High blood pressure (hypertension) is a leading cause of kidney disease and kidney failure (end-stage renal disease).
Hypertension can cause damage to the blood vessels and filters in the kidney, making removal of waste from the body difficult. Once a person is diagnosed with end-stage renal disease, dialysis -- a blood-cleansing process -- or kidney transplantation are necessary.
One of the goals when you take drugs for high blood pressure is to be sure the medication is working effectively. One step toward achieving this goal is to avoid some medications. What kinds of problems might other drugs cause?
Some drugs can make blood pressure rise. If you have high blood pressure to begin with, it can rise to dangerous levels.
Some medications may interact with blood pressure medicine. This can prevent either drug from working properly.
Here are common types of medication...
Decrease in amount of urine or difficulty urinating
Edema (fluid retention), especially in the lower legs
A need to urinate more often, especially at night
How Is Kidney Disease Diagnosed?
As with high blood pressure, you may not realize that you have kidney disease. Certain laboratory tests can indicate whether your kidneys are eliminating waste products properly. These tests include serum creatinine and blood urea nitrogen (BUN); elevated levels of either can indicate kidney damage. Proteinuria, an excess of protein in the urine, is also a sign of kidney disease.
Who Is At Risk for Kidney Disease Due to High Blood Pressure?
Kidney disease caused by high blood pressure affects every group and race. However, certain groups are at higher risk, including:
Natives of Alaska
People who have diabetes
People with a family history of high blood pressure and kidney disease
How Can I Prevent Kidney Disease?
To prevent kidney damage from high blood pressure:
Try to keep your blood pressure controlled.
Make sure you get your blood pressure checked on a regular basis.
Eat a proper diet.
Get moderate exercise, such as walking, 30 minutes daily.
Take the medication your doctor prescribes.
How Is Kidney Disease Treated?
For patients who have high blood pressure and kidney disease, the most important treatment is to control your blood pressure through lifestyle changes. ACE inhibitor and angiotensin II receptor blocker (ARB) drugs lower blood pressure and can protect the kidneys from further damage.