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Author Topic: Can your kidneys come back?  (Read 2410 times)
partj
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« on: June 22, 2011, 08:54:29 AM »

I have been on hemo for 16 months, 8 of the last at home. At my last clinic my neph said he wants to take a 24 hour urine test as my bun creatnine level was back down to 33 as it was prior to dialysis. All other meds optimal. Anyone have any experience with anything like this?
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okarol
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« Reply #1 on: June 22, 2011, 11:01:09 AM »

I believe the kidneys can come back if you have acute kidney failure, usually due to an injury or damage and it is temporary.
With chronic kidney failure they won't get better.
I am pretty sure the BUN is improved because of the dialysis, but would get worse without it.
My daughter had the 24 hour urine test many times and her numbers were very good, and the doctor explained it was that she was getting good results from the dialysis.

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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
Now needs a new kidney, 7 yr transplant lost due to rejection.
She started PD Sept. 2013
Searching for a living donor using social media, friends, family.
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Please watch her video: http://youtu.be/D9ZuVJ_s80Y
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sullidog
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« Reply #2 on: June 22, 2011, 05:02:26 PM »

Yes, in some acute cases, however I was acute but mine never did.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
RichardMEL
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« Reply #3 on: June 22, 2011, 08:00:56 PM »

Yes, it has been known to happen - I believe we have another member who was able to stop dialysis what last year??? However it's very rare. I wouldn't take too much from one lab looking good though. I remember one guy in my unit got very excited(and so did the staff) when it looked like his numbers were getting much better. They tested over a few weeks and decided he could have a break from D. it didn't last long :(

not trying to be a wet blanket - I'd hope like heck your kidney function has improved enough so that you don't need D - but being realistic it is going to be less likely than more.

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3/1993: Diagnosed with Kidney Failure (FSGS)
25/7/2006: Started hemo 3x/week 5 hour sessions :(
27/11/2010: Cadaveric kidney transplant from my wonderful donor!!! "Danny" currently settling in and working better every day!!! :)

BE POSITIVE * BE INFORMED * BE PROACTIVE * BE IN CONTROL * LIVE LIFE!
Rerun
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« Reply #4 on: June 22, 2011, 08:39:53 PM »

Let's hope and pray your's does.  Even for a few years!

   :pray;
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greg10
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« Reply #5 on: June 22, 2011, 09:57:08 PM »

As usual, okarol is correct.  ARF (Acute renal failure) is the temporary dysfunction of the kidneys and there are strong clinical data to suggest recovery is possible in some cases.  ESRD diseases are different from ARF, with generally slower onset and irrecoverable renal failure, the time frame will be dependent on the underlying causes of the renal disease.

In ARF, recovery seems to involve some type of stem cell re-population of the damaged kidneys:
 The mechanisms of recovery, less well understood, are felt to include a recapitulation of mechanisms originally involved in renal development. It is commonly believed that kidney progenitor cells, from either the kidney or an extrarenal source, repopulate the kidney during the recovery phase of ARF and drive the repair process (9). A popular model was that damaged/dead cells are removed and the kidney stem cells migrate to necrotic areas, differentiate, and repopulate the kidney.

http://ajprenal.physiology.org/content/289/1/F29.full
http://www.ncbi.nlm.nih.gov/pubmed/15958042
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC516259/



I have been on hemo for 16 months, 8 of the last at home. At my last clinic my neph said he wants to take a 24 hour urine test as my bun creatnine level was back down to 33 as it was prior to dialysis. All other meds optimal. Anyone have any experience with anything like this?
I believe the kidneys can come back if you have acute kidney failure, usually due to an injury or damage and it is temporary.
With chronic kidney failure they won't get better.
I am pretty sure the BUN is improved because of the dialysis, but would get worse without it.
My daughter had the 24 hour urine test many times and her numbers were very good, and the doctor explained it was that she was getting good results from the dialysis.
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Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
Ang
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« Reply #6 on: June 23, 2011, 08:48:20 PM »

yes, it can happen,its as rare as finding that needle in a haystack

had a patient @ dialysis who stopped D cause she got better and was having weekly blood tests last i heard
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Lillupie
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« Reply #7 on: June 30, 2011, 02:12:49 AM »

i have actually have heard of this more often then i think the average dialysis patient. A friend of mine was able to get off for a few years, atleast one person on here, and a few patients that my nurse has had. Yes it is rare, and by the miracle of God.
I wouldnt count on it either.

Lisa
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Check out my Facebook profile for CKD "Help Lisa Spread Awareness for Kidney Disease"

It is my utmost dream and desire to reach out to other kidney patients for them to know that they are not alone in this, also to reach out to those who one day have to go on dialysis though my book i am writing!

dx with lupus nephritis 5/99'
daughter born 11/2005
stage IV CKD 11/2005-6/2007
8/2007- PD cathater inserted
9/2007- revision of PD Cathater
10/2007 started PD
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