Physical activity for dialysis patients

Joe Cosgrove has previously covered renal compensation and dialysis thoroughly from different angles; however, one common thing dialysis patients wonder is whether they can perform physical activities during and after the treatment. The truth is, the vast majority of dialysis patients firmly believe they cannot execute any physical activity or exercise; nonetheless, research has shown that actually, they can. Many out of those patients have previously described their first physical activities as something that helped them feel normal again shortly after starting their dialysis treatment. As asserted by various physicians, the act of motion and exercise, regardless of length and intensity, helps those individuals with chronic kidney disease feel much better and stronger, and subsequently more in control of their bodies and their health.

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Many out of those patients have previously described their first physical activities as something that helped them feel normal again shortly after starting their dialysis treatment. As asserted by various physicians, the act of motion and exercise, regardless of length and intensity, helps those individuals with chronic kidney disease feel much better and stronger, and subsequently more in control of their bodies and their health.

The medical community, especially those who specialize in working with renal rehabilitation have found that exercising on a regular basis, carefully, of course, not only improves an individual’s potential for future and more intense physical activity but also does wonders regarding the overall quality of life for those undergoing the dreary process. It is well known that exercise may also come in handy for gaining back the ability to carry out activities that were part of people’s routines prior to starting the treatment. Of course, this also has a huge impact on an emotional level: whether it is returning to the office or taking over domestic chores, patients basically agree upon the fact that exercise has given them back a part of themselves that was somewhat lost.

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Thus, with that being said, for all those individuals who are currently undergoing dialysis, any kind of controlled and supervised physical activity is highly recommended; however, before recklessly jumping into action, it is advisable to consider the following aspects:

Consult your physician

When it comes to delicate medical conditions, addressing the primary physician is key. Doctors are the first source of information about what kind of physical activity can be done depending on the patient’s current stage of the treatment. In fact, physicians often feel happy for those patients who show eagerness to work out and improve their overall health. Measures often include several recommendations such as consulting a physical therapist as well in order to avoid falling victim of any possible injury. Meal plans and controlled diets are always advisable.

Alongside their primary physician and their physical therapist, patients undergoing dialysis can make their current stage more fun and enjoyable—which ends up providing a tremendous positive effect on the patient’s body and mind.

Choose the physical activity and exercise you like the most

Most patients are used to taking long walks. Walking, in fact, is perhaps one of the least demanding and strenuous exercises people can do; yet it is also one of the healthiest ways of keeping a good physical condition. Taking a walk provides several benefits and helps various corporal functions at the same time: it improves the patient’s digestion, increases their energy levels, reduces their bad cholesterol levels, controls their blood pressure, lowers the risk of having a cardiovascular condition, helps them sleep much better and, most importantly, helps fade away those high-stress levels.

Start!

It is undeniable that undergoing dialysis takes a toll on every patient: the vast majority of those individuals who are currently on dialysis oftentimes agree upon the fact that they always feel exhausted and too tired to exercise, and, subsequently, they firmly believe that adding extra activity to their already demanding routines will leave them even more tired. The truth is, even a little-controlled amount of physical activity, let us say 20 to 25 minutes a day, has proven to help patients feel less exhausted. Doing otherwise—not exercising—actually makes people fall victim of those unwanted low energy levels: the longer they postpone any kind of physical activity, the weaker they will feel.

One of the most renowned side effects of suffering from kidney failure is muscle loss. This simply means that those individuals who are currently undergoing dialysis are more likely to lose muscle mass. Exercise, however, helps keep the muscle from shrinking. In fact, there is the chance to bring it back!

Always stretch

As mentioned above, the common denominator of those undergoing dialysis is a constant weakness. People are simply too tired to do basically anything; however, stretching prior to any kind of physical activity has proven to do wonders; besides, it is practically something all dialysis patients can do: it is the perfect way to get blood to those stiff body parts. Stretch both lower and upper body prior and after exercising, as it reduces the chances of suffering from cramps and other unwanted and unsolicited pains. Of course, the key here is to mind the pace, meaning: start slowly. There is no need to become the ultimate athlete to have a good and effective workout. Exercise at a controlled pace and improve over time. It will definitely pay off!

