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CKD Stage 4, Diabetes, GFR 18, No Dialysis

Posted:by kidneytc  Time:2014-07-07 15:03

Topics: CKD Treatment Dialysis

Details: If you are CKD stage 4 and diabetic with GFR 18 and do not want to have dialysis, what is your life expectancy?

Expert Answer

dro.san

 Hi, if you just leave your illness alone, it will run to CKD 5 directly. Dialysis or kidney transplant is suggested when your GFR is lower than 15, and it is a must when it is lower than 10. At that time, if you still refuse to do dialysis, you will run high risk for serious complications like heart failure and severe pulmonary edema which may become the final cause of your death.

Besides, if toxins in your blood can not be cleared away, you will experience lots of terrible symptoms like:

1. Skin itching: Skin itching is one of the most terrible symptoms of CKD stage 5 and patients usually have to stay awake all the night because they need to scratch them now and then.

2. Nausea and vomiting: Nausea and vomiting are the most common gastrointestinal discomforts for ESRD patients. In some rare cases, patients may vomit blood.

3. Hard breath: You may have difficulties in breath and this may result from many conditions like pulmonary edema, congestive heart failure and even renal anemia.

4. Muscle cramp: Muscle cramp is another bothersome symptom you may experience when illness develops to end stage.

Besides, CKD stage 4 is serious, but it does not mean the end of life, and also it doesn not mean dialysis and kidney transplant, because under such a case, if you can improve some kidney function on the basis of protecting residual kidney tissues, it is quite possible for you to live a better life. Addtional, is your kidney problem caused by Diabetes? If yes, then remember to control your blood sugar in normal range, otherwise, further kidney damages will be caused, which will cause further decline of GFR. It becomes more and more difficult with the decline of kidney function and GFR. Therefore, sizing your chance to improve kidney function is very important now.

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