PATIENT RESOURCES AND BLOG
10 Consejos Para Ayudarlo a Consumir Granos Integrales
Los alimentos hechos con trigo, arroz, avena, maíz, cebada o cualquier otro grano de cereal son productos de granos. El pan, los fi deos y tallarines, la avena, los cereales para el desayuno, las tortillas de harina y la sémola son ejemplos de estos productos. Los...
10 Tips to Creating Healthy, Active Events
Eating healthy and being physically active can be a fun part of parties and events. Great gatherings are easy to do when tasty, healthy foods from all the food groups are offered in a fun, active environment. Above all, focus on enjoying friends and family. Please...
10 Consejos Para Crear Un Buen Plato
Elegir alimentos para llevar un estilo de vida sano es muy sencillo si sigue estos 10 consejos. Use las ideas de esta lista para balancear las calorías, elegir los alimentos que le conviene comer con mayor frecuencia y reducir la cantidad de alimentos que le conviene...
10 consejos para ayudarlo a comer más vegetales
¡Comer más vegetales es fácil! Comer vegetales es importante porque contienen vitaminas y minerales y no contienen muchas calorías. Para incluir más vegetales en sus comidas, siga estos sencillos consejos. Es más fácil de lo que piensa. Please sign-up for my KIDNEY...
10 consejos para ayudarlo a comer más frutas
El consumo de frutas brinda benefi cios de salud. Las personas que comen más frutas y vegetales como parte de una dieta saludable integral tienen menos riesgos de presentar algunas enfermedades crónicas. Las frutas proveen nutrientes importantes para la salud, como el...
Los alimentos hechos con trigo, arroz, avena, maíz, cebada o cualquier otro grano de cereal son productos de granos. El pan, los fi deos y tallarines, la avena, los cereales para el desayuno, las tortillas de harina y la sémola son ejemplos de estos productos. Los...
10 CONSEJOS PARA AYUDARLE A COMER Y BEBER MÁS PRODUCTOS LÁCTEOS DESCREMADOS O BAJOS EN GRASA
El grupo de lácteos incluye leche, yogur, queso y leche de soja enriquecida. Estos suministran calcio, vitamina D, potasio, proteína y otros nutrientes necesarios para la buena salud durante toda la vida. Elija productos con bajo contenido de grasa o descremados para...
10 consejos para elegir proteínas
La proteína de los alimentos provienen de fuentes tanto animales (carne, aves, mariscos y huevos) como de plantas (frijoles, guisantes, productos de soja, nueces y semillas). Todos necesitamos proteína; pero la mayoría de los estadounidenses comen cantidades sufi...
10 CONSEJOS PARA PLATOS SANOS
Un plato sano comienza con más vegetales y frutas, y porciones más pequeñas de proteínas y granos. Piense en cómo ajustar las porciones en su plato para obtener más de lo que necesita sin demasiadas calorías. Tampoco olvide los productos lácteos; haga de ellos su...
10 consejos para vegetarianos
Una dieta vegetariana puede ser una opción sana. La clave está en consumir alimentos variados y la cantidad correcta de alimentos para satisfacer sus necesidades de calorías y nutrientes. Please sign-up for my KIDNEY DISEASE blog. This is free and help to spread...
High Blood Pressure – Chronic Kidney Disease, Sodium, and Salt Intake
In patients with chronic kidney disease, management of high blood pressure is crucial. Uncontrolled blood pressures can have devastating effects on your health (heart attack, stroke, death). It is important to check blood pressure frequently and review the numbers...
Chronic Kidney Disease & High Blood Pressure
Control of hypertension is the single most important intervention to delay progression of chronic kidney disease (CKD). Extracellular fluid volume expansion is one of the most important factors leading to persistent hypertension in patients with CKD. Older individuals...
CODE STATUS
Few days ago, I saw a perfectly healthy nurse in emergency department as a patient. He was worried that he had been exposed to carbon monoxide. He had a patient in hospital for a long time that had brain injury from exposure to carbon monoxide. Now he was worried for...
Contrast Induced Kidney Damage
http://pinterest.com/amashhadian/contrast-induced-kidney-damage/ Multiple studies have suggested that in-hospital mortality is significantly higher in patients developing contrast induced kidney damage especially those who require hemodialysis. Risk Factor 1. Hx of...
Appropriate Initiation of and Withdrawal from Dialysis
http://pinterest.com/amashhadian/appropriate-initiation-of-and-withdrawal-from-dial/ Mortality remains high for seriously ill patients who develop ARF, and dialysis in this population is generally not cost effec- tive. Little is known about the long-term outcome and...
