Why can foot bath help kidney patients

Some patients with kidney disease will have foot bath items when they receive Chinese medicine. What role does foot bath play in the end? How does it stand in the treatment of kidney disease?

Foot bath what effect?
Foot bath has a long history in our country. As the old saying goes, "Beginning in the morning with a purse of water, and before going to bed, it is not surprising that you are 100 years old." Even if you don't understand pathology, you know that you sleep well with hot water at night before going to bed.
Su Dongpo, a famous celebrity in the Northern Song Dynasty, once wrote in his article: “The foot bath is not effective at the beginning of the exercise. However, for more than a hundred days, the utility function is incomparable. It is more effective than the medication.” Kidney experts said: “Yin Cold is all from the feet, and into the foot of the heart.
So why does foot bath work?
Because the feet of the body distribute most of the main meridians and important acupuncture points of the human body, the thermal conductivity of warm water makes it easy for the medicine to travel along the meridians and reach the entire body.
This may seem more illusion. In fact, we have experience in our daily lives: When the nose is not clear, put a cup of hot water under the nose, the steam is smoky, and the nose is quickly cleared. The truth is the same.

The application of foot bath in the treatment of kidney disease
We know that Chinese medicine is not a "kidney disease," one that is dialectical treatment, so patients with kidney disease show different syndromes before they can use different traditional Chinese medicine foot bath prescriptions.
For example, patients with "qi and yin deficiency" often show tetany, fever, thirst, fatigue, red tongue, and rapid pulse. They can use herbs such as honeysuckle, eugonania, euphorbia, and so on.
Among them, Streptococcus olivaceus and Cinnamomum variabilis are cold and active, and Shujin active can improve the immunity of patients with kidney disease; Zeeran Huoxuetongjing, benefit water swelling, can enhance blood circulation and eliminate edema.
For example, patients with "Kidney and kidney yin deficiency" often show weakness in the waist and knees, five upset fevers, dizziness and tinnitus, irritability in insomnia, little red tongue coating, and a few pulsed strings. They can use drugs such as vine, red peony, and rehmannia at night. .
Among them, the night Jiaotan Yangxin Anshen, Hurricane Tongluo, can relieve this heart failure, improve the quality of sleep in patients with kidney disease; Chishao heat and cooling blood, Sanyu analgesia, rehmannia tonic Yin, filling lean marrow marrow effect, Has a good blood-supplementing effect, can relieve complications such as anemia, heart failure, but also improve the immune system of patients with kidney disease.

The position of Chinese medicine in the treatment of nephropathy
In the treatment of kidney disease, Western medicine's main role is to suppress or kill the clinical symptoms of inflammation, urine protein, occult blood, and creatinine; the main role of Chinese medicine is to improve blood circulation, enhance the patient's constitution, and protect the remaining nephron.
The two are highly complementary and there are no absolute advantages or disadvantages.
In the treatment of kidney disease, Chinese medicine is not capable of reversing arrogance, nor can it immediately eliminate various symptoms and restore various indicators. However, Chinese medicine can slowly regulate the functions of the body itself and enhance the body's ability to repair itself.
Therefore, Chinese medicine does not directly treat kidney disease. It is only through conditioning and supplementation that the treatment of kidney disease has become relatively easy and the patient feels better.

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These 5 small habits can stabilize your blood sugar for 30 years

The biggest headache for diabetics is blood sugar instability. For this reason, it is not only necessary to take various medications, but also to be cautious in the diet.
The doctors summed up many years of clinical experience and found that the following 5 seemingly ordinary habits could keep blood sugar stable for decades.

First: Adhere to medication
There must be a lot of sugar friends who have expressed disdain for this: Whoever insists on medication will not, as if anyone did not insist on medication!
In fact, there are indeed many diabetics who are somewhat casual on medications:
Once the blood sugar is controlled, he wants to reduce the drug or even stop the drug;
Once the blood sugar fluctuates, it will add its own medicine, even using the so-called remedies;
Occasionally I didn't take medicine for two meals. Should it be okay?
......
These behaviors seem innocuous, but the impact on blood glucose control is far beyond imagination.

