What Are the Best Dietary Options for Someone Dealing with Kidney Disease?

Simon Prince on 09/19/2024

When facing kidney disease, it’s essential to know that you will need to make changes in your diet. You will need to work with your doctor to create a plan. Always remember to consult with your doctor about the best dietary options when dealing with kidney disease, and follow best practices to stay as healthy as possible.

Let’s look at what foods are good or bad, and why?

Some of the Best Dietary Options for Dealing with Kidney Disease

Garlic
Onions
Apples
Cranberries
Blueberries
Red Bell Peppers
Cauliflower
Cabbage
Raspberries
Strawberries
Cherries
Red Grapes
Egg Whites
Fish
Olive Oil
Italian, French, or sourdough bread
Corn or rice cereals (Cream of Wheat)
Herbs and spices instead of salt

Some of the Worse Dietary Options for Dealing with Kidney Disease

Processed meat such as ham, bacon, sausage, and lunch meat
Pickled foods such as olives and pickles
Whole grain bread
Bran cereals and oatmeal
Nuts and sunflower seed
Dark-colored colas
Very high-protein diets

When Kidneys are damaged, one may not want to consume as much liquid because the kidneys may not expel extra fluid as they normally would. Fluid building up in the body can lead to high blood pressure, painful swelling, and even heart failure. It’s especially important to avoid sodium to reduce thirst. If the nutria label says an item has 20% or more sodium, it is considered high in sodium. The item should be avoided. Seek to eat foods that have moderate levels of protein and very low sodium. Be aware of your fluid intake and choices.

Food choices are important, but even more so, you should know what liquids to avoid, such as:

Coffee: This can dehydrate you, and it is difficult for the kidney to filter.
Soups: These typically are very high in sodium.
Foods that melt, like ice, ice cream, and gelatin: While Jell-O and ice cream may not be seen as a liquid, they dissolve into liquid and are also high in sugar.
Alcohol: Any intake of alcohol is detrimental to the kidneys. Alcohol is generally full of sugar, which is very bad for people suffering from kidney disease.

Of course, there will be times when you might have to be at a function where alcohol and other foods are being served. In those cases, opt for light-colored sodas like 7-up or Sprite. When possible, choose water, of course. You won’t be able to tell what items are good or bad for you or are full of salt or sugar. Party, food doesn’t come with a label but suffice to say, eat lightly, bite cake rather than an entire piece, make a small plate, and taste rather than binge.

If you are in stage 1 or 2 and even stage 3, you might not feel some of the effects of the food you are eating all the time. The sooner you get on top of things, the longer you can stave off digression and extensive damage. The more you abuse your kidneys with poor food choices, the more they head toward failure.

Vitamins:
To combat the possible side effects of kidney disease such as bone disease and anemia, consuming a proper amount of vitamin D, folic acid, and iron is suggested. Beware of the general multi-vitamin which may not be suitable for you. You may consider PRINE Health’s nephrology formulated, PRINE VITE Complete. As always, consult with your doctor.

Fast Food:

Generally speaking, fast food is often a very poor choice for someone facing renal failure. In fact, fast food is usually not suitable for any diet. The products produced at fast-food restaurants are loaded with salt and sugar, as well as bad fats. These products are processed foods, and your best bet is to eat organic, low salt, and good fats as opposed to something created in a factory.

The Rules of Protein:

When a person eats protein, the body creates waste that the kidneys have to filter through.
You need protein in your diet, but if your kidneys are damaged, you will have to be careful to eat. Typically, lower protein diets are protective for your kidneys.

There are two kinds of protein – plant-based and animal-based.

Animal-Protein Options:

Fish
Eggs
Dairy
Chicken
Turkey
Beef

Planet-Based Protein Options:

Lentils
Beans
Nuts
Quinoa
Chickpeas

In general, the main thing is to work with your doctors, both your general practitioner and your specialists, to create a diet you can live with that will give you both the best quality of life and the best kidney health possible.

No one wants to be restricted in their diet. It’s not fun. We all have our favorite foods. For some, it’s pizza and burgers, for others, cake, and ice cream. Within reason, you can have small treats to take the edge off the restricted diet you may need to follow. Still, a solid plan for healthy kidney food will be an essential element of your treatment and overall well-being.

If you seek advice from experts on the best dietary options for Kidney disease or for any questions related to Kidney Disease, please reach out to us at PRINE Health. We have kidney specialists and clinical nutritionists who can work together to create the best path for your future kidney health.

The Basics of a Balanced Diet: Understanding Macronutrients and Micronutrients

PRINE Health on 07/10/2024

At PRINE Health, we believe in empowering our patients with the knowledge to manage conditions such as kidney disorders, diabetes, and obesity. A balanced diet plays a crucial role in this process, emphasizing the importance of both macronutrients and micronutrients. Here’s a concise guide to these dietary components and how our new nutrition consult service can assist you.

What Are Macronutrients and Micronutrients?

