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Avoid kidney bristles

Dr Alka Bhasin Chronic kidney disease (CKD) is a "silent killer" that can be as fatal as diabetes and high blood pressure, but has a much lower profile with less awareness of it in society. However, it is important to recognize the growing epidemic of CKD in young adults in our country. In a study in Chennai, 6 percent prevalence of urine protein leakage was noted in a sample of young adults. Young people often ignore warning signs about their health, such as irregular readings of high blood pressure, headaches, foaming urine, bone swelling and fatigue, etc. The onset of kidney disease can usually begin early in adolescence and largely with the onset of modifiable risk factors. Risk Factors for CKD in Young Adults: 1 . Low birth weight (28 percent of children are 2nd Hypo-vitaminosis (conditions of abnormally high levels of storage of vitamins such as A or D, which can lead to toxic symptoms) and malnutrition of the pregnant mother can lead to less kidney volume at birth, hence lower eGFR (filtration efficiency). [19659002] 3. Samanguinity and genetic inbreeding can lead to greater risk of congenital anomalies in the renal canal at birth. 4th Kidney filter diseases can be the result of poverty, poor hygiene, pollution, water pollution, overcrowding, exposure to unknown nephrotoxins (heavy metals, herbal remedies, domestic drugs) and lack of access to affordable health care. 5th Growing burden of high blood pressure and diabetes in India. 6th Lack of nephrologists. 7th Autoimmune diseases such as systemic…

Dr Alka Bhasin

Chronic kidney disease (CKD) is a “silent killer” that can be as fatal as diabetes and high blood pressure, but has a much lower profile with less awareness of it in society. However, it is important to recognize the growing epidemic of CKD in young adults in our country. In a study in Chennai, 6 percent prevalence of urine protein leakage was noted in a sample of young adults.

Young people often ignore warning signs about their health, such as irregular readings of high blood pressure, headaches, foaming urine, bone swelling and fatigue, etc.

The onset of kidney disease can usually begin early in adolescence and largely with the onset of modifiable risk factors.

Risk Factors for CKD in Young Adults:

1

. Low birth weight (28 percent of children are

2nd Hypo-vitaminosis (conditions of abnormally high levels of storage of vitamins such as A or D, which can lead to toxic symptoms) and malnutrition of the pregnant mother can lead to less kidney volume at birth, hence lower eGFR (filtration efficiency). [19659002] 3. Samanguinity and genetic inbreeding can lead to greater risk of congenital anomalies in the renal canal at birth.

4th Kidney filter diseases can be the result of poverty, poor hygiene, pollution, water pollution, overcrowding, exposure to unknown nephrotoxins (heavy metals, herbal remedies, domestic drugs) and lack of access to affordable health care.

5th Growing burden of high blood pressure and diabetes in India.

6th Lack of nephrologists.

7th Autoimmune diseases such as systemic lupus erythematosus (SLE).

8th Consumption of non-steroidal anti-inflammatory painkillers, use of steroids and excess whey protein / muscle enhancing products in an attempt to build muscle mass and improve body image. It can cause serious kidney failure, proteinuria and increased risk of formation of stones.

Prevention of Kidney Disease in

Young Age: Early screening to identify risk factors combined with training on ways to keep the kidneys healthy can provide a great opportunity to prevent or reduce kidney disease before it becomes a problem. The youth must become aware of:

1. Avoid extreme exercise.

2nd Avoid extreme heat to prevent heat stroke and dehydration.

3rd Drink good volume of water and fluids to prevent kidney stone disease, especially in hot climates.

4th Avoidance of whey protein.

5th Avoidance of smoking and alcohol.

6th Avoidance of creatine tablets.

7th Reduction in weight in overweight young people.

8th Monitor BP and control it.

ninth Avoidance of non-steroidal anti-inflammatory drugs.

Short training sessions / videos should be shown to the millennial generation to create awareness of kidney disease and how to avoid it. With advanced technology and social networking, this can be spread “virally” not only among younger adults but also possibly later through secondary mechanisms (eg verbal) to older family members.

– The author is director, nephrology, Max Smart Super Specialty Hospital, Saket, New Delhi.

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