How Often Should Reexamination Should Be Done to Avoid Kidney Disease Aggravation
How often should reexamination should be done to avoid kidney disease aggravation? For different types or different stages of kidney disease, the time of reexamination is different. In this article, let’s have a quick look.
1. Patients with acute kidney injury
Just as the name implies, it refers that kidney function caused by all sorts of reasons drops quickly. Treatment focus in this period is to maintain electrolytic balance, prevent infection, avoid all sorts of complications and protect remaining kidney function. If desired, dialysis can be done as early as possible. Acute kidney injury emphasizes the importance of early detection and treatment. Accordingly, examination is very frequent. It is advisable to reexamine kidney function every 3-5 days, not exceed a week normally. Especially for patients with acute kidney injury who have significantly reduced urine volume and sudden increase in blood pressure, renal function should be reviewed daily if necessary.
2. Patients with mild pathology
For example, mild mesangial proliferative glomerulonephritis, IgA Nephropathy levels 1 or 3, Membranous Nephropathy stage Ⅰ and Ⅱ, Minimal Change Disease. When the disease is stable, you can do checkups every half year, and do not exceed one year.
3. Patients with severe pathology
For example, moderate or severe mesangial proliferative nephritis, IgA Nephropathy level 4 or 5, Membranous Nephropathy stage III and IV, Focal Segmental Glomerulosclerosis (FSGS), repeated Minimal Change Disease, etc. With these kidney disease, it is usually difficult to control proteinuria, and complications occur easily. It requires reexamination every 3 months.
4. Patients with early renal insufficiency and serum Creatinine Level < 265 umol/L (3mg/dL)
If the disease is stable, do examination every 2-3 months.
5. Patients with middle stage of renal insufficiency and serum Creatinine Level > 265 umol/L (3 mg/dL)
In this stage, it is prone to abnormal indicators, so it is recommended to do examination every 1-2 months.
6. Patients who are taking ACEI or ARBs
When starting taking these drugs, it is better for you to do checkups weekly. If blood potassium level is normal, and serum creatinine level does not increase, you can prolong it to one month.
7. Patients who are taking steroids or immunosuppressants
Taking these drugs for long term can do harm to liver and white blood cells, so you should monitor liver function and blood routine closely, and check kidney function and liver function every one month, and when necessary, do it half a month.
All in all, reexamination is important for kidney patients to avoid aggravation. If you do not want to reach Kidney Failure, you should do checkups regularly.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***