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Our Kidney Blog is Australia's first Kidney Health Consumer feedback mechanism.  It enables people with kidney disease to share personal views and stories.  It provides key decision makers with feedback from those at the front line, dealing with this silent killer.  In a busy world  it's difficult to be heard - contibute your thoughts, help build a meaningful meeting place and voice for our kidney health community.  Our Kidney Blogosphere is reviewed by our Consumer Participation Committees.  You may also wish to make a difference in other ways.

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Early Detection and Prevention
Location: BlogsYour Kidney Blog - Have your say    
Posted by: Administrator Account Sunday, 22 May 2005
Kidney disease is out of control in Australia - almost 2 million Australians may be affected by early-stage kidney disease and not even know about it.
Kidney Disease is out of control in Australia - almost 2 million Australians may be affected by early-stage kidney disease and not even know about it. Research shows over 25% of all patients coming onto dialysis and transplantation do not see a kidney specialist until less than 90 days before dialysis starts. CKD is often referred to as a “silent killer” as up to 90% of kidney function can be lost before an individual experiences any symptoms. Yet the level of awareness of CKD amongst the general public and health professionals is low and many risk factor of CKD are modifiable. 
Have your say.......
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Comments (51)   Add Comment
By Rowena Horn on Friday, 14 November 2008
Re: Early Detection and Prevention
Melissa Russell,

I am generally healthy, but recently had full blood tests as part of a routine check up and my eGFR is 59. I have low blood pressure and low cholesterol and an ultrasound revealed nothing. I have no symptoms, such as blood in urine. My GP is very cautious and he is sending me to a nephrologist, but I can't get an appointment until 30 Jan 09. Disappointing. I am glad someone else is feeling that it's all a bit of a mystery.
Rowena

By Teresa Taylor on Thursday, 23 October 2008
Re: Early Detection and Prevention
This post from Zoe has been answered offline by our health staff, via email - cheers from your Web Angel.

By Zoe on Wednesday, 22 October 2008
Solid renal cortical masses - suspected angiomyolipomas
Afternoon all

Grateful advice from anyone who has had angiomyolipomas. I was diagnosed in 2006 with glomerular thin basement membrane disease and to date have been fairly lucky with recurring symptoms only every few months for about a week or so (flank pain, hematuria, fatigue, fever etc).

However I've had constant pain for over a month now with weird green urine that couldn't be explained away by change in diet or medication. My GP sent me off for a review ultrasound, which picked up two solid cortical masses (8mm each) on one kidney. Blood and urine tests came back confirming hematuria, no infection and high level of red blood cells (both glomerular and non-glomerular origin).

The ultrasound and subsequent CT scan give an indeterminate diagnosis of angiomyolipoma tumours.

Being in Canberra where there are only a handful of urologists, the earliest I could get in is late November.

I don't know whether to try and get in to see a urologist in Sydney asap. I've been reading conflicting information on these tumours, some resources advise they're benign, however should be removed as they can turn cancerous and other resources state that they can be benign, pre-malignant or malignant. The US Kidney foundation website states that over 90% of tumours on the cortex are malignant. Other resources state that people with TSC (neurological with seizures etc) often get angiomyolipomas, which apparently are rare. Touchwood, I have never had any neurological issues, so don't think I fall into this pigeonhole.

I have taken it all in with a pinch of salt, given that I haven't got the full context of the matter.

If anyone out there has had angiomyolipomas or knows someone who has, I would be really grateful if you could shed some light.

thanks
Zoe

By Allison E. on Friday, 12 September 2008
Re: Early Detection and Prevention
Hello,
I am reading up on my renal care information for a friend. He and his wife were told that he has a eGRF of 14, down from 16 since last year. At what number of eGFR does one have to start dialysis? Is there any hope of him staying off dialysis for years to come or is it inevitable now?
thanks
Allison

To answer your question Allison
Each individual patient must be assessed by their nephrologist to determine when dialysis treatment should begin, or if it is appropriate, and what type of dialysis is best suited to the indivual's needs.
Usually options will be discussed with the nephrologist or GP when the patient's eGFR is measured around 10, but this varies in each case. For more information refer to our patient fact sheet eGFR estimated Glomerular Filtration Rate at www.kidney.org.au/ForPatients/HealthFactSheets/tabid/609/Default.aspx
You may also find other fact sheets on the website that will give you further information on CKD.
Hope this information helps
KHIS Helpline 1800 682 531

By Ross Amor on Friday, 12 September 2008
Re: Early Detection and Prevention
Due to a possible UTI i was referred by my GP to an ultrasound clinic to have a urinary tract ultrasound. I was shocked to learn I had a congenital condition called "crossed fused renal ectopia" basically meaning if i undertsand it that I have one large kidney on the left side and no kidney on the right. This condition was confirmed after the CT urinary scan. Apparently this condition is rare although people with this condition may never know they have it unless they have UTI and or abdominal operations etc and is mostly discovered in autopsies.

