Treatments for Kidney disease


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Treatment list for Kidney disease: The list of treatments mentioned in various sources for Kidney disease includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Treatment of Kidney disease: medical news summaries: The following medical news items are relevant to treatment of Kidney disease:

Treatments of Kidney disease discussion: With peritoneal dialysis (PD), you have some choices in treating advanced and permanent kidney failure. Since the 1980s, when PD first became a practical and widespread treatment for kidney failure, we've learned much about how to make PD more effective and minimize side effects. Since you don't have to schedule dialysis sessions at a center, PD gives you more control. You can give yourself treatments at home, at work, or on trips. But this independence makes it especially important that you work closely with your health care team: your nephrologist, dialysis nurse, dialysis technician, dietitian, and social worker. But the most important members of your health care team are you and your family. By learning about your treatment, you can work with your health care team to give yourself the best possible results, and you can lead a full, active life.1

The child's doctor may recommend diet changes and food supplements to treat growth failure. Diet changes may include limiting foods that contain large amounts of phosphorus, like milk and other dairy products (except cream cheese and cottage cheese), meat, fish, and poultry. High-phosphorus foods also include some vegetables like broccoli, peas, and beans. Dark breads (e.g., whole wheat, pumpernickel) and many cereals are also high in phosphorus. Since it is impossible to avoid all of these foods, it is necessary for caregivers to work with a dietitian to find a healthy way to limit the phosphorus in the child's diet while maintaining a desirable intake of calories and other nutrients necessary to maintain growth and a healthy general condition.

In addition to limiting phosphorus in the child's diet, the doctor may recommend a phosphate binder. This type of medicine keeps phosphorus in the bowel so that it does not stop calcium from getting to the child's bones. The phosphorus is then excreted with the child's bowel movements. Phosphate binders include chewable tablets that are also used as antacids (e.g., TumsTM). The child should take the phosphate binder with meals and only according to the doctor's recommendations.

Doctors often recommend calcium supplements for children with kidney disease. (These may be used either as a phosphate binder or to increase the calcium in the child's system. If the calcium supplement is to be used as a phosphate binder, it should be taken with meals. It will not provide extra calcium if used in this way.) If the calcium supplement is intended to provide extra calcium, it should be taken at least an hour after meals so that it is not absorbed by the food.

Another kind of necessary supplement in the management of children with chronic renal disease is the vitamin D hormone. There are different types of vitamin D, and these could be either DHT, calcitriol, or calcifediol. These supplements help the bones absorb calcium and therefore maintain a healthier structure and help somehow in the growth process.

If the child is very short for his or her age as the result of kidney disease, the doctor may consider prescribing human growth hormone; this is injected under the skin. Some questions remain about the usefulness and safety of using growth hormone in kidney patients. Some studies suggest that growth hormone stimulates growth in children with chronic renal conditions or children undergoing maintenance dialysis treatment or transplantation. Other studies indicate that growth hormone may increase the chance for rejection of a transplanted kidney. Another set of studies suggests that use of growth hormone may help treat malnutrition both in children and in adult dialysis patients.2

Footnotes:
1. excerpt from Treatment Methods for Kidney Failure Peritoneal Dialysis: NIDDK
2. excerpt from Growth Failure in Children With Kidney Disease: NIDDK

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