water or not for proteinuria

[Radars]

I have read that it's not good to drink water with proteinuria because it doesn't stop protein going into your urine and that it can make your kidneys worse, so how much water is safe is it different with ckd.

[Bassetmommer NKF Ambassador]

Watr helps the kidneys, not harms them. the protein is leaking into your blood and urine because your kidneys are damaged and not working well. Water helps to push the excess fluids and toxins out. I am not sure where you heard is was bad. Ask your doctor about your water consumption because it varies with patient, especially if you have heart issues. I used to dink 72 ounces but then I do not have edema or other issues. I have cut back some since on dialysis.

[Tolmezzo]

Listen Bassetmommer. Rgs

[lowraind in reply to Tolmezzo]

???

[Tolmezzo in reply to lowraind]

He gave you good advice in his answer so no sense to repeat it. Just encuraging to follow his suggestions. rgs

[PecanSandie]

I think the article you read states not to drink EXCESSIVE amounts of water. However, it is important for you to stay hydrated so just don't overdo it.

[Radars in reply to PecanSandie]

what's excessive water, how much are you supposed to drink, I have also got locally advanced prostate cancer in remission after rt/ht finished treatment in 2016 and my testosterone has never recovered, I am up 4xnightly for a pee, I stop drinking anything after 6.30 pm,.

[PecanSandie in reply to Radars]

I think getting up to pee at night is just a fact of life when you get older. I get up too at night (sometimes twice) and no one would ever say I drink too much water.

[renegade70 in reply to Radars]

i don't mean to get this conversation off track, however i have been looking for someone who also had prostate cancer. i have ckd stage 3 and recently have had a 2nd 12 core prostate biopsy which showed a core of intermediate 3 +4=7 prostate cancer under 10 %. also 4 cores of 3+3+6. he has referred me to a radiation oncologist with whom i have an appt. tomorrow.Is radiation the best way to go w/ ckd? my nephrologist has said that she has not seen a patient with prostate cancer whose kidneys were damaged by the radiation but she would be checking my labs more often. i have read conflicting information on this.what is your opinion on this, if you do not mind? by the way i will be going for a 2nd opinion at mass general hosp. in boston, ma. one of the most highly rated hospitals in the country.

[Radars in reply to renegade70]

hi ,had no problem with kidneys with radiotherapy 8wks and then hormone therapy 18 months, but your bladder is next to prostate, I still get up 4xnightly for a pee which I am used to now I try not to drink anything after 6pm if possible but I am used to it now, I am now on 6monthly psa checks, 0.04 at the moment, good luck.

[renegade70 in reply to Radars]

thanks , very much.

[Darlenia]

Apparently you're experiencing proteinuria. This can happen for a variety of reasons - there may be "holes" in the filtration system inside your kidneys leaking protein, there may be an infection sloughing off cells from the walls of your bladder, there may be high blood pressure forcing the situation, or there may be a cancer somewhere influencing the matter, and more. One culprit is also dehydration. Dehydration reduces blood volume and blood flow to the kidneys, making it harder for them to filter blood properly. So please drink water, but don't do so excessively - see PecanSandie's post above. Drinking a good amount of water is also very important for senior citizens to keep an eye on for proper cardiac functioning. (Often, as we age, our dietary feedback system kinds wears down as we age.) I hope you're chatting with your doctors about these matters. One can do a lot of self-damage when self diagnosing. I'm a case in point. I thought everyone was taking too much sodium so I cut back mine to be supportive to my late-stage CKD hubby. I wound up passing out, much to the shock of my own doctor. It took a few months to get back to normal...where I had been all along until then.

[WYOAnne NKF Ambassador]

Protein is in your urine because your kidneys are damaged. You need to drink water everyday to help flush your kidneys of toxins, etc. If you don't drink enough water you will be dehydrated and shows up in your labs - It will raise your BUN & raise your creatinine unduly

[Radars in reply to WYOAnne]

how much is enough water I am only 8st

[Badger2024 in reply to Radars]

At least 2 litres. I’m stage 3B. I never go over 3 litres. I don’t have cardiac issues. If I did I’d be guided by the doctor only. Likewise if I was stage 5 CKD. Water is best but all fluids should be counted.

[Radars in reply to Badger2024]

it's still a lot of water, do you have to stay in the house all day drinking water, I am waiting to see gp in 2wks time to see if I need any medication to help me.i have bubbles in the toilet bowl.

[Badger2024 in reply to Radars]

I usually just drink the minimum amount. 2 litres. That’s four large cups of tea and four glasses of water. Not that much really. I’m in Australia. If it’s a really hot day I’ll drink an extra two glasses of water so two and a half litres

[WYOAnne NKF Ambassador]

We are all different...you should have this conversation with your Nephrologist.

[renegade70 in reply to WYOAnne]

if you drink too much water you will bring your sodium levels down which coild cause additional problems.

[WYOAnne NKF Ambassador in reply to renegade70]

That's why I said you need to talk with your nephrologist. We are all different and so need adequate water for you. Someone said they drank 72 oz daily. I could never do that

[lowraind]

From Cleveland Clinic:

here are several things you can do to keep your kidneys as healthy as possible at every stage of life:

Hydrate, but don’t overdo it. “Contrary to popular belief, no studies have proven over-hydration as an effective practice in enhancing kidney function,” says nephrologist James Simon, MD. So, while it’s always a good idea to drink enough water, drinking more than the typical four to six glasses a day probably won’t help your kidneys do their job any better.

Eat healthy foods. Dr. Simon points out that most kidney problems arise out of other medical conditions like high blood pressure, diabetes and cardiovascular disease. Because of this, he suggests you follow healthy eating habits to control weight and blood pressure. Preventing diabetes and high blood pressure will help keep kidneys in good condition.

Exercise regularly. Like eating a well-balanced diet, regular physical activity can stave off weight gain and high blood pressure. But do be mindful of how much exercise you do, especially if you’re not conditioned. “Overexerting yourself when you’re not in good shape can lead to serious problems, especially if you are at high risk for heart disease,” Dr. Simon says. If you are at high risk for heart disease and don’t exercise but want to start, talk to your physician before beginning any new workout program.

Use caution with supplements and herbal remedies. Excessive amounts of certain vitamin supplements and some herbal extracts may be harmful to your kidneys. Talk to your doctor about any vitamins and herbs you plan to take.

Quit smoking (and vaping!). Smoking can damage blood vessels, which decreases the flow of blood in the kidneys. When the kidneys don’t have adequate blood flow, they can’t function at optimal levels. Smoking also increases the risk of high blood pressure as well as the risk of kidney cancer. While vaping may not expose someone to many of the toxins in tobacco smoke, the nicotine is still very addictive and hard on the body, Dr. Simon says. Plus, there are many chemicals in the vaping solutions.

Don’t overdo it with over-the-counter medications. “Common non-prescription pills like ibuprofen and naproxen (NSAIDs) can cause kidney damage if taken too regularly over a prolonged period,” Dr. Simon says. If you have healthy kidneys and use these medicines for occasional pain, they probably don’t pose a risk. But he says that if you take them for chronic pain or arthritis, you should talk to your doctor about monitoring your kidney function or finding alternative ways to control your pain.

If you’re at risk, get regular kidney function screening. “If you have diabetes, high blood pressure or cardiovascular disease, your physician should screen for kidney dysfunction as part of routine care for those conditions,” Dr. Simon says.