Macronutrients are essential because they provide the energy our bodies need to perform their functions, including growth, repair and maintenance of bodily tissues, and providing the fuel for physical activity. They are required in larger amounts. Carbohydrates are the body’s primary energy source, proteins are fundamental for tissue repair and enzyme functions, and fats insulate and protect our organs, as well as provide a concentrated source of energy and support cell growth.

Micronutrients, despite being needed in smaller amounts, have major impacts on our health. They include vitamins and minerals that our bodies cannot produce sufficiently. Micronutrients support a range of functions, from producing enzymes, hormones, and other substances crucial for proper growth and development to maintaining strong bones and ensuring the health of our nervous and immune systems.

Macronutrients: Your Body’s Primary Fuel

Carbohydrates: Our bodies’ primary energy source, carbohydrates, should be mainly sourced from whole grains, fruits, and vegetables for sustained energy release.

Proteins: Essential for repair and growth, proteins should be selected based on their quality. Protein intake might need adjustment for individuals with kidney conditions, as too much can increase the kidney burden.

Fats: Vital for hormonal functions and vitamin absorption. Opt for sources rich in unsaturated fats, such as avocados, nuts, seeds, and olive oil, while minimizing saturated and trans fats.

Micronutrients: The Vital Details

Vitamins

Vitamin A: Necessary for vision, the immune system, and reproduction.
- Foods rich in Vitamin A include carrots, sweet potatoes, spinach, and fortified milk.
B Vitamins (including B12, B6, Thiamine, Riboflavin, Niacin, and Folate): These aid in energy production, iron absorption, and immune function.
- Sources include whole grains, beans, poultry, meat, eggs, dairy products, leafy green vegetables, and fruits.
Vitamin C: Important for skin health, antioxidant function, and immune response.
- Found in citrus fruits, strawberries, bell peppers, and broccoli.
Vitamin D: Key for bone health and immune function.
- Can be obtained from fortified dairy products, fish oils, and exposure to sunlight.
Vitamin E: An antioxidant that helps protect cells from damage.
- Sources include nuts, seeds, spinach, and broccoli.
Vitamin K: Necessary for blood clotting and bone health.
- Found in green leafy vegetables, fish, meat, and eggs.

Minerals

Calcium: Essential for bone and tooth health, muscle function, and nerve signaling.
- Rich sources include dairy products, fortified plant milks, leafy greens, and almonds.
Iron: Critical for making red blood cells that carry oxygen around the body.
- Red meat, poultry, lentils, spinach, and iron-fortified cereals are good sources.
Magnesium: Involved in over 300 biochemical reactions in the body, including muscle and nerve function, glucose control, and energy production.
- Found in nuts, seeds, whole grains, and leafy green vegetables.
Potassium: Helps regulate fluid balance, muscle contractions, and nerve signals.
- Bananas, oranges, potatoes, and tomatoes are excellent sources.
Zinc: Important for wound healing, immune function, and DNA synthesis.
- Meat, shellfish, legumes, nuts, and seeds contain high amounts of zinc.

Customized Nutrition Consults at PRINE

Understanding the intricacies of a balanced diet can be challenging, especially when dealing with specific health conditions. At PRINE, we now offer online virtual nutrition consultations tailored to kidney disorders, diabetes, obesity, and related conditions. These consults complement your physician’s advice by focusing on your dietary needs and offering personalized information, resources, and dietary strategies.

Take the First Step Towards a Healthier You

Discuss with your physician and reach out to PRINE Health for a nutrition consult that’s tailored to you. Visit our website to learn more or to request a consultation. Let’s work towards a balanced diet supporting your health.

Understanding Kidney Stones: Discover Causes, Prevention Tactics, and Treatment Choices

PRINE Health on 04/24/2024

What Causes Kidney Stones and How Can You Prevent Them?

Kidney stones are a common health condition that affects millions of people worldwide. These hard deposits form in the kidneys and can cause significant pain and discomfort as they pass through the urinary tract.

What Are Kidney Stones?

A kidney stone is a solid piece of material that forms in the kidney from substances in the urine. They can vary in size and shape, with some being as small as a grain of sand, while others can grow to the size of a golf ball. The stones are made of various materials, but the most common types include calcium oxalate, uric acid, struvite, and cystine. Kidney stones are prevalent, affecting about one in ten people at some point in their lives, and they tend to be more common in men than women.

Can Dietary Choices Prevent Kidney Stones?

Diet plays a significant role in the formation of kidney stones. Certain foods and drinks can increase the possibility of stone formation, particularly those high in sodium, oxalates, and animal proteins.

Staying Hydrated to Prevent Kidney Stones

Staying hydrated is one of the most effective ways to prevent kidney stones. Drinking plenty of water helps dilute the substances in the urine that lead to stones.

Foods and Supplements for Prevention

Incorporating foods rich in calcium and magnesium can also help prevent certain stones. Some supplements may aid prevention, but it’s crucial to consult a healthcare provider before starting any new supplement regimen.

