Brief Introduction for BUN

Blood urea nitrogen (BUN) is an indication of renal (kidney) health. The normal range is 1.8-7.1 mmol/L or 6–20 mg/dL.
Why BUN Rising Higher Than Normal Level
The main causes of an increase in BUN are: high protein diet, decrease in glomerular filtration rate (GFR) (suggestive of renal failure) and in blood volume (hypovolemia), congestive heart failure, gastrointestinal hemorrhage, fever and increased catabolism.
Natural Remedies to Reduce High BUN 65
Hypothyroidism can cause both decreased GFR and hypovolemia, however BUN-to-creatinine ratio has been found to be lowered in hypothyroidism and raised in hyperthyroidism.
What Does Elevated BUN/Creatinine Ratio Mean
The main causes of a decrease in BUN are severe liver disease, anabolic state, and syndrome of inappropriate antidiuretic hormone.


Another rare cause of a decreased BUN is ornithine transcarbamylase deficiency, which is a genetic disorder inherited in an X-linked recessive pattern. OTC Deficiency is also accompanied by hyperammonemia and high orotic acid levels.

Sleep before 10 pm seems to have become a "non-mainstream" behavior, known as "the elderly patent."

There are many friends slightly proud to tell me: I usually have to sleep at midnight.
Like smoking, everyone knows that staying up late on the body, or why say "boil" night?

Do you know what damage will it cause?

1, eyes

Day has been working for a day, have to be forced to work overtime at night ... ...
Did your eyes begin to wind in tears? Did you feel that the sun became more and more glaring?
In order to protect that face, we are mask and eye cream; but the eyes in addition to getting a more and more thick lenses, the other did not get anything.

2, the heart

Even if quietly sitting, stay up all night will make heart ischemia and hypoxia, if some other stimulus ... ...
If the way of eye protest is the decline in vision, the way the heart is protest is to strike - stop beating for a few minutes, and you probably will not have to stay up late again.

3, liver

Stay up all night hurt the liver, if you drink some wine, it is too cruel!
The liver as the body's largest digestive gland and important metabolic organs, had already been very busy - you also have the heart in the middle of the night on the liver pain "killer" it?

4, spleen

Spleen is an important lymphoid organs, hematopoietic, blood filter, clear aging blood cells and participate in immune response and other functions. Because of its rich blood, can be an emergency to other organs to add blood, so there are "human blood bank," said.
Stay up late will lead to systemic ischemia, increase the burden of the spleen, if the spleen is also a lack of blood, what will happen

5, stomach

Have never seen staying up late to eat ...
Stomach said: When I want to rest, suddenly stuffed into a lot of food, simply ... ... (here omitted four words)

6, kidney

Stay up late, you have a very "virtual" feeling?
You guessed it, it is kidney!
In addition, staying up late will lead to decreased immunity, increase the burden on the kidneys, and even a large number of immune complex deposition, resulting in nephritis.

