How fast does chronic kidney disease progress?

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Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Chronic kidney disease usually progresses slowly, about half of the patients with stage 3 CKD progressed to stage 4 or 5, as assessed by eGFR, over 10 years.

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Answered 04/07/2025

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Factors Influencing Progression Rate
- Age, underlying causes (e.g., diabetes, hypertension), and lifestyle significantly affect CKD progression speed.
Typical Progression Timeline
- CKD stages can advance over months to years, with variability among individuals.
Monitoring and Assessment
- Regular tests like glomerular filtration rate (GFR) and urine protein levels are crucial for tracking progression.
Impact of Comorbidities
- Conditions such as high blood pressure and diabetes can accelerate CKD progression.
Management Strategies to Slow Progression
- Implement lifestyle changes, medications (e.g., ACE inhibitors, ARBs), and dietary adjustments.
When to Consult Specialists
- Involve nephrologists for tailored care and advanced management.

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I'm currently on dialysis because my serum creatinine level is 8. I'm worried about my heart too since I've got an issue with my ejection fraction. Are there any meds or treatments that could help both my kidneys and heart? I'm also curious if there are any Ayurvedic options I could consider for renal and heart failure. Any tips or references would be really helpful!

For the treatment of heart failure and to improve ejection fraction, medications such as ACE inhibitors like Enalapril or Lisinopril, beta-blockers like Carvedilol or Metoprolol, and aldosterone antagonists like Spironolactone can be beneficial. In addition, medications like Diuretics such as Furosemide may be prescribed to help reduce fluid buildup in the body. It is important to consult with your healthcare provider for the appropriate dosage and monitoring. As for Ayurvedic medicine for the treatment of renal and heart failure, it is important to note that Ayurvedic treatments should be used with caution and under the guidance of a qualified practitioner. Some Ayurvedic herbs that are traditionally used for renal health include Punarnava (Boerhavia diffusa) and Gokshura (Tribulus terrestris). For heart health, Arjuna (Terminalia arjuna) is commonly used in Ayurveda. However, please consult with an Ayurvedic practitioner for the proper formulation and dosage tailored to your specific condition.

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