What Did This Study Do
This systematic review and thematic synthesis describes patient perspectives on the meaning and impact of fatigue while undergoing haemodialysis. Sixty-five qualitative studies are included in the review representing the views of 1,713 patients undergoing haemodialysis.
Patients were based in 15 countries, including the UK but predominantly based in the United States, Australia, Sweden and Canada. Nine studies explicitly included fatigue in the aim of their study 56 studies included perspectives of fatigue within the broader scope of their study.
The quality of reporting was independently assessed using the Consolidated Criteria for Reporting Qualitative Health Research framework. Only English-language articles were included in the review with most studies undertaken in high-income countries.
Things You Should Understand About Living With Kidney Disease
A simple question “What do you wish others understood about living with kidney disease?” unleashed a torrent of comments on our Facebook page recently. Kidney disease itself is often invisible until the late stages once it progresses to kidney failure, you will need dialysis or a transplant to live. People living with kidney disease and kidney failure tell us they often feel that others do not understand what they are going through, both physically and emotionally.
Several common themes emerged on our Facebook page. Here are the four things people living with kidney disease most wish others would understand.
Why Does It Happen
The kidneys are two bean-shaped organs, the size of your fist, located on either side of the body, just beneath the ribcage. The main role of the kidneys is to filter waste products from the blood before converting them into urine. The kidneys also:
- help maintain blood pressure
- maintain the correct levels of chemicals in your body which, in turn, will help heart and muscles function properly
- produce the active form of vitamin D that keeps bones healthy
- produce a substance called erythropoietin, which stimulates production of red blood cells
Chronic kidney disease is the reduced ability of the kidney to carry out these functions in the long-term. This is most often caused by damage to the kidneys from other conditions, most commonly diabetes and high blood pressure.
Read more about the causes of chronic kidney disease
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What Is Hard On Your Kidneys
Roxanne Schneider | Answered February 24, 2020
The two most common conditions that affect your kidneys are diabetes and high blood pressure. A balanced diet and regular exercise can help keep both under control. With diabetes, its also important to keep a close eye on your blood sugar and take insulin when you need it.Sep 11, 2020
About Chronic Kidney Disease
Chronic kidney disease is a long-term condition where the kidneys do not work effectively.
CKD does not usually cause symptoms until it reaches an advanced stage. It is usually detected at earlier stages by blood and urine tests. Main symptoms of advanced kidney disease include:
- swollen ankles, feet or hands
- shortness of breath
Read more about the symptoms of chronic kidney disease
Chronic kidney disease is most frequently diagnosed through blood and urine tests.
If you are at a high risk of developing CKD, you may be screened annually. Screening may be recommended if you have:
Read more about diagnosing chronic kidney disease
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Who Created Who Came Up With The Kidney Disease Solution Program
The Kidney Disease Solution was created by Duncan Capicchiano and his wife, Fiona Chin, from Melbourne, Australia. They established a wellness center in Melbourne with more than 13 health professionals who are natural.
As fully qualified Naturopaths and Naturopaths, they have a common background in herbal and natural therapy.
The program was initially designed as an alternative treatment option for Fionas grandmother, diagnosed with stage 4 renal disease. The couple devised an all-natural program which helped improve her condition in just 12 weeks. After six months of treatment, she improved from stage 4 to stage 1, and she lived healthily for the remainder of 10 years.
Due to their successes with Fionas mother, they decided to launch and share their treatment approach to those suffering from kidney disease.
Bonus #2 The Bonus Is: Free Lifetime Email Service
Theres a good chance that youll need assistance at one time or another throughout the course. This feature lets you contact their qualified expert team of natural health professionals from any location and at any time. You can contact their customer support staff any questions you have about the program. The team also conducts regular reviews with customers to assess on their progress over time.
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Can Chronic Kidney Disease Cause Fatigue
Many millions of Americans are believed to suffer from Chronic Kidney Disease. In the majority of cases dialysis and kidney transplant are the only options for those in the advanced stage of the disease.
Take a look at into the Kidney Disease Solution, an all-in-one guide to improve kidney health and function. The program was developed by Duncan Capicchiano and his wife Fiona Chin, the program aims to guide users to fight kidney disease with the use of all-natural techniques.
This in-depth review will cover everything you must be aware of about the program, from how it works to the advantages and costs. If youre wondering whether this program will work for you, go through the article.
Before you continue, you may want to check out this video by Review Vid on YouTube that gives a quick review. Afterward, youll want to read the rest of our article for a more comprehensive review of The Kidney Disease Solution.
What Does Current Guidance Say On This Issue
The NICE 2018 guideline on renal replacement therapy and conservative management highlights fatigue as a possible general symptom of renal replacement therapy.
At present guidance only relates to a potential intervention for reducing post-dialysis fatigue resulting from dehydration, by using devices to improve estimates of the fluid to remove during dialysis.
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How Is Ckd Diagnosed
Most people are diagnosed by a blood and urine test. You may have these tests as part of a routine check-up or because you are at risk of developing CKD.
