Chronic Kidney Disease ( CKD )/ ( CRF )
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[Chronic Kidney Disease ]
Introduction :-
Chronic kidney disease is gradual loss in kidney function over a period of months or years. It is also called Chronic Kidney Failure . Further damage to kidney results in dialysis or kidney transplant. With advanced kidney failure, the levels of waste and fluid rapidly increase in the body. Hence, the treatment is needed to stop or slow down the progression of the disease.
In the early stages of chronic kidney disease, you may have symptoms like nausea, vomiting, loss of appetite, weakness, disturbed sleep, swollen feet and ankles, hypertension etc.
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Causes :-
- Diabetes
- Hypertension
- Glomerulonephriitis (inflammation of Kidney filtering units)
- Poly-cystic Kidney disease (multiple cysts in the kidney)
- Obstructions in the urine flow caused by problems like kidney stones, tumors or an enlarged prostate gland in men.
- Repeated urinary infections or polynephritis.
- Overuse of some medicines like NSAIDs (non-steroidal anti-inflammatory drugs), such as aspirin or ibuprofen and steroids.
Symptoms :-
Patient may notice one or more of the following symptoms if his kidneys are beginning to fail:
- Itching
- Muscle cramps
- Nausea and vomiting
- Not feeling hungry
- Swelling in your feet and ankles
- Too much urine (pee) or not enough urine
- Trouble catching your breath
- Trouble sleeping
If his kidneys stop working suddenly (acute kidney failure), you may notice one or more of the following symptoms :-
- Abdominal (belly) pain
- Back pain
- Diarrhea
- Fever
- Nosebleeds
- Rash
- Vomiting
Ayurvedic Perspective :-
In Ayurveda, Kidney disease is known as “ Vrikka Roga”. Vitiation of “Vata” dosha is responsible for the impairment of Kidney functions. Whereas “Kapha”dosh is responsible for blockages of minor body channels, known as “Srotas”
According to Ayurveda, all kidney diseases comes under mutravahasrotas vikar. Whenever we eat food it is digested and is divided into two parts. They are Sara Bhag (essential/nutritive component of food) and Kitta Bhag (Waste part which forms stool, urine and sweat). Sara bhaga forms the rasa, which meets up the body’s nutritive requirements by converting into other dhatus. Vyana Vata helps in formation of urine and Apana vata is responsible for elimination of urine. So whenever we plan treatment of Chronic failure we have to take care of both these Vayu. The Ama (toxins) which is formed because of weak digestive fire accumulated in the srotas leads to obstruction and is sometimes also responsible for one of the causes of Chronic Kidney Disease.
Complications :-
Kidneys help whole body work properly. When patient have CKD, he can also have problems with how the rest of his body is working. Some of the common complications of CKD include anemia, bone disease, heart disease, high potassium, high calcium and fluid buildup.
- Gout
- Anemia
- Metabolic acidosis
- Secondary hyperparathyroidism
- Bone disease and high phosphorus (hyperphosphatemia)
- Heart disease
- High potassium (hyperkalemia)
- Fluid buildup
Stages of Chronic Kidney Disease ( C K D ) :-
Chronic Kidney disease ( C K D ) is divided into five stages. The stages are based on the eGFR test result and how well your kidneys work to filter waste and extra fluid out of your blood. As the stages go up, kidney disease gets worse and your kidneys do not work as well. At each stage, it is important to take steps to slow down the damage to your kidneys.
- Stage 1 CKD: eGFR 90 or Greater
- Stage 2 CKD: eGFR Between 60 and 89
- Stage 3 CKD: eGFR Between 30 and 59
- Stage 4 CKD: eGFR Between 15 and 29
- Stage 5 CKD: eGFR Less than 15
Why Ayurveda Should be the First Choice for Chronic Kidney Disease :-
Ayurveda to the rescue :-
Ayurveda offers treatment for all stages of different renal problems. At the core of Ayurvedas success in treating renal problems, or any other ailment for that matter, is customization. Each patient has a unique set of Prakriti, doshic properties and causative factors – all of which are considered before giving treatment and medicines. This level of customization makes it possible to address the disease with more accuracy.
Wholesome rejuvenation and treatment at the cellular level :-
In addition to customized medication, Ayurvedic treatment also offers personalized lifestyle and diet recommendations which has a holistic effect on the body. A significant specialty of Ayurveda is the application of Panchakarma therapy. Depending on the condition of the patient, one or more of 40 different therapies is applied to remove toxins accumulated due to a faulty kidney. Panchakarma therapy also stimulate the bodys natural repairing mechanism and rejuvenates renal tissues and cells.