My CT results stated that I had normal enhancement of the renal cortec/no renal mass/calculus. Normal excretion of both components of the renal ectopia and no obstruction/ureters returned to normal and showed normal excretion - liver and spleen normal. It also says both kidney's are normal and excrete contrast - I understood that I had one big kidney after the ultrasound???- No bowel or intraperitoneal abnormality is demonstrated - pelvic contents are normal. My specimin results for the possible UTI showed e-coli and I am anti-biotics to kill this infection which could be a recurring problem with such a condition.
Does anyone on here have this condition and or know anyone with this condition and what changes they made to their lives" - i played a lot of physical sports (league/union/AFL plus cricket and baseball, long distance running etc) up to a few years ago and obviously if I knew about this condition i would not be able to participate in such sports.
Thanks
Note for informaiton - Refer to Urinary Tract Infections on our Patient Information Health Fact Sheets and Life with a single kidney on this site. Our Kidney Health Inforline is 1800 682531. Also ask your GP

By KHAHealth Service coordinator on Friday, 12 September 2008
Re: Early Detection and Prevention
Hi Sally - Kidney Health Australia has a Kidney Connect Program you may be interested in which provides direct peer support through direct phone contact, wherby someone with similar experiences may call and discuss their stories together. A Health Service Manager will follow this up with you.

By Teresa Taylor on Thursday, 11 September 2008
Re: Early Detection and Prevention
Dear Sally, I was on PD for 5yrs and this seems to sound a lot like myself. I was advised to change to Hemo and it certainly made a difference to me.My levels all fell and this then placed me back onto the Transplant list, which happened, Regards,
Brad Rossiter - Eurobodalla Renal Support Group
bradrossiter521@hotmail.com

By sally tolhurst on Wednesday, 10 September 2008
Re: Early Detection and Prevention
I am on Pd and currently feeling very unwell - my bags are clear so there is not infection - I have been on pd for a year and know how well I can feel - I am getting over a ciold and chesty cough, but everything seems out of whack - leg muscles feel like I've walked a marathon. nausea (am taking a tablet for that) - has anybody else experienced this ? my creatine is not too good, but apparently it should not make me feel this bad - can anyone help

By Colin Eyre on Saturday, 26 July 2008
Mr
I have been told for about 4 years that i have a kidney function problem but only recently found out that i have about 60% function,also a kidney stone & blood in my urine & now i am feeling tired & lethargic all the time.My specialist wants me to have a cystoscopy & a dye test asap,i'm not happy with that decision are there any alternative treatments if so i would appreciate any advice,should i have been told earlier to have regular checkups as there is a family history of kidney problems.

By Zeinab Musseme on Monday, 16 June 2008
Re: Early Detection and Prevention
I was diagnosed with early detection of Glomerular disease at the age of 25 when i was pregnant with my first daughter. I am now 29. I want to know how serious is this particular disease if i dont lead a healthy lifestyle and what are the chances of it "just going away"?
REPLY.... If you need further info ring the Kidney Health Information Line on 1800 682 531 or read more in our Patient Fact Sheet on Nephritis on this site www.kidney.org.au/ForPatients/HealthFactSheets/tabid/609/Default.aspx (paste and copy link into browser)

By swajan on Monday, 16 June 2008
Re: Early Detection and Prevention
I was detected with GFR 57. I'm wondering while I was taking the proper medication, how my eGFR moved to 43 in one year. I found a letter from my doctor who was giving me allopurinol 400 mg in single dose. May it be the reason? My lipid profile which was normal earlier has become worse.

