Kidney Atrophy: Treatment Options and Prognosis

Renal atrophy

Dr.
Hong's friend's mother is 73 years old and was found to have kidney atrophy and significant loss of function during an examination three months ago, nearing the threshold for dialysis.
Dr.
Hong has a few questions:
1.
Can kidney atrophy recover to normal after treatment, or is it only possible to control it and prevent further deterioration?
2.
If it can only be controlled, will she ultimately need to undergo dialysis in a few years?
3.
I've heard that some herbal medicines in the community can treat kidney atrophy; is this credible?

Xiao A, 40~49 year old female. Ask Date: 2001/05/21

Dr. Hong Hongchang reply Internal Medicine

Believing in traditional Chinese medicine or folk remedies, rather than following standard medical practices, is a common misconception among the population.
This often leads to delays in seeking appropriate medical attention or exacerbates the condition.
Kidney atrophy generally indicates the onset of chronic kidney disease, and the chances of returning to normal function are impossible; currently, the focus is on management and maintenance.
In the near future, kidney function may gradually decline, necessitating dialysis.
Therefore, preventive measures for kidney disease, such as managing diabetes and hypertension, are the best methods to avoid progressing to uremia.
If you have further questions, please visit a gastroenterology clinic.

Reply Date: 2001/05/21

More Info

Kidney atrophy, or renal atrophy, refers to the shrinkage of kidney tissue, which can lead to a significant loss of kidney function. This condition can arise from various causes, including chronic kidney disease (CKD), hypertension, diabetes, and other underlying health issues. In the case of your friend's mother, who is 73 years old and has been diagnosed with significant kidney atrophy, it is essential to understand the treatment options and prognosis associated with this condition.

1. Can kidney atrophy be reversed with treatment?
Unfortunately, once kidney tissue has atrophied, it is generally not possible to restore it to its normal size or function. The primary goal of treatment in cases of kidney atrophy is to manage the underlying causes and prevent further deterioration of kidney function. This typically involves controlling blood pressure, managing blood sugar levels in diabetic patients, and addressing any other contributing factors. Medications such as angiotensin-converting enzyme inhibitors (ACE inhibitors) or angiotensin receptor blockers (ARBs) may be prescribed to help protect the kidneys and manage hypertension. Lifestyle modifications, including dietary changes and increased physical activity, are also crucial in slowing the progression of kidney disease.

2. If only control is possible, will dialysis be necessary in the future?
If kidney function continues to decline despite treatment, there is a possibility that your friend's mother may eventually require dialysis. The decision to initiate dialysis is based on several factors, including the patient's overall health, the degree of kidney function loss (often measured by glomerular filtration rate or GFR), and the presence of symptoms related to kidney failure, such as fluid overload, electrolyte imbalances, or uremic symptoms. Regular monitoring of kidney function through blood tests will help determine the appropriate time to start dialysis if necessary.

3. Are there herbal remedies that can effectively treat kidney atrophy?
The use of herbal remedies for kidney conditions is a topic of considerable debate. While some herbal products may claim to support kidney health, there is limited scientific evidence to support their efficacy in treating kidney atrophy or reversing kidney damage. Moreover, certain herbs can interact with prescription medications or may not be safe for individuals with kidney disease. It is crucial for patients to consult with their healthcare provider before starting any herbal supplements, as they can provide guidance based on the patient's specific health condition and needs.

In summary, kidney atrophy is a serious condition that typically requires ongoing management rather than curative treatment. The focus should be on controlling underlying health issues and monitoring kidney function closely. While there are no guaranteed methods to reverse kidney atrophy, proactive management can help slow its progression and improve the patient's quality of life. Regular follow-ups with a nephrologist (kidney specialist) are essential to tailor the treatment plan and make timely decisions regarding dialysis or other interventions if necessary.

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