Promotes overall well-being :-
According to the data from the Indian Renal Foundation, the cost of kidney failure is extremely high in India. Haemodialysis with 12 sessions every month costs around Rs 12,000 to Rs 15,000. Peritoneal dialysis costs around Rs 18,000 to Rs 20,000 every month. Kidney transplants can cost Rs 4 lakhs to Rs 6 lakh, depending on the hospital.
Ayurvedic Rasayana therapy has multiple benefits. Ayurvedic treatment strengthens the fundamental aspects of the body, so, by the end of treatment for kidney problems, patients report feeling a renewed sense of wellness and good health. It is essential to select an Ayurveda specialist with the right expertise and track record before committing to therapy.
Treatment @
Vedhive Ayurveda :-
At Vedhive Ayurveda we design a unique personalized treatment plan by identifying root cause of CKD in patients with proper Naadi- Parikshan ( Pulse Diagnosis ) and investigations as each patient has a unique set of Prakriti, doshic properties and causative factors – all of which are considered before giving treatment and medicines. This level of customization makes it possible to address the disease with more accuracy.
We also provide Diet-chart, several Lifestyles recommendations ( Do’s and Don’t ) along with required Yoga and Pranayams to fulfill the treatment.
Ayurveda ensures wellbeing by improving the body’s own self-healing and balancing processes and does not depend on any external or foreign element to substitute or correct the hormones in the body. It focuses on the holistic treatment of CKD with a view to improving the general wellbeing and quality of life of the person.
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Diet plays a crucial role in the prevention and treatment of illnesses and the preservation of good health. “Annam Brahmam”-Food has been likened to God in ancient Indian scriptures, as it is the key element in maintaining and nurturing life.
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Diet Instruction [ Chronic Kidney Disease ] |
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Food |
To Consume |
To Avoid |
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Cereals
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White Rice, Vermicelli, semolina, Whole grains |
White refined flour, Buckwheat, Brown rice |
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Pulses
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Orange lentils, Yellow lentils, Split pigeon peas, Green Gram, Spilt Chickpeas |
Black Gram dal, White Chickpeas, Bengal Gram, Kidney Beans, Soybean, Dried And Frozen Pulses, |
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Vegetables
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Cabbage, Peas, Turnip, Carrot, Bitter gourd, Okra, Bottle Gourd, Ridge Gourd, Winter Squash, Radish, Onion, Ginger, Broccoli, Lettuce, Peppermint Leaves |
Tomato, Spinach, Garlic, SWEET Potatoes, Lotus Stem, Mushroom, Asparagus, Cucumber, Coconut, Swiss Chard, Taro roots, Raw Salad, Frozen Vegetables, Brussels, Sprouts |
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Fruits
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Apple, Pear, Guava, Papaya
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All Citrus Fruits Watermelon, Banana, Jackfruit, Kiwi, Lemon, Orange, Avocado, Dates, Apricot, Pineapple |
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Dairy Products |
Low Fat Yoghurt (Occasionally)
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Whole milk And Cream, Cottage Cheese, Full Fat Yoghurt, Condensed Milk, Cream Cheese, Butter, Curd, |
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Non-Veg
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Egg White Portion Only
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Mutton, lobster, Prawns, Lean beef, Lam, Crab, Turkey, Lomb, Fried Or processed Meats, Hot Dog, Goose, Duck, Red Meat, Organ part Liver, Kidney and Chest |
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Spices
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Fennel, Turmeric, Black Pepper, Cardamom, Coriander, Carmon, Cumin, Rock Salt, Oregano, Cinnamon
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Excessive Salt, Green Chillies, Red Chillies |
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Oils
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Rice Bran Oil, Olive Oil, Cow Ghee, Mustard Oil
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Palm oil, Coconut oil, Hydrogenated oil, Soybean Oil, Palm Oil |
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Fats
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Drinks
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Green Tea, Herbal Tea, Home Vegetable Soup
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Carbonated and Caffeinated Drinks, Coconut Water, Alcohol, Tea or Coffee, Packaged Soup And Canned Fruit Juices |
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Dry Fruits |
1 Date ( soak in water overnight ), 5 almonds ( soak
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Diet Chart :-
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Diet Chart [ Chronic Kidney Disease ] |
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Early Morning [ 7 AM ] |
Herbal Tea |
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Breakfast [ 9 AM ]
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Veg Upma / Veg Poha / Veg Dalia / Chapatti With / 1 Egg White Part / Stuffed Chapatti / |
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Mid Morning [ 12 Noon ] |
One Steamed Apple |
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Lunch [ 2 PM ]
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Sago halwa / Boiled Rice / Veg Khichri / Veg Dalia + Veg + Dal |
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Evening [ 6 PM ]
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Soup / Herbal Tea / |
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Dinner [ 10 PM ]
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Boiled Rice / Veg Dalia + Dal / Plain Chapatti / Veg Khichri |