By Tiziana on Tuesday, 18 December 2007
Re: Early Detection and Prevention
Hi, this is the first time that I have talked about my PKD publicly. Only my husband knows about it, and of course my doctors.
I have a daughter who is beautiful and very sporty and I don't know what to do in regard to check if she has inherited the disease. I am 50 and I found out when my mother had one kidney removed. I was 18, after three years she was in dialysis, after two years of dialysis she was dead. She was 52.
I am managing with high blood pressure tablets, but my creatinine is slowly and inexorably rising, there is very little healthy tissue left in my kidneys. I know that there is nothing that can be done, and this makes me very angry. I am angry because a lot of money has been put in researching certain diseases, but very little is done for kidney diseases. I remember the doctors who talked to me when my mother died, in 1982, and they said that by the time I needed dialysis, certainly a treatment would have been found. This is not true, and I am fearing for my daughter.
I guess I am also depressed as I have been living with the knowledge of my disease for many years now and I can see and feel my health decreasing day by day. I would like to know if other people have been experiencing the same problem of feeling sick, a sense of impending doom, waiting to start dialysis, powerlessness and fear for their children.
I used to think that it would be better to spare my daughter for many years the thought of having the disease, but it could probably be better that she gets checked, especially if she has the disease and has high blood pressure, which is the most important thing to control in PKD.
Thanks - Tiziana

By Graham Herbert on Friday, 30 November 2007
Re: Early Detection and Prevention
There is a need for greater emphasis on the early detection of kidney disease and the knowledge as well as the application of treatment that can slow the progress towards end stage renal failure.
If people at risk of kidney disease are screened regularly, then signs of the onset can be detected and appropriate action taken. This action can often be a change of lifestyle as well a medication so impairment of kidney function does not progress rapidly to End Stage Renal Disease.
It is very beneficial to the patient and financially to the community to prevent or delay the onset of ESRD. The treatment for ESRD is dialysis - a burdensome and costly procedure - which has far reaching affects on patients, their families, the hospitals providing the dialysis and the health budget. The budget cost of a dialysis patient is $60,000 annually. This increases the cost on hospitals and the workload on nursing staff. It does not include the cost of loss of income to the patient or the cost of caring by the family. Their costs are not only financial, but are also emotional and time consuming.

LIFESTYLE CHANGES DRASTICALLY WHEN DIALYSIS STARTS !

With early detection and careful treatment End Stage Renal Disease can be delayed or even prevented.

Spread the message HAVE YOUR KIDNEYS CHECKED REGULARLY.
Regards Graham

By Jane Farmer on Monday, 29 October 2007
Re: Early Detection and Prevention
Hi Olivia,
I am in the same boat as you. Had an ultrasound 18 months ago and found i have only one functiioning kidney (which is about twice the normal size). The non-functioning is still there though. Was told I was probably born like this too. Have a problem with recurring UTI's in about the last 2 years so this is always a concern to me. Anyone else in the same boat? Any advice from anyone would be much appreciated.
Jane
foxyaussie@hotmail.com

By Jayde, SA on Monday, 29 October 2007
Re: Early Detection and Prevention
I am a 24 y.o female. I have an enlarged kidney that is approx 5-6 times larger than normal & my urologist said that it seems to have cysts on it. I have constant lower back pain & always feel sick & tired. After heaps of scans & cystoscopy's he has found that my ureter was blocked & has since inserted a stent. This was done a week & a half ago & the backpain has gotten worse & I have also been having pains in my lower abdomen & feeling sick.

Has any one else been in this situation before?? Will my kidney return to normal size?

I am unable to get an appointment with my uroligist for 3weeks to discuss with him & I am worried about my kidney health gettign worse.

By Michael Griffin on Monday, 29 October 2007
Re: Early Detection and Prevention
Jess Griffin mentioned on my previous blogs above has released a great song on her myspace page: http://www.myspace.com/jessrgriffin.

Please support jess. She had a kidney removed when she was two and needs support to achieve her dream of being a professional singer. Don't let her kidney problems be an obstacle to her achievement. Michael

By Olivia Grundeman on Tuesday, 31 July 2007
Re: Early Detection and Prevention
Hello, I had an ultrasound and was told i was born with only one kidney. I am trying to find out information on this and people in the same situation.