Once you are diagnosed, your doctor will work out what stage of CKD you have. This is done by measuring the amount of creatinine, a waste product which builds up in kidney disease. Your doctors can use this to estimate how well your kidneys are working. You may hear this referred to as your estimated glomerular filtration rate . It is based on how quickly your kidneys are cleaning your blood and is measured in millilitres per minute
Most people with CKD stages one to three can manage the condition themselves with their GP and do not need any specialist input from kidney doctors.
CKD can slowly get worse over time, although for the majority of people it remains stable and only a very small number of people will need renal replacement therapy such as dialysis. It is unusual for kidney function to improve dramatically once your kidneys have been damaged but it does depend on the cause of the problem.
Bonus #: Free Lifetime Email Support
Theres a good chance that youll need assistance at some point or the other during your program. This feature lets you contact their highly skilled expert team of naturopaths from anywhere and anytime. It is possible to ask their customer support staff any questions you have about the program. They also conduct regular follow-ups with customers to check the progress they have made in time.
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Food Tastes Like Metal
Why this happens:
A build-up of wastes in the blood can make food taste different and cause bad breath. You may also notice that you stop liking to eat meat, or that you are losing weight because you just dont feel like eating.
What patients said:
Foul taste in your mouth. Almost like youre drinking iron.
I dont have the appetite I had before I started dialysis, I must have lost about 10 pounds.
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Symptoms Of Kidney Stones
Small stones are unlikely to cause you much of a problem. Symptoms dont usually occur until the kidney stone has got to a size where it becomes stuck in either the kidney, ureters or urethra. A stone blocking the ureter can also cause a kidney infection to develop, which can cause a different set of symptoms.
If you have a large stone you may experience:
- Persistent ache in your lower back or groin
- Intense pain that comes in waves in your back, abdomen or groin that can last for several minutes or several hours
- Feeling generally uncomfortable or restless
Symptoms of a kidney infection include:
- A high temperature of 38C or higher
- Chills and shivering
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Who Is It Intended For
The Kidney disease solution program can be beneficial for those suffering from kidney disease who are limited in managing their kidney issues. If you are suffering from kidney issues, you may consider trying out the program to determine what difference it makes for your overall well-being. For those who are in the late stage of kidney disease, it could even reverse your condition.
If you dont have kidney problems, you might still want to try it out since almost everyone can benefit from tips, recipes, and exercises that are included in the program. It doesnt only focus on improving kidney function, but also on improving your lifestyle and eating habits for improved overall health. After all, prevention is always more effective than treatment.
However, those with medical issues should consult with their doctor prior to applying the program. This program is not advised for women who are pregnant nursing mothers, or people under the age of 18.
What Do The Kidneys Stop Doing As The Damage Progresses
In the presence of kidney injury, the kidney can maintain the bloods glomerular filtration rate despite the progressive destruction of healthy glomeruli.
The remaining glomeruli enlarge and filtrates more than usual to maintain normal levels in the blood. This situation is sustainable until the kidney function decreases to 50%. Later this may result in a major cause of progressive renal dysfunction. The increase of pressure within glomeruli may damage the small blood vessels leading to further damage.
Before reaching those stages, the kidneys initially decrease the production of erythropoietin, the hormone responsible for bone marrow stimulation for red blood cell production. This leads to the onset of anemia, and it becomes more severe with the progression of the disease.
Kidneys also lose the ability to filter sodium, leading to sodium retention and the inability to eliminate liquids, causing edema and accumulation of liquids within the body.
The kidneys also lose the ability to eliminate potassium through the urine,which leads to an excess of potassium in the blood . Excess of potassium can lead to multiple complications like arrhythmias and cardiovascular disease.
Bone disease is a common complication in this condition due to the retention of phosphate and low calcium levels in the blood. The kidneys also become unable to produce ammonia to excrete normal acids of the body in the form of ammonium leading to metabolic acidosis.
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Anemia And Chronic Kidney Disease
What is anemia?Anemia happens when your red blood cells are in short supply. Red blood cells carry oxygen from your lungs to all parts of your body, giving you the energy you need for your daily activities.
What are the symptoms of anemia?Anemia can cause you to:
- Feel dizzy or have headaches
- Have a rapid heartbeat
- Feel depressed or down in the dumps
Why do people with kidney disease get anemia?Your kidneys make an important hormone called erythropoietin . Hormones are chemical messengers that travel to tissues and organs to help you stay healthy. EPO tells your body to make red blood cells. When you have kidney disease, your kidneys cannot make enough EPO. Low EPO levels cause your red blood cell count to drop and anemia to develop.
Most people with kidney disease will develop anemia. Anemia can happen early in the course of kidney disease and grow worse as kidneys fail and can no longer make EPO. Anemia is especially common if you:
- Have moderate or severe loss of kidney function
- Have kidney failure
How do you treat anemia?Your treatment will depend on the exact cause of your anemia.If your anemia is due to kidney disease, your healthcare provider will treat you with:
For more information please view our full PDF brochures or request a free copy by calling or email .
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What Is This Kidney Disease Solution Program Work
The book, cookbook and audio materials guide users in the treatment process step-by-step. The ebook contains guidelines on changing your lifestyle to improve the health of your kidneys. At the same time the book provides recipes for supporting kidney health and function. Additionally, it offers some natural remedies that can aid in treating your illness.
