Renal Parenchymal Disease Treatment

Frequently Asked Questions

  1. QUESTION:
    person with parenchymal disease bilateral will live long?
    my friend was diagnose with renal parenchymal disease,bilateral.
    is this serious disease?how serious?can he still live long?

    • ANSWER:
      Found this for you. Basically further testing is needed because an abnormality was found on the ultrasound:

      The term “bilateral renal parenchymal disease” is a radiologic diagnosis, based on the appearance of the kidneys by ultrasound. It simply means that both (“bilateral”) kidneys appear more dense than normal, which generally means that scar tissue has replaced normal kidney tissue (also known as “parenchyma”). Kidney scarring can be caused by any of a number of kidney diseases, some of which are inherited, and some of which run in families (but are not directly inherited). You and your brother both need to see a nephrologist (kidney specialist), who can do a thorough medical history and physical exam and order the appropriate blood, urine, and imaging tests to determine what disease you have (although it may not be the same one), what the course of the disease is likely to be, and what treatment is needed.

  2. QUESTION:
    What would cause a healthy sixteen year old boy to have high blood pressure?
    My son is in excellent condition; Brett weighs approx. 160 (very muscular) and is 6.2. He works out five days per week at the gym with his father, he races MX, and eats a proper diet. However, every time his BP is checked it is high…usually around 160/90. What could be causing this?

    • ANSWER:
      Hi there,

      Before continuing there are essentially 2 “classes” if hypertension, Primary (AKA Essential) hypertension which accounts for 95% of all cases in which there is no known cause however there are various risk factors such as family history, heart disease, high sodium diet, smoking, race (Blacks more then whites. Please note that saying African American is not a race per say) and advanced age. The other is Secondary Hypertension. In your son’s case I highly doubt Primary because of his age. Even if he smoked, there was a family history etc it would be unlikely. So this leads us to Secondary hypertension which is due to an identifiable organic cause which are:

      A) A common cause especially in younger patients such as your son is Renal Artery Stenosis (Stenosis means the artery supplying blood to the kidney is partially narrowed). This is especially true if the hypertension is recent (was normal last time and suddenly shot up to 160mmHg). If it is renal artery stenosis the most common cause is fibromuscular dysplasia (basically fibrous thickening of certain parts of the artery, it is genetic). If this is the case there are various visualization techniques available. A renal artery doppler ultrasound is done (allowed to view the flow of blood). Another method is MRA (Magnetic Resonance Angiography). Yet another is Sprial CT (Cat Scan), Arteriography etc. Unfortunately accurate identification of patients with correctable renovascular hypertension can be difficult with use of standard noninvasive techniques (Ex: Sonography) because they provide only indirect evidence of the presence of renal artery lesions. On the other hand, invasive techniques with more accurate diagnostic potential can produce a worsening of renal function because of contrast toxicity and complications related to the procedures themselves (Ex: arterial puncture, catheter-induced atheroembolism). In the end angioplasty is used if not successful then open surgery is the last option. In the meantime anti-hypertensive drugs are used. However if the narrowing is in both kidneys especially with the use of certain medications such as ACEI (Angiotensin Converting Enzyme Inhibitors) this can lead to accelerated kidney failure.

      B) Primary Renal Disease: usually only one kidney and usually the functional aspect of the kidney (parenchymal disease) is afected. This progresses slowly to renal disease and requires treatment not only for the hypertension (Usually ACEI) and other medications such as Prednisone-Azathioprine for the renal disease.

      C) Pheochromocytoma: Basically caused by an adrenal gland tumor (adrenal glands are this triangular looking organ that sits on top of the kidney that secrete epinephrine and norepinephrine (adrenaline and its cousin noradrenaline). These patients however usually have episodic headaches, sweating and rapid heart beat. This is confirmed with blood tests and surgical removal of the tumor.

      D) Coarctation of the Aorta: This is a congenital condition whereby the aorta narrows. This can usually be thought of as a diagnosis rather quickly by different blood pressure readings (higher blood pressure in the right arm, normal to even low blood pressure in the legs), there is also weak pulse of the femoral artery (pulse that can be felt if you press near the groin area) in severe cases. Again imaging is required for diagnosis in this case MRA is usually used. In many cases if the patient it is simply repaired surgically with no real detrimental effect on quality of life.