Depression in Patients with Chronic Kidney Disease
http://pinterest.com/amashhadian/depression-in-kidney-disease-patients/ One in five patients with chronic kidney disease is depressed, even before beginning long-term dialysis therapy or developing end-stage renal disease. Chronic kidney disease patients with...
Control Blood Pressure by Bestroying Nerves Terminating in Kidney
High blood pressure can cause strokes, heart attacks and death. Often, even a combination of pills doesn't work, but a new procedure might. This is a method still under study to control blood pressure by destroying nerves from the kidneys to the brain. Nerve signals...
Diabetes Facts In Brief
Approximately 16 million people in the U.S. have diabetes, according to estimates, but only 8 million people are diagnosed. Diabetes can lead to a number of complications, such as heart and kidney disease and foot and eye problems. However, studies have shown that...
10 TIPS TO HELP YOU STRETCH YOUR FOOD DOLLARS
Get the most for your food budget! There are many ways to save money on the foods that you eat. The three main steps are planning before you shop, purchasing the items at the best price, and preparing meals that stretch your food dollars. Please sign-up for my KIDNEY...
10 TIPS TO ENJOYING YOUR MEAL
You can enjoy your meals while making small adjustments to the amounts of food on your plate. Healthy meals start with more vegetables and fruits and smaller portions of protein and grains. And don’t forget dairy—include fat-free or low-fat dairy products on your...
IG A NEPHROPATHY AND BLOODY URINE
The most common clinical presentation of Ig A nephropathy is bloody urine provoked by upper respiratory infection. Infectious source with microbial and viral infection is occasionally present. Food particles have also been proposed. Alternatively, Ig A naphropathy may be an autoimmune disease. Ig A Nephropathy is one of the most common causes of kidney disease. In Caucasians, Ig A nephropathy is more common in men with ratio of 3:1 than women. However, in Asians, the ratio approached 1:1. This disease can be transient or progress to chronic kidney disease and possible end stage renal disease requiring dialysis.
Ig A nephropathy is associated with other diseases such as rheumatoid arthritis, celiac disease, alcohol liver disease, cirrhosis, dermatitis herpetiformis, and HIV/AIDS.
The clinical presentation may be suggestive of Ig A nephropathy. However, renal biopsy is required for confirmation. Kidney biospay further helps for predicting the course of the disease. That being said, not all patients require to have kidney biopsy.
Natural Progression
Some patient with mild disease have remission. However, the presence of high blood pressure, protein in the urine, and reduced kidney function as well as some findings on kidney biopsy increase progression and poor outcomes.
Treatment
Treatment of Ig A nephropathy depends to clinal presentation, urine studies and kidney biopsy result. Depending to the presentation, the treatment of Ig A nephropathy varies from blood pressure medications to immunosuppresive medications. Close follow up with a nephrologist is crucial.
Dietary gluten restriction has not been show to preserve kidney function.
Ardavan Mashhadian D.O.
Nephrologist
1127 Wilshire Blvd Suite 510
Los Angeles CA 90017
(213) 537-0328
Please sign-up for my KIDNEY DISEASE blog. This is free and help to spread quality improvement measures for life of patients with chronic kidney disease. Continue Reading IG A NEPHROPATHY AND BLOODY URINE
High Blood Pressure – Chronic Kidney Disease, Sodium, and Salt Intake
In patients with chronic kidney disease, management of high blood pressure is crucial. Uncontrolled blood pressures can have devastating effects on your health (heart attack, stroke, death). It is important to check blood pressure frequently and review the numbers...
Kidney Stone Lifestyle Changes
1. Drink 2 L of water. Make sure you are measuring this! It is really easy to think you have increased fluid intake with only few glasses of water. I recommend to buy a 1 L bottle of water and measure your water intake. (If you have heart failure, kidney failure or...
Living Kidney Donation: Act of Kindness from the Donors but no Incentives from the Government
When I started my nephrology fellowship training, I was saddened with the quality of life our dialysis patients live. I started this blog with the goal of dedicating time and effort to add some quality to these patients lives. Dialysis patients are by far the most...
Home Dialysis Los Angeles
There are 2 kinds of home dialysis modalities: 1. Home hemodialysis 2. Home peritoneal dialysis. Home dialysis has several benefits when compared to in-center hemodialysis. In both choices of home dialysis, patients receive more frequent dialysis session than...
