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All Posts in Category: Nephritis

How to Treat Renal Edema Effectively

Edema is one clinical symptom of chronic nephritis. Most patients have repeating symptom of edema and treatment plan is different for different patients with different type of renal edema.

The reason of renal edema

1. Serum protein leaks into urine which reduces protein volume in blood. Once protein level decreases in blood, the water will go into tissue space, causing edema.

This is edema of nephritic syndrome. So to remove edema completely, you need reduce protein leakage.

2. Kidney tubular and glomerulus become unbalanced. Glomerulus filtration rate decreases but reabsorption function of kidney tubular become strong. Therefore, a lot of water can not be removed out and stay in your body.

This is edema of nephritis. The common used medicine is diuretic.

3. In a word, here are two main reasons of renal edema. Firstly, kidney can not excrete water out of your body. Secondly, kidneys leak out a lot of protein. To be specific, chronic nephritis will make renal function decline which affect glomerulus and kidney tubular function, then water abd sodium can not be cleaned out through urine. Gradually water and salt stay in your body, bringing edema.

Besides, decreased renal function can not keep protein in our body and these protein leak out, aggravating edema in your body.

Where you can go for edema treatment

Chinese medicine treatment is the key treatment for renal edema. Our hospital consider patient’s condition and symptoms to improve patient’s ability to remove antigen, reduce and repair damage of basement membrane, improve blood flow into kidneys. At the same time, we can restrain immune complex and development of renal fibrosis. With renal function improvement, renal edema will also get treated.

If you are interested, please contact us by whatsapp of 008615230829917

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Why Does Chinese Medicine Treat Edema from Kidney Disease with Better Effect

Edema is a typical clinical manifestation of chronic nephritis. Most of patients with chronic nephritis have recurrent edema and different types of nephropathy edema. So different patients need different treatment solutions. Traditional Chinese medicine adopt dialectical treatment and solve nephritis edema from the cause.

How to eliminate edema? The key is to eliminate the cause of edema.

There are two causes of renal edema.

Firstly, too much protein in the urine leads to a decrease in protein in the blood. If there is less protein, water cannot be absorbed, and water leaks from the blood vessels into the tissue, forming edema.

This is edema of the nephrotic syndrome. Only the proteinuria reduced, the edema can be improved from the root.

The second is that the kidneys have a glomerular-tubule imbalance. The glomerular filtration rate reduced, while the renal tubular reabsorption has not decreased and even increased. That results in a large amount of water not being excreted and accumulated in the body.

This is edema of nephritis, and the usual medicine for this kind of swelling is diuretic.

Therefore, there are two main reasons for edema caused by chronic nephritis. The first is that the kidneys cannot drain water from the body, and the second is that the kidneys leak a lot of albumin.

Specifically, chronic nephritis will cause a decline in renal function, and the glomeruli with nephrons will be affected. Water and sodium cannot be excreted through the kidneys by the normal way—urethra, so water and salt accumulate in the body and cause edema.

Another reason is with the decline of kidney function, the protein in the body cannot be stored, causing some albumin in the body to leak out through the kidney. Over time, albumin in the body will come down, which result in swelling.

In Nephrology Dept of HHHTCM, nephropathy edema gets treated in the principle of combining TCM syndrome differentiation and disease differentiation. It aims to improve the body’s ability to remove antigens, reduce and repair damage to the basement membrane, increase renal blood flow and make glomeruli repair gradually, meantime, the progress of immune complexes and renal fibrosis get inhibited. With kidney function being restored, kidney disease edema will be treated from the root and external symptoms.

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Which treatment is better to treat chronic nephritis? Western medicine or Chinese medicine?

In terms of the treatment of chronic nephritis, Western medicine and Traditional Chinese medicine have their own advantages. It is like walking on two legs, losing either side, the other leg is pinched. Their combination will bring more remarkable effect.

In treating chronic nephritis, the characteristics and advantages of traditional Chinese medicine are its overall concept and thought of dialectical treatment. For example, in the treatment of chronic nephritis, traditional Chinese medicines that reduce urinary protein include astragalus and Cordyceps sinensis, which can give definite effect in reducing urinary protein. In terms of delaying the progress of renal function, traditional Chinese medicine can also give obvious effect.

Western medicine has extremely advanced methods and technologies in the pathogenesis and diagnosis of diseases, which can guide the treatment of traditional Chinese medicine under the control of disease mechanisms in western medicine, but cannot be separated from the idea of dialectical treatment.

Specifically, in diagnosis, biopsy, urine test, blood test, and various instruments and equipment of western medicine are accurate and irreplaceable; in treatment, traditional Chinese medicine restores kidney function, improves blood creatinine, and eliminates hematuria, which is difficult for western medicine to make it;

when high blood pressure and high sugar damage kidney micro blood vessels, western medicine is needed to lower blood pressure and blood sugar; when steroids and immunosuppressive agents brings unbearable side effects, Chinese medicine can reduce the side effects; when a lot of proteinuria and severe edema occur, the effectiveness of western medicine stands out; when the condition relapses often, Chinese medicine can give an effective shot to the relapse.

