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Have CKD and fatty liver. Treatment?

hi all doctors i want a big question from all of u u r a big pannel i wanna know that if my three cousions from my two uncles sons ,,,mean to say that the ckd prob and liver fatty prob if in family so what should be the treatment or how can we save our lives ,caus three had died and we two bro are suffering from ckd ...
Asked On : Sat, 9 Feb 2013
Answers:  2 Views:  56
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General & Family Physician 's  Response
Very sorry to learn about the demise of your cousins with CKD and two brothers still suffering from it.
The fact is there is no treatment of CKD.
There are treatments employed like slowing the progression of disease and treating the cause,contributing factors and complications of CKD.
Treatment involves restriction on your protein,potassium,fluid ,analgesics,anti biotics like gentamicin etc.
Treatment involves controlling  high blood pressure,diabetes,loosing weight,taking care of anemia and low VIT D,etc.
The fact remains that you may prolong the progression of your CKD status to end stage kidney disease but you can't prevent it happening.
Since you have not mentioned your stage of CKD,I am telling you the general guide lines.
Ultimately you would have to go for dialysis and kidney transplant.
You must discuss with your doctor and start planning for the kidney transplant ,so that you may be able to enjoy your life normally.
Answered: Sun, 10 Feb 2013
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Gastroenterologist Dr. Charles S Narasi's  Response
Hello, ajjab,
From your history , I understand that three of your cousins have been
diagnosed to have "Fatty Liver ". You also need to find out if they are
overweight ,diabetic ,and have high lipid levels like high cholesterol and
triglycerides. If they meet this criteria , they fit "Metabolic Syndrome "
description and this can run in families although it is not hereditary
in a strict sense.
If the cause of death was advanced liver disease , it had to be cirrhosis
which is very advanced stage that could lead to coma and death. You
need to find out about that also.
As prevention , watch your weight. Excercise regularly, keep your lipids
down by proper diet (Low fat and restricted carbohydrates, especially
concentrated sugars) and good protein intake. You should also be on
Super B-Complex Vitamin, along with Vit-E 800 i.u. daily.
You can get a base line ultrasound of the liver along with all the liver
function tests, complete lipid profile, check for diabetes including blood
sugar and HbA1C level.
Hope this gives you a starting point which you can discuss with your own
doctor and act appropriately.
I wish you the very best.
Answered: Sun, 10 Feb 2013
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