 Second: ground blood glucose
Changes in blood sugar, the body itself is not much feeling, relying on instrument detection.
Many sugary friends can still measure several times a day at first, but as time goes on, they begin to feel impatient with this habit.
Especially when the test results are similar for a period of time, it is even more difficult to measure blood sugar every day.
Even some sugary friends believe that their medication, diet, daily routines, etc., maintain strict rules, and blood sugar certainly will not change, and it does not matter if it is not measured.
This kind of luck may not be allowed.

Third: manage mouth
Diabetic diets have stricter restrictions and need to quit smoking and drinking.
Fortunately, at the beginning, the sugar-mates have a relatively strong self-control ability and, together with the family's attention, they can keep their mouths shut.
But after a few years, smoking and drinking are already difficult to control. In particular, the simultaneous detection of blood sugar, found that normal sugar sugar friends, but also produced the "occasionally smoke a little drink will not happen," the illusion.
The same is true of the diet, and it is still possible to maintain a light diet at first, but soon it is difficult to resist the temptation of food.

Fourth: take a step
As one of the “five carriages” for the treatment of diabetes, the importance of proper exercise is beyond doubt.
Walking, Tai Chi and other soothing exercises are ideal for people with diabetes.
The significance of proper exercise is that it can greatly reduce various diabetic complications caused by blood viscosity, such as diabetic eye disease, diabetic foot disease and diabetic nephropathy.
Any one of these complications will bring a heavy burden on the patient and the entire family.

Fifth: Emotional Stability
Cheerful and optimistic mood is the best medicine to control diabetes.
Feelings of happiness, anger, worries, thoughts, sadness, terror, and panic all affect the normal operation of the cardiovascular system. Only stable emotions are conducive to health.

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What kind of person is farthest from renal failure uremia

What kind of person is farthest from renal failure uremia?Even if you do not have kidney disease, you know that it is a very difficult disease, and it is basically incurable when you reach the stage of uremia of renal failure.
Who is not easy to get renal failure uremia?

1, people without family history
Although there is no clear evidence at present, most types of nephropathy have family clustering, and it can be said that there are certain genetic factors.
Therefore, those who do not have a family history have a relatively low chance of having kidney disease.
2, people with good habits
Regardless of diet or daily life, it is easy to observe certain regulations and it is easy to maintain the stability of immune function. The condition of immunity is very important for kidney disease because most of the types of kidney disease are related to the immune inflammatory response.
Therefore, people with balanced diet, reasonable daily living, and proper exercise have a low chance of having kidney disease. Even if they have kidney disease, they can delay the onset of uremia with renal failure.

 3, actively cooperate with the treatment of people
Even if you have kidney disease unfortunately, if you can actively cooperate with doctors, it can also reduce the rate of development of kidney disease. It can be maintained for more than ten years or even life in the initial stage.
The current medical level does not reverse kidney disease, but it can protect the remaining nephron and meet the minimum human needs. Even with renal insufficiency and elevated serum creatinine, the onset of uremia can be delayed.
4. People who maintain peace of mind
Mild peace of mind has two advantages. First, it helps stabilize blood pressure. Second, it helps improve immunity.
The influence of emotion on the body has been known by more and more people, especially the influence of emotion on blood pressure and endocrine conditions, which often endanger life. The peaceful mind can play an unexpectedly beneficial role in treatment.

In short, the incidence of chronic kidney disease in the world has exceeded 10%. It can be said that kidney disease has become a relatively common disease.
The horrors of uremia are naturally known, but as long as you do the above four points, even if you can not avoid kidney disease, but also can keep you away from renal failure uremia.

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What is the difference with proteinuria

What is microalbuminuria? What is the difference with proteinuria? Nephropathy patients need to understand, the relationship between urinary microalbumin, urinary protein, and the relationship between urinary protein and renal physicians. After reading, it is known that urine is a very common examination item for patients with kidney disease, but regarding protein, Urine microalbumin, urinary protein, etc., many patients with kidney disease expressed confusion: What are the differences between these two tests?

