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TREATMENT
for
CHRONIC RENAL FAILURE
For Treatment & Consultation visit: www.welling.co.in | Call: 80 80 850 950
For treatment go to SLIDE No. 25 Directly
visit: www.welling.co.in | Call: 80 80 850 950
WHAT IS CHRONIC RENAL FAILURE
 It involves progressive & irreversible loss
of kidney functioning
 Defined as either presence of
 Kidney damage
 Pathological abnormalities
 Glomerular filtration rate (GFR)
 <60 ml/min for 3 months or longer
visit: www.welling.co.in | Call: 80 80 850 950
visit: www.welling.co.in | Call: 80 80 850 950
CRF - CausesCRF - Causes
Glomerulonephritis – the most
common cause in the past
Diabetes mellitus
Hypertension
Tubulointerstitial nephritis
are now the leading causes of CRF
visit: www.welling.co.in | Call: 80 80 850 950
Chronic Renal Failure
• Subjective symptoms are relatively same as acute
• Renal
– Hyponaturmia
– Dry mouth
– Poor skin turgor
– Confusion, salt overload, accumulation of K with
muscle weakness
– Fluid overload and metabolic acidosis
– Proteinuria, glycosuria
– Urine = RBC’s, WBC’s, and casts
visit: www.welling.co.in | Call: 80 80 850 950
Chronic Renal Failure
• Cardiovascular
–Hypertension
–Arrythmias
–Pericardial
effusion
–CHF
–Peripheral edema
• Neurological
– Burning, pain, and itching,
parestnesia
– Motor nerve dysfunction
– Muscle cramping
– Shortened memory span
– Apathy
– Drowsy, confused,
seizures, coma, EEG
changes
visit: www.welling.co.in | Call: 80 80 850 950
Cardiovascular manifestationsCardiovascular manifestations
visit: www.welling.co.in | Call: 80 80 850 950
Chronic Renal Failure
• GI
–Stomatitis
–Ulcers
–Pancreatitis
–Uremic fetor
–Vomiting
–consitpation
• Respiratory
– ^ chance of infection
– Pulmonary edema
– Pleural friction rub
and effusion
– Dyspnea
– Kussmaul’s
respirations from
acidosis
visit: www.welling.co.in | Call: 80 80 850 950
Chronic Renal Failure
 Endocrine
 Stunted growth in
children
 Amenorrhea
 Male impotence
 ^ aldosterone secretion
 Impaired glucose levels
R/T impaired CHO
metabolism
 Thyroid and parathyroid
abnormalities
• Hemopoietic
– Anemia
– Decrease in RBC survival
time
– Blood loss from dialysis
and GI bleed
– Platelet deficits
– Bleeding and clotting
disorders – purpura and
hemorrhage from body
orifices , ecchymoses
visit: www.welling.co.in | Call: 80 80 850 950
Chronic Renal Failure
 Skeletal
 Muscle and bone pain
 Bone demineralization
 Pathological fractures
 Blood vessel
calcifications in
myocardium, joints,
eyes, and brain
 Skin
 Yellow-bronze skin
with pallor
 Puritus
 Purpura
 Uremic frost
 Thin, brittle nails
 Dry, brittle hair, and
may have color
changes and alopecia
visit: www.welling.co.in | Call: 80 80 850 950
Uremia
• is clinical syndrome that results from profound loss
of renal function
• cause(s) of it remains unknown
• rerers generally to the constellation of signs and
symptoms associated with CRF, regardless of cause
• presentations and severity of signs and symptoms
of uremia vary and depend on
• the magnitude of reduction in functioning renal
mass
• rapidity with which renal function is lost
visit: www.welling.co.in | Call: 80 80 850 950
Uremia
the most likely candidates as toxins in uremia
are the by–products of protein and amino acid
metabolism
 Urea – represents some 80% of the total nitrogen
excreted into the urine
 Guanidino compunds: guanidine, creatinine,
creatin, guanidin-succinic acid)
 Urates and other end products of nucleic acid
metabolism
 Aliphatic amines
 Peptides
 Derivates of the aromatic amino acids: tryptophan,
tyrosine, and phenylalanine
visit: www.welling.co.in | Call: 80 80 850 950
Metabolic acidosis
Metabolic acidosis of CRF is not due to
overproduction of endogenous acids
but is largely a reflection of the
reduction in renal mass, which limits
the amount of NH3 (and therefore
HCO3
-
) that can be generated
visit: www.welling.co.in | Call: 80 80 850 950
What we can do at home
• Potassium restriction
– 2 to 4 g
– High-potassium foods should be avoided
• Oranges
• Bananas
• Tomatoes
• Green vegetables
• Phosphate restriction
– 1000 mg/day
– Foods high in phosphate
• Dairy products
– Most foods high in phosphate are also high in calcium
visit: www.welling.co.in | Call: 80 80 850 950
Allopathic Management
• Depending on the underlying cause, some
types of kidney disease can be treated.
