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How to Keep Your Kidneys Healthy as You

AgePosted By Dr. Ben Kim

Natural Health Care

Although it's been close to eighteen years since I dissected my first cadaver in anatomy class I

still remember being sur!rised "hen I got my first glance at a !air of #idneys $ they "ere much

smaller than I had e%!ected. &! until that !oint I had imagined the #idneys to be uite largegiven the amount of "or# that they are res!onsible for.

(ach of your #idneys is about ) to * inches long and about + inch thic# "eighing in at about ).*

to * ounces. ,o !ut it into easy$to$visuali-e terms each of your #idneys is a bit larger than a dec#

of cards.

Although your #idneys ma#e u! less than .* !ercent of your total body "eight they receive

close to /* !ercent of the total amount of blood that your heart !um!s "hile you're resting. Also

your #idneys use u! about / to /* !ercent of your body0s su!!ly of o%ygen.

Please note1 ,o listen to an audio 2m!34 recording of this article !lease do"nload and !lay thefollo"ing file1 Ho" to Kee! 5our Kidneys Healthy as 5ou Age $ Audio 6ile

7hy do your #idneys 8 such small organs 8 receive so much of your blood and o%ygen9 Because

they are res!onsible for five critical functions1

+. 5our #idneys #ee! your blood clean by filtering it of "aste !roducts and eliminatingthese "aste !roducts from your body as urine.

/. 5our #idneys hel! maintain a !ro!er balance of fluids throughout your body.

3. 5our #idneys secrete a hormone called erythro!oietin "hich is res!onsible forstimulating the !roduction of red blood cells in your bone marro".

). 5our #idneys !roduce an en-yme called renin "hich is needed to hel! maintain yourblood !ressure.

*. 5our #idneys convert vitamin D to its most active form.

Public domain diagram of kidneys, view from behind with spine removed - from the 2th

!"#" edition of $ray%s Anatomy of the Human &ody, originally published in '(')5our

#idneys lie above your "aistline :ust underneath the surface of your mid;lo" bac# region.

Although the !osition of your liver causes your right #idney to be slightly lo"er in yourabdominal cavity than your left #idney both #idneys are !artially !rotected by the lo"er !art of

your ribcage.

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7ith every beat of your heart large amounts of blood are delivered to your #idneys via your

renal arteries. Inside your #idneys your renal arteries s!lit u! into a number of smaller branches

that distribute blood to your ne!hrons "hich are the microsco!ic !rocessing units of your#idneys< you have about a million ne!hrons !er #idney.

7ithin each ne!hron there are s!eciali-ed beds of ca!illaries 2even smaller blood vessels4 calledglomeruli. ,he glomeruli filter your blood and !ass the filtrate on to a series of s!eciali-ed

tubules that are collectively #no"n as the renal tubule 8 it0s in the renal tubule "here urine iscreated.

,he !rocess of creating urine is com!le% but in essence "hat ha!!ens is this1 about a fifth of the

blood that !asses through each of your #idneys gets filtered by your glomeruli to enter your therenal tubules< the stuff that !asses through is referred to as filtrate "hich includes "aste

materials "ater chloride ions sodium ions bicarbonate ions glucose !otassium ions urea uric

acid and !rotein. As the filtrate travels through the renal tubule about == !ercent of it is

reabsorbed into your blood circulation $ this number alone gives you a good idea of ho" hard

your #idneys "or# to !roduce urine< of the a!!ro%imately ) gallons 2+* litres4 of filtrate thatenters your #idneys on a daily basis only about + to / uarts 2+ to / litres4 turns into urine. ,he

== !ercent that is reabsorbed into your circulation is ho" your #idneys hel! to maintain yourbody0s fluid com!osition and !H level.

If you "ant to understand e%actly ho" your ne!hrons create urine I recommend that you read

the cha!ter onKidneys and Body Fluidsin >uyton's classic te%tboo# on human !hysiology8 this

is the go$to boo# "hen you "ant a detailed loo# at ho" your body "or#s on a microsco!ic level.

?nce urine is created in your renal tubules it is shuttled through a series of collecting ducts until

it reaches the inner middle section of your #idney "here urine is collected by your ureter the

tube that allo"s urine to travel from your #idney to your bladder. 6rom your bladder urine e%itsyour body through your urethra.