How to improve protein urine

1, the treatment of proteinuria method: proteinuria is the earliest manifestations of diabetic nephropathy, progressive renal dysfunction, hypertension, edema, late severe renal failure, diabetes is one of the main causes of death. Diabetic nephropathy is caused by different etiology and pathogenesis of insulin in the absolute and relatively inadequate, so that glycoprotein and fat metabolism disorders, and chronic hyperglycemia as the main clinical manifestations of systemic disease. When the patient first appeared proteinuria, if the timely treatment of the system, is reversible; in the event of persistent proteinuria, the condition is irreversible, often developed to end-stage renal failure. Therefore, the screening of diabetic nephropathy is very important, under normal circumstances, found that suffering from type i diabetes 5 years later, it should be microalbuminuria and urinary protein and creatinine ratio of the test; and once found to have type ⅱ diabetes , Should be carried out at any time the above two tests, once found abnormal, immediately given intervention.
　　Reverse Protein Urine 3+ in FSGS with Natural Treatment
2, urine bubble should be alert to proteinuria "Diabetic nephropathy Although the early symptoms are not obvious, but the patient should still learn to observe carefully." When found blood pressure should be timely check the kidneys; should also pay attention to skin itching, anemia, bone pain And other symptoms; diabetes patients to carefully observe the morning urine, healthy people appear in the bubble will disappear in a short time, but kidney disease caused by proteinuria bubble does not immediately disappear, when the diabetic patients found urine Bubble, should consider two reasons, one is elevated blood sugar, one is the urine protein; urine color suddenly deepened, red should be vigilant, especially after the respiratory tract or intestinal infection, if the urine color change Red, may be the performance of kidney disease. When the above symptoms, should be promptly to the regular hospital examination, and to check the kidneys, in order to do early detection, early treatment.
　　Protein Urine2+ Turned to Negative in NS with Natural Treatment
3, high blood pressure can cause diabetic nephropathy long-term excessive hyperglycemia can increase capillary permeability, plasma protein extravasation, causing capillary basement membrane damage, glomerular sclerosis and renal tissue atrophy. Therefore, the first treatment of diabetic nephropathy to control blood sugar. Although hypertension and diabetic nephropathy is not directly related to the occurrence, but the course of hypertension or duration of microalbuminuria in the blood pressure increased, can accelerate the progress of diabetic nephropathy and renal function deterioration, increased urinary albumin discharge. Therefore, in the treatment of diabetic nephropathy, control of hypertension is the most important, requiring control of diabetic blood pressure levels than non-diabetic hypertensive patients.
　　Reverses Severe Protein Urine 3+ in PKD Stage 4
4, advanced uremia patients must be dialysis treatment "dialysis treatment is almost uremic patients to maintain long-term survival of the only way." Uremia is a series of late renal failure occurred in a series of metabolic disorders and clinical symptoms of the general, mainly for uremia Toxins accumulation caused by fatigue, loss of appetite, acidosis, anemia and other symptoms. Although the drug can improve anemia, high blood pressure and other symptoms, but can not effectively remove a large number of toxins, and even diuretics diuretic effect is greatly reduced. At this time, the need for alternative treatment to remove the accumulation of toxins and water. At present, kidney replacement therapy mainly includes hemodialysis, peritoneal dialysis and kidney transplantation. Hemodialysis, also known as "artificial kidney", is currently widely used one of the most important methods of uremic treatment. Above is the treatment of proteinuria treatment! I believe that through the above description, we will understand the treatment of proteinuria, and hope to help you, for the treatment of the disease to adhere to, not all of the disease after treatment , Will immediately improve.

The Best Exercise for Hypertension: A Little Goes a Long Way

       

Research shows even small amounts of exercise can help lower high blood pressure. Here's how to start a slow but steady plan for safe, heart-healthy exercise.

　　High blood pressure doesn’t hit you over the head. It doesn’t give you chest pain or make you huff and puff while climbing a flight of stairs. So it’s easy to forget that high blood pressure puts you at risk for a number of health problems including heart attack, heart failure, stroke, and kidney failure, says Tracy Stevens, MD, of the Muriel I. Kauffman Women's Heart Center at Saint Luke's Mid America Heart and Vascular Institute in Kansas City, Mo. Dr. Stevens is also a professor of medicine at the University of Missouri-Kansas City and a spokeswoman for the American Heart Association.
Can Hypertension in Kidney FailureBe Reversed with Toxin-Removing Therapy
　　If you’re obese (defined as weighing 20 percent or more above your ideal weight) the threat to your health is even greater. One in three Americans is obese, and more than 110,000 deaths in the United States each year can be linked to obesity. But here’s the good news: Even small amounts of modest exercise can help lower high blood pressure.

　　Get Moving to Help Your Heart

　　Researchers at the Pennington Biomedical Research Center in Baton Rouge, La., studied about 400 women between 45 and 75. All were overweight or obese, sedentary, and had high blood pressure. Researchers divided the women into four groups, three of which exercised at different intensity levels and for different lengths of time. The fourth group remained sedentary.
　Reverse Hypertension in CKDStage 4 with Toxin-Removing Therapy
　　Six months later, all three groups of active women had improved blood pressure readings, the researchers found. The numbers for the group that did the most intense exercise were only slightly better than those of the group that worked out least intensely. Though the women did not lose weight, they benefited greatly from better improving their cardiovascular fitness.
Which Treatment Can ReverseHypertension in Stage 3 CKD
　　Regular exercise also helps reduce stress, says Bridget Berran, MA, a clinical exercise physiologist at Burke Rehabilitation Hospital and the Smart Fitness Center in White Plains, N.Y. When you’re under a lot of stress, your blood pressure can rise — another reason to begin an exercise program.

　　Hypertension Exercise: Start Small, Think Big

　　Ideally, Stevens says, everyone — especially those with health conditions such as diabetes, heart disease, and high blood pressure — should get at least 2 and a half hours of modest exercise every week. “Try for at least 30 minutes a day most days of the week," she says, "and never go more than two days without any exercise.”

