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Polycystic Kidney Disease& Kidney Cysts

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PKD & Kidney Cysts

Polycystic kidney disease (PKD) is a group of disorders that result from the formation and progressive enlargement of cysts in the kidneys without dysplasia, usually leading to renal failure.

Can Someone with Stage 4 Kidney Disease Receive Dialysis

2013-08-12 17:07

Can Someone with Stage 4 Kidney Disease Receive DialysisCan people with stage 4 kidney disease receive dialysis? Generally speaking, patients don’t need to do dialysis until their condition progresses to stage 5 or end stage. This is because kidney function is the main factor to determine the time when dialysis is needed. However, kidney function shouldn’t be the only indicator.

Most patients with stage 4 kidney disease are not recommended to do dialysis

According to GFR, kidney disease is divided into five stages. At stage 4, patients’ GFR still ranges from 15 to 29, that is to say, kidneys can still do their job, even though it isn’t efficient. Therefore, most of patients can still live without dialysis at this stage, if they don’t have severe complications.

What’s more, stage 4 kidney disease is a condition in which patients’ kidney function can be improved, so as to avoid dialysis. Just like cells in other organs or tissues, kidney inherent cells also have certain self-curative ability. Therefore, if they are damaged slightly, it is possible for them to recover by themselves. Here, what we can do is to increase their self-curative ability and supplement them enough nutritions and oxygen. As a result, a part of kidney cells can be repaired successfully, and then patients can achieve to avoid dialysis.

In some cases, patients with stage 4 kidney disease should receive dialysis

As kidneys can’t do their work normally, some complications are more likely to appear, some of which are life-threatening. Patients may need to start dialysis as soon as possible with the following complications, even though their kidney function is still above 15%.

1. High potassium level is above 6.5mmol/L and can be controlled by medication

2. Less or no urination, and severe edema

3. High blood pressure that can’t be lower by anti-hypertensive agents

4. Metabolic acidosis that can’t be normalized by drugs

Many other symptoms may also urge patients to begin dialysis immediately, otherwise more severe complications or even death may occur.

The exact time that patients should begin dialysis should depend on their individual condition. If you also have such a problem, you can leave us a message, so the kidney experts here can help you determine whether you need dialysis.

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