Clinical significance of urinary protein
It is well-known that there is a plus sign for urine protein, which usually means that the kidneys are damaged. Therefore, urinary protein is one of the important criteria for judging kidney disease.
But there is a problem here: physiological urine protein.
Although the kidney is not damaged, but due to various reasons such as body position, diet, exercise, etc., it will also cause urinary protein plus sign.
Therefore, when there is a plus sign for urinary protein, the doctor will usually ask the patient to do 24-hour urinary protein quantification for further confirmation.
However, it is inconvenient to make 24 urine protein quantification. It involves the collection and preservation of urine and may require hospitalization. Therefore, a test item named "urine protein creatinine ratio" is also called, which is abbreviated as ACR.
ACR is generally used to detect random urine, and the value has a very significant positive correlation with 24-hour urinary protein quantification, so it can well replace 24-hour urinary protein quantitation.

Clinical Significance of Microalbuminuria
The urinary protein test is so rough that although ACR or 24-hour urinary protein quantification can be used as a supplement, there are still some cases that are easily overlooked.
For example, early kidney damage caused by hypertension and diabetes.
This kind of protein leakage caused by elevated glomerular pressure, urinary protein added in the early days, but this time has caused kidney damage, and more importantly, this stage is the best time for treatment.
In order not to miss this optimal treatment opportunity, we have found urinary microalbumin as a solution.
As the name suggests, urinary microalbumin is used to detect urinary proteins below 0.15g/24h.
This is one of the important criteria for early diagnosis of secondary nephropathy such as diabetic nephropathy and hypertensive nephropathy.

The order of urine test in patients with kidney disease
In general, for a newly diagnosed kidney patient, the order of urine tests is probably this:
1, no history of diabetes, hypertension
First check the urine routine. If everything is OK, it's fine. If urinary protein is added, 24-hour urinary protein quantification is required.
If the 24-hour urinary protein quantification is not convenient, ACR can be done.
At this point, you can basically confirm whether or not you have kidney disease.
2, there is a history of diabetes, hypertension
First check the urine routine, if everything is normal, you also need to check urinary albumin for further judgment.
The following steps are consistent with the former case.
Here, everyone should understand the relationship between urinary microalbumin and urinary protein, and also understand why these tests are performed.

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How is the treatment effect judged about kidney disease

The doctor said: For kidney disease, how is the treatment effect judged?
When many patients with nephropathy gave me messages, they always complained about their own treatment for many years. Major hospitals ran through them but they had no effect. However, after I carefully asked for treatment experience, I found that there was a lot of misunderstandings.
In the end the treatment of kidney disease is how to determine it?

Although patients with kidney disease are at a loss for most laboratory tests, urinary protein, creatinine, and other values ​​can still be seen. Therefore, in many people's opinion, the therapeutic effect of kidney disease is the degree to which these figures return to normal.
This is actually a kind of misunderstanding. This must be started from the significance of the inspection.
The essence of medicine is through the body's various anomalous manifestations, deducing the damaged parts and ways of damage, and then using drugs, instruments, etc., to repair the damaged parts, or inhibit the damage.
For example, urine protein, most of the urinary protein produced by the reason is an inflammatory reaction, so we use hormones to inhibit the inflammatory response, so as to achieve the purpose of eliminating urine protein.
Please note that the "derivation" process here includes three parts: testing, asking history, and patient self-reporting.
The laboratory tests referred to various inspection items;
To ask for a medical history, doctors use the patient's previous treatment process and their own treatment experience to judge the condition of the patient.
The patient's self-reporting is based on the patient's description of the abnormal condition of the patient and assisted judgment.
Therefore, the test form can only reflect a small part of the patient's condition, and most of the remaining condition cannot be reflected on the test form.

Let me give you an example. You understand:
We often experience a feeling of "uncomfortable". Although this feeling is real, it will be carefully described but it will not be able to tell. Go to the hospital to check it, the data is normal, it seems there should be no problem.
This is because laboratory tests can only reflect a small part of the illness. The so-called "uncomfortable" feeling does not reach the pathological changes of the body and cannot be reflected in the data.