The audio material provides guided meditation and exercises as well as morning yoga flow exercises. The audio for guided meditation helps in reducing stress and improving sleep quality. The morning yoga flow exercises that are led by the famous yogini Antonella Milo, are designed to improve your energy levels for the day while supporting kidney health.
The overall collection of products offers a comprehensive and natural approach to treating kidney disease. Through simple lifestyle changes, releasing stress with meditation, and practicing yoga, you can put an end to the pain and discomfort caused by kidney disease.
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How Much Does It Cost
At present, the entire collection is available at a discounted price of $87 to purchase the entire set of ebooks, cookbooks, audiobooks, meditation videos, and much more. For this one-time fee youll receive every update in the future at no cost.
The program is backed by a 60-day cash-back guarantee where you receive a full refund in the event that you arent satisfied with their product within 60 days.
Youll get immediate access to all materials when you pay to purchase the software. The material is available in the form of audiobooks, ebooks and video.
Findings From The Thematic Analysis
Six main themes emerged through the thematic analysis and are discussed in more detail below. Figure is a thematic diagram of the identified themes and subthemes.
| Themes |
|---|
| 6.1 Social support as a source of motivation |
| 6.2 Seeking understanding from others |
| 6.3 Dont want to be a burden |
Figure 2
This theme encompassed participants causal beliefs around fatigue, with biomedical explanations of fatigue prevailing.
1.1 Biomedical explanations of fatigue
there is a fatigue that I do associate with dialysis, and that is when the machine goes on suddenly, Im exhausted.
On the other hand, almost all participants expected their energy levels to improve with a kidney transplant. The role of anaemia and biochemical factors in the initiation of fatigue also emerged: I think the fatigue is in fact all about the iron .
1.2 Other aetiologies of fatigue
2. Double-Edged Fatigue
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Oxygen Delivery And Lactic Acidosis
Patients with CKD develop lactic acidosis more quickly than healthy controls in response to low levels of physical activity, which may contribute to muscular fatigue . Patient-reported fatigue parallels higher plasma lactate levels and higher respiratory exchange ratio in patients with CKD, suggesting that increased anaerobic respiration contributes to fatigue pathophysiology . Alterations in oxygen transport from the lungs to the skeletal muscle capillaries , the movement of oxygen from the intravascular to the intracellular space , and oxygen utilization in mitochondria have each been studied as possible contributors to lactic acidosis and fatigue.
Anemia and Oxygen Convection.
Oxygen Conductance.
Among patients with kidney failure, low muscle oxygen conductance contributes to overall low maximal oxygen uptake . Once oxygen arrives in the muscle capillaries, it must dissociate from hemoglobin and move to the mitochondria where it can be used for aerobic respiration. In patients with kidney disease, peak oxygen uptake increases with ESA treatment, but less than expected when compared with a healthy but sedentary control group . The end result is that with exercise, net oxygen extraction in individuals with kidney failure treated with an ESA remains similar to that seen before treatment initiation, and lower than that seen in healthy controls, indicating that alterations in oxygen conductance limit aerobic respiration despite improvement in anemia and oxygen convection.
Why It Is Important To Do This Review
It is widely known that fatigue is one of the most common and debilitating symptoms experienced by patients on dialysis. In the HD population, fatigue has been consistently identified as the most critically important outcome and a high research priority in patients on HD . The last decade has seen a growing number of studies on pharmacological and lifestyle interventions to improve fatigue. There have been systematic reviews focusing on one particular type of pharmacological intervention such as levocarnitine . Only one systematic review has been published on nonpharmacological interventions for fatigue, which included 25 studies and only 11 were randomised controlled trials . Furthermore, it is unclear how the efficacy of these interventions compares to pharmacological interventions.
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Sleep Issues And Chronic Kidney Disease
People with chronic kidney disease often have trouble falling asleep and staying asleep. Your physical and mental health can contribute to your sleep problems. These are some common causes for disrupted sleep patterns in kidney disease patients.
Restless leg syndrome
Restless leg syndrome often occurs when the legs are at rest, such as when a person is sitting or lying in bed. The sensation varies from patient to patient. It can be irritating, itchy or painful. Some patients find that moving their legs makes the uncomfortable sensations lessen or go away entirely.
Doctors have determined that iron deficiency, caffeine, alcohol, tobacco, diabetes and certain medications can contribute to RLS.
Sleep apnea
Sleep apnea causes your breathing to be interrupted or stopped for more than 10 seconds while youre in a deep sleep. These non-breathing intervals are called apneas. Patients with sleep apnea often snore heavily. The snores continue until breathing is interrupted or stops, which signals an apnea. The person will then snort or gasp to take in air and the snoring continues until the next apnea.
A doctor can determine if you have sleep apnea by conducting a physical exam and a sleep study.
Inadequate dialysis clearance
Emotions
Worry, anxiety and sadness can keep you up at night. If your sadness, anxiety or depression lasts more than two weeks, tell your doctor immediately.
Changes in your sleep pattern
Caffeine
For those on cycler-assisted PD
Adjust your sleep clock
