The golden rules of kidney health

The golden rules for kidney health are the golden rules for overall health: physical fitness; proper sleep; adequate nutrition; and the avoidance of vices like smoking. Drinking water, health experts said, is also the best supplement for one’s kidneys.����

“The cheapest treatment for the kidneys is water,” said Dr. Eladio Miguel M. Peñaranda, Jr., a nephrology consultant at Makati Medical Center, in a March 8 organized by the Philippine College of Physicians and the Philippine Society of Nephrologists.����

While the advice to drink eight glasses of water a day is a reasonable goal, individual water needs depend on several factors, including height, exercise, environment, and overall health. According to the adequate daily fluid intake — on average — is 15.5 cups or 3.7 liters of fluids a day for adult men, and 11.5 cups or 2.7 liters of fluids a day for adult women.������

Two indicators of adequate fluid intake, the clinic added, are a colorless or light-yellow urine, and seldom feeling thirst.����

CHRONIC KIDNEY DISEASE
One in 10 adults worldwide have kidney disease, said Dr. Michelle Ozaeta-Alpuerto, a nephrologist from Quali Med Hospital Sta. Rosa and Unihealth Parañaque Hospital and Medical Center.������

Chronic Kidney Disease (CKD), comes in five progressive stages and , high blood pressure, heart disease, and a family history of kidney failure. Its signs and symptoms manifest only at stage 4, when the kidneys are already severely damaged, and stage 5, or kidney failure.������

While there is no cure for CKD, .����

Herbal supplements, meanwhile, are not recommended. “There are studies that show herbal supplements with certain ingredients, , cause damage to the kidneys,” Dr. Alpuerto said in the vernacular. “These supplements have not been studied for use specifically for people with kidney disease.”������

Frequent intake of over-the-counter (OTC) painkillers like ibuprofen and mefenamic acid may also harm the kidneys. “Don’t take OTC painkillers regularly,” she said, since ibuprofen can damage the kidneys if taken frequently and for longer periods. — Patricia B. Mirasol��

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Signs and symptoms of chronic kidney disease����

According to nephrologist Dr. Michelle Ozaeta-Alpuerto, the signs and symptoms of chronic kidney disease (or the gradual loss of kidney function), are the following:��

• nausea or vomiting����
  
• loss of appetite����
  
• itchy skin����
  
• muscle cramps����
  
• fatigue����
  
• trouble sleeping����
  
• anemia����
  
• tea-colored or bubbly urine����
  
• too little or too much urination����
  
• swelling (edema)����
  
• shortness of breath����
  
• mental state changes like disorientation����
  

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Females, pregnancy, and UTI����

One kidney concern that is more common among women is urinary tract infection (UTI), which is an infection that involves any part of the urinary system.����

Women are at greater risk because of their shorter urethra, which translates to a shorter distance from which bacteria can travel to reach the bladder. Certain types of birth control methods — like diaphragms — may increase the risk of UTI. Other states — like pregnancy and menopause — also cause hormonal changes, making one more vulnerable to infection.����

If left untreated, UTI may move upstream to one or both kidneys, leading to more serious infections. For pregnant women, the risks of untreated UTI include preterm labor and low birth weight.����

Practicing good hygiene is one of the simplest ways to prevent UTI. Always wipe from front to back after bowel movement. Avoid tight-fitting underwear. Minimize the use of douches. — Dr. Kathryn Marie L. Ramirez, senior fellow-in training, nephrology section, Makati Medical Center