Stage 3 kidney disease symptoms
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These studies suggest that stage 3 chronic kidney disease can be managed with treatments like Traditional Chinese medicine and Bailing Capsule combined with -ketoacid tablets, and that proper diagnosis and risk stratification are important, especially considering the prevalence of undiagnosed cases and the potential for adverse outcomes.
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Symptoms of Stage 3 Kidney Disease
Overview of Stage 3 Kidney Disease
Stage 3 chronic kidney disease (CKD) is a critical phase where kidney function is moderately reduced, with an estimated glomerular filtration rate (eGFR) between 30 and 59 mL/min/1.73 m². This stage is significant because it often marks the transition from mild to more severe kidney impairment, necessitating closer monitoring and intervention to prevent further progression and manage symptoms effectively .
Common Symptoms of Stage 3 Kidney Disease
Fatigue and Tiredness
Fatigue is one of the most prevalent symptoms in patients with stage 3 CKD. It affects approximately 71% of patients, making it a significant concern for those managing the disease. This symptom can severely impact the quality of life and daily functioning.
Anemia
Anemia is another common issue in stage 3 CKD, often resulting from decreased erythropoietin production by the kidneys. This condition can contribute to the overall feeling of fatigue and weakness .
Hypertension
Patients with stage 3 CKD are at increased risk of developing hypertension, which can further exacerbate kidney damage and increase the risk of cardiovascular events . Managing blood pressure is crucial in this stage to prevent complications.
Proteinuria
Proteinuria, or the presence of excess protein in the urine, is a significant marker of kidney damage. It is commonly observed in stage 3 CKD and can indicate the progression of the disease .
Gastrointestinal Symptoms
Gastrointestinal symptoms such as anorexia, nausea, and halitosis are frequently reported by patients with stage 3 CKD. These symptoms can affect nutritional intake and overall health .
Pruritus and Skin Issues
Pruritus, or severe itching, is experienced by more than half of the patients with stage 3 CKD. This symptom can be particularly distressing and impact sleep and daily activities.
Edema
Edema, or swelling, particularly in the lower extremities, is a common symptom due to the kidneys' reduced ability to balance fluid levels in the body.
Cardiovascular Symptoms
Patients with stage 3 CKD have a higher incidence of cardiovascular events, including heart failure and myocardial infarction. This increased risk is due to the interplay between kidney function and cardiovascular health .
Importance of Early Detection and Management
Early detection and management of stage 3 CKD are crucial to slowing disease progression and mitigating symptoms. Regular monitoring of eGFR, blood pressure, and proteinuria levels, along with appropriate pharmacologic interventions, can significantly improve patient outcomes .
Pharmacologic Interventions
The use of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II-receptor blockers (ARBs) is recommended to manage hypertension and reduce proteinuria in patients with stage 3 CKD. Additionally, statin therapy is advised to manage elevated low-density lipoprotein (LDL) levels, which can help reduce cardiovascular risks.
Traditional Chinese Medicine (TCM)
Recent studies have shown that TCM can improve eGFR and hemoglobin levels with fewer side effects compared to conventional treatments. Combining TCM with benazepril has been found to synergistically improve renal function and decrease proteinuria.
Conclusion
Stage 3 CKD presents a range of symptoms that can significantly impact a patient's quality of life. Early detection, regular monitoring, and a combination of pharmacologic and alternative treatments are essential in managing these symptoms and preventing further progression of the disease. Addressing these symptoms comprehensively can help improve patient outcomes and quality of life.
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