HOW TO DO PERITONEAL DIALYSIS?
http://www.pinterest.com/amashhadian/peritoneal-dialysis/ There are 2 ways to do dialysis. 1. Hemodialysis and 2. Peritoneal dialysis. When I discuss starting dialysis on my patients, I will talk to them about both. However, personally I like peritoneal dialysis more...
Living Donor Outcomes in Kidney Trasnplantation
A major concern about living donors is the long-term impact of uninephrectomy on risk of hypertension, proteinuria, and chronic kidney disease. One of the more important recent reports regarding the long-term impact of living donation has been provided by Ibrahim and...
Future of Human Kidney Transplant
http://www.pinterest.com/amashhadian/regenerative-nephrology/ Since starting my training in the field of nephrology, my biggest dream has been to see my patients independent of dialysis and having a normal life. Kidney represents the human organ in highest demand...
Is antioxidant therapy beneficial for people with chronic kidney disease?
People with chronic kidney disease (CKD) have high risk of developing heart disease and dying prematurely. Although heart disease has many causes, damage caused by poor oxygen exchange in the body’scells (oxidative stress) is thought to be a major problem. People...
DIALYSIS ACCESS
Dialysis patients have many comorbidities. This ranges from heart disease all the way to vision problems. One of the biggest comorbidites with dialysis patients is the management of dialysis access. Unfotunately, I see a lot of hospital admissions for acute dialysis....
Target Blood Pressure In Diabetes Mellitus And Chronic Kidney Disease
Higher blood pressure levels in patients with diabetes are associated with faster renal function decline in kidney disease. In addition, all vascular complications of diabetes are exacerbated by hypertension. Therefore, blood pressure should be treated aggressively in...
Depression in Patients with Chronic Kidney Disease
http://pinterest.com/amashhadian/depression-in-kidney-disease-patients/ One in five patients with chronic kidney disease is depressed, even before beginning long-term dialysis therapy or developing end-stage renal disease. Chronic kidney disease patients with...
High Blood Pressure – Chronic Kidney Disease, Sodium, and Salt Intake
In patients with chronic kidney disease, management of high blood pressure is crucial. Uncontrolled blood pressures can have devastating effects on your health (heart attack, stroke, death). It is important to check blood pressure frequently and review the numbers...
Living Kidney Donation: Act of Kindness from the Donors but no Incentives from the Government
When I started my nephrology fellowship training, I was saddened with the quality of life our dialysis patients live. I started this blog with the goal of dedicating time and effort to add some quality to these patients lives. Dialysis patients are by far the most...
Living Kidney Donation: Act of Kindness from the Donors but no Incentives from the Government
When I started my nephrology fellowship training, I was saddened with the quality of life our dialysis patients live. I started this blog with the goal of dedicating time and effort to add some quality to these patients lives. Dialysis patients are by far the most...
Peritoneal Dialysis Frequently Asked Questions Part 5
This is Peritoneal Dialysis Frequently Asked Questions Part 5 Click here for Part 1 Click here for Part 2 Click here for Part 3 Click here for Part 4 15. Can I remain sexually active once I begin dialysis? Yes. You are encouraged to maintain a normal lifestyle. Some...
Peritoneal Dialysis Frequently Asked Questions Part 5
This is Peritoneal Dialysis Frequently Asked Questions Part 5 Click here for Part 1 Click here for Part 2 Click here for Part 3 Click here for Part 4 15. Can I remain sexually active once I begin dialysis? Yes. You are encouraged to maintain a normal lifestyle. Some...
Peritoneal Dialysis Frequently Asked Questions Part 4
This is Peritoneal Dialysis Frequently Asked Questions Part 4 Click here for Part 1 Click here for Part 2 Click here for Part 3 Click here for Part 4 11. How long does a peritoneal dialysis treatment take? Peritoneal dialysis is done every day at night time. The...
PERITONEAL DIALYSIS FREQUENTLY ASKED QUESTIONS PART 3
This is Peritoneal Dialysis Frequently Asked Questions Part 3 Click here for Part 1 Click here for Part 2 Click here for Part 3 Click here for Part 4 8. How will dialysis affect my family? Family and social support is very very important in dialysis patients. As you...
PERITONEAL DIALYSIS FREQUENTLY ASKED QUESTIONS PART 2
This is Peritoneal Dialysis Frequently Asked Questions Part 2 Click here for Part 1 Click here for Part 2 Click here for Part 3 Click here for Part 4 4. Is Peritoneal Dialysis a painful therapy? Contrary to hemodialysis, there is no needle involved in peritoneal...