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M.D., D.G.O. Obstetrician and Gynecologist
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Disease Kidney

The kidneys are a pair of vital organs that perform many functions to keep the blood clean and chemically balanced. Understanding how the kidneys work can help a person keep them healthy.

Symptoms of Kidney Disease
Many people who have chronic kidney disease don't know it, because the early signs can be very subtle. It can take many years to go from chronic kidney disease (CKD) to kidney failure. But when kidney failure occurs it means disease is of long duration.
Knowing the symptoms of kidney disease can help to get the treatment.
Changes in Urination
Urine may be foamy or bubbly, frequency of urine increases, or in greater amounts than usual, with pale urine.

Or urinate less often, or in smaller amounts than usual with dark colored urine.Urine may contain blood.

Failing kidneys don't remove extra fluid, which builds up in body causing Odema in the legs, ankles, feet, face, and/or hands.
Healthy kidneys make a hormone called erythropoietin which helps  oxygen-carrying red blood cells. As the kidneys fail, they make less erythropoietin. With fewer red blood cells to carry oxygen, muscles and brain become tired very quickly.
Skin Rash/Itching
Kidneys remove wastes from the bloodstream. When the kidneys fail, the buildup of wastes in blood can cause severe itching.
Metallic Taste in Mouth/Ammonia Breath
A buildup of wastes in the blood (called uremia) can make food taste different and cause bad breath. Patients are losing weight and they just don't feel like eating.
Nausea and Vomiting
A severe buildup of wastes in the blood (uremia) can also cause nausea and vomiting.
Shortness of Breath
Trouble catching your breath can be related to the kidneys in two ways. First, extra fluid in the body can build up in the lungs. And second, anemia (a shortage of oxygen-carrying red blood cells) can leave your body oxygen-starved and short of breath.
Dizziness and Trouble Concentrating
Anemia related to kidney failure means that brain is not getting enough oxygen. This can lead to memory problems, trouble with concentration, and dizziness.
Leg/Flank Pain
Some people with kidney problems may have pain in the back or side related to the affected kidney. Polycystic kidney disease, which causes large, fluid-filled cysts on the kidneys and sometimes the liver, can cause pain.
Kidney disease  may include:
  • Acute arterial occlusion - kidney
  • Acute kidney failure
  • Acute nephritic syndrome
  • Analgesic nephropathy
  • Atheroembolic renal disease
  • Chronic kidney disease
  • Chronic nephritis
  • Congenital nephrotic syndrome
  • Diabetes insipidus - nephrogenic
  • Distal renal tubular acidosis
  • End-stage kidney disease
  • IgA nephropathy
  • Injury - kidney and ureter
  • Interstitial nephritis
  • Kidney cancer
  • Kidney damage
  • Kidney infection
  • Kidney injury
  • Kidney stones
  • Lupus nephritis
  • Membranoproliferative GN
  • Membranoproliferative GN I
  • Membranoproliferative GN II
  • Membranous nephropathy
  • Metabolic syndrome
  • Minimal change disease
  • Necrotizing glomerulonephritis
  • Nephroblastoma
  • Nephrocalcinosis
  • Nephrotic syndrome
  • Polycystic kidney disease
  • Post-streptococcal GN
  • Prerenal azotemia
  • Proximal renal tubular acidosis
  • Reflux nephropathy
  • Renal and urological disorders
  • Renal artery embolism
  • Renal artery stenosis
  • Renal cell carcinoma
  • Renal disorders
  • Renal papillary necrosis
  • Renal tubular acidosis type I
  • Renal tubular acidosis type II
  • Renal underperfusion
  • Renal vein thrombosis
  • Wilms tumor
Note on renal function
The kidneys are bean-shaped organs, each about the size of a fist. They are located near the middle of the back, just below the rib cage, one on each side of the spine. Every day, a person’s kidneys process about 200 quarts of blood to sift out about 2 quarts of waste products and extra water. The wastes and extra water become urine.
Wastes in the blood come from the normal breakdown of active tissues, such as muscles, and from food. If the kidneys did not remove them, these wastes would remains in the blood and damage the body.
The actual removal of wastes occurs in tiny units inside the kidneys called nephrons. Each kidney has about a million nephrons. In the nephron, a glomerulus—which is a tiny blood vessel, or capillary—intertwines with a tiny urine-collecting tube called a tubule. The glomerulus acts as a filtering unit
The tubules receive a combination of waste materials and chemicals. The kidneys regulate the body’s level of these substances and make right balance  necessary for life.
In addition to removing wastes, the kidneys release three important hormones:
  • erythropoietin, or EPO, which stimulates the bone marrow to make red blood cells
  • renin, which regulates blood pressure
