CKD Treatment Stage 3 disease causes weight loss

CKD Treatment

How often have you been consulted to verify the diagnosis of “CKD Treatment Stage 3” originating from a laboratory report in which the estimated glomerular filtration rate (eGFR) was calculated using serum creatinine values in combination with age, gender, and race?

Not infrequently, I have to initiate extensive and expensive work-ups consisting of several blood and urine tests, including a series of 24-hour urine collections to calculate creatinine clearance. Fortunately, in most cases, I reassure the patient that I cannot substantiate the diagnosis of CKD Treatment Stage 3 and not even Stage 1 or 2, for that matter.

CKD Treatment Stage 3, in which the kidneys are functioning at less than 15 percent of their normal capabilities. The kidneys experience complete or near complete failure and are unable to function on their own. It is most often caused by diabetes, but may also be a result of high blood pressure, vascular disease, an autoimmune disease or a genetic disorder.

CKD Treatment Stage 3 disease causes weight loss, nausea and vomiting, fatigue, difficulty breathing and seizures. If left untreated, end stage renal disease is a fatal condition.

At this stage, dialysis or a kidney transplant is usually needed. Patients will have to undergo dialysis treatments several times a week and may become very weak and fragile. Certain dietary changes may be necessary during dialysis treatment, including limiting fluids and salt and maintaining a low-protein diet. Transplants can often help restore patients' health, but have long waiting lists and require daily supplemental medications as well. We encourage patients with advanced Chronic Kidney Disease to pursue transplant evaluation early in their disease to ensure that those fit to undergo kidney transplant can have a good chance of finding a kidney prior to CKD Treatment Stage 3.

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