Chronic Kidney Disease

Chronic kidney disease (CKD) is a kidney disorder in which the kidneys are damaged and can no longer filter blood properly. The term “chronic” refers to damage that develops over time. Kidneys help to eliminate fluids and wastes, maintain electrolyte balance, etc. Any alterations in the regular functioning of the kidney may result in waste buildup in the body, causing a variety of health concerns.

Signs and Symptoms of Chronic Kidney Disease
Symptoms of the disease are not quite evident in the early stage of CKD. However, as the damage progresses, one may have noticeable symptoms.
A few most common symptoms of chronic kidney disease include:

  • Nausea
  • Vomiting
  • Loss of appetite
  • Fatigue
  • Swelling of hands and ankles
  • Puffy eyes
  • Dry and itchy skin
  • Trouble sleeping
  • Decreased mental concentration
  • High blood pressure
  • Darkening of the skin
  • Foamy urine

Causes of Chronic Kidney Disease

  • High blood pressure
  • Diabetes
  • Obesity
  • Family history
  • Kidney stones
  • Nephrotic syndrome
  • Kidney infections (recurrent)
  • Autoimmune diseases (e.g., lupus)
  • Certain drugs (e.g., NSAIDs)

Understanding Chronic Kidney Disease in Ayurveda
In Ayurveda, chronic kidney disease falls under the category of “Vrikka Roga” where all three doshas (Vata, Pitta, Kapha) are imbalanced, often exacerbated by factors such as poor diet, dehydration, and stress. When Vata dosha is aggravated, it disrupts the balance of bodily functions, including the kidneys. This imbalance can lead to impaired kidney function and various symptoms associated with chronic kidney disease.

Treatment and Management
The treatment and management of chronic kidney disease typically involves lifestyle changes, such as a balanced diet low in salt and protein, blood pressure control, and medication to address underlying conditions such as diabetes. In advanced stages, dialysis or kidney transplant may be necessary.
Palliative Care provided by SGP’s PSA can also be an integral part of managing chronic kidney disease, particularly for individuals with advanced disease or persistent symptoms. Palliative Care provided by SGP’s PSA aims to enhance quality of life by addressing pain management, symptom control, emotional support, and psycho-social well-being.

FAQs about Chronic Kidney Disease

  1. CKD is diagnosed through blood tests measuring creatinine levels, estimating glomerular filtration rate (eGFR), and assessing urine for protein levels. Medical history and imaging tests may also aid in the diagnosis of chronic kidney disease.

  2. No, CKD is not a reversible condition. Regardless of its stage, it is a degenerative and irreversible disorder. While CKD is not reversible, it can be slowed down by taking prescribed medications, staying physically active, and following the right diet.

  3. Yes, CKD patients often have dietary restrictions, including limiting protein, sodium, and phosphorus intake. These dietary changes help manage the disease progression.

  4. Preventive measures for CKD include maintaining a healthy weight, controlling blood pressure, and managing diabetes. Regular exercise and a balanced diet can help reduce the risk of developing diabetes.

  5. Yes, some chronic kidney diseases have a genetic component, making them hereditary. Autosomal dominant polycystic kidney disease is an example of an inherited kidney disorder.

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