What Happens If My eGFR Is Low? Understanding Kidney Health

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Receiving a comprehensive metabolic panel can be nerve-wracking, especially when you’re faced with unfamiliar terms like eGFR. If you’ve just learned your eGFR is 77, you might be breathing a sigh of relief. But what happens if my eGFR is low? As people await their test results or ponder their meaning, a nagging question tends to surface. An estimated glomerular filtration rate (eGFR) is a crucial measure of kidney function. A quick glance at this number tells us whether our kidneys are doing a good job of removing waste and excess fluids from our blood. While a normal eGFR is typically above 90 mL/min/1.73 m2, what happens if my eGFR is low – say, below 60? Are you ready to level up your health knowledge? We’re about to tackle a crucial subject that’s worth understanding.

Table of Contents:

Deciphering eGFR: What You Need to Know

It’s time to translate eGFR into plain English – then we can talk about what it means for your health. Your kidneys are remarkable organs, filtering about 180 liters of blood every day. Blood pressure gets a helping hand from them, as they clear out waste and get electrolytes back on track.

The glomeruli, tiny filters in your kidneys, are the workhorses behind this process. eGFR estimates how much blood these filters clean every minute. It’s calculated using a formula that considers your creatinine levels, age, sex, and sometimes race. However, it’s worth noting that in 2021, the National Kidney Foundation and the American Society of Nephrology (ASN) recommended removing race as a factor in eGFR calculations to promote health equity.

The eGFR Scale: What Do the Numbers Mean?

To better understand what happens if my eGFR is low, let’s look at the eGFR scale:

eGFR Range (mL/min/1.73 m2)Kidney Function
90 or higherNormal kidney function
60-89Mildly reduced kidney function
45-59Mild to moderate kidney disease
30-44Moderate to severe kidney disease
15-29Severe kidney disease
Less than 15Kidney failure (may require dialysis or transplant)

When your eGFR dips below 60 and stays there for three months or more, it’s often an indicator of chronic kidney disease (CKD). But what exactly happens in your body when your eGFR is low?

The Impact of Low eGFR on Your Body

A low eGFR means your kidneys aren’t filtering blood as efficiently as they should. If your body can’t effectively remove waste, it can unleash a barrage of health troubles. Here’s what can happen when your eGFR is consistently low:

1. Fluid Retention and Swelling

When kidneys don’t function properly, they can’t remove excess fluid from your body effectively. This can lead to edema – swelling in your legs, ankles, or around your eyes. Fluid buildup in the lungs can create a desperate situation, where each breath feels like a wrestling match against your own body.

2. High Blood Pressure

Your kidneys play a crucial role in regulating blood pressure . When they’re not working well, it can lead to hypertension. When high blood pressure targets your kidneys, they’re forced to work overtime, setting in motion a chain reaction of strain and deterioration that’s tough to reverse.

3. Anemia

Healthy kidneys produce a hormone called erythropoietin, which stimulates red blood cell production. With decreased kidney function, you might develop anemia, leading to fatigue and weakness. Anemia can also contribute to a feeling of difficulty concentrating.

4. Bone Problems

Your kidneys help activate vitamin D, which is essential for calcium absorption and bone health. Low eGFR can lead to weak bones and an increased risk of fractures. If you have concerns about bone problems or calcium absorption, it is important to discuss them with your healthcare provider.

5. Cardiovascular Issues

There’s a strong link between kidney disease and heart disease. A low eGFR increases your risk of heart attacks and strokes. If you want to safeguard your cardiovascular system, start by giving your kidneys some extra love – the two are more closely tied than you might think.

Early Signs of Low eGFR

Recognizing the early signs of kidney problems is crucial. One trusted resource is the National Kidney Foundation, which has compiled a list. Think you’re in the clear? Better double-check for these 10 subtle indicators that something’s amiss. One possible sign of kidney disease is this symptom – take it seriously.

  1. Fatigue and difficulty concentrating
  2. Trouble sleeping
  3. Dry, itchy skin
  4. Frequent urination, especially at night
  5. Blood in your urine
  6. Foamy urine
  7. Persistent puffiness around your eyes
  8. Swollen ankles and feet
  9. Poor appetite
  10. Muscle cramps

If you’re experiencing these symptoms, especially if you have risk factors like diabetes or high blood pressure, it’s critical to consult your healthcare provider. Catching kidney disease early is very important for your health – it can prevent a whole host of nasty problems from arising down the line.

Boost Your Kidney Function: Is It Possible?

If you’re wondering what happens if my eGFR is low, you’re probably also curious about whether you can improve it. While severe kidney damage can’t be reversed, there are steps you can take to slow the progression of kidney disease and potentially improve your eGFR:

1. Control Your Blood Pressure

Keeping your blood pressure in check is crucial for kidney health. The DASH diet , rich in fruits, vegetables, and low-fat dairy products, can help lower blood pressure naturally. Slashing sodium from your diet is a wise move, since excessive amounts can majorly impact blood pressure levels. Stay on top of your blood pressure and you’ll be able to fine-tune your care strategy with your healthcare team’s expert guidance.

