Kidneys Failure | Take 5 Steps Now FAST #kidneyfailure

0:02 [Music] Yes, Assalam Walekum. My name is Dr Shafiq Cheema. I am a Diplomate American Board of Internal Medicine and Nephrology. Subscribe, like and share our YouTube channel for more videos and updates. Today we will talk about when kidneys fail , end stage kidney disease occurs and the doctor suddenly tells you that your kidneys are not working. So what steps should be taken at that time, what should be done ? Because I have seen people get very scared, worried , stunned and go into shock. They don't understand. So, in my opinion, there is no need to panic about that. There should be a step wise approach. Step number one should be that you consult a doctor and assess yourself and try to understand your illness, what is the condition of your kidneys? Why did you

0:47 fail? How many percent are working ? What are its symptoms? Do you have any problem or not? It is not necessary that there be any alarm. Like some people do it gradually till they reach the stage of kidney failure. So their symptoms are also gradual. For example, if the complexion of the face changes, then it changes gradually. Over a period of years. Sometimes you don't even realize that you are you because you see it a little bit daily. So if I see it for the first time, I will pick up two people out of 10 whose kidneys I know have failed. The face becomes a little pale. A little yolk comes out. There could be a breathing issue. You might have to think about it. Nausea may occur. Vomiting may occur. There can be many symptoms of bone pain. Some of these may happen and some may not. But

1:34 some people say, Doctor Sahib, we are definitely feeling like urinating. We are also having food. I recently saw a patient who was a little athletic. Have been playing all my life. Also play badminton. He had no idea. His GFR had gone up to 810. When you suddenly get the tests done then I tell you to be thankful to Allah that you are not suffering from any problem because your kidneys are failing or have already failed. Secondly, you want to be safe as well. Some people don't have it. They do n't think. Those whose urine comes normally. So having said that the important thing is to understand the disease. Understand your GFR and see what symptoms you have. Talk to the doctor again about what to do next. Step number two is that the doctor will tell you about its treatment options since your GFR has

2:20 gone below 10. It is not a stage five disease. This is such a alarm. So here you have to get hemodialysis done which is done by going to the center or you have to get peritoneal dialysis done through the stomach which is done by only a few nephrologists in Pakistan. I am one of them. So those who don't do it, they say no no no, don't get it done, so this is a good option. The third best option that I like is preem transplantation where you get the kidney transplant done before the kidney fails. I try to do the same for all my patients. Then whatever is there in that, you start things at that very moment. The fourth option is a conservative approach in which you neither have to undergo dialysis nor transplant. You don't want to do anything. So we try to control it to the maximum through diet and medicines so that you can live a good life for as long as possible.

3:06 Otherwise kidney is a vital organ. If you undergo new dialysis or transplant, death may occur. Therefore, it is important to take a decision after understanding it well. Let me tell you that your creatine is high. Dialysis may be needed. You say no, I don't want to get dialysis done. I don't want to do it. And then you are the one who is pleading when you are unable to breathe at all. So you don’t immediately reject it like this saying that it is not to be done. Illness comes, you have to fight it. You have to understand as the doctor is telling. Have to try. Thirdly, whatever treatment you choose from these. For example, if you choose hemodialysis then you will have to get a slip made in your arm. If abdominal peritoneal is done then we have to plan for PD catheter. If you have undergone transplant then we have to start the workout as soon as possible so that you do

3:52 not have to go for dialysis. I have one patient right now. Recently, I got his kidney transplant done. His name is Sultan Sahab. Prem has undergone kidney transplant and never needed dialysis. This is the best. In this, your health, heart and everything remains better. So, this can be a very good option. But his tests start failing. If there is a family member whose blood group matches, we advise some tests. Patients come after getting tests done. We get the transplant done. Fourthly, some changes have to be made in the diet. Because when your kidney becomes so advanced , GFR is low then your potassium phosphorus accumulates. So we eat foods low in potassium, low in phosphorus , low in salt. In some cases, water is also restricted a little. If there is too much swelling and less urination. But if urine is coming out normally then I do

4:38 not restrict water unnecessarily. That creates more issues. So you should ask this to your doctor. And last but not least, the fifth step is to make yourself emotionally strong. Be patient. Allah is with those who are patient. Illness has arrived. Fight him manfully. To get scared in trouble. There is a bigger problem than that. So you cannot do it this way that you get upset, get depressed, go into shock. Then they went into denial. Then again, he's doing weird things. Some Hakim, Homeopathy, some this or that, you even leave the medicines in it. Recently I saw a patient. He had his three cremations a year ago. I gave up all other medicines and started taking homeopathic medicines. When I came, my BP had reached 200 b 100 action eight. So I asked why did you

5:24 do this? That so and so and so told me to do this, so I did it. I said my kidneys have failed. I am not saying that I should have saved these kidneys of yours, but with proper treatment, these should have lasted for 5 to 10 years instead of six months. So you have lost so much time and now you will need dialysis so soon. So no one should kill any fool like this. Have faith in Allah. I also tell patients that your heart, liver, anything could have failed. He doesn't even have any special transplant. It does not happen in Pakistan. Your organ has failed due to which you may need dialysis. There is no pain in dialysis. People undergo dialysis for more than 30 years. Transplant is possible. Every person has two kidneys. You can undergo dialysis while sitting at home.

6:10 Ok? There is a change in your life. This is a traumatic event. But this does not mean that you should give up all your courage and sit idle. So follow these five steps. Understand the disease. See Alamat. Discuss dialysis treatment options. Choose any one of them. Make changes in your diet and then have faith in Allah and trust your doctor. Thank you very much. [music]