sodium bicarbonate: Is it true that sodium... - Early CKD Support

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sodium bicarbonate

gg2018 profile image
7 Replies

Is it true that sodium bicarbonate can help to reverse damage to kidneys?

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gg2018
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CDKe profile image
CDKe

I read some research that says it slows the progression yes .

Impregilo profile image
Impregilo in reply toCDKe

Sodium bicarbonate May effectively buffer the acid load but , rather obviously, sodium bicarbonate contains sodium, which over the long term may itself contribute to kidney damage.

orangecity41 profile image
orangecity41

LInk to Baylor College of Medicine It helps with kidney stones and gout and uric acid.

healthtap.com/user_question....

Best to check with your Doctor.

Teshie27 profile image
Teshie27

The kidneys play an important role in maintaining metabolic homeostasis. Although there are several components to metabolism, the kidneys specifically balance acids and bases, helping your body maintain a slightly alkaline (basic) pH of around 7.4.

The kidneys accomplish this by excreting the daily acid load, derived mostly from the metabolism of amino acids, as phosphoric acid and ammonium.1 The more acids the body produces, the more phosphoric acid and ammonium the kidneys excrete — thus helping to maintain balance.

However, all of this reverses with kidney dysfunction. As less of the daily acid load is excreted, the blood becomes more acidic. Eventually, an imbalanced state develops called metabolic acidosis, which is commonly associated with chronic kidney disease.2

This process is a vicious cycle. Chronic kidney disease results in metabolic acidosis, which in turn causes more kidney damage. Additional problems include low bone mineralization, muscle breakdown, insulin resistance, high triglycerides, systemic inflammation, low blood pressure, and malaise.2-5

Restoring metabolic balance by reversing metabolic acidosis is one of the goals in treating chronic kidney disease, and this is where oral sodium bicarbonate comes into play.

source: lifeextension.com/Magazine/...

RonaldoResuelto profile image
RonaldoResuelto in reply toTeshie27

Interesting. As regards the sodium component raising blood pressure, which of course would further damage the kidneys, this study didn't find that to be a problem

nhs.uk/news/medication/baki...

The study (or at least the article) didn't specify the severity of the kidney problems of the patients.

SN23 profile image
SN23 in reply toRonaldoResuelto

Excellent discussion here. I had asked my son’s nephrologist too. And this is what he had: “The sodium in sodium bicarbonate doesn't really raise the blood pressure. No one is really sure why not -- it's an understandable concern! -- but it should be fine”

rabbit01 profile image
rabbit01

Sadly, I don't think it can reverse it but in some cases it can slow down the progression by reducing the acidity that builds up in the blood when the kidneys start to fail.

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