2. Manage Diabetes

If you have diabetes, maintaining good blood sugar control is essential. Stop kidney damage in its tracks – this measure can make all the difference. Following a healthy diet, engaging in regular physical activity, and taking your prescribed medications as directed can help manage blood sugar levels. Collaborate with your healthcare provider to create a diabetes management plan that’s as unique as you are – one that addresses your specific health goals and challenges.

3. Stay Hydrated

Proper hydration is key to kidney health. A 2021 study suggests that people with kidney disease should aim for 1-2 liters of water per day, but always consult your doctor for personalized advice. Your kidneys will thank you for keeping them well-lubricated; dehydration can cause them unnecessary stress, after all.

4. Exercise Regularly

Physical activity can help improve your overall health and potentially your kidney function. A meta-analysis showed that exercise can improve eGFR. One of the perks of regular physical activity is that it not only helps regulate blood pressure but also appears to improve eGFR. Aim for at least 30 minutes of moderate intensity exercise most days of the week.

5. Eat a Kidney-Friendly Diet

Certain diets may be beneficial for kidney health. Discovery is often only a query away – dig in, ask questions, and get ready to unearth fresh perspectives. The evidence is clear: eating a plant-based diet, following the Mediterranean diet, or adhering to the DASH diet can make a real difference when it comes to maintaining healthy kidney function. Focusing on whole, unprocessed foods is the heart of these diets. They encourage piling plates high with colorful fruits, leafy veggies, and whole grains, while keeping unhealthy fats, sodium, and added sugars to a minimum.

6. Quit Smoking

Smoking can damage blood vessels and increase the risk of kidney disease progression. Kick the habit and your kidneys will thank you – your overall health will get a boost too! Concerned about your smoking habit? Schedule a chat with your doctor to explore your options and find a quit plan that’s right for you.

7. Limit Alcohol Intake

Excessive alcohol consumption can harm your kidneys. If you drink, do so in moderation. Moderate alcohol consumption is generally defined as up to one drink per day for women and up to two drinks per day for men. Before pouring yourself a drink, consider chatting with your healthcare provider about your health and risk factors – they can give you personalized guidance.

8. Maintain a Healthy Weight

Obesity is a risk factor for kidney disease. As the numbers on the scale drop, so does the strain on your kidneys – leading to a healthier, happier you. Shedding even a few pounds can pay off big time in the long run.

The Role of Vitamin D in Kidney Health

Interestingly, a 2018 study found that vitamin D deficiency was linked to lower eGFR scores. While more research is needed, ensuring adequate vitamin D levels through diet, safe sun exposure, or supplements (under medical supervision) may be beneficial for kidney health. Vitamin D is the calcium policeman in your body, making sure levels stay on track for super-strong bones and all-around wellness. Talk to your healthcare provider to get your vitamin D levels checked and discuss whether supplementation is right for you.

FAQs about What Happens If My eGFR Is Low

Should I worry if my eGFR is low?

A low eGFR is certainly cause for concern, but it’s not a reason to panic. If your eGFR is below 60, it’s important to work closely with your healthcare provider to monitor your kidney function and take steps to prevent further decline. Your healthcare provider can help determine the underlying cause of your low eGFR and recommend the most appropriate course of treatment or management.

What is the most common cause of low GFR?

The most common causes of low GFR are diabetes and high blood pressure. Lifestyle factors aside, kidney function can be hampered by ongoing inflammation and the medications we take. Furthermore, some people are born with an inherent weakness in their kidneys. Pinpointing underlying health issues is crucial to getting to the root of a low GFR. If you have been diagnosed with diabetes or high blood pressure, working with your healthcare providers to effectively manage these conditions can help protect your kidneys from further damage.

How do you fix low eGFR?

While severe kidney damage can’t be reversed, you can take steps to slow progression and potentially improve your eGFR. Want to take care of your kidneys? First, get on top of conditions like diabetes and hypertension, and then make a commitment to eating a diet that’s good for your kidneys – it’s a crucial combo. To give your kidneys the TLC they deserve, try shifting your daily habits. Trade in cigarettes for fresh air, limit your Happy Hour, and get your body moving regularly – it’s a winning combo for healthier kidneys.

What level of eGFR is concerning?

Generally, an eGFR below 60 mL/min/1.73 m2 is considered concerning, especially if it persists for three months or more. At this stage, your kidneys have suffered moderate damage, which often signals the onset of chronic kidney disease. If your eGFR falls below this threshold, your healthcare provider will likely recommend further tests and monitoring to assess your kidney function and develop a personalized treatment plan.

We’ve reached the finish line, but before moving on, pause to absorb the real significance of what we’ve covered. Only then will you start to unravel the hidden patterns and connections that make it all click.

Grasping the impact of a low eGFR is vital to taking charge of your kidney well-being. Detecting a low eGFR might send up a red flag, but the good news is that catching it early and taking control can turn the tide. Your kidney health depends on a strong partnership with your healthcare provider, a commitment to healthy habits, and staying current on the latest info – it’s a trio that can help you thrive. Your body’s-filtering dynamos, the kidneys, need a little TLC to keep them humming along smoothly. Don’t hesitate to seek medical advice if you’re concerned about your eGFR or kidney health.

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