early stage 1

[hankshardscapes]

Can early stage 1 stay at 1 if blood pressure and sugar is kelp under control ?

[Hidden]

Nothing is absolute, however, if you watch your medications, diet, exercise, and factor in your age and no other health issues impact you then you should be okay for a long while.

I'm amazed that you know you are at Stage 1. That is rare. Many of us here didn't find out until we were at Stage 3 or later.

[hankshardscapes in reply to Hidden]

The reason I say stage 1 is I have tested positive 3 times for protein in urine and from what I read that puts me at early stage 1 with normal egfr 98

[Hidden in reply to hankshardscapes]

I found a great article from the American Kidney Fund on Protein in the Urine and its symptoms and treatment. You sound like you might have exceptional knowledge on the issue so let me know what you think of the article and if its information is on the mark.

kidneyfund.org/kidney-disea...

[hankshardscapes in reply to Hidden]

Good read. I been doing a lot of research. my Alb/Creat Ratio is 19.6 which is below 30.0 but I do have concerns.

[hankshardscapes in reply to Hidden]

I have also read of people never getting worst and people going 10 to 14 years between stage 1 and 2 and 2 and 3 but I have read of very progressive cases too.

[hankshardscapes in reply to Hidden]

So according to that read I'm not stage1 yet being below 30.0 ?

[hankshardscapes in reply to Hidden]

Mr kidney when you said many of you did not know you had problems till stage 3 . when does a person urine start being foamy and do some have ckd without protein in urine?

[Hidden in reply to hankshardscapes]

Many people weren't notified by their PCP about having CKD until they were at Stage 3 or even later. Not everyone with CKD has the exact same symptoms. Proteinuria is not a sure thing with CKD and not all foamy urine is a sign of health issues. I've attached an answer to a couple of questions about foamy urine found on The Mayo Clinic website. Perhaps it will help you or others.

What does it mean when urine looks foamy?

Should I be concerned if it doesn't go away after a few days?

Answers from Erik P. Castle, M.D.

Passing foamy urine now and then is normal, for the speed of urination and other factors can influence this. But you should see your doctor if you have persistently foamy urine that becomes more noticeable over time. This can be a sign of protein in your urine (proteinuria), which requires further evaluation. Increased amounts of protein in urine could mean you have a serious kidney problem.

If your urine seems unusually foamy most of the time, your doctor may recommend a urine test to check for elevated levels of protein. If the test is positive, you may need further tests to determine the cause of the problem.

[Hidden]

You may not be there yet and in fact, you may never get there for years but there is nothing to prevent you from charting your lab values and watching for trends in the highs and lows. There is also nothing that prevents you from looking at your lab values now and determining if you need to restrict your intake of sodium, protein or anything else that could cause a decline in your kidney function. This is the time to become proactive and the way to know you are successful is that you never develop CKD. I posted a brief copy of part of the information from Stage 1 that explains this.

Living with stage 1 kidney disease

There is no cure for kidney disease, but it may be possible to stop its progress or at least slow down the damage. In many cases, the correct treatment and lifestyle changes can help keep a person and their kidneys healthier longer.

[hankshardscapes in reply to Hidden]

I'm not sure I understand Trends in highs and lows but I have had some highs and lows I believe . What does this mean to you it started on 3/11/15 urine protein 50

8/25/15 microalb, urine 40.1

11/17/15 - 3.0

12/05/15 - 5.1

02/23/16 - 3.5

12/30/16 - 3.0

Then noticed I was seeing bubbles in my urine like before back in 03/11/15 went to doc and that was the 19.6 Abl/creal ratio here recently . and albumin, urine 3.0

I had not seen bubbles in a long time so I don't get it. is this what you mean by highs and lows?

[Hidden in reply to hankshardscapes]

Bubbles in the urine are not the same as foamy urine. Bubbles develop from a hard stream into the "bowl" and just develop from the stream hitting and bubbles forming. Foamy urine is more serious and can indicate other possible health issues. If your urine is foamy it's time to contact your Urologist.

What I meant by following the trends is to set up a spreadsheet. Across the top list, the date of the labs and the Dr. who ordered them. Down the left side list the test. Based on the lab doing the tests there may be slight differences based on the tech, the test or even individual lab protocols. Anything higher than the top of the range or lower than the bottom of the range I highlight. Over time I can determine by a quick glance any trends of excessive and consistent highs or lows on each value. Anything within the range I do not concern myself with.

Sometimes a cold, fever, excessive activity or a half dozen other temporary situations can cause a test to show high or low. If it happens only once, disregard it. If it happens over several consecutive labs you have a possible situation developing and it's a good time to bring it to the doctor's attention.

