Treatment for CKD begins with diet modification and medicines

Parents of kids who are diagnosed with a chronic kidney disease have many questions about what might happen next, how their child might feel, and what treatments are likely to be involved.
Treatment for CKD begins with diet modification and medicines. Your child may need to take several medicines, including vitamins, calcium, bicarbonate, and blood pressure pills. As a result, medication management can be a major challenge.

Many kids experience no symptoms of kidney disease until it has progressed to Stage 2 or 3, and for those who do, their symptoms vary greatly, partly because the kidneys affect so many body systems that pinpointing the cause can be difficult.

Treatment of stage 3 chronic kidney disease can have a variety of different presentations depending on the stage of the disease and its cause, as well as patient factors such as age. A detailed history and physical examination is essential. In addition to routine laboratory studies, the workup should include calculation of the estimated glomerular filtration rate (GFR), measurement of albumin levels, and acquisition of radiologic studies.

Parents of kids Treatment for CKD aims to reduce the high cardiovascular mortality rate in this high-risk population and to slow disease progression. It is also important to address the underlying etiology, treat related conditions to reduce cardiovascular risk, and replace lost kidney function via dialysis or transplant when uremia develops.

In patients with diabetes mellitus or hypertension, control of blood glucose and blood pressure is very important. The rate of fall of GFR can be reduced or even halted with aggressive blood pressure and glucose control. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) are especially helpful blood pressure medications for diabetic patients, because they are kidney-protective.

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