* Featured Image courtesy of Burst at Pexels.com

Chronic Kidney Disease Stage 3: assessment, management, risk factors and tips to prevent it

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Stage 3 CKD is something that has to be taken seriously. In a previous post in this same blog, we talked about the 5 stages of Chronic Kidney Disease. We understood that stage 1 and stage 2 are not that serious and that the illness can be managed with diets and good habits. We also learned that Chronic Kidney disease in these two stages is invisible and that is very hard to detect unless other tests are done. We also learned that stage 3 is divided into two stages and that is here where the thing gets really serious (especially in stage 3B) and that it will be most likely that the patient needs treatment, medications, special diets and future dialysis and specific kidney treatments. Stage 4 and 5 are the last stages where the kidney is already working under 50% and the patient will need a transplant and a serious and well-managed treatment combined with diets and medications and we learned that stage 5 is already terminal and the patient has to be managed very carefully.

Today we are going to take a look at stage 3A within a Chronic Kidney Disease, the way it should be assessed and managed, the risk factors every patient has and some tips to prevent the progression of stage 3 in CKD.

Assessment and management of Stage 3 CKD

Most Stage 3 CKD patients are not at high risk and can be managed with primary care. The objective becomes to identify the patients that are in risk of passing on to stage 3B  and its associated risks.

The most important symptoms or pointers in stage 3A of patients at risk are: When the patient´s proteinuria is ACR>70 or PCR>100; the patient has a declining GFR and he or she is at a young age. After these pointers, doctors have to ask themselves if the patient is functioning well, if the patient has a history of this illness and if there has been any urinary abnormalities or other specific indicators.

The first value that has to be determined is the creatinine levels to see if they are elevated. Then compare them with previous tests and values. If previous tests don’t exist, there has to be a 14-day gap to take another test and compare values and it has to take them to the lab as deteriorating renal function needs rapid assessment.

As for the clinical assessment, the tests focus on heart failure or direct assessment of bladder enlargement. This can be done by imaging which can indicate the level of obstruction that doctor suspect. Here urine tests become ever more important because they can indicate the amount of proteinuria by ACR/PCR that can be seen in the body and this is a reliable indicator of progressive renal disease.

Management of Stage 3 CKD

In this stage, there is always a big cardiovascular risk. The idea is that the person starts having a healthier lifestyle and quit bad habits such as smoking, and starts a discipline in their exercise and eating habits. There should also be a cholesterol lowering therapy or approach if there are already any macrovascular disease symptoms. In this stage of CKD, the patients tend to be over 60 or 70 years old and most of them do not go onto stage 4. However, there should be a close assessment and control over diseases such as heart attacks, strokes, and narrowing of other arteries.

Stage 3 CKD risk factors

When we talk about risk factors we are mainly talking about cardiovascular events. The patient has to be monitored on his or her proteinuria, hematuria, and declining GFR levels and they must be closely managed. This is an accurate indicator that the CKD is progressing. The idea of understanding these risk factors is that doctors can accurately attack the kidney disease either by reducing the risk of having cardiovascular complications or by prescribing treatments that slow down or stop the progression of CKD.

Tips to prevent stage 3 CKD

Basically, there are three ways a person can prevent the body reaching stage 3 CKD: the first one is to have a kidney-friendly diet; the next one is to have a very good discipline when it comes to medications, and the third one is to exercise.

As for a kidney-friendly diet the idea is to eat the correct amount of calories, cut down on  phosphorus-rich foods because it is very hard for the kidney to process this type of food and avoid high-potassium foods (if  there is a possibility of a dietician it is a good idea because people can understand the amount of  potassium they can take.