In understanding the "or# that your #idneys are forced to underta#e to filter your blood and

!roduce urine I ho!e it0s clear that drin#ing large amounts of "ater "hen you0re not thirstyis a

good reci!e for !rematurely "earing do"n your #idneys as you age. 5our body is not li#e a

!lumbing tube that gets cleaner by flushing large amounts of "ater through it. A number of yourorgans including your #idneys are designed to #ee! your body clean by continuously

eliminating "aste materials. If you "ant to !revent illness as you age a to! !riority should be to

!revent unnecessary burden to your #idneys and other "aste$eliminating organs.

Beyond using your sense of thirst to dictate ho" much "ater and "ater$rich foods you ingesthere are t"o im!ortant "ays to !rotect your #idneys from !rematurely brea#ing do"n1

'" *on+t eat too much protein"

(ating more !rotein than you need leads to greater "or#load on your #idneys "hich

must filter a by$!roduct of !rotein metabolism called blood urea nitrogen 2B&N4 out of

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your blood. ,his increased "or#load can contribute to !remature brea#do"n of the

glomeruli in your #idneys.

If you have healthy #idneys you can safely eat u! to half of your body "eight 2in!ounds4 in grams !er day. 6or e%am!le if you "eigh +* !ounds and are in good health

you can safely eat u! to @* grams of !rotein from minimally !rocessed foods !er day. Ifyou have !roblems "ith your #idneys you should decrease this amount to a level that

results in a healthy blood urea nitrogen level.

If your current health status is such that you need an ob:ective "ay to monitor ho" "ell

your body is res!onding to the amount of !rotein that you are eating as# your doctor

about monitoring your B&N level. 7henever you eat !rotein your body brea#s it do"ninto amino acids that contain nitrogen. Nitrogen se!arates from amino acids and

combines "ith other molecules to form urea. &rea is eliminated from your body "hen

your #idneys filter it out of your blood and into your urine.

A healthy range for B&N is bet"een ) to +@ mg;d. Any"here bet"een + to /+ mg;dis a sign that you may be eating too much !rotein and !ossibly that your #idneys are

under e%cessive strain. ore than /+ mg;d is a strong sign that you need to significantly

reduce your !rotein inta#e.

,he lin# bet"een eating too much !rotein and develo!ing #idney disease is one that isnot often tal#ed about by su!!orters of a high$!rotein diet. 7hile it is im!ortant to #ee!

yourblood sugar and insulinat healthy levels by avoiding sugar and other sim!le

carbohydrates !lease #no" that a high$!rotein diet !oses many dangers to your healthes!ecially if most of your !rotein is coo#ed using high tem!erature techniues. 5our

health is best served by re!lacing sim!le carbohydrates "ith lots of high uality fat and

moderate amounts of healthy !rotein and non$starchy vegetables.

2" *on+t take over-the-counter pain pills on a regular basis"

Non$steroidal anti$inflammatory drugs li#e ibu!rofen 2Advil otrin4 na!ro%en 2Aleve4and as!irin are #no"n to cause #idney damage if ta#en regularly. Acetamino!hen

2,ylenol and (%cedrin4 can also cause #idney damage and failure if used regularly. All of

these over$the$counter !ain medications !robably don0t !ose significant danger if your#idneys are relatively healthy and you use them for emergencies only.

As many !rofessional athletes have discovered during the !ast several years regular use

of !rescri!tion anti$inflammatory !ain medication li#e io%% Indocin and Na!rosyn!oses even greater danger to #idney health than over$the$counter !ain #illers.

I ho!e that this article has hel!ed you understand the com!le% design of your #idneys and the#ey ste!s that you can ta#e to !revent !remature brea#do"n of your #idneys as you age. Please

remember that the best EmedicineE for all of your organs your #idneys included is eating a

!lant$based minimally !rocessed diet getting enough !hysical and emotional rest gettingregular e%!osure to fresh air and sunlight 2"ithout getting burned4 and being !hysically active.

