Stage 4 of chronic kidney disease is characterized by severe decrease in glomerular filtration i.e. 15-30 ml/min. As a result many complications develop at this stage including:
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- Anemia resulting in chronic fatigue.
- Edema in lower legs, hands and face and lungs causing shortness of breath.
- Increase or decrease in the frequency of urination and change in color and appearance of the urine.
- Pain in kidneys and problems in sleeping.
- Vomiting or nausea.
- Loss of appetite and metallic taste in the mouth due to uremia.
- Bad breath smelling of urea.
- Pain in bones and numbness in hand or feet.
At stage 4 at every third month blood tests are done to check the creatinine, hemoglobin, calcium and phosphorus levels. This helps to establish the condition and extent of kidney damage. Regular monitoring of blood pressure and blood glucose levels are also mandatory.
Treatment involves medications to control diabetes, high blood pressure, and high cholesterol levels. Nutritional supplements are given to control anemia. Angiotensin converting enzyme inhibitors (ACEIs) or angiotensin II receptor antagonists (ARBs) are used commonly to retard progression to stage 5. Dietary changes, lifestyle modifications and herbal remedies bring about relief to the symptoms. At this stage the patients are prepared for their choice of treatment i.e. dialysis or transplantation in case their condition worsens.
Dietary modifications:
Protein intake should not be more than 0.6 grams per kg of body weight at this stage. Low protein diet prevents uric acid build up and has a protective impact on the kidneys.
Phosphorus consumption should be limited to 800 to 1000 mg a day as at this stage as the kidneys fail to excrete phosphorus properly. You need to avoid nuts, chocolates, milk, cheese, seeds etc.
High potassium foods like potatoes, tomato products, legumes, bananas, yogurt etc. should not be consumed and the total intake should not exceed 2000-3000 mg a day.
High sodium foods like processed or refined foods and salt intake has to be cut down.
Calorie control through diet and exercising is needed and unsaturated fats should replace saturated fats.
Fiber supplement like psyllium or methylcellulose should be added to your diet as it reduces the uremic toxic build up at this stage. 30 grams a day is needed to reverse kidney disease. This level can be attained gradually i.e. you can take 5 grams for first couple of days and then increase to 10 and so on.
Iron, vitamin C and D rich foods should be inculcated in the diet.
Smoking and alcohol consumption should be stopped completely.
Beneficial herbal home remedies at this stage:
Prepare a decoction using organic dry hydrangea root, dry gravel root and dry burdock root and consume it three times a day regularly to reverse kidney disease and restore its normal functioning.
You can consume 1 to 2 teaspoons of Mutrakrichantak Churna, an Ayurvedic preparation containing herbs like Punarnava, Varuna, Shigru, Apamarg etc. It is beneficial in reversing kidney disease naturally. It also helps to reduce accompanying fluid accumulation and kidney tissue inflammation.
Acupuncture, yoga and Micro-Chinese Medicine Osmotherapy are also beneficial to ease various complications associated with stage 4.
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