The same is true for the treatment of kidney disease. For patients, reducing urinary protein and creatinine is naturally the most important, but for doctors, it may be necessary to increase hemoglobin and albumin. Even sometimes, letting patients eat dinner and sleep is the focus of treatment at this stage.
Some of these effects are reflected on the lab sheet, but you may not pay attention; some are simply a feeling and are easily overlooked.
It should be noted that the kidney includes more than two million nephron units, and as long as 30% of the nephron units can work properly, it is enough for the daily needs of the human body.
Protecting the remaining nephron is the main task. Eliminating urinary protein, creatinine, etc. are only branch tasks.
Since necrotic kidney units cannot be recovered, many times, "not worsening" or "will not accelerate deterioration" is the best effect.
Those patients who have been treated for 5 or 6 years and still have urinary protein 3+ should be thankful for not having elevated serum creatinine, because some patients have already had dialysis for only a few years after getting kidney disease.
Similarly, patients with renal failure, some can only stay in bed all day, and some can still go out to work.
Therefore, the significance of treatment is not only the number on the laboratory sheet, but also the control of the progress of the disease. It is to improve the treatment of life and to minimize the impact of disease on life.

If you have doubts about the treatment of kidney disease, if your kidney disease is not cured for a long time, you can long press the QR code, we will discuss together.

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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How to eat a reasonable diet for patients with kidney disease

Nephrologists talk about diet: how to eat a reasonable diet for patients with kidney disease
In addition to treatment, there is no dietary problem that can cause entanglement for patients with kidney disease. This is because the Internet is filled with articles such as “Eating ** leading to kidney failure” or “×× eating uremia”, which makes everyone feel at a loss .
How to solve the diet problem of patients with kidney disease? Today we talk about it.

What is a "light diet"?
A light diet is almost a pet phrase for all doctors, but the question is, what is "light"?
The so-called "light" actually refers to the intake of sodium ions, which is simply not easy to grasp accurately, and the specific situation of each patient is not the same (such as whether edema, hypertension, etc.), so the general statement Yes, patients with normal renal function have daily salt control below 6 grams, and patients with renal insufficiency have daily salt control below 3 grams.
People who have actually performed it all know that this is just a taste! (Although I don't know what the wax tastes like...)
To solve this problem, first of all we need to find out: Why do doctors need to reduce sodium intake in patients with kidney disease?
There are two reasons: First, sodium ions are prone to cause sodium retention, which is the common edema in patients with kidney disease; Second, sodium ions may cause high blood pressure, and high blood pressure has a relatively large injury to patients with kidney disease. (Note: The issue of elevated blood pressure caused by sodium ions is currently controversial.)
From these two arguments, we can see that the reason why doctors restrict salt to patients with kidney disease is only to fear edema and high blood pressure, which aggravates kidney disease.
We also know that one of the main functions of the kidneys is to regulate the electrolytes, and the metabolism of sodium ions is also within its scope of regulation. Therefore, if the kidneys regulate the normal electrolyte function, there is actually no reason to limit the salt.
From this we can draw the following conclusions:
The limit is not limited to salt, depending on whether the patient has developed edema, high blood pressure, or electrolyte imbalance. If not, there is no need to limit salt.

What is a "high quality low protein diet"?
This also makes everyone very confused, what is "high-quality protein"? Why "low protein"? What is the "high quality" and "low" protein diet?
First, talk about high-quality protein, which is actually the most easily absorbed protein, that is, the protein whose amino acid pattern is closest to the human body.
Why "low protein"? Because most patients with kidney disease have urinary protein-positive symptoms, that is, proteins leak out, this leakage process can damage kidney cells, especially glomerular podocytes, and cause more protein to leak out. If there are a lot of protein in the body, whether it is good or not, if the kidneys are unable to prevent it, it will increase leakage and cause kidney damage. Therefore, to control protein intake, it is the “low-protein diet”.
In summary, a high-quality, low-protein diet is to ensure that the body's normal protein needs, but also ensure that there will not be too much protein to destroy the kidney cells.
High quality protein is represented by fish, meat, eggs, milk, etc.
Although each kidney patient has a different situation, there is a more general principle: the daily intake of protein is 0.6-1 g/kg body weight.