When Should You Worry about Kidney Pain

Kidney pain is often a clear indicator that something is wrong with your kidneys. It’s crucial to be alert if you experience severe pain in your back, side, lower abdomen, or groin—an indicator of kidney stones or possibly an infection. Also, look out for other symptoms like painful urination, blood in the urine, nausea, vomiting, fever, or chills. These symptoms, especially when combined, need immediate medical attention as they could signify a kidney stone in motion or an infection requiring prompt treatment.

Workup and Specialist Consultation

If you suspect you have kidney stones, a thorough examination is essential. This may include a medical history review, physical examination, urine tests, blood tests, and imaging studies.

When You Should See a Nephrologist

A nephrologist is a physician who specializes in kidney health and diseases. They are vital in assessing kidney function, determining risk factors for stone development, and implementing strategies to prevent future stones. They can also manage complications associated with kidney stones, such as kidney infections or damage. Their expertise in the various systemic diseases that affect the kidneys, like hypertension and diabetes, can be critical if your condition is complex.

When You Should See a Urologist

While a nephrologist will help with the medical management of stones and any associated kidney issues, a urologist is a surgeon who specializes in diseases of the urinary tract and the male reproductive system. They are instrumental when kidney stones require intervention beyond medication.

Treatments such as shock wave lithotripsy, ureteroscopy, or percutaneous nephrolithotomy to remove or break up stones are within their scope. A urologist will also manage the surgical aspects of any urinary obstruction, ensuring that urine flow is restored and kidney function is preserved.

Surgical Options for Kidney Stones

Surgical options may be necessary for stones that cannot pass on their own or cause ongoing problems. The most common procedures include:

Extracorporeal Shock Wave Lithotripsy (ESWL): Non-invasive treatment using shock waves to break stones into small pieces that can be passed in the urine.
Ureteroscopy: A small scope is inserted into the urethra, through the bladder, to the stone’s location, where it can be removed or broken into smaller pieces.
Percutaneous Nephrolithotomy: A surgical procedure to remove large stones directly from the kidney through a small incision in the back.

Post-Surgical Care: Living with a Stent

If you’ve had surgery for an obstructing kidney stone, you may have a stent placed temporarily. This thin, flexible tube helps keep the ureter open, allowing urine and any remaining stone fragments to pass more easily.

Coping with Stent Discomfort

Living with a stent can be uncomfortable, with potential symptoms including pain, urinary urgency, and a feeling of incomplete bladder emptying. Drinking plenty of water can help ease these symptoms until the stent is removed, usually within a few weeks post-operation.

Managing and Preventing Kidney Stones

In conclusion, while kidney stones are common and can be quite painful, understanding the factors that contribute to their formation and knowing the treatment options available can help manage and prevent future stones. Maintaining a healthy diet, staying hydrated, and consulting with healthcare professionals specializing in kidney and urinary tract health are key steps in navigating the path to recovery and prevention.

Your health is our priority at PRINE. If you have any concerns or questions about your health, do not hesitate to contact us and request an appointment with our team of expert doctors. Here’s to living a healthier, happier life!

Managing Diabetes And Hypertension For Better Kidney Health

PRINE Health on 01/29/2024

How Diabetes and Hypertension Affect Kidney Health

Living with uncontrolled high blood sugar (diabetes) or high blood pressure (hypertension) can pose a significant risk to your kidneys’ well-being. Medical experts have affirmed the link between these chronic illnesses and compromised kidney health, underlining the need for timely management and intervention. Considering Chronic Kidney Disease (CKD) affects approximately 15% of the general US population, according to the National Kidney Foundation, it’s time we took a deep breath and dived headfirst into the management of diabetes and hypertension.

The Damaging Effects Of Diabetes And Hypertension On Kidney Health

Hypertension and diabetes significantly impact kidney health, as both conditions can damage the kidneys’ tiny blood vessels over time. With diabetes, the body’s abnormally high blood sugar levels can lead to glomerulosclerosis. In this condition, the kidneys’ small filtering units, the glomeruli, become scarred and unable to filter waste and toxins from the bloodstream effectively, leading to kidney disease. Almost 1 in 3 people with diabetes will have Diabetic Nephropathy (kidney disease), and it is the leading cause of kidney failure in the United States.

Similarly, hypertension forces the heart to pump blood more intensely, placing extra pressure on all blood vessels, including the delicate ones in the kidneys. The consistent force exerted by high blood pressure can cause kidney damage and eventual kidney disease. High blood pressure is the second leading cause of kidney failure in the United States after diabetes, as 25% of kidney patients have high blood pressure as the main cause of their kidney failure.

Together, uncontrolled diabetes and hypertension can lead to accelerated kidney damage, potentially resulting in kidney failure.

The Importance Of Kidney Health

Your kidneys are small but mighty. They are your body’s filtration system, removing waste products from your bloodstream to help maintain a healthy internal environment. However, high blood sugar levels and pressure can overload them, causing irreversible damage. Therefore, managing diabetes and hypertension is necessary for maintaining healthy kidneys.

The Careful Management Of Diabetes

While there’s no definitive cure for diabetes, you can manage the disease and take the strain off of your kidneys.

