30 Second Answer
If your kidney function has declined to 85-90% and you are averaging a GFR around 15, you will require dialysis.
When your kidneys are unable to provide the necessary care, dialysis is required. Dialysis is required if you have end-stage kidney disease. This happens when your kidney function has declined to 85-90% and you are 15 years old.
End-stage kidney disease (ESKD) is a progressive decline of renal function due to irreversible damage to the kidneys, resulting in renal failure. The cause of ESKD can be divided into two groups:
1. Primary renal disease: This is due to a direct damage to the kidney tissue, such as Glomerulonephritis, Polycystic Kidney Disease (PKD), and diabetic nephropathy.
2. Secondary renal disease: This is due to indirect damage to the kidney tissue, such as hypertension and chronic pyelonephritis.
ESKD usually progresses over a period of years, culminating in complete renal failure where the kidneys are no longer able to function properly. At this stage, patients will require some form of renal replacement therapy (RRT), such as dialysis or transplantation, in order to maintain their life.
There are three main types of dialysis:
1. Hemodialysis: This is the most common type of dialysis and is done using an artificial kidney machine called a hemodialyzer. The patient’s blood is pumped through the machine where it is filtered and then returned back into the body. Hemodialysis treatments are typically done 3 times a week for 4 hours each session.
2. Peritoneal dialysis: This type of dialysis uses the patient’s own peritoneum (the lining of the abdominal cavity) as a natural filter. A special fluid called dialysate is infused into the peritoneal cavity and exchanges waste products with the blood in the abdominal vessels. The used dialysate is then drained out and replaced with fresh solution. There are two types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). CAPD is done manually several times a day while APD uses a machine called a cycler to do the exchange overnight while the patient sleeps.
3. Hemodiafiltration: This is a combination of hemodialysis and peritoneal dialysis where both techniques are used simultaneously to remove waste products from the blood.
At what stage of kidney failure would dialysis be required?
Dialysis is required for end-stage kidney disease when your kidney function has declined to 85 percent or 90 percent and you have a GFR below 15.
End-stage kidney disease (ESKD) is a progressive decline in renal function that eventually leads to permanent kidney failure. The point at which ESKD requires dialysis varies from person to person, but is generally accepted to occur when renal function has declined to 85 percent or 90 percent, and the patient has a glomerular filtration rate (GFR) below 15.
There are a number of causes of ESKD, including both chronic and acute kidney diseases. Chronic kidney disease (CKD) is the most common cause of ESKD, accounting for approximately 60 percent of all cases. CKD is defined as a progressive decline in renal function over a period of months or years. Common causes of CKD include diabetes, hypertension, and glomerulonephritis. Acute kidney disease (AKD), on the other hand, is a sudden decline in renal function that occurs over a period of days or weeks. AKD can be caused by factors such as infection, trauma, or toxicity.
ESKD generally progresses slowly, and patients may not experience symptoms until their kidney function has declined significantly. When symptoms do develop, they may include fatigue, weakness, shortness of breath, difficulty concentrating, and decreased urination. As ESKD progresses, patients may also experience nausea, vomiting, loss of appetite, itching, and fluid retention.
If left untreated, ESKD will eventually lead to permanent kidney failure. Permanent kidney failure requires dialysis or a kidney transplant for survival. Dialysis is a process that filter waste and excess fluids from the blood using a machine. There are two types of dialysis: hemodialysis and peritoneal dialysis. Hemodialysis uses an artificial filter called a dialyzer to remove waste and fluids from the blood. Peritoneal dialysis uses the patient’s own peritoneum (the lining of the abdominal cavity) as a natural filter to remove waste and fluids from the blood.
Kidney transplantation is another treatment option for patients with ESKD. A kidney transplant is a surgical procedure in which a healthy kidney from another person is transplanted into the patient with ESKD. The transplanted kidney takes over the functions of the patient’s diseased kidneys.
