Hypertension In CKD Guidelines

Hypertension, also known as high blood pressure is one common symptoms of chronic kidney disease (CKD). It is very important to learn how to well manage high blood pressure because poorly controlled high blood pressure can in turn worsen renal damages.

Renal hypertension has much to do with kidney functions. More than 80% end stage renal disease patients have elevated blood pressure. Treatment for hypertension caused by kidney diseases should not be the same as that for primary hypertension.

Besides taking conventional antihypertensive drugs such as ACE inhibitors, ARB, diuretics, calcium antagonists, receptor blocker or the combination of several of these drugs. More effective treatments should be sought to protect kidney functions and repair damaged renal parenchyma and renal vascular which are the root cause of renal hypertension.

Herbal medicines, Micro-Chinese Medicine Osmotherapy, massage, acupuncture and other therapies in Chinese medicine system are all effective at lowering high blood pressure and repairing renal damages. For example, Micro-Chinese Medicine Osmotherapy has the functions of softening and dilating blood vessels so as to make blood circulation more smooth and increase blood supply to the kidneys as well as the whole body. It also has the anti-inflammatory and anti-coagulation properties so as to prevent further renal damages and slow down illness progressions.

Besides proper treatments, CKD patients with high blood pressure have somethings to remember in their daily life.

1. Have antihypertensive drugs at your side

2. Have regular check of blood pressure, 2-3 times a day to monitor any changes in blood pressure and prevent cardio-cerebral vascular accidents

3. Have low-salt and low-fat diets, avoid alcohol, tobacco, coffee, etc

4. Have good sleep and adequate rests

5. Avoid strenuous activities, but some mild-to-moderate exercises are good for controlling high blood pressure

6. If patients have serious swelling due to fluid retention, proper treatment should be promptly sought

7. Consult the doctors before taking any drugs because some high blood pressure medicines have potential renal toxicities