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Pan Wu Shan
Nephrology
About me
Graduated from Guangzhou Medical University with a master's degree, specialized in attending physician.
Proficient in diseases
Specializing in diseases of the renal system, including urinary tract infections, various acute, chronic, rapidly progressive glomerulonephritis, primary glomerular diseases such as nephrotic syndrome, lupus nephritis, IgA nephropathy, hypertensive nephropathy, diabetic nephropathy, gouty nephropathy, secondary renal diseases, polycystic kidney disease, Alport syndrome, hereditary kidney diseases, acute and chronic renal failure, rapid progression of renal insufficiency diagnosis and treatment, as well as critical care and treatment; proficient in techniques such as deep vein catheterization for dialysis, hemodialysis, hemofiltration, peritoneal dialysis, and peritoneal catheterization.
Voices
Can people with diabetic nephropathy eat peanuts?
Diabetic nephropathy, as the name suggests, is a renal complication caused by long-term diabetes. The typical early symptom is a significant amount of proteinuria, which can usually be detected as high protein levels during routine urine tests. If it progresses to a late stage, the substantial amount of proteinuria can lead to general edema and possibly heart failure. Currently, there is no particularly effective treatment for diabetic nephropathy. The primary approach is to control blood sugar levels, keeping fasting blood glucose below 7 and postprandial glucose below 10. Diet-wise, it's important to consume low-salt, low-fat, diabetic-friendly foods. Daily salt intake should not exceed three grams. Foods that are fried, greasy, or high in starch, such as vermicelli, sweet potatoes, taro, and potatoes should be consumed in moderation. Peanuts, which are high in oil content, can be eaten in small amounts but not excessively, as they may also cause indigestion.
What foods should be eaten for diabetic nephropathy?
Diabetic nephropathy is essentially a complication of the kidneys caused by diabetes, characterized by a history of diabetes for at least five to ten years, with very poor blood sugar control, leading to diabetic nephropathy. The main clinical manifestation is a large amount of proteinuria. Typically, patients will have a large amount of urinary protein, even exceeding 3.5 grams, and some patients may also experience swelling in the lower limbs, among other symptoms. Currently, dietary considerations for diabetic nephropathy mainly include a low-salt, low-fat, high-quality protein diet, and a diabetic diet. Avoid eating foods high in starch, such as potatoes, peanuts, Chinese yam, taro, etc., and also avoid foods high in sugar. Cucumbers, bitter melon, celery, and tomatoes are all good options to consider.
What is the best treatment for hydronephrosis?
The most common cause of hydronephrosis is due to kidney stones or ureteral stones blocking the urethra, leading to poor drainage of urine from the kidneys. Generally, if hydronephrosis occurs, the first step is to check the renal ultrasound and, if necessary, undergo cystography to determine the cause of the hydronephrosis. If it is confirmed to be stones, it is important to check the size of the stones. If the stone is smaller than five millimeters, you can drink more water, exceeding 3000 milliliters per day. This can help flush the stones out through the urine by being more active and jumping around. If the stone is relatively large, it may require extracorporeal shock wave lithotripsy or ureteroscopic stone removal. Generally, for hydronephrosis, it is still recommended to drink plenty of water and eat a light diet, avoiding spicy and irritating foods.
What is good to eat for chronic renal failure?
Dietary aspects of chronic kidney failure should be divided into two parts. Firstly, for patients who have not reached the uremic phase and have not undergone dialysis, it is important to maintain a low-salt, low-fat, high-quality low-protein diet, limiting salt intake to no more than three grams per day and avoiding fried and greasy foods. Lower-quality proteins like beans, soybeans, mung beans, etc., should be consumed in smaller quantities. Instead, more animal proteins should be consumed, such as lean meats, eggs, and milk. Once patients have entered the uremic phase and have started dialysis, a low-salt, low-fat, high-quality high-protein diet is necessary, as dialysis requires a significant amount of energy. Additionally, it is crucial to restrict fluid intake; consuming too much salt or water can easily lead to generalized edema and cardiovascular complications.
What can diabetic nephropathy eat?