Thank you

By Carolyn Dunn on Tuesday, 24 July 2007
Re: Early Detection and Prevention
For Dianne Robertson

I was put on aranesp about 3-4 years ago and I am also treated for high blood pressure - however, my bp is always fine and indeed my dr says that part of the reason why I am not yet on dialysis is bacause of my good bp levels. I (or should I say my husband) find/s the aranesp a great little drug, if not a big pain to take (being a needle). It appears that when I get tired I can get a bit cranky, but when my aranesp injections are up to date I am less so, and I do I have more energy. And as I said, my bp levels are good. So I would have to say I like the drug (but I don't like actually getting it!!)

Hoping everyone is going ok.

regards, Carolyn

By Marguerite on Tuesday, 24 July 2007
Re: Early Detection and Prevention
My husband has had every test under the sun, but no diagnosis, for the fact he has blood in his urine whenever he gets sick with a general bug. When it occurs it has cleared up by the time he can get to see a specialist. He was thought to have glomerulonephritis, but that was ruled out. The evidence is there (urine, tiredness etc.) but no one seems to know why it is happening. Are there management plans for this sort of problem. We don't know if it a precursor to kidney disease or a common more minor complaint. Thank you.

By Sue Deane on Tuesday, 29 May 2007
Re: Early Detection and Prevention
For Caitlin: I think you are talking about my disease, i.e., Wegeners Granulomatotis - you are very lucky indeed. I went into hospital with it and with total renal failure, bleeding sinuses and bleeding lungs. I was dying - 4 months, 8 biopsies of all sorts of things, a couple of blood transfusions, daily collection of bloods, weekly 24 hr plus other urine testing, and endless lung xrays, a dose of Golden Staff pnuemonia and isolation, 40 odd tablets a day, EPO injections into stomach for the last month daily, anorexia - just could not eat/horrible - I went home. I then set into 2 yrs of chemotherapy tablets daily plus prednisone (which continued for another couple of years). This meant no hair, bloated moonface and other places and terribly low haemoglobin for a long time. I could not drive or walk much for a couple of years. Now though I'm cooking with gas. My kidneys have come up to about 50% function and I am generally fine - but the residual from such long term toxic drugs is arthritis, cataracts, osteoporosis and skin cancers. I take about 6 drugs a day and the rest is being managed with diet, a bit of exercise etc. My nephrologist reckoned I had WG as bad as it could be and my obsessive personality helped get me to here. I might say I have had to return to hospital a couple of times - the first for a couple of weeks, the second for 1 week and that was 5 years ago. I also had to battle uvietis and lost a bit of central vision. PLEASE G.P.s - TEST FOR WEGENERS - and good luck Caitlin.

By Melissa Russell on Tuesday, 29 May 2007
Re: Early Detection and Prevention
Hi everyone!! I went for a complete blood check about a year ago and found that I have kidney problems. The strange thing is - I don't have any blood or protein in my urine, blood pressure normal, kidneys looked fine on ultrasound. Basically nothing to indicate that there are any problems. Except my GFR sits around 62 and my phosphate and magnesium levels are a little bit over what is considered normal. My GFR sits around 62 and my creatinine clearance is low (1.39ml/sec). My specialist isn't sure what to do next but has suggested a biopsy but believes this will probably come back normal. Has anyone come across this type of thing before?? Not sure what to do and don't want to just sit and wait for it to go downhill. Your replies would be greatly appreciated!!!

By sally bennett on Tuesday, 29 May 2007
Re: Early Detection and Prevention and government funding
I am not a renal patient but a registered nurse in the process of studying for a renal certificate. I am becoming increasingly passionate about the need for early detection and the gross inadequacies of government funding. It has become patently obvious that this escalating problem needs urgent attention. That being said I am also filled with a growing admiration for those of you who manage your renal disease so effectively.

By Dianne Robertson on Tuesday, 29 May 2007
Re: Early Detection and Prevention
I was diagnosed with chronic renal insufficiency 2-1/2 years ago. Since then my creatinine level has stayed steady but my red blood cell counts have slowly crept down. My doctor wants me to start Aranesp to boost the red blood cell production. I'm concerned about the medication's side effects, especially the increased blood pressure. I was, after all, told to avoid anything that could elevate by blood pressure, since it could wipe out what kidney function I have left. If anyone is taking Aranesp or another erythropoieten drug, I'd like to know how you're doing on it.

By Roe Sybylla on Tuesday, 29 May 2007
Re: Early Detection and Prevention
I do not understand how early detection can help prevent kidney failure. I have been diagnosed with this (GFR 43) but the specialist I saw said there is nothing I can do except maintain my relatively healthy lifestyle. Is there anything else I can do to prevent further deterioration? Should I see another specialist or go on a more restricted diet?