The critical step in managing diabetes is maintaining a balanced diet. By consuming high-fiber, low-sugar meals, you limit the amount of sugar that enters your bloodstream, reducing strain on your kidneys. Next, practice regular exercise. Physical activity helps to regulate your blood sugar, preventing drastic swings that can cause damage to your kidneys. Lastly, make sure to attend those doctor appointments. Regular check-ups ensure you’re on the right track and catch potential complications early.

Controlling Hypertension

Regular exercise benefits individuals with high blood pressure as well. By engaging in regular physical activity, you strengthen the heart, reducing the force needed to pump blood, thus lowering your blood pressure. A healthy diet (low in salt and high in fruits and vegetables) also lowers blood pressure. Just as with diabetes, regular check-ups are a necessary step in managing your hypertension.

Listen To Your Body: Common Symptoms Of Kidney Health Issues Triggered By Diabetes Or Hypertension

Poor kidney health, often exacerbated by diabetes and hypertension, can manifest through several common symptoms. People might experience fatigue and weakness due to the kidneys’ inability to make enough erythropoietin, a hormone that stimulates red blood cell production.

Another common symptom is swelling or puffiness, especially around the ankles, eyes, and feet, due to kidneys being unable to remove enough excess fluid from the body. An increased need to urinate, especially at night, changes in urine appearance, or a decrease in urine output can also indicate kidney issues.

Other symptoms include persistent itching resulting from the buildup of waste in the blood, a lack of appetite, and concentration problems. Noticing blood or protein in the urine, often discovered during routine urine tests, is another critical sign of poor kidney health.

It’s essential to remember that these symptoms might not become noticeable until kidney function has significantly decreased, highlighting the importance of regular monitoring and early intervention, especially for those with diabetes or hypertension.

Your Health, Our Mission: Exploring The Benefits Of Regular Kidney Function Tests With PRINE Health

At PRINE Health, your health is our top priority. Regular kidney function tests are important to detect problems early. Don’t wait for symptoms to show. If you have diabetes or hypertension, schedule regular check-ups to stay ahead of any kidney-related concerns. By managing these conditions, you are securing your kidney health and promoting your overall well-being.

Book your consultation today and protect your kidney health with us. Don’t forget to follow us on social media to keep up with all our news and insights about our multidisciplinary approach to kidney care.

Unveiling The Vessels: A Comprehensive Look At Vascular Health For Kidney Patients

PRINE Health on 01/19/2024

Understanding the connection between the heart and the kidneys is simple enough, but we commonly forget that when one of them is in trouble, the other one usually is as well—or is close behind. Fortunately, this is true in the inverse as well: Taking care of your heart is taking care of your kidneys. This article explores the connection between these two vital organs and describes a few ways that you can take care of your vascular system if you struggle with kidney disease.

Connecting The Cardiovascular System

The heart pumps blood throughout the body, the lungs oxygenate it, and the kidneys—connected to the vena cava and aorta—clean it up of toxins and waste before they throw it back into the veins and arteries. We then expel the waste and toxins in urine. By controlling sodium and water balance, the kidneys help the heart regulate blood pressure. Of course, blood pressure is a more complicated matter than that, but it is clear that kidneys are crucial. Finally, kidneys also regulate electrolyte balance, some of which are essential for the myocardium—namely potassium, sodium, magnesium, and calcium.

Cardiovascular disease, which is usually present in chronic kidney disease, is a leading cause of mortality in CKD, especially in its end stages. This is all the more reason to make sure we protect the heart as we protect the kidneys.

Caring For Vascular And Kidney Health: Detection

The first step to ensure proper health for both systems is detection. Of course, this may seem reductionist, but it truly is the best way to get ahead—and there is more to do. This is especially important for patients with diabetes, as it poses the primary risk for kidney disease. Nephrologists insist that a yearly blood test screening for glomerular filtration rate and a urine test looking for protein in urine are excellent ways to find any issues in your kidneys, as well as keeping an eye on your vascular well-being.

On the subject of proteins, the human body has a steady supply of proteins, like ferritin and elastin. Among these is albumin, a protein produced by the liver that is responsible for binding and transporting substances like hormones, vitamins, enzymes, and drugs throughout the bloodstream. It also keeps fluid from leaking from your blood vessels. Albumin is also the first substance to leak through to your urine when the kidney’s glomeruli start to fail. Consult your nephrologist if you present one of the following symptoms, as it may be an indicator of proteinuria:

Foamy urine
Frequent urination
Swelling

What’s more, detection can help in finding the source of any issues you may present, allowing you and your doctor to make more informed decisions for your treatment.

Vascular And Renal Care: Practices

Kidney health starts with water—the clear, simple H2O compound without any additives. Water makes up most of our cellular structure. Constant hydration helps blood vessels work better, including those in the kidneys. It also allows your heart to pump more blood, and it helps oxygen reach your muscles. In the kidneys, it helps prevent stone-forming crystals and lets you produce more urine to expel more waste. Additionally, experts suggest a few more practices to keep both organs healthy.

