Chronic Kidney Disease

Also called: Chronic Renal Disease, CKD

Our approach At Peking Tung Shin Tang Chinese Medical Hospital, you receive our individualized care for chronic kidney disease. The cutting-age equipments and industry-leading research ensure you a successful treatment as well as prognosis.

Our expert team consists of several skilled nephrologists with rich clinical expertise and experience. Our top experts have a comprehensive understanding of kidney diseases, which ensure the patients receive the most effective treatments with less adverse effects.

ckd basic

CKD basics

CKD has been a worldwide worrisome health problem in recent years. CKD is defined as either kidney damages or decreased GFR of less than 60 mL/min/1.73 m2 over 3 month (The Kidney Disease Outcomes Quality Initiative (K/DOQI) of the National Kidney Foundation).

CKD can be categorized to 5 stages, ranging from nearly normal kidney function to renal failure, which denotes the total or near-total loss of your kidney function and requires dialysis or kidney transplant.

According to the definition from the Renal Association, CKD can be divided into 5 stages:
Stage 1: normal or increased GFR﹥90 mL/min/1.73 m2 with protein in the urine
Stage 2: mild reduced kidney function (GFR: 60-83 mL/min/1.73 m2)
Stage 3: moderate reduction of kidney function (GFR: 30-59 mL/min/1.73 m2)
Stage 4: severely reduced kidney function (GFR: 15-29 mL/min/1.73 m2)
Stage 5: end-stage renal failure (GFR < 15 mL/min/1.73 m2 or on dialysis)

* All GFR values are normalized to an average surface area (size) of 1.73m2.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18395615012 to make an appointment or request an appointment online.

CKD has no signs or symptoms in the early stage; it only can be detected through lab tests.

ckd diagnosis

The common tests to help diagnose including:

1. Laboratory tests

Urine test: measure waste removal
▪ Urinalysis: measure the kidney function by urinalysis. The urine is examined the red and white blood cells as well as solids.
▪ 24-hour urine tests: measure the severity of kidney damage and level of kidney function.
▪ GFR: GFR is short for glomerular filtration rate. It is one way to measure the overall kidney function.

Blood test
▪ Serum creatinine and BUN: serum creatinine measures the creatinine level in blood. Along with BUN, abnormal level of the tests indicates kidney disease.
▪ eGFR
▪ electrolyte levels and acid-base balance
▪ blood cell counts

2. Renal biopsy: check a specific type of disease and tell how much the damage is.

3. Radiological exam: help determine the cause of CKD and the level of remaining renal function.
▪ Ultrasound and CT scan: help find the abnormal physical structure of your kidneys.
▪ X-rays
▪ MRI scan.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18395615012 to make an appointment or request an appointment online.

CKD has become a growing worrisome health problem in the globe. Good news is that if CKD is detected early, there still stands a chance to slow it down.

ckd cause

Sometimes CKD results from renal primary diseases. Furthermore, major causes are diabetes and high blood pressure, which are responsible for around 2/3 of the cases.

When your blood sugar is at a high level, diabetes may occur. Diabetes causes multiple organ damages include kidneys. Kidney disease triggers by diabetes is called diabetic nephropathy.

Ignored or inadequately treated high blood pressure can result in CKD. High blood pressure impairs small blood vessels in kidneys, and then renal failure results.

Glomerulonephritis becomes the third major cause of CKD. It causes inflammation and damage to kidneys' filtering units.

Other underlying causes usually resulting in CKD are:
Urinary obstruction such as kidney stones, tumor or enlarged prostate gland
Renal toxic drugs, e.g. pain killer
Diseases affecting immune system such as lupus
Inherited diseases such as polycystic kidney disease
Repeated urinary infections
Alport syndrome
Connective tissue diseases
Kidney cancer
Congenital abnormalities.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18395615012 to make an appointment or request an appointment online.

ckd symptoms

Symptoms may not appear until your condition progresses to advanced stage. However, there are certain symptoms which could be a sign you develop CKD.

They are:
▪ Poor appetite
▪ Nausea and vomiting
▪ Ammonia breath
▪ Difficulty concentrating
▪ Itchy skin
▪ Muscle cramp
▪ Swelling in feet, face or ankles
▪ Shortness of breath
▪ Frequent urination at night
▪ Foamy urine
▪ Blood in urine
▪ Weakness
▪ Fatigue
▪ Mental confusion
▪ Feeling cold
▪ Dizziness
▪ Leg or flank pain
▪ Weight loss
▪ Skin rash
▪ Poor growth
▪ Easy bleeding or bruising
▪ Frequent hiccups
▪ Headaches
▪ Bone and joint problems

If you have symptoms above or at high risk for CKD, immediate physical exam is necessary. The sooner you go get checks, the better the prognosis will be.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18395615012 to make an appointment or request an appointment online.

