Working Time : 8:00-18:00 Beijing Time
  Hotline in Nationwide : +86 16630162980

All Posts in Category: Disease

Does Kidney Failure Require Dialysis If Creatinine Higher Than 600?

We just received an international patient from Albania. Due to the kidney failure, his creatinine increased to 600umol/L, doctors from the local hospital requested him to do dialysis. This patient worried that the disease would progress to uremia once dialysis started. This patient was not willing to dialysis, so he travel to our hospital in China for the Chinese medicine Treatment. Creatinine increased to 600 in renal failure, is it a must to take dialysis?

Director Yang of the Department of Nephrology in HBHHTCM said that dialysis or not could not just refer to creatinine. The key indicator for dialysis is glomerular filtration rate and complications.

Glomerular filtration rate is less than 5

The glomerular filtration rate is between 5-10, and has heart failure, hyperkalemia, and acidosis.

If the condition conforms to any of the above, the dialysis will be a must.

If creatinine higher than 600umol/L, dialysis just gets started without considering the reversible elements.

There are two types of factors in the progression of renal function, one is reversible and the other is irreversible. Uremia caused by renal fibrosis, sclerosis, and cell necrosis is irreversible. When kidney cells die, it is impossible to revive.

Renal failure caused by active lesions, infection, dehydration, malignant hypertension, and nephrotoxic substances is reversible. At this time, acute swelling and inflammation occurred to kidney cells, which affected renal function. After reversible factors were eliminated, the state of renal failure was relieved and renal function could be partially restored.

For patients with reversible factors, renal function can recover quickly. If treated in time, renal function can be restored within one week. Patients need pay attention to B ultrasound result to see if renal function can be restored.

Some patients have not checked their kidney function for a long time, or just found the disease, and their creatinine is over six or seven hundred. At this time, they are stunned. How do I know if my kidney function can recover or not?

Patients can look at the size of the kidneys on B ultrasound, which is more intuitive.

When renal fibrosis damaged kidney to no function, the kidneys will shrink completely. If the B ultrasound shows that kidney atrophy is not too severe, then kidney function can be restored more or less. If serum creatinine showed in renal failure or even uremia but not other key indicators: blood pressure, hemoglobin, and carbon dioxide binding capacity, there should be still rescue for kidneys.

Is dialysis required when creatinine is higher than 600umol/L? This is up to the actual illness condition!

Read More

Can Anemic Patient with Renal Failure Take Blood Transfusion?

According to statistics, at least more than half of patients with kidney disease will develop anemia, and anemia will cause hypoxia in the kidneys, and more injured renal cells will further aggravate renal disease. How to treat anemia? People would usually consider to supplement iron and blood transfusion. Iron supplementation is not a big problem, but can patients with kidney disease often transfuse blood?

Before discussing this issue, we should firstly understand why patients with kidney disease are easy to be anemic?

In addition to filtering function, the kidney also has an important function, that is the secretion of erythropoietin. This is usually shorted as EPO. The biggest role of erythropoietin is to “command” the bone marrow to perform the hematopoietic function. Therefore, if the secretion of erythropoietin is insufficient, the hematopoietic activity of the bone marrow will decrease and anemia will occur. This is called “renal anemia”

In addition, patients with kidney disease, especially who has increased creatinine, have higher blood endotoxins which can reduce the life span of red blood cells. This is a major cause of anemia.

What does this have to do with the inability of blood transfusions in patients with kidney disease?

Certainly, Blood transfusion do not have any help to the production of erythropoietin, and there are toxic substances such as erythropoiesis inhibitors in the blood transfused, which inhibits further the already small amount of erythropoietin and it is difficult to play a role.

And as mentioned above, toxins in patients with kidney disease not only inhibit the production of new red blood cells, but also have a lethal effect on existing red blood cells, which can accelerate the withering of red blood cell. The breakdown of dead red blood cells can aggravate the accumulation of nitrogen metabolites, placing an additional burden on the kidneys that have been unable to work.

Moreover, excessive blood transfusion can cause increased blood urea nitrogen and increased potassium, which aggravates the condition. At the same time, the risk of hepatitis virus transmission has also increased.

Therefore, it is not very good to rely on frequent blood transfusion to treat anemia. Normally, as long as erythropoietin, iron, folic acid and other medicines are given, and the patient’s appetite is adjusted from the diet, and the lack of nutrients get supplemented, that will be no problem.

Although it is not advised to give blood transfusion to anemic patients with renal failure, it is not clinically possible to apply mechanically.

Patients with chronic renal failure do not need blood transfusion when hemoglobin is more than or equal to 6g. If hemoglobin <6g has caused severe hypoxia in various organs, the patient can be given a small amount of concentrated red blood cells or a small amount of blood transfusion to improve the cell hypoxia. If the patient is found to have a significant bleeding tendency, a platelet suspension or fresh blood is needed.

