Advice from Shaukat Khanum Specialists: Chronic Kidney Disease

Did you know that Chronic Kidney Disease (CKD) doesn’t usually cause visible symptoms until it’s reached an advanced stage?

We spoke to Dr. Junaid Iqbal, Consultant Nephrologist at SKMCH, about the signs, symptoms and treatment of CKD.

Why should we be worried about CKD?

Every seventh Pakistani has CKD. According to the World Health Organization, 16,000 Pakistanis get CKD every year, and Pakistan is eighth among the top ten countries with the highest incidence of the disease.

Is it serious?

Yes, the progression of kidney disease can lead to kidney failure, which requires dialysis or a kidney transplant to maintain life. Early detection can help prevent the progression of kidney disease to kidney failure. Screening of at-risk people and above fifty years of age is important because treatments exist at the early stage. Similarly, men beyond fifty should also get prostate screening because CKD and prostate disease attack silently.

Who are at-risk of CKD?

Persons who suffer from high cholesterol, diabetes, hypertension or high blood pressure are at risk of CKD. Also tobacco users and people who are obese could develop CKD.

Are there any symptoms we should watch out for?

Most people may not have any severe symptoms until their kidney disease is advanced, so it is recommended to get tests, minimum once a year. However, swollen feet and ankles, dry or itchy skin, poor appetite or urine with blood are known symptoms of CKD.

What can we do to prevent CKD?

One should adopt a good life-style and get at least half an hour of exercise, five days a week. It is also recommended to consume less than four grams of salt per day. Also avoid high fatty foods, and reduce body weight.