The kidneys and the liver are big chemical factories for the whole body, so we really need to know exactly which enzymes are elevated. The hormones erythropoietin is made mostly in the kidneys, and controls red blood cell production; the chemical renin is also made in the kidneys and has major effects on blood pressure; aldosterone controls fluid and salt retention and comes from next door in the adrenal glands. Kidneys send signals to the parathyroid to govern calcium and phosphorus levels.
So I just can not make any general assumptions without some fairly specific information. The best bet would be to make an appointment with a nephrologist (or perhaps an endocrinologist), whichever your primary doc suggests. That specialist will be able to give you some specific recommendations. Every case is different and so what is good for one patient may be exactly wrong for the next patient.View Thread
I'm going to offer you the advice that you did not want to hear: you need a physician who is able to do more thorough tests than the ER can manage, and who can follow your recovery in a way that ER's are just not set up to do. (They are great for managing a gunshot wound or a heart attack, but for conditions that need longer term follow up, they just don't have a good way to do that.)
Call around in your town, and find a community health center that can track your case for more than a day.View Thread
The number that he gave is not really a "percentage" value, but most docs treat it that way. This is an eGFR, e for estimated, glomerular filtration rate for GFR. The key word here is "estimated". The number should really be expressed as ml/min/1.72 meters squared, not as 'percent', but no doc wants to try to make a patient understand that; it's just too complex. So they oversimplify and call it "percent". This estimated number is calculated only from blood numbers, so it is a bit less accurate that test that compare blood and urine values.
A true measurement for GFR is somewhat tedious and time consuming to do, so most docs rely on the fast and easy eGFR. And in most cases, the results are good enough.
All of that said, and recalling that the number is not really 40 percent on a 0-100% scale, but 40 ml/min on a scale that really tops out at about 60 ml/min, 40 is somewhat reduced from the ideal level. Also bear in mind that everybody naturally loses a bit of renal function with age, so that needs to be accounted for. A level of 40 in an 80 year old is less of a concern than a level 40 in a 20 year old.
It probably does merit attention, if only to eliminate or reduce potential causes of additional damage in coming years.View Thread
I concur with the others: it is an individualized determination, no two patients are alike. Healthy kidneys generally do better when they have a lot of water to work with, but the disease varies from person to person. Some excrete very little fluid and the blood pressure goes way up, but others excrete a lot of fluid, even though the toxins aren't being cleaned out.
Your doc will make a judgment based on blood tests, blood pressure, and weight gain or loss.View Thread
It's a sales pitch and most likely makes highly exaggerated claims with absolutely nothing to back them up. Don't waste your money; move on to a realistic product that can verify its claims.View Thread
Try looking for "minimal change disease". It's not too uncommon, and almost never leads to renal failure. The main things that need watching are the protein loss numbers, and in some the balance of sodium/potassium.
Pediatric cases are always significantly different from adult cases though, so take anything that you read about adults with a grain of salt. Get more info from your physician. I'm just not familiar with pediatrics.View Thread