Causes And Treatment Of Kidney Failure?

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Afternoon doctor, I suffer from kidney failure caused by hypertension, drugs I take valsartan (morning) and amplodipine (night). dialysis 2x a week. When I wash my leg every time I swollen, if I take it to sleep my breath becomes less relieved, the doctor has given me furosemide only 1x (40 mg) a day and it doesn’t have much effect because my urine still doesn’t come out / it’s small even if it comes out. The question is can I increase the dose of furosemide to 2x a day so that I urinate a lot and my body or legs don’t swell? and are there any side effects if added to the dose? Thanks.

1 Answer:

Hello. Thank you for the question submitted to HealthReplies.com. We can understand the concern you feel.


The kidneys have a function to filter blood so that the body's waste substances can be excreted through urine. In the screening process, the kidneys can remove or reabsorb minerals and fluids according to the body's needs. In patients with chronic kidney disease, there is a decline in kidney function so that problems can arise through the urine protein, imbalance of body fluids and electrolytes, and the accumulation of body waste substances that cause swelling, tightness, weak body, decreased appetite, nausea, vomiting , convulsions, to a decrease in consciousness.


Therefore, it is necessary to arrange eating and drinking to adjust to the remaining functional abilities of the kidneys. In addition, drug therapy is also needed to control blood pressure, blood sugar, hemoglobin levels, body electrolytes, blood acidity, blood fat levels. If there are indications, substitute kidney therapy can also be done, for example by dialysis or kidney transplantation techniques.


Furosemide is a drug that is usually used in the treatment of patients with chronic kidney failure. This medicine is useful to help remove excess fluid in the body. Although beneficial, furosemide has the risk of side effects that can occur, especially in the form of disruption of the body's electrolyte balance which can be life threatening because it interferes with the functioning of vital organs such as the heart. Therefore, its use must be based on prescribing and supervision by a doctor who handles patients.


If you often experience swelling that causes shortness and other complaints, you are advised to immediately consult a specialist in internal medicine who treats you. Your doctor will evaluate your health condition so that you can determine whether you need to adjust the type and dosage of the drug. It is not recommended to change your routine medication dosage without doctor's monitoring and advice.


Broadly speaking, fluid intake in patients with chronic kidney disease needs to be regulated so that it is not excessive and accumulates in the body. A simple calculation for fluid intake in patients with chronic kidney disease is the amount of urine that comes out 24 hours ago plus 500 mL. This additional 500 mL is useful to compensate for bodily fluids lost unnoticed, for example: through evaporation through the skin and respiratory tract.


To help alleviate the work of the kidneys, some food ingredients need to be limited to patients with chronic kidney disease, including:

Protein. Patients with chronic kidney disease who undergo dialysis are advised to get a protein intake of approximately 1-1.2 grams / kg ideal body weight / day. However, these calculations still need to be adjusted individually to each patient's condition. Examples of protein sources are chicken, meat, egg whites, fish, beans, and dairy products.
Salt. Need to be limited to less than 6 grams / day.
Phosphor. It is recommended around 5-10 mg / kg body weight / day.
Calcium. It is recommended around 1,400-1,600 mg / day, not more than 2,000 mg / day

You are also advised to consult directly with a specialist in internal medicine and / or a clinical nutrition specialist who treats you to obtain more detailed information about nutrition regulation that is appropriate for your individual circumstances. To enrich insight, you can read articles about kidney disease.


Thus information from us. Hopefully always healthy. May be useful.

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