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What is the first stage of kidney failure?

In Stage 1 CKD, the damage to your kidneys is mild. Your kidneys are still working well, but you may have signs of kidney damage or physical damage to your kidneys. Stage 1 CKD means you have a normal estimated glomerular filtration rate (eGFR) of 90 or greater, but there is protein in your urine (i.e., your pee).

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Causes, symptoms and treatment

What are the symptoms of stage 1 CKD?

Most people with Stage 1 CKD do not have any symptoms that affect their health, which is why many people do not know they have it. However, there are some signs of Stage 1 CKD people may notice themselves, or that doctors may notice when testing for kidney damage or other health conditions.

Signs and symptoms of Stage 1 CKD include:

High blood pressure

Swelling in your hands or feet

Urinary tract infections

Protein in your urine

Blood in your urine (also called hematuria)

Kidney damage that shows up in an ultrasound, CT scan, MRI, or kidney biopsy At stage 1 CKD, you may not notice any effects on your health. While the damage to your kidneys may not be reversible, there is a lot you can do at this stage to keep your kidneys working well for as long as possible.

How can doctors tell if I have CKD?

Many people with Stage 1 CKD do not have any symptoms. However, if you have a family history of kidney disease, or a health condition that can damage your kidneys, such as diabetes or high blood pressure, your doctor may test the health of your kidneys. To find out if you have CKD, doctors will do tests, such as:

Urine tests

eGFR blood tests

Blood pressure checks

Imaging tests to take detailed pictures of the inside of your body, such as ultrasound, CT scan or MRI

How do doctors treat stage 1 CKD?

At Stage 1 CKD, doctors mostly focus on slowing down kidney damage and keeping your kidneys working well for as long as possible.

Doctors will work with you to:

Control your blood sugar if you have diabetes.

Keep your blood pressure in a healthy range (less than 120/80 millimetres of mercury, or mm HG, is best). Decide if you should start or stop any medicines to help protect your kidneys. If you do not have a nephrologist (kidney doctor), talk to your regular doctor about finding one. You and your nephrologist can work together to make a treatment plan just for you.

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How can I help my kidneys repair themselves?

While a damaged kidney typically can't repair itself, the condition can be treated if caught early. Acute kidney failure can be reversed with prompt hospitalization, although the recovery process can take weeks to months and requires regular monitoring, diet modifications, and medications.

Kidney damage in acute kidney failure can be reversed with hospitalization and lifestyle modifications. However, chronic kidney failure is often irreversible

Kidney damage is divided into two types:

Acute kidney disease or acute kidney failure: Damage has occured in a short period, such as in hours or a few days Damage has occured in a short period, such as in hours or a few days Chronic kidney disease or chronic kidney failure: Damage has occured over several months or years While a damaged kidney typically can’t repair itself, the condition can be treated if caught early. Acute kidney failure can be reversed with prompt hospitalization, although the recovery process can take weeks to months and requires regular monitoring, diet modifications, and medications. Chronic kidney failure, however, is often irreversible. Chronic kidney disease (CKD) occurs when kidney damage worsens over time. There is no cure for CKD other than dialysis and kidney transplant. Preliminary studies on animals have shown regeneration of kidneys with stem cell therapy, but more research is needed to support the use of stem cell therapy in the treatment of kidney failure.

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