　　One of the best and easiest exercises you can do is walk. You can walk anywhere, and it doesn’t require any equipment beyond a good pair of sneakers. “I love for people to get outdoors and walk, but some are fearful of uneven ground,” Stevens says. If you’re walking hilly terrain and are afraid of falling, grab a walking stick. “It gives you that little bit of stability so that you can walk with confidence,” she says.

　　If walking around the block seems daunting, the thought of starting an exercise routine can be overwhelming. But don’t worry, says Stevens. Start small and walk for only five minutes, three times a day.

　　The key is to get started with a hypertension exercise program. After a few minutes a day, you’ll find it gets easier each time — and easier to add more time to each workout. Before you know it, those five minutes will become 10, and doing 10 minutes three times a day will add up to the 30 you need.

　　Another way to get started is sneaking short bouts of exercise into your day. Berran suggests:

　　Parking a little farther from the entrance everywhere you go — to work, to the grocery, to doctor appointments

　　Taking the stairs rather than the elevator if you’re going up one or two flights

　　Putting the laundry away a few shirts at a time rather than all at once

　　Carrying the groceries in from the car one package at a time

　　If you’re limited by back, hip, or knee pain, and even short walks are difficult, try a workout that doesn’t put stress on your limbs. Try walking in a heated pool — the warm water will soothe and cushion rather than stress joints. A recumbent bike may be another good option for you, Stevens suggests.

　

Living with kidney failure

  What are my kidneys and what do they do?
　　The kidneys are two bean-shaped organs, each about the size of a fist. They are located just below the rib cage, one on each side of the spine. Every day, the two kidneys filter about 120 to 150 quarts of blood to produce about 1 to 2 quarts of urine, composed of wastes and extra fluid. The urine flows from the kidneys to the bladder through two thin tubes of muscle called ureters, one on each side of the bladder. The bladder stores urine. The muscles of the bladder wall remain relaxed while the bladder fills with urine. As the bladder fills to capacity, signals sent to the brain tell a person to find a toilet soon. When the bladder empties, urine flows out of the body through a tube called the urethra, located at the bottom of the bladder. In men the urethra is long, while in women it is short.
　　There is a common misconception among patients with kidney failure that exercise is not possible for them. But in reality, exercise for patients on dialysis can have huge benefits, including increased energy and feeling better both physically and emotionally. Our speaker, Dr. Ken Wilund, is a successful researcher with more than 70 peer-reviewed journal articles and an expert in the exercise science field.
　　Join us to learn more about the best types of exercise for patients with kidney failure, and how to successfully incorporate exercise into a patient’s life.
　　Topics & Points To Cover
　　What to expect once you start dialysis
　　Will take time to feel better (won't happen after first treatment)
　　Medications may change
　　Basic diet changes for dialysis
　　More protein is needed due to protein losses during dialysis
　　Maintain low sodium and phosphorus
　　May need potassium and fluid restrictions with hemodialysis
　　Dietitian is part of dialysis team
　　Financial concerns
　　Employment and rehabilitation
　　Cost of treatments
　　Cost of medications
　　Transportation
　　Social worker is part of dialysis team
　　If self - employed
　　Quality of life
　　Sexual function
　　Transplantation
　　Waiting for transplant
　　If transplant fails
　　E-mail us on kidneyservice@hotmail.com, they will give you more advice according to your specific condition.
　　Or you can just consult our online doctor for timely help, they are 24 hours online.
　　Or you can add Whatsapp:+8618330162295

　　It’s free of charge.

Does Your Blood Pressure Spike at the Doctor’s Office?