I got this from one of my former doctors but he didn't use it because he never told me of any developing issues. That's why he is now a "former" physician of my Care Team.

My lengthy spreadsheet is too big to print so I keep it on a small flash drive I have left over from my teaching days and I bring it with me to appointments and let the physician take a look. There have been a couple of times when they downloaded it. They ask about it and I say, "Okay." Just an idea I've passed along.

[hankshardscapes in reply to Hidden]

Thank you for replying to my ?s what is your thoughts on organic red wine in very low moderation. I have heard it both ways for kidney health.

[Hidden]

I'm not sure what organic red wine is but I know that women are restricted to one glass and men two glasses (I'm guessing that is daily or weekly. I'm not a consumer of any type of alcohol. In the past, I enjoyed a beer with pizza or ribs but those days are long gone. As long as it's not in excess I've read that in moderation wine isn't a problem. Just bear in mind that there is no nutritional value and alcohol does tend to dehydrate you.

I've been reading some recent studies and they even mention that coffee has some benefits. I do have an occasional cup but it's always decaf.

[hankshardscapes in reply to Hidden]

Organic means no pesticides sprayed on the grapes and no gmos . So decaf because regular is a diuretic and could cause dehydration same as alcohol?

[Hidden]

In a word, YES. According to the research.

[hankshardscapes in reply to Hidden]

And when I refer to bubbles in urine it looks like when you whip eggs a bunch of tiny bubbles that hang around for a long time , the larger ones disappear fairly quick. And I see a lot of posts about not eating tomatoes, are they hard on the kidneys because I eat them every day?

[Hidden]

Tomatoes and their by-products contain a significant amount of potassium. When I met with a Renal Dietitian I was told to watch my levels of that. It's taken a long time for me to get all of the numbers under control and while I have it in the normal range now I still can't use tomatoes even infrequently as it drives my potassium way out of balance. Goodbye pizza and pasta. Pizza also has a lot of phosphorous and that's another major no-no for my kidneys.

[hankshardscapes in reply to Hidden]

Thank you again I think this is a God send place to get informed. God Bless You all.

[hankshardscapes in reply to Hidden]

Mr Kidney I do notice when I urinate at night, usually twice, it is a lot more foamy but the pee first thing in the morning is covered the entire surface of water in bowl and that had gone away for a long time until recently and my docs says its just more concentrated, but if it had stop from previously and has reappeared, does that say I have hurt my kidneys again or have made they worsts possible? Because during the day my urine almost looks normal for the most part if I stay hydrated but doesn't that just mean my urine is diluted?

[Hidden]

This is where you need to consider setting up the spreadsheet I wrote about previously. If you do that and then experience a UTI or the foamy urine you should see an uptick in something from your recent labs, probably protein. Usually, foamy urine is a warning sign of protein in the urine. Do you eat most of your daily protein in the evening? Consistently foamy urine is a sign that something may be wrong. Infrequently foamy urine has too many variables to be a predictor but look at what your eating and the time of day and if you haven't seen a Urologist, you might like to see one and get an expert opinion.

Getting up twice in the night, depending on your age can be an issue. Has a doctor ever mentioned that you shouldn't drink anything at least 1 hour before bed? If you take any bedtime meds then you might have to get up once during the night but two or more times could be a signal that you are drinking too much. Again, a Urologist should be given all this information and be able to give you some suggestions to guide you to a resolution.

[hankshardscapes in reply to Hidden]

I eat protein usually at every meal as a pre diabetic diet and I drink lots of fluids all day even when I get up during night. And I have as long as I can remember urinating frequently 20 to 25 plus times a day and even worst before I just started taking saw palmetto hear recently.

[Hidden]

Back as long as you can remember is when your kidneys worked well. Now, not so much so you should make changes. I've been told and comply with instructions to limit my protein intake to 8 oz. daily with no red meat. A Renal Dietitian will need to look at your labs and give you some specific guidance on where to cut back. You can immediately stop drinking one hour before bed and nothing during your frequent trips to the bathroom and get better, more restful sleep.

[hankshardscapes in reply to Hidden]

What is your thoughts on Hibiscus tea?

[Hidden]

The only tea I drink is Iced Tea that is decaffeinated and without sugar or any other sweetener. I don't drink hot tea and I'm not very knowledgeable about the benefits of tea and other remedies. There are others here on HU that are far more knowing so hopefully, you'll get some help from them.

[toeragthecat21]

hi ..keep redmeat intake low..keep salt out of diet .avoid ibruprofen.avoid high fat food.keep weight at normal bmi. fish is good. veg excellent..and most important of all keep positive . best regards kidney transplant patient chris