Diet is also important. It is essential to keep a close eye on cholesterol and triglyceride levels. These two substances can influence the way that kidney and heart conditions evolve. Experts also suggest reducing salts, simple sugars—as you’d find in soda and candy—and saturated fats. In moderation, these substances should be no issue, but cutting them down while struggling with kidney problems is giving your kidneys a step up in their recovery. While we’re on the subject of intake, doctors also suggest reducing ibuprofen and other non-steroidal agents, as kidneys have no way to deal with them.

Activity and weight control are another priority. Physical activity is linked to overall physical health, and it is proven to impact patients with kidney disease positively. Of course, it is vital to stay hydrated and follow your doctor’s guidelines for exercising. Escalations in body weight pose an increased risk of high blood pressure and diabetes, both of which exacerbate kidney disease. It also forces the kidneys to work overtime, filtering more waste than usual, which can increase the risk of disease. We encourage you to approach your nutritionist to explore the best solutions for you.

PRINE Health provides a multidisciplinary approach to kidney health. We pair nephrologists with other professionals to empower patients with kidney disease to live better, fuller lives. Discover the many ways PRINE Vascular can help you, as well as our other specialties.

Click here to find out about vascular health, or schedule an appointment with a professional by contacting us here.

Excessive Protein And Its Influence On Kidney Health

PRINE Health on 01/05/2024

When we think of protein, we think about meat, peanut butter, beans, and other foods that we need in our daily diet for a balanced diet. We don’t typically think about protein in relation to our urine or our kidney health.

If you have been noticing a frothiness in your urine and/or swelling in your hands, feet, or face, it may be time that you visit with your health care specialist, as you could be showing signs of proteinuria (protein in urine) and kidney issues. In a normal healthy urine sample, one will find mostly water (roughly 95%) and then small amounts of urea, chloride, sodium, potassium, creatine, and other compounds deemed unnecessary and as waste by the body. But when things such as large amounts of protein appear in a collection sample, they serve as a little red flag for healthcare professionals.

Normal urine generally produces anywhere between 0 to 14mg/dL of protein. Finding transient proteinuria, a common benign condition is often caused by fever, dehydration, emotional stress, exposure to extreme cold, or heavy exercise. Often, transient proteinuria cases will take care of themselves, usually because that which was causing the body to make haste with the protein waste has cleared up. For more severe conditions, it is important to understand that the excess protein in the urine is not what is hurting your body. It is more of a side effect or a sign that a real serious problem could be lurking in the shadows of your body.

According to average medical standards, anything higher than 14mg/dL could mean the person is experiencing other health-related problems that should be addressed quickly.

Signs and Symptoms of Kidney Health Issues

Among the more serious problems related to the high levels of protein found in urine include:

Amyloidosis (a build-up of protein in organs causing them not to work properly)
Excessive consumption of anti-inflammatory medications (these can be rough on the kidneys)
Chronic Kidney Disease (CKD is when the kidneys begin to fail, and waste builds up in the body)
Diabetes – (too much sugar in the blood)
Endocarditis ( infection in the lining of the heart)
Lupus (an inflammatory disease caused when the immune system attacks its own tissues)

Heart Failure (a condition in which the heart does not pump blood as well as it should)
Sarcoidosis (a collection of inflammatory cells that form lumps, or granulomas)
Sickle Cell Anemia (when red blood cells become misshapen causing them to misfunction)
Nephrosis (damage to the small blood vessels in the kidneys)
Hodgkin’s Lymphoma (cancer of a part of the immune system)
Preeclampsia – (high blood pressure during pregnancy)

There are many things that your health care specialist can suggest that can help you protect and prevent further kidney damage. For instance, some studies have shown that inadequate vitamin D levels could make you up to twice as likely to develop kidney disease. Supplements or spending 15 minutes a day in the sun can increase your body’s vitamin D levels. Dialysis is used when your kidneys can no longer function at an adequate level to remove the wastes.

The National Kidney Foundation (formerly the National Nephrosis Foundation) was founded by Ada DeBold after her son developed and eventually succumbed to kidney failure. This foundation has helped advance the knowledge and treatment of kidney disease over the past 70 years.

Managing Chronic Conditions for Better Kidney Health

The key to healthy kidneys is proper maintenance. Of course, drinking water and maintaining a healthy diet will help with overall kidney function. Unfortunately, we have not quite figured out how to turn off the genetic components that make the body more susceptible to kidney damage. The future is bright, and scientists are always looking, researching, and developing new treatments. Having a primary care doctor that can coordinate with a kidney specialist is critical if you develop issues with your kidneys.
Recent studies have found that the kidneys can sometimes repair themselves. This is a slow and tedious process as the owner of the kidneys must be careful with their overall consumption of foods and medications while maintaining proper health to support the natural repairing process. This is wonderful news compared to the long-assumed notion that the kidney cells are unable to regenerate after fully developing. Talk to your doctor and kidney specialist about diet and treatments that can slow down the progress as much as possible.