• Often, though, chronic kidney disease has no
cure.
• In general, treatment consists of measures
to help control signs and symptoms, reduce
complications, and slow progression of the
disease.
• If the kidneys become severely damaged, the
person may need treatment for end-stage
kidney disease.
visit: www.welling.co.in | Call: 80 80 850 950
 Medications to lower cholesterol levels:
People with chronic kidney disease often
experience high levels of bad cholesterol,
which can increase the risk of heart disease.So
statins are mostly given.
 Medications to treat anemia: In certain
situations, the supplements of the hormone
erythropoietin sometimes with added iron are
given.
 Medications to relieve swelling
Medications called diuretics can help maintain
the balance of fluids in the body.
visit: www.welling.co.in | Call: 80 80 850 950
 Medications to protect bones: Calcium and
vitamin D supplements are given to prevent
weak bones and lower risk of fracture.
 A lower protein diet to minimize waste
products in your blood: As the body
processes protein from foods, it creates waste
products that kidneys must filter from blood. To
reduce the amount of work kidneys must do, so
it is recommended eating less protein.
visit: www.welling.co.in | Call: 80 80 850 950
 Treatment for end-stage kidney disease:
If your kidneys can't keep up with waste and fluid
clearance on their own and the person develop
complete or near-complete kidney failure, it is called
as end-stage kidney disease.So that time following
things are recommended:
visit: www.welling.co.in | Call: 80 80 850 950
• Dialysis. Dialysis artificially removes
waste products and extra fluid from the
blood when the kidneys can no longer do
this.
• Kidney transplant. A kidney transplant
involves surgically placing a healthy
kidney from a donor into your body. The
person needs to take medications for the
rest of the life to keep the body from
rejecting the new organ.
visit: www.welling.co.in | Call: 80 80 850 950
Homoeopathic Management
• Homeopathy treatment aims to halt the
progression of illness.
• It also strives to reverse any damage that
might have already happened to kidney
which can be resolved through
Homeopathic medicines and which is not
permanent as yet.
visit: www.welling.co.in | Call: 80 80 850 950
Homoeopathic Management
• If the permanent damage is already set-in
in some part of kidney, homeopathic
treatment tries to save the remaining part
of kidney, thus offering a compensatory
relief.
• The treatment also tries to manage the
healthy kidney to drain effectively without
the need for dialysis.
visit: www.welling.co.in | Call: 80 80 850 950
Welling Homoeopathic management
Management of all stages of the CKD
Management of other associated
complaints
Management of complications of the CKD
Improve the overall general health of the
CKD patients
Advising the auxillary line of treatments in
CKD
visit: www.welling.co.in | Call: 80 80 850 950
• The Homeopathic treatment protocol
developed at Welling Clinic has been effective
for over a decade in controlling creatine and
urea levels.
• Our patients have been living a healthy life
without dialysis and a better quality of life.
Welling Homoeopathic management
visit: www.welling.co.in | Call: 80 80 850 950
• We offer our treatment through our clinics in
Mumbai and through our state-of-art online
consultation platform, we consult and send
medication to patients from over 72 countries
and to all major cities of India.
