WHAT IS THE CONNECTION BETWEEN CHRONIC KIDNEY DISEASES AND BONE HEALTH?

People with chronic kidney disease notice that their bones tend to get weaker and thinner. They become painful and are bound to break more easily as a consequence of mineral loss. The most common kind of bone infections happen when:

1. There is a change in the balance between two essential minerals in your body - calcium and phosphate, which prompts loss of calcium from your bones.
2. Four small glands (parathyroid organs), which regulate calcium in your body, turn out to be excessively active.
3. There is a change in the way your body utilizes vitamin D, a mineral that is vital for healthy bones.

Every bone disease affects bones in different ways.

• Phosphate is found in many food items you eat. Your kidneys normally throws out whatever is not required in the body. At the point when your kidneys have stopped functioning properly, phosphate may develop in your blood. Excess phosphate in your blood prompts loss of calcium from your bones, which has a tendency to weaken them. Eating food items that are low in phosphate can keep phosphate from building up in your blood.
• Since phosphate stays in your body when your kidneys are no more ready to remove it, four small glands in your neck (parathyroid organs) turn out to be excessively active. When this happens, calcium is expelled from your bones over a long period of time, making them weak.
• Vitamin D is a vital vitamin, which affects the balance in the calcium content of your body. Usually, vitamin D is processed into a more soluble state by the kidneys and can be utilized by the body. In case your kidneys have deteriorated, they can no more do this critical job. Luckily, the dynamic type of vitamin D is accessible in the form of medications that can be prescribed by your specialist, if necessary. In case you have a kidney disease, it is vital to find a way to prevent bone illness. Some of the solutions are as follows:
  • Limit the amount of phosphorus you consume every day. Ask your specialist  to let you know how much phosphorus you need to have and what you've to avoid.
  • Take a phosphate folio. This is a medicine that you bring with dinners to keep your body from taking in the phosphorus that originates from your food and beverages. This can keep phosphorus from ending up in your blood.
  • Take a calcitriol supplement. Your kidneys make calcitriol with the help of vitamin D that you get from food and the sun. When your kidneys are not working, they can't make calcitriol. A man-made type of calcitriol can help your body utilize the calcium and phosphorus it needs.
  • Exercise can make your bones more strong and keep them from breaking.
  • Quit smoking and stop use of tobacco. It can aggravate bone disease.
  • Take your medications the way your specialist instructs you to and do not skip dialysis medicines.
  • Even after changing your diet and taking medicines, if you still have an excess of phosphorus in your blood, your specialist may propose that you undergo further dialysis.   this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.                                                                                                             https://gscrochetdesigns.blogspot.com. one can see my crochet creations                                  
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KIDNEY STONES- ALL YOU WANT TO KNOW ABOUT IT

Kidneys are always hard at work, removing the toxic build up from our body. Sadly, at times, due to the food we eat & our body’s predisposition, a hardened mass can form in our kidneys from the crystals naturally present in urine. These pebble like ‘stones’ can hinder kidney functions. They can also travel to the ureter & lodge themselves there. Eliminating this can be excruciatingly painful. Kidney stone formation can happen to anyone & usually 5-10% of the population are affected by this condition. Men are more vulnerable than women. Women are protected by the hormone, oestrogen, which plays a vital role in preventing stone formation. But women are also at risk after menopause & sometimes a family history can make women prone to this condition. Lifestyle factors too are to be blamed. For instance, lack of sufficient fluid intake, obesity, eating deep fried foods, can aggravate stone formation.

Dehydration remains a major cause. Chronic dehydration causes a super-saturated urine utput, which can put you at risk. Everyone should drink at least 8-10 glasses of water & fluids, i.e., 2- 2 ½ litres , a day/ if you’ve suffered from stones before or have a family history, you require a daily fluid intake of 3 litres. Fluids can include buttermilk, fruit juices, tender coconut water also. Most fluid intake should be from water. Remember the less concentrated the urine is, the better.

Myths & misconceptions

Kidneys stones are formed from the deposits of many different kinds of chemicals, but the most common one, making up nearly 80% of all stones if calcium oxalate. For this reason, many people tend to think that cutting down on calcium intake can help prevent the formation of this kind of stone. This is a widespread misconception & is just not true. Cutting back on calcium can actually be harmful because inadequate calcium in your sustem can have the opposite effect & even hasten stone formation. For this reason, be sure to make calcium, from antural sources, an important part of your diet, especially if you’re over 50. Buttermilk with minimum salt is highly recommended. Avoid animal proteins, junk foods, chat items, pickles, processed & packaged foods, deep fried items & salty fare. Vegetables & fresh fruit juices are ideal but there are some restrictions. Avoid chickoo & grapes that have seeds. Home-made fresh foods are best.

Banana stem, vazhathandu, juice is highly recommended. Too much of this juice can actually cause the formation of oxalate. Even the sautéed form of banana stem as vegetable is good, as it has lot of fiber.

Oxalate foods- limiting high oxalate foods may help reduce the risk of forming oxalate stones. Foods that are rich in oxalate are- peanuts, tea, instant coffee ( more than 8 ounces a day), rhubarb, beets, beans, berries(, strawberries, gooseberries), chocolate, Concord grapes, dark leafy vegetables, oranges, tofu, sweet potatoes & draught beer.

Risks from metabolic factors- parathyroid disease changes the way your body metabolises calcium. With such a condition, regardless of your diet or lifestyle, you’ll be at risk of developing calcium oxalate kidney stones. Nearly 15% of kidney stones are the result of uric acid deposits. If you’re affected by gout, you’ld be more prone tp uric acid stones. Obesity & diabetes can leave one vulnerable also. Treating these metabolic conditions & going in for regulat screening for stones by taking an ultrasound of the abdomen & the kidneys every year is important.

Most small stones pass out in urine by themselves, but today there is help at hand for chronic sufferers & invasive treatment is kept at a minimum. The most preferred treatment for stone removal is called extracorporeal shock wave lithotripsy (ESWL). In this technique, small stones, less than 1 cm are broken down into fragments by high energy shock waves from a device outside the body. For larger stones, treatment options include, percutaneous nephrolithotomy (PNL), which involves making a small perforation & inserting a tube to endoscopically disperse the stone, without affecting the kidney tissue. Prevention is still the best option.