If you have questions or would like to talk to a specialist in the field, reach out to us at PRINE Health. We have offices in New York State but also offer excellent telemedicine options.

What Is Telenephrology, And Why Should I Consider It?

PRINE Health on 01/05/2024

Telenephrology – Telemedicine is not as new as you might think. It got its start in the late 1950s and was originally conceived as a way for doctors to reach patients in remote areas. Many people live in places where reaching a doctor isn’t a simple matter.

Having a way to connect with a doctor who knows your medical history is essential. If it’s not easy or even possible to go to see your doctor for a personal visit, Telemedicine can be the pathway to better health. Due to the Corona Virus, many people have been quarantined, especially those who have compromised health issues. Kidney disease is a serious illness. If you are someone facing this health issue, staying home, and not subjecting yourself to exposure to the virus, is of utmost importance.

Nephrologists, specialists, and, in fact, most doctors are using Telemedicine more than ever and not just to reach patients in remote locations but for patients who find it safer, smarter, and more economical to “see” them virtually. Now, with the constant improvements in technology, a doctor can meet virtually with patients by connecting through services like Zoom and Skype, or even Facetime. The doctor will be in his/her office, with the patient in the safety and comfort of their own home, saving time and money for both.

Today, medical offices are having to spread outpatient visits so that vigorous cleaning can be done between visits. Masks need to be worn by both Doc and the patient. When utilizing telenephrology, a doctor can see more patients and/or spend more time with each patient. Doctors can offer their services conveniently for any hours they choose. Suppose you are experiencing an issue that you feel may need immediate attention and need to quickly see a doctor. In that case, Telemedicine can likely get face-to-face with your doctor.

How Will Your Nephrologists Work with You Via Telemedicine

Unfortunately, chronic kidney disease is on the rise in the United States. If you are having issues with your kidneys, you will need to have a Nephrologist on your medical team. It’s best if your nephrologist works with your primary doctor to create proper plans for your health.

Testing for kidney issues has improved dramatically. Testing has exposed the fact that a higher number of people need help with this disease. It’s added to the already heavy burden on the health care system. Dealing with the Corona Virus has been an enormous strain on our hospitals, doctors, nurses, and others in the medical field. Keeping patients with existing chronic medical conditions is an added factor. The less personal contact, the better so more people are opting to meet their nephrologists and their primary doctors virtually through Telemedicine, which also collaborates with both the specialist and the primary doctor.

An element of Telenephrology is the use of websites or apps which allow your family physician to upload important data regarding your kidney disease for your nephrologist into the software. The nephrologist will then use that information to help create a plan or keep a new patient as healthy as possible.

Saving Time and Money

On average, a telenephrology consultation takes less than 10 minutes. No receptionist or nurse is needed in these sessions, thus saving on office expenses. Scheduling is often done online or with a scheduling app. The doctor-patient relationship is more of a one-on-one experience. This conversation only involves the doctor and the patient without the need for the whole office visit experience. Short check-ins like this can happen more often so that the doctor can stay up to date with their patient’s condition. Knowing what a patient with kidney disease is experiencing on a more regular basis without the burden of time-consuming office business can significantly improve patient care.

These visits are shorter, and to the point, so they are often more productive. The goal is to improve the health and, ultimately, the survival of patients. Insurance costs are less with Telemedicine. These kinds of visits are generally less expensive, which can help patients who are paying for some of their health care out of pocket.

Most people will say that they do not enjoy their visits to their nephrologists or other doctors. Sitting in an office, waiting nervously for your name to be called, now wearing a mask in most cases, is no picnic. If you have never experienced Telemedicine or telenephrology, ask your doctors if they offer this alternative to in-office visits.

If you seek a consultation with a nephrologist and would like to consider a telemedicine experience, PRINE Health would be happy to set up a consultation for you.

Podiatry’s Vital Role: Enhancing Kidney Care Holistically

PRINE Health on 12/22/2023

One of the kidneys’ critical responsibilities in the human body’s complex layout is regulating fluids and electrolytes throughout your body. It’s no wonder that kidney disease impacts so many parts of your body so harshly.

Taking care of your feet while you struggle with kidney disease is crucial, as they are one of the most severely affected members of your body. Today, we want to discuss why keeping an eye on our feet is important and how podiatry can be your best aid during holistic kidney care.

Common Complications

Before we get started, many of these complications can stem from other diseases and conditions. Contact your GP if you identify any of the following symptoms as your own.

Dry Skin And Itching

As toxins leak through the kidneys’ defenses, they may build up in the bloodstream. This may result in dry skin, which may affect the entire body but can be most uncomfortable in the lower extremities due to how much they are used and how frequently they are covered by fabric.

Infections

Common foot infections can be exacerbated when dealing with kidney disease. This is true for all infections, of course, but something as common as ingrown nails can go unnoticed until it’s well underway. Like the prior entry, this is related to the weakened toxin defense provided by kidneys.

Edema And Swelling

Generally, any kind of swelling is abnormal and can be linked to a different disease.

