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A MyKidneyDiseaseTeam Member asked a question πŸ’­
Hamlet, NC

Egfr 35 newly diagnosed , visible foam in urine. Dry skin, fatigue.

July 19
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MyKidneyDiseaseTeam

With an eGFR of 35 (stage 3b), hydration is important but needs to be personalized. At this stage, drinking the right amount of water helps support kidney function β€” but too much can put extra strain on the kidneys.

The general guidance for earlier stages is around 8 glasses a day, but with an eGFR of 35, the right amount Show Full Answer

With an eGFR of 35 (stage 3b), hydration is important but needs to be personalized. At this stage, drinking the right amount of water helps support kidney function β€” but too much can put extra strain on the kidneys.

The general guidance for earlier stages is around 8 glasses a day, but with an eGFR of 35, the right amount really depends on individual factors like swelling, urine output, and whether dialysis is involved. A nephrologist is the best person to give a specific daily fluid target. Regarding hibiscus tea β€” it's a bit of a mixed bag for kidney disease. Hibiscus is high in potassium, which can be a concern when kidneys aren't filtering well. At eGFR 35, potassium can build up in the blood, so it's worth checking with a nephrologist or renal dietitian before making it a regular drink. The foam in urine, fatigue, and dry skin are all symptoms worth discussing with a doctor soon. Foamy urine can indicate protein leaking into the urine, which is a sign the kidneys' filters are under stress. Fatigue is also very common with kidney disease, as waste buildup can affect energy levels.

Some steps that may help manage these symptoms include:

- Staying hydrated at the level recommended by a nephrologist
- Limiting sodium, phosphorus, and potassium in the diet
- Monitoring protein intake with guidance from a renal dietitian
- Getting bloodwork checked for anemia, which can worsen fatigue
- Moisturizing regularly for dry skin, and asking about kidney-safe options

Being newly diagnosed can feel overwhelming, but working closely with a nephrologist and renal dietitian makes a big difference in managing symptoms and slowing progression.

July 19

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