Dietary contraindications for patients with kidney disease
What are the things that kidney patients can't eat?
not at all.
The so-called dietary taboo, but some people deliberately exaggerated the impact of food on the human body. In fact, if we think about it, we can understand that highly purified drugs are still difficult to produce immediate effects on the human body. What is food?
As long as people can eat normally, people with kidney disease can eat, but some need to eat less.
Some people say that crayfish can cause rhabdomyolysis, which in turn causes acute renal failure, so people with kidney disease cannot eat crayfish.
I want to say how much crayfish I have to eat! If you really eat so much, not to mention kidney patients, normal people can not stand it?
Can kidney patients eat chili?
Eating half a bottle of Laoganma for a meal is definitely not a good thing, but if it's only a little bit as a seasoning, it won't happen.
what? Pepper can cause inflammation, aggravate the condition?
Do you think that the powerful stomach acid and endocrine system are furnishings?
Therefore, unless the kidney disease seriously affects the digestive function, it is not necessary "this can not eat, it can not eat."
After all, the depression caused by the isolation of food is the real killer of aggravating illness!

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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How to solve urinary occult blood in patients with kidney disease

Why is occult blood difficult to eliminate? How to solve urinary occult blood in patients with kidney disease?
To say the most difficult symptoms of kidney disease is definitely urine occult blood. In many cases, even though urine protein is negative, occult blood still remains and makes people feel upset.
Why is occult blood so hard to eliminate?

Occult blood and hematuria
The occult blood is also called occult blood. As its name suggests, it refers to "hidden blood."
In fact, urine occult blood is formed by the release of heme into the urine after rupture of red blood cells; and hematuria is the formation of red blood cells into the urine.
There are many causes of occult blood, such as stones, or tumors. The most common is urinary tract infection, followed by various types of nephritis, which can be judged by hematuria positioning.
It should be noted that urine occult blood occurs in women's physiology, so urine routine examinations must be done to avoid the physiological period.

Why is occult blood difficult to eliminate?
The reason is simple. At present, there is no effective drug for eliminating occult occult blood.
Urinary proteins are macromolecular substances. For urinary proteins that are caused by inflammation, we can use hormones to suppress inflammatory reactions and reduce renal cell permeability to prevent the leakage of proteins. For hypertension-induced urine protein, we can expand the kidneys. Blood vessels, improve the microcirculation of the kidneys to prevent the leakage of protein.
But occult blood? The red blood cells are already small, and the hemoglobin released after the rupture is even smaller. It is difficult to stop.
Therefore, we can often see that some urinary protein in patients with kidney disease has been negative for many years, but occult blood has been there, can not be eliminated in any case.

How to deal with occult blood?
At present, most doctors have the opinion that urine occult blood should be kept and active treatment should be avoided.
There are two reasons for this:
The first is the lack of effective drugs
As has been said before, there is currently no effective drug for occult occult blood. Only proprietary Chinese medicines such as Huangkui, Bailing and Jinshuibao can be used for proper conditioning.
Second, occult blood damage is relatively small
Urinary occult blood is much less damaging to the kidney than urine protein, and the side effects of active treatment do not offset the effect that may be achieved.
Therefore, for patients with kidney disease, as long as other aspects are well controlled, urinary occult blood does not have to be too tangled, but do not have to do everything possible to eliminate it, so as not to be worth the candle.

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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What are the 4 symptoms of nephrotic syndrome, the most serious

What are the 4 symptoms of nephrotic syndrome, the most serious?
Nephrotic syndrome is a collective term for 4 symptoms: high edema, large amounts of urine protein, hyperlipidemia, and hypoproteinemia.
Which of the four symptoms is the most serious?

