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Stage 5 Chronic Kidney Failure(CRF)

Stage 5 Chronic Kidney Failure (CRF) is the end stage of kidney disease with Glomerular filtration rate falling below 15ml/min. The kidneys have many functions that they fail to do, which will thus cause a variety of problems to the patients. Dialysis can do the job of expelling toxins and excess water out of the body, and in way of this, prolong the life of the patients. However, dialysis only does some of the kidneys’ job; some side effects, short-term or long-term complications for people on dialysis treatment.

Symptoms that can occur in stage 5 Kidney Failure mainly include:


﹡Poor appetite


﹡Fatigue and weakness


﹡Swelling of the ankles, legs and face

﹡Skin itching


﹡Shortness of breath caused by fluid accumulation

﹡Muscle cramps or twitches

﹡Tingling of the hands and feet

﹡Difficult concentrating

﹡Reducing urine output

﹡Feeling tired and getting weaker and weaker

﹡Changes in urine color

﹡Increased skin pigmentation

The kidneys are vital to our health. In kidney failure stage, the kidneys are not functioning as effectively to discharge toxins and excess water from the body, and they also no longer able to perform such as regulating blood pressure, maintaining balances of electrolytes such as potassium, phosphorus, etc, and producing erythropoietin to stimulate production of red blood cells.

A patient with stage 5 Kidney Failure will need to see a nephrologist. A patient will undergo urine tests and blood tests for creatinine and electrolytes, and the doctor will provide treatment advice with the target to reduce the complications and make the patients feel healthier. A doctor may suggest dialysis treatment or some may prepare themselves for kidney transplant. There are two types of dialysis, peritoneal dialysis and hemodialysis. There are some questions they patients may ask before dialysis begins. Dialysis is symptom-targeted and helps people live longer; but it doesn’t improve the kidneys and can cause some side effects. The doctor will suggest when the time is for dialysis and which type can be chosen. As for Kidney transplant, the patients will be evaluate whether a transplant is possible, suggest risk of recurrence and what could be a suitable match.

If people seek for a natural treatment, then Chinese medicine treatment can be your choice. Herbal treatment. although slow-acting as opposed to western medicines, could nourish the kidneys, resist inflammation, accelerate nutrient supplement for repairing the scarred (not totally failed) kidney cells, and with some improvement of the kidneys the clinical symptoms/complications will be better under control and patients can feel much relieved.

Because diet is so important in reducing risky complications and improving overall health, a patient will be referred to a registered dietitian. And the dietitian will provide dietary advice based on a person’s laboratory results and general illness condition. The dietary recommendations for stage 5 Kidney Failure mainly include the follows:

More vegetables, grains and fruits can be included, but note to restrict or avoid foods that are high in potassium and phosphorus

Restrict the intake of total fats, and substitute saturated fats with unsaturated ones. This helps to prevent occurrence of cardiovascular diseases.

Limit consumption of refined or processed foods with rich sodium content, and prepare your meals with less sodium

Adequate supplement of proteins so as to meet the loss from dialysis treatment

Aim for a healthy body weight by consuming calories based on body size and individual needs

If urine output is less than one liter per day (about 32 ounces) and blood potassium is above 5.0, a low-potassium diet is recommended. Avoid the high potassium foods and track your potassium levels by getting regular blood tests.

Limit calcium to 2,000mg and phosphorus to 1000mg based on individual requirements

Remember that there is actually no diets that is suitable for every case with kidney disease. The patients will need to make a dietary plan based on individualized condition after communication with the doctor. Note that it is the complications of kidney failure that can be threatening. Keep the illness condition at checks and communicate with the doctor regularly to know if there is any need for treatment or dietary modifications.

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