After Getting into Chronic Kidney Disease Stage 4

There are five stages of Chronic Kidney Disease (CKD), and in each stage the symptoms and pathological changes are different. Then is there anything special when the patients are in stage 4?
I. The patients’ feeling.
l Sleep problems. People with stage 4 CKD may have difficulty in falling asleep or staying asleep for a whole night, because they have to suffer from skin itch, muscle cramps.
l Urination changes. The urine quantity may change a lot, it can be more or less than normal levels, and the patients will have to get up several times at night to go to the bathroom. The color of the urine may turns dark orange, brown, and tea colored or even red with blood. In addition, fame may appear in urine.
l Taste changes. Even delicious food the patients like before cannot attract them to have a good appetite, and the food may have a metal-like taste in their mouth.
l Nerve problems. The patients are easy to feel numb and ting in their fingers and toes after getting stage 4 of CKD.
II. The changes of renal functions.
Severe reduction in Glomerular Filtration Rate (GFR) (15-29 mL/min/1.73 m2) is a mark of CKD stage 4. In this period, the renal function may be damaged a lot. As the main function of kidneys is excreting the wastes through circulation and keeping the balance of fluid in the body. If the renal function decreases, the balance may be broken, and then cause a series of reactions such as excessive toxins in the body, disorder of acid-base and decrease of secretive function.

Chronic kidney disease is a worldwide public health problem. It is recognized as a common condition that is associated with an increased risk of cardiovascular disease and Chronic Renal Failure (CRF). CKD stage 4 is easy to deteriorate into the end stage CKD if timely treatment hasn’t been given. Therefore, it is necessary for the patients to pay attention to the disease condition in the daily life and do a regular check.