• Visit – www.welling.co.in
• Call – (+91 ) 80 80 850 950
Welling Homoeopathic management

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Treatment for Chronic Renal Failure / CKD

  • 1. TREATMENT for CHRONIC RENAL FAILURE For Treatment & Consultation visit: www.welling.co.in | Call: 80 80 850 950
  • 2. For treatment go to SLIDE No. 25 Directly visit: www.welling.co.in | Call: 80 80 850 950
  • 3. WHAT IS CHRONIC RENAL FAILURE  It involves progressive & irreversible loss of kidney functioning  Defined as either presence of  Kidney damage  Pathological abnormalities  Glomerular filtration rate (GFR)  <60 ml/min for 3 months or longer visit: www.welling.co.in | Call: 80 80 850 950
  • 4. visit: www.welling.co.in | Call: 80 80 850 950
  • 5.
  • 6. CRF - CausesCRF - Causes Glomerulonephritis – the most common cause in the past Diabetes mellitus Hypertension Tubulointerstitial nephritis are now the leading causes of CRF visit: www.welling.co.in | Call: 80 80 850 950
  • 7.
  • 8. Chronic Renal Failure • Subjective symptoms are relatively same as acute • Renal – Hyponaturmia – Dry mouth – Poor skin turgor – Confusion, salt overload, accumulation of K with muscle weakness – Fluid overload and metabolic acidosis – Proteinuria, glycosuria – Urine = RBC’s, WBC’s, and casts visit: www.welling.co.in | Call: 80 80 850 950
  • 9. Chronic Renal Failure • Cardiovascular –Hypertension –Arrythmias –Pericardial effusion –CHF –Peripheral edema • Neurological – Burning, pain, and itching, parestnesia – Motor nerve dysfunction – Muscle cramping – Shortened memory span – Apathy – Drowsy, confused, seizures, coma, EEG changes visit: www.welling.co.in | Call: 80 80 850 950
  • 10. Cardiovascular manifestationsCardiovascular manifestations visit: www.welling.co.in | Call: 80 80 850 950
  • 11. Chronic Renal Failure • GI –Stomatitis –Ulcers –Pancreatitis –Uremic fetor –Vomiting –consitpation • Respiratory – ^ chance of infection – Pulmonary edema – Pleural friction rub and effusion – Dyspnea – Kussmaul’s respirations from acidosis visit: www.welling.co.in | Call: 80 80 850 950
  • 12. Chronic Renal Failure  Endocrine  Stunted growth in children  Amenorrhea  Male impotence  ^ aldosterone secretion  Impaired glucose levels R/T impaired CHO metabolism  Thyroid and parathyroid abnormalities • Hemopoietic – Anemia – Decrease in RBC survival time – Blood loss from dialysis and GI bleed – Platelet deficits – Bleeding and clotting disorders – purpura and hemorrhage from body orifices , ecchymoses visit: www.welling.co.in | Call: 80 80 850 950
  • 13. Chronic Renal Failure  Skeletal  Muscle and bone pain  Bone demineralization  Pathological fractures  Blood vessel calcifications in myocardium, joints, eyes, and brain  Skin  Yellow-bronze skin with pallor  Puritus  Purpura  Uremic frost  Thin, brittle nails  Dry, brittle hair, and may have color changes and alopecia visit: www.welling.co.in | Call: 80 80 850 950
  • 14.
  • 15. Uremia • is clinical syndrome that results from profound loss of renal function • cause(s) of it remains unknown • rerers generally to the constellation of signs and symptoms associated with CRF, regardless of cause • presentations and severity of signs and symptoms of uremia vary and depend on • the magnitude of reduction in functioning renal mass • rapidity with which renal function is lost visit: www.welling.co.in | Call: 80 80 850 950
  • 16. Uremia the most likely candidates as toxins in uremia are the by–products of protein and amino acid metabolism  Urea – represents some 80% of the total nitrogen excreted into the urine  Guanidino compunds: guanidine, creatinine, creatin, guanidin-succinic acid)  Urates and other end products of nucleic acid metabolism  Aliphatic amines  Peptides  Derivates of the aromatic amino acids: tryptophan, tyrosine, and phenylalanine visit: www.welling.co.in | Call: 80 80 850 950
  • 17. Metabolic acidosis Metabolic acidosis of CRF is not due to overproduction of endogenous acids but is largely a reflection of the reduction in renal mass, which limits the amount of NH3 (and therefore HCO3 - ) that can be generated visit: www.welling.co.in | Call: 80 80 850 950
  • 18.