When you are suffering from CKD, correct treatment is as important as an immediate one. On the basis of our comprehensive exam and then systemic diagnosis, we deliver the patients the best personalized outcomes.

ckd treatment

We dive deeply into not only traditional Chinese medicine, but also western medicine on treating CKD. Traditional Chinese medicine functions as promote the blood circulation and remove the obstruction in blood, in the same time, combine with western medicine's rapid effects to promote the therapeutic effects.

The treatment will be carry out by our top as well as most skilled nephrologists. We also provide one-to-one service to ensure every single patient has been taken good care of.

Our featured treatments include Micro-Chinese Medicine and immunotherapy, in which has been used for treating cancer. We adopt each other's strong points.

Treatment of CKD also includes dialysis and kidney transplant when your condition progressed to end-stage renal failure.

Self-care at home
You can follow the following guidelines to protect your kidneys without hospitalization.

Dietary restriction: include the protein, salt, fluid, potassium and phosphorus restrictions and others. In general, you should take a healthy diet for your condition; stay away from foods may aggravate your condition.

Change your lifestyle and keep a healthy one. If you are a smoker, quit it. If you drink alcohol, stop drinking. Talk with your doctor to make a plan on how and when.

Take proper exercises every day. Daily exercise will keep you from obesity and promote your immune system to fight against various diseases.

Take medications regularly. To people with high blood pressure and diabetes, taking regular medication to control the blood pressure and blood sugar is vital to the progression of CKD.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18203203537 to make an appointment or request an appointment online.

If you are suffering from CKD, you had better follow a strict diet to help maintain a balance of electrolytes, minerals or fluids, and to stay away from waste build-up in your body.

ckd diet

Limit your protein intake
Lowering the protein intake will help your damaged kidneys to filter less waste so as to prevent more damages from occurring. The recommended dietary allowance to healthy person is 0.8 grams per kilogram. It is limited to 0.6 for people with CKD. Main sources of protein include meat, fish, eggs, beef and vegetables etc. Talk with your dietitian about how much protein you should consume every day, it is very important to monitor protein status by them.

The amount of calories intake varies from people to people. According to NKF, the amount should be 35 per kilogram per day. Get enough calories if you are losing weight, especially to people with diabetes. It is often found in carbohydrates, protein, fats and so on.

Restrict foods high in potassium, sodium, phosphorus etc. Foods high in potassium are bananas, oranges, milk, prunes, nuts and beans. Reducing sodium intake will help you control your high blood pressure. Less than 100 mg per serving is excellent. High phosphorus foods include milk, beans, lima beans, chocolate, yogurt, cheese, liver and others.

Fluid intake
You can drink as normal in the early stages of CKD, while fluid intake should be restricted as swelling occurs. The swelling in your face, ankles or feet can be a sign of fluid retention in your body. Carefully monitor your condition and keep close touch with your dietitian so that everything will be okay.

Take calcium supplement and vitamin to prevent bone disease or balance the electrolytes in your body. As for the details, ask your dietitian or doctor. People with advanced CKD may suffer from anemia and need extra irons.

The diet is not a cure for CKD, it is more likely a way to slow down the progression. The diet alone is unable to reverse the kidney function or the damage, but it can help delay renal failure from happening. The diet should change along with the condition of your kidneys. Whatever changes you want to make, talk it over with your doctor or dietitian.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18203203537 to make an appointment or request an appointment online.

ckd prevention

You are able to protect your kidneys from damage or slow down the progression of CKD following the lists below:

1.Lifestyle modification: include weight reduction, dietary restrictions and exercises. Quit smoking and stay away from alcohol.
2.Keep your blood pressure under control
3.Monitor your blood sugar

Risk factors for CKD including:
Poorly-controlled high blood pressure
Urinary obstruction
Abuse of pain killer
Inherited kidney diseases
High cholesterol
Heart disease
Sickle cell disease
Vascular disease
A family history of kidney disease
Overweight or obesity
Over age 60
African American, Hispanic, Asian, Pacific Islander, Native American etc.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18395615012 to make an appointment or request an appointment online.

Many CKD can be treated while some of them can't because the causes are still unknown. The progression of CKD is predicted by proteinuria in most cases.

ckd prognosis

High blood pressure is associated with rapid progression of CKD, so taking good control of your diabetes or high blood pressure contributes to CKD prevention or slows down the progression. With early detection as well as timely treatment, kidney stones or urinary tract infections also have a good chance to be treated.

People who are performed dialysis have a 32% survival rate in 5 years. It could be even shorter in people who have poorly-controlled high blood pressure and diabetes.

Those who have taken kidney transplant have an over 90% survival rate in 2 years after surgery. There's no big difference on survival rate from a living donor or decreased one.

A great deal of research is being done for the time being in order to find some more effective treatments for CKD or just keep it from getting worse.

If you have been diagnosed with Chronic Kidney Disease, we're here to help. Call +86-18203203537 to make an appointment or request an appointment online.