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1. eHow2. Health

3. Conditions & Treatments

4. Diabetes

5. How to Keep Kidneys Healthy With Diabetes

How to Keep Kidneys Healthy ith *iabetes

By an eHow Contribtor

!hare

"rint this arti#le

7hen your #idneys are healthy they can !erform three functions. ,hey rid your body of "aste

that you don't need filter fluid and clean your blood. If you have uncontrolled diabetes or high

blood glucose along "ith high blood !ressure your #idneys can become damaged. Kidneydamage doesn't have to ha!!en "hen you have diabetes. ,here are "ays to #ee! your #idneys

healthy. Have a uestion9 >et an ans"er from a edical Professional no"F

Instructions

1. How to Keep Kidneys Healthy with Diabetes

7hen your #idneys are healthy they can !erform three functions. ,hey rid your body of

"aste that you don't need filter fluid and clean your blood. If you have uncontrolled

diabetes or high blood glucose along "ith high blood !ressure your #idneys can become

damaged. Kidney damage doesn't have to ha!!en "hen you have diabetes. ,here are"ays to #ee! your #idneys healthy.

o 1

Aim for normal numbers. 5ou've !robably heard this from your doctor but it's

true and e%tremely im!ortant. ,o #ee! your #idneys healthy you "ant to maintain

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normal blood sugar and blood !ressure levels. 6or instance "hen you "a#e u! in

the morning or before meals you "ant your blood glucose levels to be bet"een

@ to +3 mg;d. 7hen you begin to eat your meals your blood sugar levelsshould be under + mg;d. If you and your diabetes s!ecialist have decided on

different target numbers then follo" your !rescribed targets. Also ma#e sure

your regularly test your blood sugar "ith your blood glucose meter.

Blood !ressure that is too high can also damage your healthy #idneys. Go ma#esure to #ee! your blood !ressure belo" +3;. Don't forget to #ee! your

cholesterol under control too.

o 2

>et tested. &nfortunately #idney damage can occur long before you notice that

something is "rong. Go to #ee! your #idneys healthy ma#e sure your doctor

chec#s your urine and blood for #idney disease. 7ith a microalbumin test your

doctor "ill test for small amounts of !rotein. A blood test "ill test for creatinineand measure your #idney function. If you have ty!e / diabetes you should be

tested at least once a year. Ho"ever if you have ty!e + then you should be testedevery year starting * years after you "ere diagnosed. If your doctor finds #idney

damage you may have to ta#e angiotensin converting en-yme 2AC(4 inhibitor or

angiotensin rece!tor bloc#er 2AB4 to slo" #idney damage do"n.

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o 3

a#e lifestyle changes. Kee! your cholesterol levels at o!timal range. (at a

healthy diet cut bac# on salt and fatty foods. Become !hysically active if you're

not already. Chec# "ith your doctor on "hat e%ercises you should do.

o 4

,a#e medication as directed. a#e sure you ta#e all the diabetes medication li#e

insulin as !rescribed and do not miss a dose. It could cause a s!i#e or !rolongedhigh blood glucose levels. Also only ta#e !ain#illers li#e acetamino!hen

occasionally. Daily use of medication can damage your #idneys. Go if you have to

ta#e acetamino!hen or !ain#illers to deal "ith chronic !ain li#e arthritis consult

"ith your doctor to find a "ay to control your !ain "ithout !lacing your #idneysat ris# for damage according to the National Diabetes Information Clearinghouse

2NDIC4.

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Homeowners Che#0list

D- ,ara*e

1. eHow2. Health

3. Diet & trition

4. trition

5. Diet to Keep Kidneys Healthy

*iet to Keep Kidneys Healthy

By obin ei#hert6 eHow Contribtor

!hare

"rint this arti#le

A healthy diet is vital for healthy #idney function. ,he #idneys are vital organs that !rocess

blood in the body and remove "aste !roducts. 7aste is then converted into urine and sent to thebladder via ureters "here it is in storage until it is released during the !rocess of urination. An

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unhealthy diet can cause the #idneys to develo! disorders li#e #idney stones and can eventually

contribute to the !artial or total failure of the #idneys. Have a uestion9 >et an ans"er from a

edical Professional no"F

Other People Are Reading

The Basi# $n#tion o7 Kidneys

How to aintain Kidney Health atrally

1. Avoiding Sugarso 5ou "ant to refrain from consuming as many unnecessary sugars as !ossible to

#ee! your #idneys healthy. High sugar diets are not nutritious and can eventually

lead to conditions li#e diabetes. Diabetes develo!s "hen glucose remains in the

bloodstream and the e%cess glucose can !rove damaging to the ne!hrons in the#idneys1 the organs' !rimary filtration device. &nnecessary sugars are found in

ca#es coo#ies candies and sugarcoated !astries< the latter foods should be

limited in your diet to ensure adeuate #idney health. 5ou "ill also "ant torefrain from consuming sugary colas and beverages alcoholic beverages and;or

caffeinated beverages because they are dehydrating and !lace an e%tra "or#

burden on the #idneys.

ow Sodiu!

o 5our diet should consist of a lo" sodium inta#e to ma%imi-e the healthy #idneys.