One of the biggest health problems in the United States today is high blood pressure. It is reaching epidemic proportions. Often a silent killer, high blood pressure may show no symptoms until levels are very elevated. I see high blood pressure and its consequences every day in my patients.
In our cardiology practice, approximately one-half to two-thirds of people who come in for evaluation of heart rhythm disorders already have high blood pressure. It is one of the most common causes of atrial fibrillation, heart failure, and stroke.
White Coat Hypertension: When Stress Spikes Blood Pressure
What is white coat hypertension? It is a condition in which your blood pressure is higher in a physician’s office, but is otherwise normal.
What makes your blood pressure go up in a doctor’s office? Most people say they are anxious or worried they may receive bad news. Or it may be the cost of their appointment or of medical care. Anxiety and stress are important causes of blood pressure elevation.
To take your blood pressure, ideally you should be seated and relaxed. And typically, once seated, you should wait three to five minutes before measuring your blood pressure. Then, the best practice is to take three measurements in each arm and average the readings.
Most of you are probably thinking that this never happens when you see a doctor, because most offices are busy and check people in quickly without taking the time to correctly measure your blood pressure. But if you go to a high blood pressure clinic, this process will sound familiar.
Another important aspect to consider is that not all blood pressure machines and devices are the same. Blood pressure devices are only as good as the readings they provide. Most adults need a full-size or adult-size, large blood pressure cuff that goes around the upper arm. Smaller devices that are placed on the wrist or ankle tend to be less accurate.
If you have a blood pressure machine you use at home, bring it in to your doctor’s office and compare readings. Oftentimes, we will find the measurements are similar. However, at times we find that the home machine reading is either too high or low. Most of the time, we find that the blood pressure cuff is too small.
Assuming your blood pressure is measured correctly, and in the office it is still higher than at home, does white coat hypertension matter? The general sense of my patients is no, because the blood pressure values are not the same as those measured at home. I agree with this partially, as errors can occur in a doctor’s office. But what is important to consider is that the doctor’s office blood pressure measurements can give you some insight into how your body deals with situational stress.
We all face many stresses each day, many of which we cannot avoid. These may come from our jobs, commutes, spouse or family relationships, financial issues, health problems, and more. If each time we face stress our blood pressure skyrockets to very high levels, our hearts can be strained and injured. In this regard, white coat hypertension that reflects our response to stress can be a marker of heart disease risk.
White Coat Hypertension, Stress, and Heart Disease Risk
A new white coat hypertension study, published in Hypertension in June 2015, looked at heart disease risk. The study included 3,200 people in Italy. These patients were seen in a doctor’s office for three blood pressure measurements. Then they were sent home with a 24-hour blood pressure monitor that sampled their blood pressure every 20 minutes. When the patients returned, they had three more office blood pressure measurements. With these measurements, the researchers could determine what was happening to the blood pressure in the doctor’s office and throughout the day.
White coat hypertension was diagnosed if the average office blood pressure measurement was higher than 140 mgHg for systolic blood pressure or higher than 90 mmHg for diastolic blood pressure but the 24-hour average blood pressures (at home) were normal.
Then the investigators divided the group with white coat hypertension into two: those who experienced high blood pressure frequently with stress, and those who experienced high blood pressure occasionally with stress.
This is a summary of their findings about heart disease risk over 20 years of follow-up care:
Heart disease mortality was strongly associated with white coat hypertension.
The risk was higher for those whose white coat hypertension was stable (all blood pressure levels were high when at the doctor’s) compared to those whose pressure was unstable (one of two blood pressure levels at the doctor’s were high). Specifically, when compared to people without white coat hypertension, risk of heart-disease related death increased 2.4 times in those with unstable white coat hypertension and 16 times in those with stable white coat hypertension.
Total mortality was 1.9 times higher in people with stable white coat hypertension compared to those without white coat hypertension.

These risks increased as people aged, in men compared with women, and in people with a larger body mass indexes (BMI).

E-mail us on pkdclinic888@hotmail.com or kidneyservice@hotmail.com to get more information.
Or you can just consult our online doctor for timely help. They are online for 24hours every day.
Or you can add Whatsapp:+8618330162295 is also available for you.

It’s free of charge.

