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Kidneys & Old Age | Age 65, GFR 45 , Is This Normal?
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- čas přidán 29. 02. 2024
- Glomerular filtration rate (GFR) and chronic kidney disease (CKD) are closely related concepts, but they represent different aspects of kidney health, including age-related changes.
1. *Glomerular filtration rate (GFR):* GFR is a measure of how well the kidneys are filtering waste products from the blood. It specifically measures the rate at which blood is filtered through the glomeruli, which are tiny structures in the kidneys responsible for filtering waste products and excess fluids. GFR is typically measured in milliliters per minute per 1.73 square meters of body surface area (ml/min/1.73 m²). A decline in GFR is a natural part of aging, with average rates declining by about 1 ml/min/1.73 m² per year after the age of 40. However, significant declines in GFR can also be indicative of kidney disease.
2. *Chronic kidney disease (CKD):* CKD is a long-term condition where the kidneys are damaged and cannot filter blood properly. It is characterized by a gradual loss of kidney function over time. CKD is typically classified into five stages based on GFR levels and other markers of kidney damage, with stage 1 being the mildest and stage 5 being the most severe. Age-related decline in GFR contributes to the risk of developing CKD, but other factors such as diabetes, high blood pressure, and certain medications can also increase the risk.
While age-related decline in GFR is a natural process, it's essential to distinguish it from CKD, which represents a pathological condition where kidney function is impaired beyond what is expected for age. Regular monitoring of kidney function, including GFR, is important for identifying CKD early and implementing appropriate interventions to slow its progression. This may include lifestyle changes, medications, and in some cases, dialysis or kidney transplantation.
In summary, age-related loss of GFR is a normal part of aging, whereas CKD represents a chronic condition characterized by progressive kidney damage and impaired function. While aging increases the risk of developing CKD, not all age-related declines in GFR lead to CKD, and distinguishing between the two is crucial for appropriate management and treatment.
Age related loss of GFR or CKD ?? Old age can also decrease GFR and older people have higher risk of CKD … how to differentiate
Shafiq Cheema
MBBS(KE), MD (USA), Diplomate American Board Internal Medicine, Diplomate American Board of Nephrology, Fellow American College Physician (FACP), Fellow American College of Nephrology (FASN), Hypertension specialist by ASH...
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/ @nephchat
Professor Dr. Shafiq Cheema is a Gold Medalist and was the most distinguished Graduate of KEMU, in 1996. He has extensive training & experience in the field of Internal Medicine, Hypertension, and Nephrology. He is a Diplomat American Board of Internal Medicine and Nephrology as well as a Fellow of the American College of Physicians and American Society of Nephrology. He is a renowned Hypertension specialist by ASH. He was lately appointed as Professor of Nephrology at AIMC-Jinnah Hospital. He is amongst America’s top Nephrologists and the world's leading physician. He is the Founder & Patron in Chief of Pak Kidney Foundation (PKF), Chairperson MD Nephrology UHS, and Founder of NephChat with Dr. Shafiq Cheema, providing valuable awareness through CZcams videos related to different diseases. He has worked extensively in the USA in senior positions, including, as former Medical Director of FMC North America, USA, Former Assistant Professor UTHSC Texas, Former Chief of Medicine LMC Texas.
Very scientific and authentic information- highly appreciated and grateful to this great job-
Dr Syed Taqvi
FRCS Ophth
Consultant ophthalmologist
Wonderful a new research
Excellent Anyalsis. Well explained. Jazakallah.
Very important and informative Talk
Thanks to sharing
Thanks doctor sahab aap bahut achi tarah se samjhaate hai thanks
very good information.i fall in this group.i can see my hair turning grey but can not see my vital organs liver kidney pancreas getting old.i did not look after them and now following your advice.👍👍👍
V nice explanation 👏👏
An excellent informatory video.
Glad you enjoyed it!