In Nephrology Dept. Of HBHHTCM, we aim at the problem of anemia from renal failure. Combined traditional Chinese and western medicine will be given to treat symptomatic treatment while focusing on syndrome differentiation and overall treatment to prevent further development of kidney injury, restore part of renal function, and protect residual renal function. By this, patient’s anemia due to renal failure will be fundamentally solved and Uremia can be avoided.

Read More

To what extent can traditional Chinese and western medicine treat renal failure?

The combination of western and chinese medicine treatment in neohrology department of hebei hepatopathy hospital of traditional chinese medicine is systematic treatment that can reduce renal inflammation and avoid renal damage to reverse invertible kidney this way,process of kidney damage is prevented and patients can live normal life.

The aim of treatment for renal failure in nephrology department of Hebei hepatopathy hospital of traditional chinese medicine is not only to reduce creatinine level,the more important factor is that it can delay renal sclerosis and shrinking necrosis to the maximum..

Many clinical research show that patients receving treatment of controlling complications of high blood pressure,anemia,etc will gradually reduce glomerular filtration rate.While patients receiving herbal treatment appear increased glomerular filtration rate and rare side effects.It is common phenomenon that patients in serious stage will lower creatinine level and increase GFR after herbal treatment.

Though no cure for kidney failure,it can be controlled,there is still hope for treatment of kidney failure.

Renal failure patients with acute factors is not real chronic kidney failure and can be partly or wholely reversed.

What type of renal kidney failure can be reversed?

1.kidney failure caused by infection

2.kidney failure caused by renal ischemia such as more sweating less drinking water,hemorrhage,working in hot temperature,etc.

3.drug-induced kidney failure lesions to kidney failure

5.kidney failure caused by malignant hypertension

6.temporary increased creatinine level caused by medicine

Kidney function can be reversed in these above items after solving the causes.

Therefore even the same disease,due to different causes,different renal lesions and different patients,there is dialectical treatment.Though there is more than 80% damaged for renal failure patients,there is part of nephrons in normal condition.With the help of western and Chinese medicine treatment,blood purfusion in kidney will be increased and GFR can be improved to protect normal nephrons,at the same time,damaged nephrons can be repaired to normal and blood creatinine and urea level will be lowered to normal range.

Read More

How does herbal treatment treat lupus nephritis?

It is prone to recur for lupus nephritis.Lupus is active again after patients suffer from overwork,low immunity or infection.Avoiding the relapse of lupus is the key point in the improvement of prognosis forf lupus nephritis.During treatment of steroids or reducing dosage of steroids,with the help of dialectical herbal treatment to regulate and improve patient’s immunity.In this way,replapse can be reduced and prognosis can be improved.

Regarding lupus nephritis,we first talk about systemic lupus erythematosus.It is recognized as a kind of immunity disease,which there are more female patients than male patients。The ratio of men and women is about 1:8~1:9

The lesions of lupus erythematosus can reach to some body organs,if to skin,patients appear butterfly erythema in face,if to joints,patients appear joint pain,if to kidney,kidney will be affected and will cause lupus nephritis.Therefore,in normal condition,patients suffer from nephritis secondary to lupus.

There is high incidence for the association of lupus erythematosus and nephris,about 50%~70% patients appear to have the clinical  symptoms of lupus nephritis.Patients with lupus eyrthematosus should pay more attention to the kidney function test.It is best if they can check the blood and urine every year to see whether there is kidney damage.

World health organization divides lupus erythematosus into six types,they are:Ⅰ normal or minimal change type;Ⅱmesangial proliferative type;Ⅲfocal proliferative type;Ⅳdiffuse proliferative type;ⅤMembrane type;Ⅵsclerotic type.

Due to different pathlogical types of lupus nephritis,immune lesions are also different,so treatment plans in nephrology department of Hebei hepatopathy hospital of traditional chinese medicine.Treatment is given dialectically with pathlogical types.

At the same time,we need to tell patients that lupus nephritis is a kind of autoimmune disease which will affect whole body system,so treatment period might be long.The clinical symptoms of lupus nephritis is blood and protein in urine,whole body swelling,fever and other renal syndrome.So patients should actively cooperate in treatment and receive systematic Chinese medicine treatmet to protect normal kidney and delay the process of fibrosis to reverse kidney function.

Read More

Why Could Chinese Medicine Treatment Treat Proteinuria from Chronic Nephritis Without Relapse?

In Nephrology Dept. of HBHHTCM, proteinuria due to chronic nephritis, get treated by systemic treatment method of integrated traditional Chinese and western medicine. Traditional Chinese medicine can improve the therapeutic effect, reduce the side effects of western medicine, and reduce the recurrence rate.

Kidney disease is very easy to recur. Many patients get bothered by multiple relapses. For example, nephrotic syndrome often relapses after a cold; minimum change disease often relapse as soon as the medicine dosage reduced; 60% of patients with nephrotic syndrome are patients who are steroids resistance and relapse; even the well-known “low relapse rate membranous nephropathy, after being treated with cyclophosphamide treatment, still have 32% of patients to relapse.

In short, the disease, medication, diet, lifestyle and other factors may cause recurrence of kidney disease.

