Primary Care tend to avoid CKD discussion or inform patients

Posted , 9 users are following.

This discussion has been locked due to a period of inactivity. Start a new discussion

I just read a great article, my cut/pastes doesn't seem to work here. The Nephrologist talked about kidney function and how many Dr. avoid the discussion with patients, many patients don't even know there's a problem with kidney function. Thus, medicines that are prescribed also ignore the CKD issue. So many meds affect the kidneys. A simple conversation about high creatinine or low GFR regarding salt, water intake, exercise and protein intake could truly help many CKD patients. There were 33 comments following this article from health care professionals weighing in on the data. If interested, this article is in Medscape online under the heading Nephrology. There are many great discussions here. 

2 likes, 12 replies

Report

12 Replies

  • Posted

    This is so true Mari I believe that the only reason I have ckd is because I took a large dose of ibruprofen for years for my fibromyalgia. I had no idea that it would cause the damage. The doctors didn’t inform me that this could happen,

    I only found out because of this site. 

    Report
    • Posted

      Snap! with Ibuprofen causing CKD, Willowby, in my case taken for about 6 months for a then undiagnosed auto immune inflammatory condition, although also in the mix of possible causes were scans with contrast.
      Report
    • Posted

      Hi. Sorry to hear you experienced the dreaded inbuprofen.  There must be so many out there taking this medicine who don’t know the facts. It’s about time health professionals started to warn people of what this drug can do 
      Report
    • Posted

      I certainly feel that Ibuprofen and certain other NSAIDS should be on prescription and not available over-the-counter.  Then, of course, it’s down to the prescribing GP/Consultant to be aware of the possible harm to kidney function.  At the time I was unknowingly being harmed by  it, the rheumatologist knew I was taking Ibuprofen....and he knew that I only had one kidney.....!
      Report
    • Posted

      I agree completely! Some of these over-the-counter meds are not safe for our kidneys but very few people realize that. The medication may provide a warning in small print but I've heard many friends note the warning but then say that if it was a serious problem the Med wouldn't have been approved for over-the-counter purchase thereby choosing to ignore the warning on the label. This sets into motion serious health problems for some. It would be much better to pull those meds off our pharmacy shelves and make them available via prescription only.

      Matj

      Report
  • Posted

    Mari, thanks so much for sharing this information. I am, unfortunately, a patient who was not told that I have chronic kidney disease by my primary care physician OR my first nephrologisist! I know I'm not alone on this. Others who post on this forum have had similar experiences. It's good to know that there are at least some medical professionals who are aware of this issue.

    As I'm sure is obvious, I very much concur with your comments. So, again, thank you for sharing this information with us!

    Marj

    Report
  • Posted

    Thanks for finding that Mari - I’ve only just looked in and seen that ‘marj’ asked me to give the source of the same information I mentioned in my earlier post a couple of days ago.  I wonder if the balanced fluids are available in our NHS hospitals here in the U.K.?  Or even if the will know what we are talking about if we raise the issue when/If next confronted with a saline drip?
    Report
  • Posted

    I've been on ibuprofen since before it became over the counter, 1978. ( for Connective Tissue Disease)I was told by my nephrologist that the metformin I was taking for my diabetes is what caused my CKD,. That was Nov. 2017 when my gfr crashed down to 24. At the same time I was told to stop taking the Ibuprofen. Bit late to tell me.   I am now on daily Tylenol, we'll see how long my liver takes it before it goes out. Tylenol goes straight after your liver. Thank you Mari. 

    Report
  • Posted

    Dear Mari, 

    With regards to this i have some practical experience. I was about to ask this question in the forum for expert opinions. I started taking some tablets for Kidny and then in two months i got a uric acid issue, those tablets given has increase my uric acid in blood. so now Dr. stop that medicine and have given another one for uric acid control and another one for kidny + bp. 

    The thing is, when you try to control one thing, another thig pops up, so this system is very commplicated where doctors think one thing but three other things will go out of order. I am now thinking also its best to control salt, water intake, exercise and protein intake could truly help. 

    any thoughts would be in help sad

    Report
    • Posted

      I agree, this is definitely a very complex system the kidneys orchestrate in our bodies. So each of our treatment plans are likely very individualized to best fit our unique renal functioning. Of course, there are some issues many of us tend to experience but we may each find that our treatment plans are actually rather unique.

      It's just critical to find a nephrologist who is able to figure out what is best for your kidneys; maximizing what your kidneys can do and appropriately supporting them in areas where they can no longer handle the job, so to speak.

      Marj

      Report

Join this discussion or start a new one?

New discussion

Report as inappropriate

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up