Stage 4 Kidney Disease, No Dialysis Yet, High Fever

A:

Stage 4 kidney disease means that your wife’s current illness condition is quite serious and effective treatment should be sought as early as possible to help prevent or at least slow down the illness progression into end stage kidney disease when the patients will have to have dialysis or kidney transplant.

At present her major concern is the high fever. It should be treated early or it can in turn worsen renal functions and speed up the decline rate of kidney functions. It is very important to find out what is the exact cause of her high fever so as to have targeted and effective measurements.

High fever in stage 4 CKD patients is most likely caused by infections and inflammations in the kidneys. Kidney disease patients are very easy to develop urinary tract infections or bladder infections. If not well controlled, the bacteria or viruses will enter into the kidneys and cause kidney infections. In case of infections in the kidneys, patients will have a series of symptoms and discomforts including high fever, chill, back pain, burning sense in urination, nausea, vomiting, etc. Besides, blood clots can also cause high fever in patients.

Usually high fever can subdue or disappear when the infection or blood stasis is brought under control with antibiotics. Early and effective control of infection can help patients avoid too much deterioration of illness conditions.

As for the need for dialysis treatment, stage 4 kidney disease is still early. The aim for stage 4 kidney disease is to help patients stabilize their illness conditions and at the same time try to improve their kidney functions so as to help turn stage 4 kidney disease back into stage 3 so that patients will avoid dialysis.

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