- General ill feeling and fatigue.
- Generalized itching (pruritus) and dry skin.
- Weight loss without trying to lose weight.
- Appetite loss.
- Abnormally dark or light skin.
- Bone pain.
- Brain and nervous system symptoms.
- Drowsiness and confusion.
- Problems concentrating or thinking.
- Numbness in the hands, feet, or other areas.
- Muscle twitching or cramps.
- Breath odor.
- Easy bruising, bleeding, or blood in the stool.
- Excessive thirst.
- Frequent hiccups.
- Low level of sexual interest and impotence.
- Menstrual periods stop (amenorrhea).
- Sleep problems, such as insomnia, restless leg syndrome, and obstructive sleep apnea.
- Swelling of the feet and hands (edema).
- Vomiting, typically in the morning.
- High blood pressure is almost always present during all stages of kidney disease. A neurologic examination may show signs of nerve damage. The health care provider may hear abnormal heart or lung sounds with a stethoscope.
- A urinalysis may show protein or other changes. These changes may appear 6 months to 10 or more years before symptoms appear.
- Creatinine levels.
- Creatinine clearance.
- Every patient needs to have the following checked regularly, as often as every 2 - 3 months when kidney disease gets worse, complete blood count (CBC), potassium, sodium, albumin, phosphorous, calcium, cholesterol, magnesium, electrolytes, erythropoietin, PTH parathyroid hormone), bone density test.
- Abdominal CT scan.
- Abdominal MRI.
- Abdominal ultrasound.
- Renal scan.
- Influenza vaccine.
- H1N1 (swine flu) vaccine.
- Pneumococcal polysaccharide vaccine (PPV).
- Hepatitis B vaccine.
- Hepatitis A vaccine.
- When loss of kidney function becomes more severe, you will need to prepare for dialysis or a kidney transplant.
- Do not smoke.
- Eat meals that are low in fat and cholesterol.
- Get regular exercise.
- Take drugs to lower your cholesterol, if necessary.
- Keep your blood sugar under control.
- You may need to limit fluids.
- You may have to restrict salt, potassium, phosphorous, and other electrolytes.
- It is important to get enough calories when you are losing weight.
- Always talk to your kidney doctor before taking any over-the-counter medicine, vitamin, or herbal supplement. Make sure all of the doctors you visit know you have chronic kidney disease.
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