Diabetic nephropathy, as the name suggests, is a complication of the kidneys caused by long-term poor control of blood sugar in diabetes. Its most typical symptoms include significant proteinuria and potential body edema. Generally, there is no particularly good method to treat diabetic nephropathy; firstly, it is necessary to control blood sugar well, ensuring that fasting blood glucose does not exceed 7 mmol/L, and blood glucose two hours after a meal does not exceed 10 mmol/L. Additionally, some kidney-protective measures can be used to reduce urinary protein, etc. Furthermore, foods high in sugar, fried foods, and those high in starch should be avoided, such as potatoes, taro, sweet potatoes, and vermicelli, all of which should be consumed less.
What is the difference between hypertensive nephropathy and renal hypertension?
There are fundamental differences between hypertensive nephropathy and nephrogenic hypertension. Firstly, hypertensive nephropathy occurs due to long-term high blood pressure, leading to complications in the kidneys. Generally, the history of hypertension exceeds ten years, and routine urine tests reveal a relatively small amount of protein in the urine. The main damage lies in the renal tubules, whose reabsorption and concentration functions are impaired. The primary treatment is to control the blood pressure well, possibly in conjunction with medication to protect the kidneys. On the other hand, nephrogenic hypertension originates from nephritis causing high blood pressure and is a form of secondary hypertension. In this condition, controlling blood pressure is particularly challenging. Usually, a significant amount of antihypertensive medication is required. Dietary considerations include a low salt and low fat diet, with daily salt intake limited to about three grams, maintaining regular schedules, and avoiding catching colds.
Does pyelonephritis cause a fever?
Pyelonephritis is actually a part of urinary tract infections, which are divided into cystitis and acute pyelonephritis. The main symptoms of cystitis are frequent urination, urgency, and painful urination, among other urinary irritative symptoms, and these do not involve fever. However, if cystitis is not treated in time, it can worsen into acute pyelonephritis, which then presents with symptoms such as fever and back pain. The fever with acute pyelonephritis can be quite high, often exceeding 38 or 39 degrees Celsius, and might last for two to three days. At this point, treatment requires anti-infective medications, which should be continued for two weeks without any interruption. If the treatment duration is insufficient, pyelonephritis may recur. It is important to drink plenty of water, urinate frequently, and avoid holding in urine. Drinking lots of water can help flush out bacteria from the urine early on, promoting a quicker recovery from the illness.
Can pyelonephritis lead to pregnancy?
Pyelonephritis is actually a urinary tract infection. It is not the same as nephritis, so do not confuse the two. Thus, pregnancy is completely feasible for someone with pyelonephritis; as long as the infection is treated, the urine test shows negative results, and there are no white blood cells, pregnancy can occur without any impact. Currently, the treatment for pyelonephritis is anti-infection therapy. Since the bacteria have entered the kidney via the urethra, this treatment needs to last for two weeks. If the treatment duration is insufficient, there could be a recurrence of pyelonephritis. Additionally, it is important to drink plenty of water, urinate frequently, avoid holding urine, consume more than 2500 milliliters of water daily, and maintain a light diet avoiding spicy and irritating foods.
Can people with diabetic nephropathy drink alcohol?
Diabetic nephropathy, as the name suggests, is a complication caused by diabetes that leads to kidney problems. The typical symptoms of diabetic nephropathy are significant proteinuria and hypoalbuminemia. Generally speaking, there is no particularly effective treatment for diabetic nephropathy; it can only be managed by keeping blood sugar and blood pressure under control. For patients with diabetic nephropathy, it is recommended to keep fasting blood glucose below 7, and postprandial glucose should be controlled between 8 and 10, which is considered appropriate. If hypertension is present, blood pressure should be kept below 140/80 mmHg. In terms of diet, patients with diabetic nephropathy definitely should not drink alcohol, and they should avoid sweets, fried foods, and foods high in starch. It is also important not to stay up late.
What should not be eaten with pyelonephritis?
Pyelonephritis is actually a type of urinary tract infection, which can be divided into pyelonephritis and cystitis. If the bacteria are confined to the bladder without other symptoms, it is called cystitis. At this time, anti-infection treatment is needed, and recovery can usually be achieved within about three to seven days. However, if cystitis is not treated in time, causing the bacteria to enter the kidney along the urinary tract, the patient may develop systemic fever, sometimes high fever from 38°C to 39°C, and may also experience kidney percussion pain, back pain, etc. This condition is called acute pyelonephritis, and its anti-infection treatment course requires two weeks. If the treatment course is insufficient, it is very easy to relapse. Currently, for the diet of pyelonephritis, it is important to maintain a low-salt, low-fat, light diet, avoid spicy, stimulating, cold food, drink more water, and urinate frequently.