So, how could the relapse of kidney disease get reduced?

Standard medication

Steriods and immunosuppressants are the main medicines to treat massive proteinuria, such as prednisone, methylprednisolone, cyclophosphamide, cyclosporine, tacrolimus, Mycophenolate Mofetil, leflunomide and so on.

Prednisone and cyclophosphamide are the most commonly used and often used as the first choice, but each medicine has its own applicant, and some patients are suitable for other immunosuppressants. Many patients do not choose the most suitable steroids and immunosuppressant to use, which is a cause of frequent relapses.

If conventional steroids and immunosuppressants cannot achieve long-term effects, it is recommended to use monoclonal antibodies, the effect is more durable. Some patients feel that their condition has stabilized, and they reduce or even stop the medications without authorization, which often causes relapse. Therefore, to avoid recurrence of proteinuria in patients with chronic kidney disease, integrated Chinese and western medicine is required. Patients with frequent relapse need the joint guidance of Chinese and Western physicians.

Take care of diet with low salt

The first taboo of nephropathy diet is high salt, which ranks first on the principle of five lows and one high. The importance cannot be ignored. Salt contains sodium. Exceeding sodium levels can cause proteinuria increase and high blood pressure, and increase the risk of cardiovascular disease. It is a high-ranking “killer” that harms the kidneys and the whole  body.

For most residents in China, the daily salt intake exceeds 10g, and many people exceed the standard by twice or more. Previously, it was thought that the main cause of disease caused by diet was too much sugar and fat, and this study involving more people revealed the truth about the dangers of high salt.

Prevent infection

Influenza has recently been rampant, and outpatient and emergency departments at various hospitals are overcrowded. Many patients with kidney disease have relapsed due to a cold, so they should improve their disease resistance

For example, it is very necessary for them to take a flu shot once a year to prevent influenza. Besides, patients can take immune enhancers (immunomodulators) levamisole, transfer factor, immune ribonucleic acid, immunoglobulin and so on. Also, the traditional Chinese medicine method of taking orally and externally improves oxidative stress, enhances the body’s antioxidant capacity, and improves immune disorders.

In addition, patients should pay attention to living habits: wear a mask to go out when epidemic outbreaks; do not get close to pigeons, cats, dogs and other pets; open windows and ventilate frequently to reduce indoor bacteria concentration, etc.

For the treatment to proteinuria from chronic nephritis,  combined chinese medicine and western medicine, will solve the symptoms on one hand, on the other hand repair damaged kidneys, so as to fundamentally prevent the protein leakage, together with diet plan to reduce the burden on the kidney and repair kidney function. When renal function is restored,  proteinuria and chronic nephritis can achieve a good recovery without relapse.

Read More

Can IgA Nephropathy Grade 4 with Biopsy Still Be Treated?

She is a patient from Uzbekistan, diagnosed with IgA Nephropathy, and she always depends on steroids, sometimes good, sometimes bad..the condition relapsed many times. I was diagnosed with IgA nephropathy grade 4 through renal puncture surgery. The treatment effect was not good. So she visited here for Chinese medicine treatment, then IgA nephropathy grade 4 really can not be treated?

There are more than 2 million nephrons in the kidney, and about 20 are removed by renal puncture, which is one in 100,000. How can this small proportion accurately represent the whole? There may be large errors or misdiagnosis.

Pathology has its limitations, and today, no test can accurately predict the final outcome of kidney disease.

To evaluate whether the nephropathy is serious or not and how serious it is, pathology checking is just one aspect, and a comprehensive evaluation should also be combined with blood, urine, and B-ultrasound. Pathology is a reference for evaluating the condition, not a final judgment. “Kidney puncture theory” is not desirable.

How can we judge the severity of kidney disease?

It should be combined with blood tests, urine tests, B-ultrasound, pathology, age, and other related organ functions.

In some patients with pathological grade 4 IgA nephropathy, renal function is normal. Moreover, after treatment with a system of integrated traditional Chinese and western medicine, urine protein was completely relieved, and kidney function remained normal after many years. The pathology is indeed serious, but can it be said that it is not saved? Absolutely not. This is not the same as “Chronic Kidney Disease Stage 4”. Stage-4 and grade-4 may be quite different. Even with IgA nephropathy grade-5, there are a few patients whose condition have not progressed for many years.

Other nephropathy is the same situation, say membranous nephropathy stage 3-4, severe mesangial hyperplasia, lupus type 3-6, type 2 membranous hyperplasia, etc., are more serious pathologies, but there are still some patients who have remained stable for years. Some patients have severe pathology, but kidney function kept stable; some patients have mild pathology, but later develop into renal failure and uremia, such cases are innumerable.

Therefore, we look at the severity of the disease, not just the present, but also how it will develop in the future. The most important thing is to see how the medication responds and how effective the treatment is. This is the most convincing way to predict the outcome of kidney disease.

IgA nephropathy level 4 with biopsy needs to be diagnosed and treated according to the condition, the degree of damage is clarified, and the treatment is based on syndrome differentiation.

Read More