By Parvin Mukhi on Friday, 9 March 2007
Re: Early Detection and Prevention
Hi! I am writing this in behalf of my dad, he is in india and got kiidney transplant in July 2004 which has been donated by my sweet and strong mom, now they both are fit and fine because of god who made this miracle and saved both of them....we have passed very hard time when my dad was on dialysis...he was suffering lot..so I can understand the pain of kidney patients but don't worry, you would be all right because God is always there..for help..and also I am thanking Kidney Institute of civil hospital Ahmedabad, India and Dr.Trivedi who is scientist in kidney institute and help all kidney patients by new research in kidney transplantation...from many countries people come to this institute for transplantation and go back home with new life..so take care of yourself by taking healthy diet and healthy habits.

By Kerry Walker on Wednesday, 20 December 2006
Re: Early Detection and Prevention
My comment to you is about early detection of Kidney problems.
Most people throughout Australia don`t go to there Doctor unless sick or worse an injury. Also most general GP`s are not aware of testing for Kidney problems or disease nor do they always test blood pressure on most patients.
I know now that the sign of high blood pressure and a tired & run down feeling is leading to a Kidney problem and in my case Kidney disease.
A simple Urine, blood pressure blood test was all it took to find out the problems.
The Doctor I was under for many years did a urine test on me, but at the time ( 1988 ) found to have traces of protein in my urine suggested to
“see how things go”. As time got on I had to ask someone at work ” who is a good Doctor to see “. I was then put in contact with a new GP who in 2 visits found a Kidney problem and sent me to a Nephrologist.

As Kidney Disease is on the increase in Australia and maybe more so in Tasmania due to an older population of elderly people I find it a must to bring to the attention of
( 1 ) People to go to there GP`s at least once a year for a general check up & blood pressure test.
( 2 ) make overnment both State & Federal more aware of Kidney disease on the increase being 1 in 3 people affected &
( 3 ) because of this increase bring to the attention of the medical ferternity to train Doctors mainly GP`s to test more so for Kidney & Urinary tract infections and how to treat them.

The cost of Dialysis throughout Australia is in the Billions of Dollars and Dialysis units are struggling to keep up and maintain the current flow of patients coming through with Kidney failure. More money, research and testing is required to cope with this building demand throughout Australia and more so on an URGENT time frame and not just ” see how the Budget holds out “.
Please find time to pass this comment on to Health Ministers & Heads of Medical training to maybe add a little weight to the already large problem.

Your lucky & happy to be alive patient.
Kerry Walker

By Metthew on Thursday, 30 November 2006
Re: Early Detection and Prevention
I changed nephrologist and ended up with a professor of nephrology. After being on high doses of cortisone for three years which was slowly reduced to nil,I am now considered to be in remission. Since way back then I have eaten ever morning a variety of fresh fruit along with a negligable amount of drugs commonly used for suffers.At my annual medicals with the professor, we concur that the antioxidents in the fruit have played a significant part .

By caitlin fox on Thursday, 12 October 2006
Re: Early Detection and Prevention
i’m 17 and have recently been diagnosed with an autoimmune disease. as a result of this disease i have mild chronic renal failiure. My disease is usually not diagnosed until the patient is in intensive care and sometimes it isn;t diagnosed until after death so i was EXTREMLEY lucky. my nephrologist is fairly confident that with a combination of perdnisolone and cyclophosphamide i should go into remission…nine tablets a day is a bit rough but i feel so much better only a month after being diagnosed my heamoglobin has gone from 74 when i was first admitted to hospital (normal range is from 115 up and they usually give transfusions at 80) to 118. anyway i am an example of why early detection is so important. prevention is sometimes not possible but kidney disease can be very, very aggresive and the earlier its caught the better. it makes a huge difference in treatment. this forum is genious

By michael griffin on Sunday, 27 August 2006
Re: Early Detection and Prevention
My daughter jess griffin is in Aust Idol. She had a kidney removed when she was two.I am constantly aware of the problems she may face later in life. She has not let this stop her achieve what she wants so far but as she gets older it may present problems. It wouldn’t be such a problem if early detection and donation were given more support by the government. The opt out system must be put in place for donantions. Under this system deceased people would be pre-assumed to be donors unless they had registered a concientious objection to donation while alive. . GO JESS! Jess’s dad Michael.