High levels of sodium contribute to hy!ertension. 7hen your inta#e of sodium istoo high you may reuire a higher inta#e of !otassium "hich !uts an e%tra

burden on the #idneys. According to the 6ood and Nutrition Board for the

Institute of edicine an adult reuires no more than +./ g to +.* g of sodium !erday in his diet to remain healthy. Processed foods containing significant amounts

of sodium should also be limited in your diet to !romote #idney health.

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Potassiu!

o An adult only reuires ).@ g of !otassium daily for ma%imum dietary health.

Potassium can be derived from bananas dry beans nuts !eas oranges and

!otatoes and is a necessary nutrient for the body as "ell as for normal #idney

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functioning. (%cessive levels of !otassium can cause the #idneys to "or# harder

to se!arate the !otassium from the blood and can also result in a condition called

hy!er#alemia "hich reuires medical treatment.

"ater Inta#e

o ,o #ee! #idneys com!letely healthy you need to consume eight o-. glasses of

"ater every day. Gome !eo!le reuire more "ater es!ecially if they are ill or if

they are ta#ing dehydrating medications or eating high$sodium foods and;or

beverages. Adeuate hydration is im!erative for the !ro!er functioning of the

#idneys. 7ater consum!tion aids in the !revention of #idney stone formation andfurther hel!s to flush to%ins from the body.

Kidney Disease

Gometimes the #idneys become unable to !erform their life$maintaining functions because of

disease or !hysical damage. ,he #idneys are not able to remove e%tra "ater and "aste !roductsfrom the blood causing you to feel sic#. ,his is #no"n as #idney or renal failure and it can be

either acute or chronic.

Acute Renal Failureis sudden severe damage to or loss of #idney function. Acute renal failure

can be caused by severe infections e%tensive burns chemical or drug !oison and in:ury or

bloc#age to the #idneys. ,his condition can usually be reversed "hen the source of the !roblem

is eliminated. Peo!le "ith acute renal failure sometimes go on dialysis tem!orarily until their#idneys recover.

,here are several terms "hich you may hear that describe #idney disease. ,hey are Chronic

enal 6ailure or JC6 Chronic enal Insufficiency or JCI and !re$(nd Gtage enalDisease or J!re$(GD. ,hese terms "ill be used "hen you have #idney disease but have notreceived a trans!lant or started dialysis thera!y. Chronic renal failure is a condition that cannot

be reversed or cured. ,here are different stages of chronic renal failure. ,he degree of failure is

measured by blood and urine tests.

,he termEnd Stage Renal Diseaseor J(GD is used "hen you have begun dialysis thera!y

need a #idney trans!lant or have received a trans!lant.

#ome signs of kidney failure are

'treme tiredness asea and )omitin*

!hortness o7 breath

Di77i#lty sleepin*

!wellin* in the hands6 7a#e6 and 7eet

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+oss o7 appetite

-t#hiness

Hi*h blood pressre

Gome sym!toms or signs are due to the buildu! of "aste !roducts in the bloodstream that areharmful to the body. ,his buildu! is called uremia. Gym!toms may also be due to the buildu! ofe%cess fluid in the body.

Gome !eo!le "ith chronic renal failure may #ee! urinating. (ven if you urinate the amount of

"aste !roducts in the urine is lo" and "ill continue to build u! in the blood "ithout treatment.Periodically you may be as#ed to collect your urine over a /)$hour s!an of time and have a

blood test. 5our doctor "ill revie" these tests "ith !articular interest in creatinine and urea. ,he

results enable your doctor to see ho" much #idney function remains and set your fluid inta#e

guidelines.

Kidney disease !rogresses in stages and can continue in its early stages for many years "ithoutsho"ing any obvious sym!toms. As your #idneys sto! "or#ing you may feel sym!toms of

#idney failure. ,his is "hy it is so im!ortant that you have a ne!hrologist oversee your medical

care. ,hese stages are determined by your glomerular filtration rate 2>64 "hich is ameasurement of #idney function.

.he stages of kidney disease are classified as follows

Stage $%R Description

1 89 ##:min:1.;3m< Kidney dama*e with

normal or hi*h ,$2 =9 > ?8

##:min:1.;3m 58

##:min:1.;3m 28

##:min:1.;3m