The decision to initiate dialysis or pursue transplantation is made on an individual basis and depends on factors such as the patient’s age, overall health status, preferences,
Does Stage 3 kidney failure require dialysis?
No, stage 3 kidney failure does not require dialysis.
Stage 3 kidney failure does not require dialysis or a transplant. You will instead be given medications that treat any underlying conditions that could be contributing to your kidney damage.
The medical treatment for stage 3 CKD does not typically require dialysis or a transplant. Instead, patients are usually given medications to treat any underlying conditions that could be contributing to their kidney damage.
There are a few different medications that may be prescribed in this situation. One example is angiotensin converting enzyme inhibitors, which are typically used to treat high blood pressure. These medications can help to slow the progression of kidney damage by decreasing the amount of work that the kidneys have to do.
Another common medication is a diuretic, which can help to reduce the amount of fluid in the body and ease the strain on the kidneys. Diuretics are often used in conjunction with other medications, such as ACE inhibitors, to maximise their effectiveness.
If you have stage 3 CKD, it is important to work closely with your doctor to determine the best course of treatment for you. There is no one-size-fits-all approach to managing this condition, so it is important to find a plan that works for you and stick with it.
Can you control stage 3 kidney disease?
No, but you can prevent it from getting worse.
When you have chronic kidney disease (CKD) stage 3, it means your kidneys are not filtering your blood the way they should. There is no cure for CKD stage 3, but you can take steps to prevent it from getting worse.
If you have CKD stage 3, it’s important to see a nephrologist (a kidney doctor). A nephrologist can help you slow down the progression of CKD and prevent complications.
There are things you can do to slow down the progression of CKD stage 3 and keep your kidneys healthy for as long as possible:
-Control your blood pressure. High blood pressure is the second leading cause of CKD. If you have high blood pressure, your nephrologist will work with you to get it under control.
-Manage your diabetes. Diabetes is the leading cause of CKD. If you have diabetes, your nephrologist will work with you to keep your blood sugar levels under control.
-Don’t smoke. Smoking damages your blood vessels and makes it more difficult for your kidneys to filter your blood. If you smoke, quitting is the best thing you can do for your health.
-Eat a healthy diet. A healthy diet helps keep your blood pressure and diabetes under control. It also helps you maintain a healthy weight. Your nephrologist can help you create a healthy eating plan that’s right for you.
-Exercise regularly. Exercise helps keep your blood pressure and diabetes under control. It also helps you maintain a healthy weight. Talk to your nephrologist about what types of exercise are safe for you.
-Limit how much salt, fat, and alcohol you eat or drink. Too much salt, fat, or alcohol can damage your kidneys.
-Don’t take over-the-counter medicines without talking to your nephrologist first. Some over-the-counter medicines can damage your kidneys.
These are just some of the things you can do to slow down the progression of CKD stage 3 and keep your kidneys healthy for as long as possible. Talk to your nephrologist about what else you can do to manage your CKD stage 3 and prevent complications
What does it mean when you are in Stage 3 kidney failure?
In Stage 3 kidney failure, the kidneys are less able to filter fluid and waste out of the blood, causing damage to other parts of the body.
When your kidneys are in Stage 3, it means that there is mild-to-moderate damage. This damage can cause your kidneys to have less ability to remove fluid and waste from your blood. The waste that builds up can cause damage to other parts of your body, including high blood pressure and anemia, as well as bone problems.
Stage 3 CKD is usually caused by one of two things:
-Chronic glomerulonephritis: This is a condition that inflammation and damage to the tiny filters in your kidneys (called glomeruli). It can be caused by autoimmune diseases, infections, or other kidney diseases.
-Diabetes: Diabetes can cause damage to the blood vessels in your kidneys, which can lead to CKD.
If you have Stage 3 CKD, it’s important to see a doctor so they can help you manage the condition and prevent it from getting worse. Treatment options will vary depending on the underlying cause of your CKD. But in general, treatment focuses on controlling the underlying condition, managing symptoms, and preventing complications.