At what creatinine level should dialysis start?

Usually, when the creatinine clearance falls to 10-12 cc/minute, the patient needs dialysis.

wichitanephrology.com - When do patients require dialysis? - The Wichita Nephrology Group

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When do patients require dialysis?

Patients usually require dialysis when the waste products in their body become so high that they start to become sick from them. The level of the waste products usually builds up slowly. Doctors measure several blood chemical levels to help decide when dialysis is necessary. The two major blood chemical levels that are measured are the “creatinine level” and the “blood urea nitrogen” (BUN) level. As these two levels rise, they are indicators of the decreasing ability of the kidneys to cleanse the body of waste products. Doctors use a urine test, the “creatinine clearance,” to measure the level of kidney function. The patient saves urine in a special container for one full day. The waste products in the urine and in the blood are estimated by measuring the creatinine. By comparing the blood and urine level of this substance, the doctor has an accurate idea of how well the kidneys are working. This result is called the creatinine clearance. Usually, when the creatinine clearance falls to 10-12 cc/minute, the patient needs dialysis. The doctor also uses other indicators of the patient’s status to decide about the need for dialysis. If the patient is experiencing a major inability to rid the body of excess water, or is complaining of problems with the heart, lungs, or stomach, or difficulties with taste or sensation in their legs, dialysis may be indicated even though the creatinine clearance has not fallen to the 10-12 cc/minute level. Hemodialysis and peritoneal dialysis have been done since the mid 1940’s. Dialysis, as a regular treatment, was begun in 1960 and is now a standard treatment all around the world. CAPD began in 1976. Thousands of patients have been helped by these treatments. Dialysis does some of the work of healthy kidneys, but it does not cure your kidney disease. You will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant.

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When should you not take turmeric supplements?

High doses of turmeric could have a blood-thinning effect; if taken on top of prescribed anticoagulants, this could increase the risk of dangerous bleeding. People with liver or bile duct problems should not take turmeric supplements, as they can increase bile production. Cooking with turmeric shouldn't cause problems.

bhf.org.uk - Should I be taking turmeric supplements? - Ask the expert - BHF

Should I be taking turmeric supplements?

BHF dietitian Victoria Taylor says:

Turmeric is a key ingredient in curry powder and also has a long history of use in Ayurvedic medicine. The active ingredient is curcumin, which has been found to reduce inflammation and increase antioxidants. There has been some research into whether these properties could protect against heart disease or improve outcomes for people with coronary heart disease. However, although studies have had some positive results, these have not been consistent, and in some cases have been small, short in duration or based on animals (not humans), which makes it difficult to draw reliable conclusions. The issue is complicated by the fact that the curcumin in turmeric is not easily absorbed by the body, so you may get little or no benefit. We therefore don’t recommend turmeric supplements. Turmeric supplements are safe for most people. But if you’re taking anticoagulants (blood thinners) such as warfarin, check with your doctor before taking turmeric supplements. High doses of turmeric could have a blood-thinning effect; if taken on top of prescribed anticoagulants, this could increase the risk of dangerous bleeding. People with liver or bile duct problems should not take turmeric supplements, as they can increase bile production. Cooking with turmeric shouldn’t cause problems. But don’t assume that foods and drinks, such as turmeric lattes, which use turmeric as a selling point, are healthy. They often come with added ingredients that are high in saturated fat or sugar.

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