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CKD, difficulty passing urine, ankles, joints swell up...

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My father is 80 years old and is diagnosed with CKD. He is having difficulty passing urine and often his ankles, joints swell up. He is eating fine and is able to get-up and eat on his own but he is not able to stand-up and walk even couple steps. I want to know what can be done to help him gain enough energy to do things on his own. He is in bed for almost two months. He had some skin issues and skin was shedding. doctors put him on steroids that took care of shedding, but he became even weaker. He does not have any cardiovascular or diabetic diseases. He is a non smoker and never drank alcohol and is vegetarian. His blood creatinine is 1.2 but serum urea shot up to 41. He is diagnosed with arthritis. Any help/suggestion will be greatly appreciated.

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replied April 20th, 2012
Kidney Conditions Answer A34097
Welcome to e health forum.

Kidney functions usually decrease with age.

Some important changes within the kidneys, that occur with aging include - decrease in the number of filtering units (nephrons); decrease in overall amount of kidney tissue and reduced blood flow to the kidneys as a result of thickening and narrowing of blood vessels.

Conditions like diabetes, high blood pressure, obesity, urinary infections, and renovascular diseases can also result in reduced renal functions.

With a history of chronic kidney disease in a elderly male, with possibility of end stage renal disease associated fluid overload and deranged renal parameters, it would be essential for him to seek help from a nephrologist, to ascertain the requirement of dialysis or possibility of renal transplantation, which may help to prolong life and even improve the quality of daily life.

Regular change in medications and blood tests also are important to check for progression or improvement. Based on electrolyte levels (phosphate, uric acid, etc) appropriate dietary changes can be prescribed by your doctor or a dietician.

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