In most chronic diseases, including chronic kidney disease (CKD), people who learn a lot about their disease and how to take care of themselves stay healthier. The more you know, the more you can help yourself.
There is a lot that can be done early in CKD to keep you feeling well and to maintain your kidney function for as long as possible. You also may be able to help prevent some long-term complications of kidney disease, such as bone disease or heart problems, by acting early. Your role is to learn all you can and work with your care team to get the best possible care.
Diet and exercise are two areas where you have a lot of control. Talk with your care team to determine individualized dietary guidelines based on lab tests and your stage and type of CKD. Stay active and get plenty of exercise.
It’s possible to have a full and active life with CKD or with kidney failure.
While we all need rest, we need exercise too. It’s been shown that exercise is good for people with kidney disease. So, you should try to stay active. If you’ve been sedentary in the past, talk to your doctor about starting a mild exercise program. The key is to start slowly and build up gradually. Getting plenty of exercise is one key to helping yourself feel great, even with kidney disease.
Smoking is an important risk factor that can make kidney disease worse. Heavy smoking, in particular, will work against you if you are trying to keep your kidney function for as long as possible.
The effects of smoking in diabetic kidney disease are well documented. People with diabetes who smoke tend to develop kidney disease earlier and lose kidney function more quickly than diabetics who do not smoke, or who quit smoking. Smoking has also been shown to hasten the progression of other types of kidney disease. In addition, smoking increases high blood pressure and cardiovascular risks, two health problems that often occur along with kidney disease.
You’ll be taking better care of yourself if you can reduce the amount you smoke — or better yet — quit altogether. If you are willing to quit smoking, talk to your doctor about sustained-release buproprion (Zyban®) and nicotine replacement therapy, as well as counseling or support to help you quit.
Fatigue is common in people with kidney disease. Most often, it is caused by anemia, a shortage of red blood cells. When you have anemia, you feel tired, weak, cold, even confused. Anemia occurs with kidney disease because failing kidneys make less of a hormone called erythropoietin, or EPO. EPO tells your body to make red blood cells. Treating anemia will give you more energy and help prevent damage to your heart. Synthetic EPO, called Aranesp®, Procrit® or EPOGEN®, and iron supplements are used to treat anemia brought on by kidney disease.
Your doctor can tell if you have anemia through a blood test for hemoglobin or hematocrit. Hemoglobin (Hgb) is the oxygen-carrying pigment that gives red blood cells their color. A normal Hgb level is 12–16 g/dL in women or 14–18 g/dL in men. Hematocrit (Hct) is the percentage of total blood that is made up of red blood cells. A normal Hct is 37–47% in women or 42–52% in men. Aranesp®, Procrit® or EPOGEN®, and iron supplements are used to treat anemia from kidney disease.
Cramps — especially leg cramps — are common for those with kidney disease. Cramps are thought to be caused by imbalances in fluid and electrolytes, but may also be caused by nerve damage or blood flow problems. If you experience cramps, here are suggestions that may help:
A number of nephrologists prescribe quinine for their patients who are bothered by frequent cramps. Quinine does have potential risks, so be sure it really helps you before taking it for a lengthy period of time.
While skin problems including itching are common for those with kidney disease, it can be difficult to determine the cause. Below are some reasons you may be itching and what may be done to help.
Ask your nephrologist and/or dermatologist for tips on how you can deal with stubborn itching.
While chronic kidney disease can cause changes in your body that cause anemia, cramps and itching, you can talk to your doctor to try and find relief for these problems. By learning more about chronic kidney disease and taking control of your health by making better lifestyle choices, you can make better decision about your health, help prolong your kidney function and live a good quality of life with kidney disease.
This site is for informational purposes only and is not intended to be a substitute for medical advice from a physician.
Please check with a physician if you need a diagnosis and/or for treatments as well as information regarding your specific condition. If you are experiencing urgent medical conditions, call 9-1-1