Regarding the treatment of chronic nephritis, the comprehensive treatment plan combining traditional Chinese and western medicine is emphasized. Depending on the specific condition, different treatment will be provided.

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Should Patients with Chronic Nephritis Have Renal Biopsy

Regarding renal biopsy, here are different voices. Some patients are advised to do it, after all, the test is accurate. But more patients are reluctant to do it because “I heard that kidney puncture is bad for the body.” Then today we just have a talk in terms of how to determine if you need a kidney puncture.

Renal puncture is also known as renal biopsy. Department of Nephrology, in HHHTCM, Director Yang said that there is no immediate ‘miracle medicine’ for the treatment of chronic kidney disease, and even some medicines bring side effects and harmfulness.

After all, just like a proverb ‘A drowning man will clutch at a straw’, patients would seek doctor or treatment blindly. Here I want to tell patient with kidney disease: Don’t believe in the so-called ‘miracle medicine’, to treat kidney disease, reduce protein and creatinine for kidney disease, or to receive comprehensive treatment of traditional Chinese and Western medicine in regular hospitals.

Examination is a traumatic examination that clarifies the etiology and pathology of kidney disease and further confirms the specific disease of the patient. It has clinical significance for clarifying diagnosis, guiding treatment and estimating prognosis.

Because the clinical manifestations of many kidney diseases are very similar, such as hematuria and proteinuria. But the pathology, prognosis, and treatment of the disease are all different. In order to determine the type of disease and to allow the clinician to take targeted treatment measures in time, it is necessary to have a renal puncture test. Therefore, renal puncture has become one of the “gold standards” for the diagnosis of kidney disease.

Although it is the gold standard, still not all cases require a renal puncture diagnosis.

Renal biopsy is only required in cases like unexplained acute renal failure; 24hrs proteinuria still more than 1 gram after treatment, and in patients with proteinuria, hematuria, and decreased renal function after renal transplantation.

Many people worry that kidney puncture can cause damage to the body and leave sequelae. But in fact, this incidence rate is very low. For example, common side effects after renal biopsy, hematuria, proteinuria, and low back pain mostly disappear within one week after surgery.

Other side effects such as infections and damage to other organs, the probability of appearing in standard hospitals is extremely low. Because the aseptic measures of regular hospitals and doctors’ qualifications for surgery are very secure. So don’t worry too much.

Renal puncture is not suitable for the following conditions:

For example: those who have obvious bleeding tendency, severe renal insufficiency or congenital solitary kidney on one side, renal hematoma, tumor, cyst, abscess or infection, hydronephrosis, mental patient or those who cannot cooperate and with hardly-controlled hypertension. These types of people are not suitable for renal biopsy.

Any test is to serve the patient, to detect the disease and lay the foundation for treatments. So there is no need to be hostile to the test. Please listening to the attending doctor, the doctor should be clearer than the patient to the situation.

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How Does TCM Treat Proteinuria of Chronic Nephritis?

Almost 90% of patients with kidney disease will have protein leakage in the early stage. It must be aware that proteinuria plays a vital role in the development and prognosis of renal disease. How does TCM treat proteinuria of chronic nephritis?

As the saying goes, more preparation may quicken the speed in doing work. It is a must to understand the cause of proteinuria from chronic nephritis.

Everyone knows that the kidney is the organ that produces urine. And the urine that is normally excreted does not contain anything useful. However, when the kidney is damaged for various reasons, the glomerular filtration membrane is also damaged. The glomerular filtration function of the useful substances in the urine is reduced, and the reabsorption capacity of the renal tubules is also reduced. So the protein and the like in the plasma will leak out into the urine and proteinuria is formed. Normal people also have protein in their urine, but the amount is very small, usually not more than 150mg.

On the one hand, urinary protein, as an independent risk factor, will affect the progress of renal function. For patients who can control 24hrs proteinuria below 0.5g, they will be more easily to protect the residual renal function and prevent the deterioration of the condition.

On the other hand, consistent proteinuria not only accelerates the progress of renal function, but also affect the development of a series of complications due to kidney disease, such as cardiovascular disease, hypertension and etc. Therefore, controlling proteinuria can also prevent complications so as to reduce patients’ risk. As long as the proteinuria get controlled, chronic nephritis is cured half. How does Chinese medicine treat chronic proteinuria?

Chinese medicine treatment of chronic nephritis proteinuria starts with the cause, blocks the progress of kidney damage, clears immune complexes, actively repairs damaged kidneys, restores kidney function, and prevent protein leakage from the root, so as to achieve the goal of treating both the symptoms and the disease.

This is why many foreign patients visited our hospital for Chinese medicine treatment, after ineffective treatment from west medicine in local. Proteinuria is an early marker of chronic kidney disease. The more protein in the urine, the more severe proteinuria is. And it also means that the renal function is more severe. However, different pathological types can have difference in protein leakage, more proteinuria leakage does not necessarily mean that your condition is also more serious.

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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.

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