By Melissa Darnley on Thursday, 20 July 2006
Re: Early Detection and Prevention

Hi Jay
Sorry it has taken so long to reply! You are doing all the right things. I kept working full time the whole way through my disease pre dialysis and felt well, although in hindsight I was probably tired a fair bit of the time but didn’t worry. The high blood pressure can be very frustrating as you know you are otherwise fit and “healthy”. Am now off all blood pressure meds with Nocturnal dialysis ( a small blessing).
My advice is enjoy your life, make every day matter and make sure you have a good nephrologist who answers your questions and thinks outside the box!remember dialysis (if it comes to that) doesn’t mean the end of the world and who knows what medical advancements there are around the corner.
Cheers and good luck.(:


By Jay on Sunday, 18 June 2006
Re: Early Detection and Prevention

Vittoria / Melissa / Carolyn,

I was recently diagnosed with chronic kidney disease, and a limited remaining kidney function. I had high blood pressure which is now under control with medication. Despite this, I generally feel very healthy.

I am currently exploring ways to manage my condition through oral medication, strict diet and healthy lifestyle. I would be glad if you could share more of your experience with your kidney condition?


By Jay on Monday, 12 June 2006
Re: Early Detection and Prevention

Carolyn and Melissa,

You mention that you have had kidney disease for over 10 years, but have only taken oral medication, and have not undergone dialysis. I understand you are generally feeling in good health.

I was recently diagnosed with kidney disease, and have a reduced remaining kidney function. Despite this, I feel generally very healthy, and have not experienced visible symptoms of kidney disease. I have high blood pressure which has been brought down with medication.

Are you able to share more of your experience, as I would like to explore ways of managing my condition through oral medication, healthy diet and lifestyle.

Look forward to hearing from you.


By Adrian farrar on Thursday, 8 June 2006
Re: Early Detection and Prevention
I was diagnosed with stage two membraneous nephrapathy back in 1996.The condition was serious and I was told to expect the worst ( transplant if and when available ).I changed nephrologist and ended up with a professor of nephrology. After being on high doses of cortisone for three years which was slowly reduced to nil,I am now considered to be in remission ( a vague term that leaves me perplexed ).Since way back then I have eaten ever morning a variety of fresh fruit along with a negligable amount of drugs commonly used for suffers.At my annual medicals with the professor, we concur that the antioxidents in the fruit have played a significant part .I hope this may be helpful and my best wishes to all those afflicted by this terrible disease.

By New York diasepam on Thursday, 23 February 2006
Re: Early Detection and Prevention

The cost of Dialysis throughout Australia is in the Billions of Dollars and Dialysis units are struggling to keep up and maintain the current flow of patients coming through with Kidney failure. More money, research and testing is required to cope with this building demand throughout Australia and more so on an URGENT time frame and not just ” see how the Budget holds out “.
Please find time to pass this comment on to Health Ministers & Heads of Medical training to maybe add a little weight to the already large problem.


By Jenny on Thursday, 1 December 2005
Re: Early Detection and Prevention
I have slight chronic back pain in my right kidney area. My blood results show the eGFR is >60 does anyone know what on earth this means?

By Gavin Nichols on Friday, 7 October 2005
Re: Early Detection and Prevention
I am a general practitioner and am frustrated at patients lack of motivation to achieve blood pressure targets. Patients need education that anti-hypertensive therapy is paramount in preventing CKD.

By jan williams on Tuesday, 4 October 2005
Re: Early Detection and Prevention
In terms of early detection and prevention as someone who had followed the rules - weight control, diet, exercise etc - I was disappointed to find high levels of protein in my test results. As my mother died from kidney failure, I was sent to a specialist and it was assumed I had chronic kidney disease - early stage - no treatment. By looking on the web, I realized that I had not been tested for asymptomatic urinary tract infection (kidney infection) - sure enough, I did have an infection that was treated with antibiotics by my GP and over some months now, my protein levels have returned to normal. That is not to say one day, I will not have this problem, but not this day. Had the UTI not been treated, how much more damage might have been done to my kidneys that could have been prevented. Who knows? So thanks to the internet for empowering me, the Patient, with the knowledge to know what help to ask for - and I am grateful for a GP who did not brush aside my home grown theories. So check it out or a diagnosis might become a self fulfilling prophecy before its time.