Kidneys regulate fluids and electrolytes throughout the body. Excess water can be filtered to different parts when their work is compromised. The most commonly affected limbs are the legs and feet. Swelling of the feet is common while struggling with kidneys, and it’s usually an early indicator of kidney problems.

There’s a unique form of swelling related to glomerular disease. In this case, the glomeruli—the filters in your kidneys—leak a protein named albumin into your urine, which in turn impacts fluid buildup. Glomerular disease presents a bigger risk when dealing with diabetic kidney disease, as systemic diseases tend to affect glomeruli.

Nerve Issues

Kidney failure, especially in its later stages, can impact the peripheral nervous system. The damage is especially evident in the legs. Common symptoms of nerve damage include numbness, tingling, and burning pain. In severe cases, a patient can experience total sensation loss, which can increase the risk of injury and infection.

Caring For Your Feet

As we have seen in the symptoms and their connection to the kidney’s functions, it’s clear that keeping a close eye on your foot health can make a difference in diagnostics. But there are other ways that podiatry can be of service in overall renal care.

For one, dialysis alone is a risk factor for foot ulcers. The risk is even higher for patients with diabetes and diabetes-related kidney failure. Additionally, the procedure commonly leads to nerve damage, which we covered in the previous section.

Your podiatrist won’t cure your kidneys, but keeping close contact with a podiatrist can make the difference in the complications that result from your condition. What’s more, since the specifics of care are so unique in kidney-related conditions, it’s crucial that you inform your podiatrist of any kidney disease that may be present.

In addition to working with a podiatrist, we suggest a couple of measures you can take at home to keep your feet as healthy as possible. For one, practice hygiene: wash and dry your feet well, but don’t soak them. As you do, check your skin for any sores or inflammation. Keep active within your range of possibility; blood flow is almost always good. If you can, keep up to date with your blood sugar.

Commonly, your nephrologist and podiatrist will work together, constantly finding solutions and treatments. At PRINE, we ensure communication between your doctors seeking to provide more holistic care for such a system-damaging condition.

Fueling Kidney Health

PRINE Health on 12/08/2023

The kidney is the prime filter of the human body—along with other essential tasks. It tackles toxins in the bloodstream and manages fluids and electrolytes throughout the organism, keeping us running. As such, it’s important to know how to keep them in tip-top shape and how to help them when they’re not.

Kidney disease affects 15% of the US population, and that only includes people who know they have it. Today, we’ll focus on a few ways to keep your kidneys healthy, and some recommended behaviors during care.

Healthy Diet And Habits

Overall, we recommend keeping a balanced diet consistent with your caloric intake needs, providing all forms of nutrients for a fully functioning body. Additionally, getting in your 30 minutes of daily exercise and drinking plenty of water allows your kidneys to clean the blood supply more efficiently and distribute these fluids throughout your body.

Keep your body moving within the range of what’s comfortable and possible. Keeping blood flowing aids in lowering blood pressure and cholesterol, as well as promoting muscle health. Your body is amazing, so keep it moving.

Choose Healthy Foods

We can take a page from the American Kidney Fund, which suggests that the right diet for a patient with kidney disease consists of the right proteins for growth and healing, fats for energy, vitamin distribution and temperature, and carbs, which are more easily transformed to energy than protein and fat.

Bet on more natural and healthier options that are low in sodium and grain carbs, and healthier carbs like fruit and vegetables. Naturally, discuss with your dietitian what diet is best for your case.

Monitor Levels

Keep a close eye on blood pressure, as it constricts and narrows blood vessels, including those of the kidneys. Cholesterol, other than impacting blood flow, can clog renal arteries, resulting in diminished kidney function. If you have any type of diabetes, it’s crucial to keep an eye out on your renal health, as it is proven to injure renal blood vessels as well.

Be sure to approach your doctors if you have any questions to stay one step ahead.

Limit Alcohol And Pill Intake

Alcohol severely impacts renal function, as it introduces toxins to the bloodstream. Your liver may do most of the heavy lifting when dealing with alcohol, but your kidneys do their share, too. A small amount of alcohol tends to be no problem; moderation is key.

Something similar happens with over-the-counter drugs. Substances like ibuprofen and aspirin, while helpful in many instances, often impact the kidneys through toxins that slowly limit renal function. Limit over-the-counter drug use to 10 days. If there are no changes, contact your doctor.

Know The Signs

There are few to no symptoms associated with the early stages of kidney disease; approaching your doctor regularly is the best measure.

As CKD gets worse, a few common symptoms start showing up:

Tiredness
A constant need to urinate
Blood in the urine
Swollen ankles or other limbs as a result of water retention, otherwise known as edema
Sudden weight loss and lack of appetite

These symptoms on their own may indicate anything, so the best course of action when they become present is to contact your practitioner.

Ask Your Doctor

As we repeated throughout this post, a proper medical check-up is the best way to find any issues with your kidneys. Medical treatment is also the most indicated course of action, especially considering how vital kidneys are for the entirety of the body. Timely attention to kidney health can make a difference in your treatment.
PRINE Health provides holistic care for chronic kidney disease and other common renal afflictions. We have teams and partners all over the country, so we encourage you to approach us and set up an appointment. Make use of our guides on kidney health diet here. Your kidney health matters.

