Prevent Kidney Disease

You might think that the kidneys only filter waste from your body, but your kidneys also regulate your blood pressure, protect your bones, and keep minerals and fluids balanced in your body, among other things. Unfortunately, one in three Americans is at risk for chronic kidney disease. This disease most often develops as a consequence of another condition (like diabetes or heart disease) and develops over the course of several months or years. There are things you can do to reduce your risk for this damaging kidney disease.

Steps

Improving Your Diet

1. Reduce your sodium intake. Watch how much sodium you eat and limit it to 2,300 mg of sodium a day. This is equal to about one teaspoon of salt. If you eat too much sodium, fluid can build up in your body causing swelling and shortness of breath. Try seasoning with herbs or spices instead of salt. Cut back on foods that are high in sodium. These include:
   • Sauces
   • Salted snacks
   • Cured foods and lunch meats
   • Canned and convenience foods
2. Cut back on sugars. Studies have shown that sugar plays a large role in contributing to obesity and diabetes, both of which can lead to chronic kidney disease. To reduce your sugar intake, read food labels since many foods contain sugar even if they aren't considered to be sweet treats. For example, condiments, breakfast cereals, and white breads are all high in sugar.
   • Remember to cut back on sodas since these contain high amounts of sugar. They also have kidney-damaging phosphorus additives and offer no nutritional value.
   • Note that added sugar comes in many forms — in fact, there are at least 61 different names for sugar you might find on an ingredients list. These include sucrose, high-fructose corn syrup, barley malt, dextrose, maltose, rice syrup, glucose, cane juice, and more.
3. Prepare your own food. When you make your own meals, you can choose whole grains, fruits, and vegetables that are minimally processed. Packaged foods that are processed are high in sodium and phosphorus additives which are bad for your kidneys. Try to eat 5 servings of fruits and vegetables a day.
   • In general, visualize a serving size of fruits or vegetables by looking at the size of your palm. One portion is about the amount of food you could hold in the palm of your hand.
4. Avoid protein from saturated fats. Researchers are still studying the relationship between high-protein diets and chronic kidney disease. While you shouldn't avoid proteins, or even fats, you should reduce the amount of red meat, full-fat dairy and saturated fats that you eat to only a few times a week. If you develop kidney disease, your kidneys will work harder to break down the waste from eating and digesting meat. Foods high in saturated fats include:
   • Processed meats: deli meat, sausages, cured meats
   • Butter, ghee, lard
   • Cream
   • Hard cheeses
   • Coconut or palm oils
5. Eat unsaturated fats. You shouldn't completely avoid fats. Unsaturated fats, such as monounsaturated fatty acids and polyunsaturated fatty acids (which includes healthy Omeg-3 fatty acids), can reduce your cholesterol. Lowering your cholesterol can reduce your risk for heart disease which can cause kidney disease. To include unsaturated fats in your diet, eat:
   • Oily fish: salmon, mackerel, sardines
   • Avocados
   • Nuts and seeds
   • Oils: sunflower, rapeseed, olive

Making Lifestyle Changes

1. Exercise. Being overweight or obese can increase your risk for chronic kidney disease. You should exercise to help you lose weight and lower your blood pressure, both of which will reduce your chances of developing kidney disease. Try to get at least 150 minutes of moderate exercise every week.
   • Studies have shown that obese people are twice as likely to develop chronic kidney disease. If your Body Mass Index is over 30, you're considered to be obese.
   • Moderate exercises include walking, cycling, and swimming.
2. Avoid tobacco. You might think that smoking damages the lungs the most, but it can cause heart disease. Heart disease, strokes, and heart attacks will make your kidneys work harder and can cause kidney disease. Fortunately, stopping smoking can slow the development of kidney disease.
   • If you're addicted to smoking, talk with your doctor about smoking cessation therapies. Your doctor might recommend nicotine patches or therapy.
3. Limit alcohol. When you drink alcohol, your blood pressure and cholesterol levels rise. These can contribute to high blood pressure which can cause chronic kidney disease. Although you don't have to stop drinking alcohol completely, you should limit yourself to 1 drink a day (if you're a woman) or 2 drinks a day (if you're a man under 65).
   • 1 drink is equal to: 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits (liquor).
4. Get regular checkups. Since kidney disease is difficult to detect until the disease has advanced, you should see your doctor for regular checkups. If you're healthy, aren't predisposed for a disease, aren't overweight and are under 30, you should see your doctor every 2 or 3 years. If you're healthy and between 30 and 40, see your doctor every other year. You can start getting annual checkups when you're 50, as long as you remain healthy.
   • If you've already been diagnosed with another chronic disease like high blood pressure, diabetes, or heart disease, it's important to work with your doctor to manage the disease since these can cause chronic kidney disease.
5. Use medications for pain correctly. Analgesics and nonsteroidal anti-inflammatory drugs can damage your kidneys if you take a high dose for an extended period of time. Taking a high dose for a short period of time can temporarily reduce kidney function. Follow the manufacturer's dosing instructions if you take aspirin, acetaminophen, ibuprofen, ketoprofen or naproxen sodium.
   • Ibuprofen, aspirin, and naproxen are in a similar class of drugs, so taking a combination of these drugs at the same time can cause kidney problems.
   • Acetaminophen products (such as Tylenol) are filtered through the liver, not the kidney, so it’s preferred for people with kidney problems (so long as they have a healthy liver).
   • Always tell your doctor what medications you're taking since some pain relievers — even over-the-counter drugs — can interfere with other medications.

Recognizing Kidney Disease and Getting Treatment

1. Watch for symptoms of chronic kidney disease. You might not notice symptoms right away since chronic kidney disease takes time to develop. Pay attention for:
   • Increased or decreased frequency of urination
   • Fatigue
   • Nausea
   • Itching and dry skin anywhere on the body
   • Obvious blood in the urine or dark, foamy urine
   • Muscle cramps and muscle twitches
   • Puffiness or swelling around the eyes, feet and/or ankles
   • Confusion
   • Difficulty breathing, concentrating, or sleeping
2. Think about your risk factors. While preventing kidney disease should be important for everyone, it's especially important if you're predisposed to developing the disease. Your risk factor is higher if you have a history of high blood pressure, diabetes, or heart disease. African Americans, Hispanics, and Native Americans also have higher risk of kidney disease. People over the age of 60 are also at an increased risk for kidney disease.
   • If you have a family history of kidney disease, you may be at risk for some kidney diseases that have a genetic component.
3. Get medical attention. Because many symptoms of chronic kidney disease are similar to symptoms caused by other diseases, it's important to get checked out by your doctor if you notice any symptoms. Your doctor can test your urine and blood for kidney function. With that information she then diagnose kidney disease or determine if another condition is causing your symptoms.
   • Talk with your doctor about your family history, any medications you're taking, and any concerns you have about your kidney health.
4. Follow the treatment plan. If your doctor diagnoses you with chronic kidney disease, you'll be treated for the condition that's causing it. For example, if a bacterial infection is causing your symptoms, you'll get antibiotics. But, since kidney disease is chronic, your doctor may only be able to treat complications.
   • If your kidney disease is severe, you may be put on kidney dialysis or get a kidney transplant.
   • Your doctor might prescribe medications to deal with complications. Specifically, you might need medications to treat high-blood pressure, treat anemia, lower your cholesterol, relieve swelling, and protect your bones.

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