High Blood Pressure Drug Lisinopril Lowers Risk Of Heart Block

The average heart beats 100,000 to 120,000 times each day. And since the average person in the United States will live into their mid- to late-seventies, this means your heart will beat over two billion times in your life. To accomplish all of this pumping, your heart develops specialized pacemaker cells and conduction tissues that conveys electrical impulses across your heart.
Despite their critical role, these specialized conductive tissues are delicate. They also age, and in some people they can stop working and cause heart disease. New research shows that a common treatment for high blood pressure (hypertension) may help keep the heart’s electrical system healthy as you get older.
How Your Heart’s Electrical System Works
Are Chronic Kidney Disease And Heart Problems Related
The electrical impulse of your heart begins in the right upper chamber from a group of specialized pacemaker cells called the sinoatrial (SA) node. The electrical impulse is quickly carried across both upper heart chambers: the atria. When heart muscle cells are stimulated by electricity, they contract, or squeeze. The two upper chambers squeeze in unison and pump blood into the two lower heart chambers: the ventricles.
The electrical signal is collected in the middle of the heart in a relay center called the atrioventricular (AV) node. Then, through long specialized electrical tracts called the right and left bundle branches, the electricity is delivered to the bottom portion of the ventricles, which then squeeze from the bottom up and push the blood out to the great arteries of your body.
What Is Electrical Heart Block?
Life Expectancy for Stage 4 Kidney Failure with Congestive Heart Failure
When most people think about heart blockages, they see images of blocked arteries from cholesterol plaques that can cause a heart attack (myocardial infarction). But a completely separate blockage that involves the heart’s electrical system — a heart block — can develop along all levels of the conduction systems and on multiple levels: in the AV or SA node, or in the bundle branches (parts of the heart’s electrical system that deliver impulses to your ventricles).
If you experience a heart block, you may experience some of the following:
Fatigue
Dizziness
Chest discomfort
Shortness of breath
Exercise intolerance
Syncope (temporary loss of consciousness, or fainting)
Unfortunately, once disease develops in the heart’s conduction system, it often progresses with no known medical therapies to improve it. If you develop heart block and have symptoms, or if the upper and lower heart chambers of your heart no longer communicate electrically, you may need a surgically implanted pacemaker. This device, which delivers small electrical impulses to your upper and lower heart chambers, replaces any missed beats from the diseased conduction system or from significant delays or blocks in electrical communication.
Best Heartburn Medicine for Patients with Kidney Disease
You may know someone who has a pacemaker. Between 1993 and 2009, about three million U.S. patients received a pacemaker for symptomatic electrical heart block, according to a survey published in the Journal of the American College of Cardiology in October 2012. During the study time, the use of pacemakers increased by 56 percent — a trend that continues today as our society ages, and people live longer with heart disease.
Risk Factors for Electrical Heart Block
Risk factors for heart block include:
Aging
High blood pressure
Heart valve disease
Heart infection
Heart attack
Heart failure
Having heart surgery
The most common risks are aging and high blood pressure. And while you can’t do much about aging, you can do something about high blood pressure. Depending on how you treat it, you may lower your risk of conduction system disease.
How High Blood Pressure Treatment Can Help
Doctors treat high blood pressure in many different ways, some of which I’ve covered in previous columns, like being careful not to eat too much salt. In addition to lifestyle changes, multiple blood pressure medications called anti-hypertensive agents can be used to treat the disease and prevent progression and complications.
All blood pressure medications lower your blood pressure, but drugs like beta-blockers and calcium channel blockers also lower heart rate. And some, like diuretics, lower fluid levels in the body and can decrease edema (swelling). Still others, such as ACE inhibitors or angiotensin receptor blockers (ARBs), can impact the body’s inflammatory response and decrease fibrosis or cell breakdown.
Research: ACE Inhibitors Lower Risk of Heart Block
With these unique aspects of blood pressure medications in mind, and knowing that high blood pressure can result in early conduction system disease, researchers asked which medications might lower blood pressure and also decrease risk of conduction system disease.
The Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) included 21,004 patients ages 55 and older who had high blood pressure and one other heart disease risk factor, such as high cholesterol, diabetes, coronary artery disease, or a history of smoking. The patients were either treated with an ACE inhibitor lisinopril; a calcium channel blocker, Norvasc (amlodipine besylate); or a diuretic, Thalitone (chlorthalidone) and a statin drug, Pravachol (pravastatin) for their high cholesterol. ALLHAT results were published in JAMA Internal Medicine in June 2016.
Researchers followed the patients for up to eight years to look for heart disease and found that 1,114 people developed heart block. These included 570 patients with a complete right bundle branch block, and 389 with a complete left bundle branch block.
Being older increased the risk of developing conduction system disease by 47 percent in this group of patients with high blood pressure, and was the strongest predictor that they would develop a heart block.
In this study, statins didn’t lower a person’s risk of conduction system disease. But using the ACE inhibitor lisinopril lowered risk of electrical conduction disease by 19 percent compared to the diuretic, and by 14 percent compared to the calcium channel blocker.

This large study of older adults also confirmed that high blood pressure and age present unique challenges to the heart’s electrical system, and that conduction abnormalities commonly develop. But for the first time, we have insight into a potential way to prevent or significantly lower the risk of conduction system disease in people who have high blood pressure by using a commonly prescribed drug.