A Whole-Istic View: The Emphasis On Holistic Kidney Care And Its Integral Role In Modern Healthcare

PRINE Health on 11/27/2023

As we continue to advance in the pivotal field of healthcare, a paradigm shift is evident. The predominant focus that was once on treating isolated ailments is slowly giving way to an incline toward a more comprehensive, ecological approach. This is the philosophy that we at PRINE Health embrace with open arms. We champion a holistic approach where we hand-hold our patients through their illness while paying heed to their systemic health.

The Imperative Of Kidney Health Management

Emphasizing kidney health is critical, especially in the face of the pervasive Chronic Kidney Disease (CKD), which currently affects nearly 30 million adults across the United States. This vast prevalence requires the healthcare community to confront not only the sheer volume of cases but also the intricate and convoluted nature of the disease itself. CKD, often described as an insidious enemy, extends beyond renal health, impacting a multitude of bodily systems and often masking its true reach with muted elusive symptoms.

CKD: The Unpredictable Adversary

The intricate and deceptive nature of CKD poses further difficulties, with an overwhelming 86% of cases presenting with one or more additional health conditions or comorbidities. Comorbidity alliances, including diabetes, hypertension, heart disease, depression, and bone disease, further complicate CKD, intertwining with the primary disease in a pernicious dance that accelerates disease progression and complicates treatment strategies.

Responding To The Multifaceted Nature Of CKD

The precarious interplay between CKD and its frequent comorbidities necessitates an approach to kidney care that is both comprehensive and individualized—one that can navigate this complex health landscape and address each patient’s unique needs. This calls for collaborative healthcare that synchronizes treatment strategies across different health fields to combat CKD effectively. In the face of such a formidable adversary, our healthcare approach must evolve, acknowledging and addressing the many dimensions of CKD to provide targeted, impactful care.

The Narrow Lens Of Specialized Care

The present healthcare system, marked by its proficiency in treating individual health problems, frequently falters when grappling with intricate disorders such as Chronic Kidney Disease (CKD). Specialized care, with its sole focus on the kidneys, can unintentionally bypass the profound implications that comorbidities present. Ignoring these jeopardizes a patient’s overall health and recovery prospects, underscoring the need for a broader health strategy that includes every facet of a patient’s well-being.

Such “tunnel-vision” care can, regrettably, diminish the quality of life for those afflicted with CKD. The patient’s battle doesn’t end with disease-specific treatment; they must also contend with the effects their ailment has on their daily life. Viewing CKD in isolation and neglecting its interconnected comorbidities can impede recovery and undermine treatment efficacy.

This snapshot into the limitations of specialized care highlights the pressing need for an approach that caters to a patient’s all-inclusive health status. To effectively tackle CKD, healthcare needs to transcend its current practices and adopt a strategy that appreciates the patient as an integrated whole rather than a collection of separate ailments.

The Holistic Success Formula At PRINE Health

At PRINE Health, we detour from the traditional path. Our philosophy hinges on a unique, well-rounded care model tailored to the needs of our CKD patients. By creating a robust multi-specialty setup, we ensure patients’ needs are met through a seamless interplay between nephrologists, primary care professionals, and other pertinent specialists.

Our blueprint for success is founded on agile care management, bolstered by advanced IT infrastructure. The objective is value-based kidney care, and we navigate these complex waters steered by our four primary goals:

Improving the Quality of Kidney Care: Leveraging a multidisciplinary approach, our mission is to provide a wide spectrum of care that fulfills a patient’s collective health needs.

Improving Access to Care and Patient Satisfaction: Centering patient care around the individual unlocks the door to healthcare that is not only efficient and effective but also conducive to bolstering patients’ overall contentment with their care regimen.

Eliminating Waste, Redundancies, and Inefficiencies: A harmonious and coordinated team can substantially enhance productivity, ensuring patients benefit from lean care, where they enjoy necessary treatment without the hassle of duplicated or unnecessary procedures.

Improving the Experience for Physicians and Care Partners: A cohesive work environment allows healthcare professionals to optimize patient care coordination, reducing stress, enhancing job satisfaction, and cultivating an improved care culture.

By keeping these strategic goals in our sights, we strive to actualize our vision: constructing a comforting and empathetic space for our patients—a safe kidney home where patients’ trials and experiences are recognized, acknowledged, and addressed with care.

PRINE Health stands proud at the vanguard of this evolving paradigm in healthcare, endorsing a comprehensive approach to kidney care. Our faith in treating our patients beyond their individual ailments exemplifies our commitment to fostering improved patient outcomes, higher satisfaction rates, and a healthier future for all our patrons.

We believe that health transcends the mere absence of disease. At PRINE Health, we strive to add life to years, not just years to life. Health, for us, is a blissful blend of mental, emotional, and physical well-being, and we are deeply committed to enriching every facet.

Chronic Kidney Disease