Good information sir
Informative
great dr sb
Sir mery father ki age 70 hai ef 35% heart failure 2020 me how 2020 me creatinine 2020 1.4 now creatinine 2.1 sir unko 1-2 saal bad pulmonary edema hojata lungs me paani ajata shortness of breath es se bachny ka kya method hai also enlarged prostate mrdicines lowplat plus truva 20 mg Arni secubitril valsartan amlodipine maxflow D
Very informative❤
nice video dr sahab
Good suggestion ❤
Aoa
My brother is 30 years, his eGFR is 12.9. Creatinine is 5.24.urea 122
Doctors recommended dialysis. Can you suggest us! Is it good solution? 😊
THANQ YOU VERY MUCH SIR
Dr sahab
Meri mother ki age 70 plus hai unki creatinine 1.8 aya hai aur hb 8 hai rbc 2.8 hai heart patient hain tab dioplus 5/80,lowplat,concor 5mg leti hain unko diabetese nahi hai kia unka creatinine blood kam hone ki waja se hai iske liye kia kren k creatinine kam hojaye
Assalamualaikum sir mere abu ki serum albumin creatinine ratio test (spot) 23mg/mmol aya moderately increased sir but diabetes ka pata ni tha ab diabetes ki tablet khaty hn or under control ha sir plz iska bary mn mujhy bata dn mesg mn plz
If chronic essential hypertension ..on cal channel blockers since 17/18 yrs .
Now at 64 gfr is 60 ..ane yr back 72 ..
.other rfts normal
.usg still not done .
Due to age ..med or uti
Urine report .... .ٹھپا nil
Dr saab you should speak easy language which can understand all people dont use english language asaan urdu zuban me hi samjhaya kry ta k wo log bhi alfaaz ko samjh saky jo zyada educated nhi shukria
Dr sahab acr range 60 mg...for a diabetic and hypertension patient can reverse or cure from this....are this is ckd....pls replies dr sahab...I am from india and yours daily you tuber veiwars....
Dr sahib kia me Eziday 50 msg( 0nly one tablet in morning) k saat pollen allergy k lia saltra inhaler use Ker sackti hon ? Me 51 yrs old hon,mother of 2,plzzzz reply ye dono medicine mujae doctors ne hi recommend ki hain,lekin kisi ne kha hai k ye dono saat na use kare,plzzz tell me doctor
السلام علیکم
ڈاکٹر صاحب میری عمر 49 ھے اور میرا egfr 55 آ رہا ھے اور پشاب بے کم ھے اور ہلکا ہلکا بھارہ پن بی محسوس ہو رہا ھے ۔ یوریا 44 ھے مجھے کیا کرنا چاہیے۔
If age More than 65 & gfr 42 then what grade of kidney disease is assigned?
AoA
Dr saab its around 27 days of my post transplant.
Im taking
tacrolimus 7+7 daily
Myfortic 1+1 (180 mg) daily
Deltacortil ( i started from 6 tab daily now its reduced to 2 daily then after 5 days it will be 1 daily and continue)
My tac level is 6.8
Rest all test r in normal range
Kindly tell me the above mentioned medicines r ok ..
Regards
Sir please multiple myeloma ke upar ek video banao my papa ko high BP tha aur creatinine 2 thi Dr ne pehle kaha bp ki vajay se kidney ko nuksan hous hai baad me multiple myeloma bataya please sir ek video banao
Sir my mother in law is 58 and had bp , diabetes . Gfr is 34 and microalbumin was 1500+ ..
ڈاکٹر صاحب رمضان المبارک میں گردے کا مریض کے بارے میں کوئی لیکچر بنائیں شکریہ
Sir age 30 year GFR 60 test me ayya to Kiya mujhe doctor se consult krna chaiye?
Assalam o alae kum sir mere left side pr muji ek dbawo mehsos hota ha or jln b hlnki chote peshab ma jln nhi hote mere likin drd hota left foot pr b smj he nhi arhi kia kro masani k ulter sound k ha kch b nhi ha per b tklif HD sa zyda hota ha kch inform krdi sir Allah khoshya nseb kry oar ha mere left side k msana aksr pola howa mehsos hota ha from saba
Sir I have horseshoe kidney with renal stone and my egfr is 47 should I worry about it and my age is 26 years
Dr sb Milna ha ap se plz Opaitement dy den 3 dafa Aya hn Lahore nhi mulaqt hoi
سر نسوار کا گردوں پر اثر کا بتائے۔۔۔پلیز سر
اسلام وعلیکم میں شوگر پیشنٹ ہوں Hb1c 10.5 کریٹنائین 1.0 eGFR 48 ہے تو کیا احتیاط کرنی پڑے گی
AP apni shugar control kijia carbs Kam lijia Dr Khalid Jamil ka u tube channel h is ko dekhaya
Asalamu alaikum Dr sahab gfr ka normal range kya hai
Mera gfr 80 hai age 39
Urine normal USG normal
Sugar below 100
Bp hamesha low rehta hai 100/70 90/60 80/60 kabi kabi 70/50 bi hota hai
Kya muje kidney problem hai
Please reply Karen apki meherbani hogi
Brother apko kidney problem nae ha just Thora SA function loss hua ha kidney ka 60 say neechy kidney diseaze start ho jata ha
Diet for Dialysis patient please
Age 70 years
Gfr 115 age 26 creatinine 1
Aoa sir mera 1.45 certinine hn ur egfr 61 hn ckd 14yeras sa hn urin in protein hn
Sir apke book chiya kidney wali
Sir pindi islamabad me koi ap jesa dr hai kia?