  • calcitriol, the active form of vitamin D, which helps maintain calcium for bones and for normal chemical balance in the body
Most kidney diseases starts from the nephrons, causing them to lose their filtering capacity. Damage to the nephrons can happen quickly. But some times destruction to  the nephrons are slow and silent and only after years or even decades the damage become apparent. Kidney diseases attack both kidneys simultaneously.
Several types of kidney disease are grouped together in glomerular diseases category, including autoimmune diseases, infection-related diseases, and sclerotic diseases. As the name indicates, glomerular diseases attack the tiny blood vessels, or glomeruli, within the kidney. The most common primary glomerular diseases include membranous nephropathy, IgA nephropathy, and focal segmental glomerulosclerosis.
Points to Remember
  • The kidneys are two vital organs that keep the blood clean and chemically balanced.
  • Kidney disease can be detected through a spot check for protein or albumin in the urine and a calculation of glomerular filtration rate (GFR) based on a blood test.
  • The progression of kidney disease can be slowed, but it cannot always be reversed.
  • End-stage renal disease (ESRD) is the total or nearly total and permanent loss of kidney function.
  • Dialysis and transplantation can extend the lives of people with kidney failure.
  • Diabetes and high blood pressure are the two leading causes of kidney failure.
  • People with reduced kidney function should see their doctor regularly. Doctors who specialize in Chronic kidney disease (CKD) increases the risk of heart attacks and strokes.
  • CKD can have complete cure  by Alternative medicines.
Renal Failure Treatment - Chronic Renal Disease
This is the case of Master Maulik - son of my sister, a 10 years old male child. In 1995 his complaints began after he had been sick for some time and his parents noticed that he had developed some swelling on both legs. Urine revealed high amounts of protein. He was referred to a Nephrologist who, after all investigations, diagnosed him as having Nephrotic Syndrome. He was put on cyclosporine and steroids. For about 6 years he continued to have increased swelling that had spread to his abdomen and face too. He would get 3-4 acute exacerbations of the condition in a year in spite of being on high dose of steroids. He would develop swelling all over the body and his urine would become turbid. The albumin in the urine would become ++++ at such times. Apart from this he would also get frequent colds during which his urine albumin would start increasing again. Nephrologists advised for kidney biopsy which was not consented presently by relative.
Nephrologists' told that eventually he will need a transplant. They told that there is no cure yet. He will die too young. Prognosis is very grave.
Do not suffer from chronic diseases for yourself or in your family and get total cure to remove root cause of disease. Tremendous suffering could be avoided, but people don't know the right method.
At this time I started the homoeopathic treatment, he was on a high dosage of steroids daily along with a diuretic. Homoeopathic medicines were given based on his symptomatology only (as I did not know much about all aspects of homeopathy) I gave him Apis, Ars - one dose each and after one month Mercurius and Lycopodium one dose each. Bio-chemic Natrum Mur 6X and Ferum Phos 6X twice a day for 15 days was also given. Then biochemic was advised to take as soon as signs of cold appears. Nephrologist was unaware that he is under homeopathic treatment. I used to advice my sister that you should be under constant care of Nephrologists.
Within 3 months there was good improvement in his condition. Now he was on reduced dosage of steroids. He would not get colds as frequently as before and there was improvement in his overall health after commencing homoeopathic treatment. My sister reported that it's the first time in all these years that we have been able to reduce the dosage of steroids and still he continues to improve. They were glad about opting for homoeopathic treatment because steroids would give his son only temporary relief and lots of side-effects, of which they were not even aware previously.
By the end of 6 months of treatment he did very well and his drugs' dosage and steroids had been lowered by Nephrologist. Nephrologist was surprised that he was doing so well in spite of being on such a low dose of the medication. Now Maulik would not require as frequent visits to Nephrologist as before and he would need to see him only once in about 3 months. Overall he did well with the treatment. The response in his case was positive in a very short period of time. They were much surprised for the treatment which he had to continue for long time since this disorder started.
At about 12 months of starting homeopathic treatment all drugs - homeopathic and allopathic were stopped, as he was cured of all symptoms and no albumin in urine.

