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A MyKidneyDiseaseTeam Member asked a question 💭
Indianapolis, IN
February 24
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MyKidneyDiseaseTeam

With polycystic kidney disease and an eGFR of 27, you're in stage 4 kidney disease, which means your kidneys have severe damage but are still working. While you can't reverse the damage, there are important steps you can take to slow progression and protect your remaining kidney function.

Work with a nephrologist who Show Full Answer

With polycystic kidney disease and an eGFR of 27, you're in stage 4 kidney disease, which means your kidneys have severe damage but are still working. While you can't reverse the damage, there are important steps you can take to slow progression and protect your remaining kidney function.

Work with a nephrologist who specializes in kidney disease. They can create a personalized treatment plan based on your specific situation.

Manage your blood pressure carefully. High blood pressure is common with polycystic kidney disease and can speed up kidney damage. Your doctor may prescribe:
* ACE inhibitors or ARBs (blood pressure medications that also help reduce protein in urine)
* Diuretics to remove extra fluid and lower blood pressure

Follow a kidney-friendly diet:
* Limit sodium (salt) to help control blood pressure
* Reduce protein intake if recommended by your doctor
* Limit processed foods and added sugars
* Choose whole grains, fruits, and vegetables
* Work with a dietitian to create a meal plan that's right for your stage

Stay physically active. Regular exercise helps improve blood pressure and energy levels. Aim for at least 30 minutes of activity three days a week, as tolerated.

Avoid smoking and tobacco, which can worsen kidney damage.

Keep blood sugar levels healthy if you have diabetes, as this can further harm your kidneys.

At stage 4, it's also important to start planning ahead with your care team about potential dialysis or kidney transplant options.

February 24

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