Talking Tuesday – Q&A – Dr. David Duniaef – Kidney Disease – Jan 29, 2019.

Talking Tuesday – Q&A – Dr. David Duniaef – Kidney Disease – Jan 29, 2019.

Tonight’s topic – Kidney Disease

Dr. David Duniaef –

Let’s start with the basics… what is the function of the kidneys?
What is kidney disease?

Mary Rogers asks…it is difficult for me to get away from salt when I go out and eat. What can I do to compensate for the high amount of sodium? Should I drink more water to help flush out the kidney/?

Laurie Baker asks…I am a Nurse, I’ve just seen so many more young people suffering from kidney disease and doctors just say they don’t know the cause and the only hope is dialysis and transplant. I have a friend’s son who is in his 20s on dialysis. She wants to give him her kidney. I just want to give them hope that there is another option. But I’ve talked to her about dairy and she says they drink milk every day and won’t give it up. Is there a link between dairy and kidney disease? Thanks for asking.

Sydney Parker asks…..Once I began menopause… I began to get UTIs all the time. But now that I am post menopause… they have pretty much stopped. But at the same time, I began going plant based through the process of menopause. But I did go to see a urologist…. Who specializes in OBGYN. She commented that almost her entire practice was made up of women like me… starting menopause..and UTIs. Any thoughts on this?

Glomerular filtration rate (GFR) is the volume of fluid filtered from the renal (kidney) glomerular capillaries into the Bowman’s capsule per unit time. C

Creatinine is a breakdown product of creatine phosphate in muscle, and is usually produced at a fairly constant rate by the body (depending on muscle mass). Creatinine is removed from the blood chiefly by the kidneys, primarily by glomerular filtration

Blood urea nitrogen (BUN) is a medical test that measures the amount of urea nitrogen found in blood. The liver produces urea in the urea cycle as a waste product of the digestion of protein.

Azotemia is a medical condition characterized by abnormally high levels of nitrogen-containing compounds in the blood.

Albumins are a family of globular proteins, the most common of which are the serum albumins.

Urea serves an important role in the metabolism of nitrogen-containing compounds by animals and is the main nitrogen-containing substance in the urine of mammals.

Trimethylamine N-oxide (TMAO). The concentration increases after consuming foods containing carnitine or lecithin if the bacteria that convert those substances to TMAO are present in the gut. High concentrations of carnitine are found in red meat, some energy drinks, and some dietary supplements.

Fibrosis is the formation of excess fibrous connective tissue in an organ or tissue in a reparative or reactive process.

A diuretic is any substance that promotes diuresis, the increased production of urine.
In medicine, diuretics are used to treat heart failure, liver cirrhosis, hypertension, influenza, water poisoning, and certain kidney diseases.

An electrolyte is a substance that produces an electrically conducting solution when dissolved in a polar solvent, such as water. The dissolved electrolyte separates into cations and anions, which disperse uniformly through the solvent. Electrically, such a solution is neutral.

Edemais an abnormal accumulation of fluid in the interstitium, located beneath the skin and in the cavities of the body, which can cause severe pain. Clinically, edema manifests as swelling.

Food high in Potassium
Bananas, oranges, cantaloupe, honeydew, apricots, grapefruit (some dried fruits, such as prunes, raisins, and dates, are also high in potassium) cooked spinach & broccoli, Potatoes, Sweet potatoes, Mushrooms, Peas, Cucumbers, Zucchini, Eggplant, Pumpkins, Leafy greens

Blood Pressure Medication – Impact on the Kidney

What do you recommend for end stage kidney patients who have to limit potassium? What should they eat?

Sympathetic vs parasympathetic

Endothelium refers to cells that line the interior surface of blood vessels and lymphatic vessels, forming an interface between circulating blood or lymph in the lumen and the rest of the vessel wall.

Misty – Question – Any recommendations for supplements for menopause for anxiety symptoms.
Laurie Baker – I am a nurse, and seeing so many young people suffering from kidney disease. Is there is a link between dairy and kidney disease?


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