By Pauline on Wednesday, 21 September 2005
Re: Early Detection and Prevention

HI Gary,
I have heard of many people changing immunosuppressants without any problems. My husband had his transplant for 17 years, the first 4 years he was on imuran/prednisone. But in 1989 had to change the imuran to cyclosporine because it was affecting his liver ( however, in hindsight, we both feel that this wasn’t the case. We feel that it was the hepatitis C, that they didn’t know about which was affecting his liver. They didn’t find that out untill 1991.) He did well with the changeover, no problems. He was on cyclosporine/prednisone for the next 12 years. Then his kidney was in chronic rejection due to nephrotoxicity from the cyclosporine, so they tried changing him to cellcept. But he didn’t tolerate it. So he is now back on dialysis.

He hasn’t had skin problems from the drugs, but many do. I think everyone is different in how they react to drugs. I hope if you do change, that all goes well. Having your transplant that long is fantastic.

regards Pauline.


By Robert Hilley on Wednesday, 24 August 2005
Re: Early Detection and Prevention
I have found The Kidney Dialysis Organization Website to be very informative about Kidney Dialysis: http://www.kidney-dialysis.org

By Gary Rowan Higgins on Sunday, 14 August 2005
Re: Early Detection and Prevention
I have a 28 year old renal transplant who has been on a consistent dose of immunosuppressant/anti-inflammatory, v.i.z., Imuran and Prednisolone. Are there any CRA/LDO recipients out there who have sought or necessitated a change in long-term immunosuppressive/anti-inflammatory treatment either because of improved post-operative therapy or the development of skin cancer? There appears to be a bone being pointed at Imuran if/when skin cancer is detected and that there appears to be better therapy available? Thanks.

By Ren on Wednesday, 3 August 2005
Re: Early Detection and Prevention
Zak
What is CoQ10

By Zak on Tuesday, 2 August 2005
Re: Early Detection and Prevention

To all kidney patients,

I find Soy protein (soy milk, tofu) very helpful against kidney disease deterioration together with CoQ10.

Good luck.


By jan williams on Wednesday, 13 July 2005
Re: Early Detection and Prevention
I have increasing levels of albumin despite following all the preventative advice and insisting on seeing a nephrologist - no smoking (never have), weight normal range, exercise daily, low cholesterol, medicated high blood pressure under control, diabetes under control via lifestyle. I totally support prevention and early intervention - and perhaps these steps are doing more than I think - but I would dearly like to hear of something proven or not I could try to stop the disease. I have some sort of UTI being investigated now and dont know if this is contributing to high protein levels. Mother had kidney infection and took bex for pain. Died from heart attack aged 51 years. Nephrologist says dialsysis 7 years or more out plus - any views of how or who to visit in Brisbane or what to do most welcome. I am 56 years. Jan.

By Jennie Bright on Wednesday, 13 July 2005
Re: Early Detection and Prevention

Hi Vittoria,

I’ve had kidney disease (as well as a number of other health problems) for a few years now, & having to take medication can be a ripe old pain in the behind (besides the fact that, according to my nephrologist, I’m already a walking pill factory at the ripe old age of 28). But, at the same time, I know that the medications have been prescribed for a reason, & I know that, healthwise, I’m better off taking the medications than not taking them. I’m also a Registered Nurse, & have seen what harm people can do by not taking their medications like their meant to. I don’t mean to frighten you when I say that, but, all too often, diseases such as kidney disease can be silent, meaning that while you may feel reasonably well in yourself, other factors (such as your blood pressure) may be saying otherwise.


By Carolyn Dunn on Tuesday, 5 July 2005
Re: Early Detection and Prevention

Dear Vittoria and Melissa

I too have had kidney disease for some time now (nearly 10 years), with my doctors talking about dialysis for at least 5 of them. I am fully functioning and generally quite well. I take four different tablets each day plus an injection of Aranesp (erythropoiten).

I don’t like having needles much and often have to brace myself, but I do it because the difference it makes is amazing - I have much more energy than I did before.

I don’t want to go on dialysis but it may be inevitable. In the meantime I will continue to do as much as I can to delay it. Taking the medications and keeping myself as healthy and happy as possible is a small price to pay.

It’s not my place to tell anyone what to do, but I would strongly encourage you Vittoria to have a go at the medications. good luck.