Medications include drugs to prevent risk factors such as blood sugar levels and blood pressure.

Exercising and non-smoking become very important at this stage just to prevent the progression of CKD and to help the patient live his life as normal as possible.

Be sure to also read this post about The Most Significant Early Symptoms Of Kidney Disease

The Most Significant Early Symptoms Of Kidney Disease

Kidney disease is the 9th leading cause of death in the United States of America. According to the American Kidney Fund, around 31 million Americans suffer from chronic kidney disease and men are more likely than women to have CKD. The leading causes of kidney failure are diabetes and high blood pressure, and that is why in some cases people fail to realize they have kidney problems until it’s too late. What seems to be a symptom of a different ailment ends up becoming the main health issue with many of these patients. One of the biggest problems with kidney disease is the psychological aspect that brings with it, as patients often feel like they are losing control over their life as their body doesn’t seem to respond to them, or acts in ways they aren’t familiar with.

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The kidneys are responsible for keeping the human body’s chemistry in balance, a task that truly takes a toll on these amazing organs. As resilient as they are, the kidneys often suffer due to many different reasons and eventually become overwhelmed with all the stress they must perform under.

Today in Joe Cosgrove’s Blog, we want to take the time to look at some of the most significant early signs that can let you know that you may be developing kidney disease, with the hopes that you can do something about it before treatment becomes necessary.

Changes in urine

Since the kidneys are the organs in charge of producing the urine, this byproduct will be one of the first indicators that something may be amiss. Changes in urine can be identified as those in the appearance of color and the presence of foam, and also changes in the frequency in which the patient urinates or feels the urge to do so but is unable to produce any liquid. In some cases, there may be a pain while urinating or also the presence of blood.

Shortness of breath

Shortness of breath may be present in the onset of kidney disease because the fluid buildup in the body can be so severe that it can reach the lungs, something that will undoubtedly affect a patient’s breathing. Anemia or the lack of red blood cells in the organism can be another reason why patients may feel a lot of difficulty breathing.

Trouble sleeping

If kidneys stop working correctly, they amount of toxins that build up in the body will reach dangerous levels and will start affecting the organism in many ways. Patients report having trouble sleeping due to a constant feeling of discomfort that cannot be easily identified, they simply feel like they can’t sit still and have a lot of trouble resting.

Dry and itchy skin

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Dry skin and constant itching are also symptoms of excess toxin build up in the body. Bone disease is also something else that may be present when kidneys fail, and constant itching is a clear symptom of that complication. Most of this happens because kidneys are losing the ability to properly balance nutrients, toxins, and minerals in the body.

Swollen joints

Swollen joints and general swelling are a sign that the body is holding excess water because they kidneys are not able to properly regulate bodily fluids, so they stay inside the body longer than they need to be. All of this is a side effect of sodium retention, something that happens because they kidneys are failing, and as sodium is kept in the body, so is water because it is retained by the sodium itself.

Puffiness around the eyes

If the kidneys aren’t working correctly, then things like protein will start to leak into the urine or other areas of the body. This together with excess fluids being retained is going to start showing in the face of the patient as swelling of the eyelids and cheeks.

Poor appetite

Patients with kidney disease will not feel the need to eat as much as healthy individuals. This is rather significant since these patients will still continue to gain weight even as they eat less everyday. The lack of appetite happens due to excess toxin build up in the body.

Muscle cramps

Electrolyte imbalance can start to manifest in the muscle by cramping and general soreness of the area. Low-level calcium and an imbalance in phosphorous levels make it, so they body is not properly using the fluids that it retains, and that can create painful muscle cramps.

Dizziness and problem thinking clearly

Another one of the symptoms has to do with mental acuity and the ability to think clearly. The brain may not be getting enough oxygen, and that is how it starts to show. Patients with kidney failure may begin to feel dizzy and have flash episodes in which they faint or lose balance. The ability to think clearly and solve simple problems starts to diminish as the body deteriorates.