Sunday, June 28, 2009

Kidney Diseases Kill Filipinos


Kidney diseases rank as the No. 10 killer in the Philippines causing death to about 7,000 Filipinos every year. So, before June (or the National Kidney Month in the Philippines) ends, let me remind Filipinos to take care of their kidneys.

Based on the Philippine Renal Disease Registry of the Department of Health, the leading cause of end stage renal disease is now the complication in the kidneys due to diabetes mellitus.

This is followed by chronic glomenrulonephritis or the inflammation of small kidney vessels called the nephrons that filter the blood, separate toxic substances and remove them out of the body through the urine. This usually afflicts children, adolescents and young adults in their reproductive years. This kidney disease may start from tonsillitis, pharyngitis or skin infections.

Children and young adults with latent glomerulonephritis can escape detection for months or years, causing the condition to progress to a chronic state. The signs and symptoms include cola-colored or diluted, iced-tea-colored urine from red blood cells in your urine (hematuria); foamy urine due to excess protein (proteinuria); high blood pressure (hypertension); fluid retention (edema) with swelling evident in your face, hands, feet and abdomen; fatigue from anemia or kidney failure; and less frequent urination than usual.

Other causes of end stage renal disease in the country are complication in the kidneys due to hypertension and chronic and repeated kidney infections (pyelonephritis).
Latent disease implies that there are no overt of outward manifestations or clinical signs and symptoms, hence the patient would usually not seek medical consultation. The person may look or feel normal but when the urine is examined, it will reveal abnormal findings.

Kidney diseases are potentially preventable if diagnosed early in the cource of illness, avoiding the need for expensive treatment such as dialysis and transplantation. The only means to detect the presence of kidney diseases is through routine urinalysis or urine examination at least once a year.

The first urine in the morning is the best specimen to be collected for urinalysis. Prepare a sterilized 50 milliliters bottle or container. Wash your hands as well as your genital area with soap and clean water. Let them dry. Then, urinate a small amount into the toilet bowl to clear the urethra of any contaminants. Then, collect a sample of urine in the bottle or container. About 2/3 full of the 50 milliliters bottle is needed for a test. Remove the container from the urine stream without stopping the flow. You may finish urinating into the toilet bowl. Take the sample to the lab.

Act now. Consult your doctor and have your urine examined! For those with diabetes and hypertension, control and prevention of high blood sugar for diabetes and high blood pressure for hypertensives are very important to prevent and delay the development of kidney problems that usually lead to end stage renal disease.

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