By Melissa Darnley on Monday, 4 July 2005
Re: Early Detection and Prevention

Michelle
I have had kidney disease for over 13 years and have manage to last this long without dialysis due to careful dieting and lots of exercise along with a very good specialist AND taking ALL my medication religiously. I know I would have been most unwell and on dialysis years ago if I hadn’t done all I could do to give myself the best outcome.
The hardest thing you have to battle is the loneliness of this first stage of kidney disease and feeling like nobody can really understand what you are going through which is where blogs like this site can be so useful. All the best. Stay in touch if you like.


By Melissa Darnley on Monday, 4 July 2005
Re: Early Detection and Prevention
Sorry Vittoria, I typed Michelle instead of your name

By vittoria evans on Thursday, 30 June 2005
Re: Early Detection and Prevention
I have a slow degenerative kidney disease, am living a normal life, I have regular check ups, but my dilemma is, that my doctor would like me to try medication to see if there would be a difference to my health. My biggest problem is that I have almost a fear of taking pills, that I cannot begin the treatment, and I look at the fact that I am feeling quite well at the moment.

By Pam Collier on Wednesday, 29 June 2005
Re: Early Detection and Prevention
I had chronic renal failure at the age of 18.
I had no Idea there were any problems until I had a haemorrhage behind my right eye and from there I went to see my GP. My blood pressure was 210/140. I was immediately admitted to hospital and and diagnosed with chronic renal failure due to urinary reflux.
Iwas fortunate enough to receive my Renal Transplant 34 years ago now.
I have since spoken to many people about being very aware of their bodies and doing something about it ASAP. Particulary if they have any urinary problems as it could be the first signs of Renal Failure.
I have been very fortunate to be given another chance of life and I now have an amazing transplant and lead a very full and productive life.
So let’s be out there and spread the word on Renal Health to all and sundry. In doing this perhaps many lives could be saved and may not get to the stage of requiring dialysis or tranplantation, but maintained on medication.
To the Govenment please reassess the cost of rejection drugs as it has cost me a great deal over the years.

By Nick Farley on Saturday, 25 June 2005
Re: Early Detection and Prevention
There is a lady here in Canberra who was told 3 years ago that she would be on dialysis within 6 months. She has made a dedicated effort to delay the onset of ESRF and is still managing her kidney disease without dialysis. I believe this is an excellent live example of the thrust of KHA’s Wee Week message about early detection. I have contacted the ACT Divisions of General Practice to seek their assistance in getting the message to all GPs to make urine testing a more regular practice in their clinics.

By John Kelly on Saturday, 25 June 2005
Re: Early Detection and Prevention

I have comments on a few different topics:

Donor Financial Compensation.I am sorry, I do not agree with financial compensation for organ donation. Who would pay?

Organ Transplantation.
This is probably a favourite subject of mine and some probably think my views are a little extreme! As a consequence, I shall significantly restrain myself!

Should we have an “opt out” rather than an “opt in” system of organ donation, thereby making everyone a donor unless they say otherwise?
Then of course, if someone opts out, should they be entitled to receive and organ?
I think you can’t be half in and half out or have your cake and eat it too!
I am well aware that changes are being made to rules regarding permission to allow the harvesting of organs, however, I also understand nothing is REALLY going to change because relatives can still overrule your wishes! One problem for me is that I cannot see what it has to do with relatives, or anyone else for that matter.

Indigenous Health.
My views on this subject are also probably a little extreme!
I fail to understand why a separate health system needs to be set up for indigenous Australians. As far as I am aware there is nothing in the existing system that I am entitled to that an indigenous member of our society is not.

Early Detection of Kidney Disease.
Since the incidence of kidney disease seems to be on the increase, maybe GPs should encourage their patients to have periodic tests for kidney function. Perhaps the general population should also be encouraged to have some tests from time to time.

Other Stuff.
I think having a forum for this type of discussion is a fantastic idea. Although the above might appear a bit negative, I am not at all negative about organ donation and kidney health, I just have some strong views about the subject.

I have a very close relationship with kidney disease, my wife suffers from polycystic kidneys and until she received a transplant, for some years her life was just one big balancing act, especially with diet and lifestyle. Because of her almost iron discipline, she kept relatively healthy for some years by managing diet. Today things are fine, it is five and half years since the transplant and she looks and acts as healthy as ever. The only problem now is the constant monitoring and all the tablets she has to take!

John Kelly



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Last updated: Nov 2008.