtered through the glomeruli and is rarely absorbed in the renal tubules. Almost all of the creatinine produced in the body is excreted with urine and is generally not affected by urine output. When renal dysfunction occurs, creatinine accumulates in the body and becomes harmful to the human body. What does creatinine level mean for the kidneys? When the kidney is only inflamed, creatinine will be higher than 106μmol / L; when the kidney has renal insufficiency, creatinine will be higher than 186μmol / L; when kidney has renal failure, creatinine will be higher than 451μmol / L; when creatinine is higher than 707μmol / L, the kidney enters the end stage of renal insufficiency, also known as uremia. Due to the strong compensatory function of the kidney, under normal circumstances, when the glomerular damage reaches more than 60%, the rapid increase of creatinine will occur only when the kidney excretory waste has a certain obstacle. Therefore, there is no very sensitive response to the early renal function damage. If creatinine is already significantly higher than normal, it often means that the damage to kidney function is already very serious. Decreased creatinine, which means that kidney function is restored? In the absence of complete loss of kidney filtration function, blood creatinine will also decrease if creatinine is produced less. Therefore, the decline in creatinine is not necessarily a recovery of kidney function, it may also be because you have not eaten meat for a long time, and have not exercised for a long time … Do n’t be discouraged, this at least shows that your kidney function is stable. The index of blood creatinine only reflects the concentration of creatinine in the blood, and does not strictly reflect the situation of renal function. Therefore, do n’t panic if creatinine rises, and relax when creatinine drops. Let ’s first check the reason for the change in creatinine. What medicine should I use to lower creatinine? Let me talk about it first. There are no drugs that can directly reduce creatinine … but it is. Even though many drugs that are indicated for creatinine lowering therapy are “selling sheep’s meat”, they cannot completely solve the problem of increased creatinine. Creatinine is mainly excreted by the kidneys, and a small part can pass through the intestines. Some creatinine-lowering drugs promote excretion through the intestine, and the effect can be imagined. If the treatment of nephropathy only wants to reduce the creatinine index, rather than solving the problem of nephropathy that causes creatinine from the root cause, the treatment is the ultimate inversion! Uremia will also approach you quickly. Realizing the reduction of creatinine will either cure the kidney disease or keep the condition stable and the kidney function is guaranteed. The key to human language is the treatment of kidney disease, rather than staring at creatinine indicators. What are the causes of increased creatinine? 1 Loss of water in the body, such as fever, sweating, decreased drinking water, and polyuria can cause blood concentration, decreased renal blood flow, and increased creatinine. 2 It is difficult to rest in life and not pay attention to the details of life. It can also cause a certain range of elevated blood creatinine. 3 People who have abnormal urine for a long period of time have hematuria and proteinuria. If the kidney damage is to a certain extent, the phenomenon of elevated creatinine will occur unknowingly. Patients with kidney disease who take drugs that damage the kidneys under unknown circumstances can have elevated or even irreversible creatinine. 4. People with renal insufficiency will have a short-term rise in creatinine when they are infected (including colds, pneumonia, intestinal infections, urinary tract infections, etc.). In patients with hypertension, blood pressure is unstable, and creatinine will be high. In patients with kidney disease, creatinine increases due to relapse. Let’s take a look at the daily diet. What are the ways to reduce creatinine? 1 Control the intake of salt. In the case of high creatinine, kidney function damage is serious, and salt intake needs to be strictly controlled. Usually you must pay attention to avoid the intake of invisible salt, you can try alternate methods such as unsalted breakfast and low-salt breakfast. If the patient has high blood pressure, severe edema, heart failure and other serious conditions, salt should be strictly restricted. 2 Eat more fresh fruits and vegetables with high creatinine, especially foods rich in vitamin B2, vitamin A and vitamin C. 3 Intake of high-quality protein In order to avoid further deterioration of renal function, attention should be paid to reduce the burden on the kidneys, so to control the total amount of protein intake, you should choose a high-quality protein diet. 4