First: a lot of urine protein
The large amount of urinary protein in nephrotic syndrome refers to 24-hour urinary protein quantitation exceeding 3.5 grams.
Whether it is primary nephropathy (membranous nephropathy, minimal change type), or secondary nephropathy (lupus nephritis, diabetic nephropathy), it is mostly due to the destruction of the glomerular filtration barrier that results in leakage of large amounts of protein.
Large urine protein severity:
Continued leakage of protein will further destroy the filtration barrier and cause more protein to leak out.

Second: Hypoproteinemia
Mainly refers to the plasma albumin down to 30g/L or less.
The serious decline in plasma albumin is due to a large amount of urine protein.
The severity of hypoproteinemia:
Low albumin is not only likely to cause edema (colloidal osmotic pressure imbalance), but also to reduce the immune system, reduce the constitution of patients with kidney disease, and more likely to cause new infections (such as a cold).

Third: hyperlipidemia
A decrease in plasma albumin can lead to compensatory increase in lipoproteins, leading to hyperlipidemia.
The so-called hyperlipidemia can be simply understood as blood becomes thick.
The severity of hyperlipidemia:
It is easy to cause thrombosis, especially deep vein thrombosis, and it may be life-threatening in severe cases.

Fourth: High Edema
The edema caused by nephrotic syndrome is caused by an imbalance of colloidal osmotic pressure caused by a decrease in plasma albumin.
This edema is usually symmetric concave edema, often spread from the lower limbs to the body.
The severity of edema:
High edema not only affects the appearance, but also causes acute pulmonary edema and acute heart failure. In severe cases, it will be life-threatening.

On the whole, the four symptoms of nephrotic syndrome are very serious, but when meticulously analyzed, most of them agree to list a large number of urinary proteins as the most serious symptoms.
Not only is a large number of urinary proteins can cause further damage to the kidneys, but the other three symptoms have a direct or indirect association with large amounts of urine protein.
However, it should be noted that:
If a large number of urine protein and high degree of edema exist at the same time, it should be given priority to solve the edema, because hormone can cause sodium and sodium retention, so that patients with kidney disease swollen and swollen.

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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Dialysis is not the most terrible thing for uremia

The doctor said: The most terrible thing about uremia is not dialysis, but it fails to build confidence in treatment.Dialysis is the most terrible thing for uremia?
For people with kidney disease, this is even more terrifying Uremia is a popular term for the development of chronic kidney disease to the end stage. The most important treatment is hemodialysis, which not only makes the patient feel painful, but also puts a heavy burden on the entire family.
But do you know? The most terrible thing about uremia is not dialysis.

For doctors, what is the doctor's responsibility for hospitalization?
Treat the disease well so that the patient can live a normal life.
In other words, do not let the disease continue to disturb the patient's life.
This is a relatively abstract statement. Specifically, it is to suppress or eliminate various clinical symptoms.
Such as edema, in order to reduce swelling; urine protein, to find a way to turn yin; high blood pressure, to find ways to buck ......
Elimination of symptoms is not an end, and life is not an objective.
Therefore, with some symptoms, doctors do not think it will affect their lives. There is no need for treatment.

However, for patients, the situation is completely different!
After all, the disease has appeared on oneself. Although we have not paid any attention to the body when we indulge in eating and drinking, and carnival, once we have a problem, the past neglect will turn into a thousandfold of care.
In the doctor's eyes, the unobtrusive low-grade fever appears to the patient as if the body is really burning;
The urinary protein 1+, which appears to the doctor as not being administered at all, appears to the patient as if the kidneys are already full of holes.
When patients go to hospital for treatment, they must have the greatest hope and even the last hope.
Not a last resort, most people will not choose to go to hospital for treatment.

Therefore, the greatest significance of treatment for patients is not to return to normal life, but to establish and strengthen the confidence of living.
Uremic disease can't give the patient such confidence.
Even if the dialysis is no longer painful, the cost will be higher, and the blow to the patient will not be even greater.
Especially in the regular dialysis phase, the monotonous and painful life in the distant future has completely changed the “treatment”.
Since there is no possibility of breakthroughs in medical technology in the short term, letting patients regain confidence is the focus of doctors' work.
Maybe answering a question does not produce a substantial change;
It may not be magical to express an understanding.
However, these small things can always shine in the hearts of some patients.

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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