Is Stage 2 Chronic Kidney Failure serious?

Written by Zhou Qi
Nephrology
Updated on June 30, 2025
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In clinical practice, chronic renal failure is not divided into stages 1, 2, 3, 4, and 5, but chronic kidney disease does have a stage 2. Stage 2 chronic kidney disease refers to a glomerular filtration rate (GFR) between 60 to 90 milliliters per minute. This stage indicates that the patient's kidney function has already been somewhat impacted since the normal GFR is approximately 100-120 milliliters per minute. Patients in stage 2 of chronic kidney disease may experience certain complications such as hypertension, proteinuria, and electrolyte imbalances, and the condition is considered relatively serious.

The azotemic phase of chronic renal failure may correspond to stage 2 of chronic kidney disease, and the condition can be serious, requiring regular follow-ups. Although this stage may not involve severe complications requiring dialysis, it is crucial for patients to pay close attention, undergo regular check-ups and monitoring, address the primary disease, and slow the progression of renal failure.

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Nephrology
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Precursors of renal failure

The kidneys have a very strong compensatory ability. When kidney function is slightly impaired, many people do not have any uncomfortable symptoms and feel everything is normal. However, if one actively seeks out early signs, it is possible to detect precursors to kidney failure. At this time, if one can go to the hospital in time for routine blood tests, urine tests, and kidney function tests, it is possible to determine if there is kidney failure. The most obvious precursor symptom of kidney failure is usually general fatigue, which many people tend to overlook. This is because there are indeed many reasons that can cause fatigue, especially since many people attribute it to fatigue or stress factors. Additionally, many patients with precursors to kidney failure experience edema, particularly the kind that disappears after rest, so it is especially not taken seriously. Another symptom of kidney failure precursors is a significant increase in the frequency of urination at night, which is also often overlooked.

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Written by Zhou Qi
Nephrology
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Can people with chronic renal failure eat mutton?

Patients with chronic kidney failure can eat mutton. Although these patients have reduced ability to excrete metabolic waste due to kidney failure, and the body's metabolic wastes are mainly due to the products of protein metabolism, in reality, patients with chronic kidney failure need to control their protein intake in their diet to avoid excessive protein intake leading to the overproduction of metabolic wastes. This would increase the excretory burden on the kidneys, and protein can also increase the excretion of urinary protein in patients. The daily protein intake for these patients should be controlled at less than 80% of that for normal people, with animal proteins making up more than 50% of this intake. Since mutton is an animal protein, patients with chronic kidney failure can eat mutton, but they should not eat too much.

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Written by Zhou Qi
Nephrology
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Can people with chronic renal failure drink alcohol?

Patients with chronic renal failure should avoid drinking alcohol, as modern medicine has proven that alcohol is harmful to the human body and only causes damage. It can affect various systems, including the nervous system, respiratory system, circulatory system, and the metabolic system. Although the liver is the primary site for metabolizing alcohol, the byproducts of alcohol metabolism are ultimately excreted through urine, which increases the burden on the kidneys. Therefore, for patients with renal failure, drinking alcohol may lead to further progression of kidney damage. Moreover, when drinking, patients might consume a lot of high-protein and high-fat foods, which are also harmful to those with chronic renal failure.

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Nephrology
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What medicine is used for chronic renal failure?

The treatment of chronic renal failure primarily requires identifying the cause and treating it accordingly. Chronic renal failure refers to the state in which various diseases damage the kidneys, leading to the destruction of kidney tissue and resulting in the kidneys' inability to adequately excrete metabolic waste, causing an accumulation of such wastes in the body. There are no medications that can directly affect the kidneys, regenerate kidney tissue, and restore kidney function. Currently, medicine cannot achieve this, and there are no specific drugs for the treatment. Therefore, the treatment of chronic renal failure focuses on treating the primary disease to slow the progression of renal failure. For example, chronic renal failure caused by diabetes necessitates the use of insulin to control blood sugar, while patients with hypertension need to use antihypertensive drugs.

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What is best to eat for chronic renal failure?

Patients with chronic renal failure are advised to adopt a low-salt, low-fat, and high-quality protein diet. For those not undergoing dialysis, protein intake should be strictly controlled to 0.6 to 0.8 grams per kilogram of body weight per day. Additionally, patients with stage 3 CKD or above often experience electrolyte disorders, such as hyperkalemia, which can lead to cardiac arrest and arrhythmias. Therefore, it is important to avoid foods high in potassium, such as bananas, oranges, dates, kiwis, and tomatoes. Due to the strict protein intake, hypoproteinemia may occur, and these patients are also prone to hyperphosphatemia. It is recommended to choose foods with a low phosphorus to protein ratio, generally those with a ratio below fifteen. After starting dialysis, the same principles apply, but protein intake can be slightly increased, as some protein is lost during both hemodialysis and peritoneal dialysis. The protein intake can be adjusted to 1.0 to 1.2 grams per kilogram of body weight per day, while still controlling phosphorus and potassium intake.