Today Mr Maulik is 29 years old and he enjoys good health. He is not taking any allopathic or homeopathic medicine for as long as 10 years except when he feels starting of cold symptom, I have advised him to take biochemic - Natrum Mur 6x and Ferum Phos 6x as required.
Understanding of chronic renal disease
Chronic renal disease produces progressive loss of renal function leading to low and deteriorating glomerular filtration rate. Initially Chronic kidney disease is without specific symptoms and can only be detected as an increase in serum creatinine or protein in the urine. As the kidney function decreases creatinine level in blood serum is increasing. Nuclear medicine MAG3 and DMSA scans give idea of blood flows through kidney.
Following is the pathophysiolgy of chronic renal disease:-
  • Blood pressure is increased due to fluid overload and production of vasoactive hormones, increasing one's risk of  suffering from congestive heart failure
  • Urea accumulates; leading symptoms are ranging from lethargy to pericarditis and encephalopathy.
  • Potassium accumulates in the blood can cause fatal cardiac arrhythmias
  • Decreased erythropoietin leads to anemia.
  • Fluid volume overload produces mild  to severe pulmonary edema
  • Hyperphosphatemia can lead to hyperparathyroidism, with hypercalcaemia, renal osteodystrophy and vascular calcification that further impairs cardiac function.
  • Metabolic acidosis, due to accumulation of sulfates, phosphates, uric acid etc, may cause cardiac and neuronal dysfunction and  promotion of hyperkalemia due to excess acid (academia).
  • Accelerated atherosclerosis develop cardiovascular disease. Chronic kidney disease and cardiovascular disease tend to have significantly worse prognoses
  • In chronic renal failure numerous uremic toxins accumulate. These toxins show various cytotoxic activities in the serum.
Causes of Chronic kidney disease:-  It is easy to understand kidney disease classification  according to the part of the renal anatomy:-
  • Vascular, such as bilateral renal artery stenosis and small vessel disease such as ischemic nephropathy, hemolytic-uremic syndrome and vasculitis
  • Glomerular,
    • Primary Glomerular disease such as focal segmental glomerulosclerosis and IgA nephritis
    • Secondary Glomerular disease such as diabetic nephropathy and lupus nephritis
  • Tubulointerstitial diseases such as polycystic kidney disease, drug toxin-induced chronic tubulointerstitial nephritis and reflux nephropathy
Obstructive such as with bilateral kidney stones and diseases of the prostate
Chronic kidney disease - Homeopathy Treatment and Homeopathic Remedies
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology, possible causative factors etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. Homeopathy tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why 'this patient' is sick 'this way'. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. The correct homeopathy remedy tries to correct this disease predisposition. The focus is not on curing the disease but to cure the person who is sick and to restore the health. Homeopathy remedies do give cure but even in incurable cases as well the quality of life can be greatly improved with homeopathic medicines.
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