  • 19. What we can do at home • Potassium restriction – 2 to 4 g – High-potassium foods should be avoided • Oranges • Bananas • Tomatoes • Green vegetables • Phosphate restriction – 1000 mg/day – Foods high in phosphate • Dairy products – Most foods high in phosphate are also high in calcium visit: www.welling.co.in | Call: 80 80 850 950
  • 20. Allopathic Management • Depending on the underlying cause, some types of kidney disease can be treated. • Often, though, chronic kidney disease has no cure. • In general, treatment consists of measures to help control signs and symptoms, reduce complications, and slow progression of the disease. • If the kidneys become severely damaged, the person may need treatment for end-stage kidney disease. visit: www.welling.co.in | Call: 80 80 850 950
  • 21.  Medications to lower cholesterol levels: People with chronic kidney disease often experience high levels of bad cholesterol, which can increase the risk of heart disease.So statins are mostly given.  Medications to treat anemia: In certain situations, the supplements of the hormone erythropoietin sometimes with added iron are given.  Medications to relieve swelling Medications called diuretics can help maintain the balance of fluids in the body. visit: www.welling.co.in | Call: 80 80 850 950
  • 22.  Medications to protect bones: Calcium and vitamin D supplements are given to prevent weak bones and lower risk of fracture.  A lower protein diet to minimize waste products in your blood: As the body processes protein from foods, it creates waste products that kidneys must filter from blood. To reduce the amount of work kidneys must do, so it is recommended eating less protein. visit: www.welling.co.in | Call: 80 80 850 950
  • 23.  Treatment for end-stage kidney disease: If your kidneys can't keep up with waste and fluid clearance on their own and the person develop complete or near-complete kidney failure, it is called as end-stage kidney disease.So that time following things are recommended: visit: www.welling.co.in | Call: 80 80 850 950
  • 24. • Dialysis. Dialysis artificially removes waste products and extra fluid from the blood when the kidneys can no longer do this. • Kidney transplant. A kidney transplant involves surgically placing a healthy kidney from a donor into your body. The person needs to take medications for the rest of the life to keep the body from rejecting the new organ. visit: www.welling.co.in | Call: 80 80 850 950
  • 25. Homoeopathic Management • Homeopathy treatment aims to halt the progression of illness. • It also strives to reverse any damage that might have already happened to kidney which can be resolved through Homeopathic medicines and which is not permanent as yet. visit: www.welling.co.in | Call: 80 80 850 950
  • 26. Homoeopathic Management • If the permanent damage is already set-in in some part of kidney, homeopathic treatment tries to save the remaining part of kidney, thus offering a compensatory relief. • The treatment also tries to manage the healthy kidney to drain effectively without the need for dialysis. visit: www.welling.co.in | Call: 80 80 850 950
  • 27. Welling Homoeopathic management Management of all stages of the CKD Management of other associated complaints Management of complications of the CKD Improve the overall general health of the CKD patients Advising the auxillary line of treatments in CKD visit: www.welling.co.in | Call: 80 80 850 950
  • 28. • The Homeopathic treatment protocol developed at Welling Clinic has been effective for over a decade in controlling creatine and urea levels. • Our patients have been living a healthy life without dialysis and a better quality of life. Welling Homoeopathic management visit: www.welling.co.in | Call: 80 80 850 950
  • 29. • We offer our treatment through our clinics in Mumbai and through our state-of-art online consultation platform, we consult and send medication to patients from over 72 countries and to all major cities of India. • Visit – www.welling.co.in • Call – (+91 ) 80 80 850 950 Welling Homoeopathic management