Chronic renal failure
Alternative names:
chronic kidney failure; chronic renal insufficiency; CRF; kidney failure - chronic; renal failure - chronic
Treatment:
Treatment focuses on controlling the symptoms, minimizing complications, and slowing the progression of the disease.
Associated diseases that cause or result from chronic renal failure must be controlled. Hypertension, congestive heart failure, urinary tract infections, kidney stones, obstructions of the urinary tract, glomerulonephritis, and other disorders should be treated as appropriate.
Blood transfusions or medications such as iron and erythropoietin supplements may be needed to control anemia.
Fluid intake may be restricted, often to an amount equal to the volume of urine produced. Dietary restrictions may slow the build-up of wastes in the bloodstream and control associated symptoms such as nausea & vomiting. The amount of protein in diet is often low, with high carbohydrates levels to make up calories. Salt, potassium, phosphorus, and other electrolytes may be restricted.
Dialysis or kidney transplant may be required eventually.
Support groups:
The stress of illness can often be helped by joining a support group where members share common experiences and problems. See kidney disease - support group.
Expectations (prognosis):
There is no cure for chronic renal failure. Untreated, it usually progresses to end-stage renal disease. Lifelong treatment may control the symptoms of chronic renal failure.
Complications:
Calling your health care provider:
Call your health care provider if nausea or vomiting persists for more than 2 weeks.
Call your health care provider if decreased urine output or other symptoms of chronic renal failure occur.
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