Egfr 8 hai aur creatinine 6.5 age 56 year
❤
Hello sir kesy he ap teek tak he umeed karta hu ap khairiayt se hongeh sir mujy kuch dino se back pain horha qk mere exams chal rhe tu waha jukh kar lekna phr rha he or mere age 15 he tu jab me peshab karo tu usme foamy type bubbly type hote he kiya yeh koe problem he?
Hi dear, foamy bubble urine usually means it has protein leakage in urine, please once consult doctor
urin karne ke bad mera bp low hojata h sir main dar par jata h
Sir mere Ammi ki Creatinine 14 Hi
H.b 7.0
Keya Hemodialysis Teek Hoga is klye
Last stage of kidney hai dialysis he ho ga ab
میرا gfr 23 ھے کرٹینان 2.88
sir please mery sawal ka jawab de dy meri aik kidney ha aik remove hu gai ha last year tu kia ma rozy rkh sakti meri kidney ma stones bnty
No Pani ziada Lia kary
@@smvlogs6861 thanks
Location plz. I want to check my father please tell me location.
Back pain.egfr 69 and age 36
Need more testing. Since age is young so should be investigated
@@Nephchat which type of tests pls sir
@@Nephchat b.p 130/90
Rt kidney7.8
Lt 11
Age 84 hy-
eGFR 8.49 hy aur creatinine 4 hy
Tou kya ye theek hy?
آپ کے تو گردے فیل ہو گئے ہیں جی،
فوری ایمرجنسی میں کسی گردوں کے ہسپتال جائیں
@@zawarkunj8967
اوہ۔ یہ میری نہیں، بلکہ میرے دادا جی کی ریڈنگ ہے۔ مگر اس ریڈنگ کے باوجود انکے چہرے اور پیروں وغیرہ پر سوجن نہیں ہے۔ پیشاب بھی ٹھیک آتا ہے۔
❤.
Dr sahib mera critinine 11.81 hai kia ye revers able hai
I always listen to uraudio video program they ar v informative l am dr myself so I can understand v well can u leave ur contact no .Ar u practicing in lhr,,,?
Plz information thanks.
Lahore IMC hospital
if any one dibetic and hypertension and proteinuria then after 60 their is surely chance for death..no improvement if he doing treatment also
sir pls replies
ڈاکٹر صاحب میرا کریٹانین 0.9 ہے اور آی جی ایف آر 60 اور عمر 34 سال کیا مجھے چیک اپ کی ضرورت ہے
Gfr agr 9 aye
Then that person needs dialysis or kidney transplant ASAP
ڈاکٹر صاحب میرا جی ایف آر 40 ھے ۔۔ کرانگ کڈنی مریض ھوں ۔۔ عمر 68 سال ۔۔ کریٹنائن 1.6 ھے ۔۔ ڈاکٹر دوا کوئی نہیں دیتا کہتے ہیں خوراک سے کنٹرول میں ھے ۔۔ Dapa 10 mg دو سال سے کھا رہا ھوں ۔۔ کیا کرنا چاہیئے ۔۔۔ ؟؟
Should treat the cause and BP and in addition should considered ACEI and ARB
بابا جی آخرت کی تیاری کرو.
اور تبلیغ میں وقت لگاؤ..
دنیا فانی ہے.. یہ ڈاکٹر کچھ بھی نہیں کر سکتے..
اللہ آپ کو صحت دے آمین
😂@@khadimbaloch5441