      E) Conn’s Syndrome: Due to an aldosterone (hormone that increases re-absorption of sodium and therefore water with secretion of potassium. Water always follows sodium. If you want an example put some salt on dry meat and you will see small droplets of water form). These patients usually have the urge to drink a lot and the urge to urinate many times (FYI this is due to the fact that the low potassium induces something called Nephrogenic Diabettes Insipidus, this is not the diabetes of sugar but the diabetes of water. Diabetes simply meaning “to pass water like a syphon”, better said as excessive discharge of urine. Again this must be confirmed through blood tests and a CT Scan. It is simply surgically removed.

      To be honest I cannot believe that a physician has not followed up on your sons condition. This is absolutely scary to me. I wish you the best of luck, I hope it is simple and that all can be fixed quickly.

      Good Luck,

      Dan MD

      To Zetsu:

      This is to explain why a valve would not be a probable etiology (cause) of arterial hypertension. Please note the mitral prolapse does have a close causal relationship with PULMONARY hypertension which is clearly not the case here.

      The mean arterial pressure (MAP) is the average over a cardiac cycle and is determined by the cardiac output (CO which is determined by Stroke Volume read: how much blood is ejected with each pump and heart rate), systemic vascular resistance (SVR), and central venous pressure (CVP). MAP = CO x SVR + CVP. This has no relationship with valves. In fact one can say that arterial blood pressure is essentially controlled by cardiac rate (how fast your heart beats) and the kidneys via the renin-angiotensin system (RAS), in which aldosterone is also controlled by angiotensin which in turn which basically controls the amount (volume) of water in the blood. Think of it this way. If you want to add more pressure to a water system network simply increase the amount of water that must pass through the same hose. The kidneys are responsible for this, hence why we use diuretics and ACEI which directly control angiotensin which in turn controls the size of arteries (it vasoconstricts them, makes them smaller) and as previously mentioned aldosteron which controls water volume by adjusting salt retention. Angiotensin also has other properties which are extremely important in terms of the long term effects of hypertension specifically heart and vascular remodeling. Thus as one can see there is no physiological explanation as to why a heart valve would cause arterial hypertension (which is what is being measured when we tell you blood pressure readings).

      The other problem with your statement is the fact that you are assuming that hypertension can actually be felt. This is not true until target organs have been compromised. This takes considerable amount of time and largely goes unnoticed until too late. Hence why hypertension is called the “silent disease” for it shows no initial symptoms until damage is actually done.

  3. QUESTION:
    What is the symptom,cause,diagnose,treatment of endstage of renal parenchymal disease?

    • ANSWER:
      That’s about 50 pages of the medical textbook. Anything else you want to know?

  4. QUESTION:
    could anybody guide me about parenchymal renal disease treatment and prognosis in a five-year-old child?
    This was found out by ultrasound. Cause is still to be found. The child does not want to eat normal food but uneatable things. Her appetite and concentration is very poor. Is there any reliable remedy in homeopathy etc.?

    • ANSWER:
      Yes. With the aid of acupressure techniques & natural remedies, one can prolong life with more relief in the long run.
      Prognosis—-Drug therapy of hypertension is most often effective. Diuretics, beta-adrenergic blocking agents, or other types of antihypertensives like Angiotensin converting enzyme inhibitors or Calcium Channel Blockers are used to reduce blood pressure and are effective in producing good control of blood pressure. Treatment of underlying disease in secondary hypertension, exercise, restriction of dietary salt intake, decreased alcohol intake, avoidance of smoking, stress reduction, and weight reduction in obese individuals need to be attended to. Blood pressure must be monitored regularly and counselling regarding the importance of taking medications consistently should be given. Warning of the potential long-term complications of the disease is also necessary. Medications for hypertension often have to be taken life long. It has been proven that the better the control of blood pressure, the lesser the risk of complications.

      ‘TARGET THERAPY’ for any incurable disease including cancer,HIV/AIDS,parenchymal renal disease has [3] steps.
      1. Removal of toxins from all internal organs & purging through Normal Drainage systems, feces, urine, menses[females], skin, cough and vomitting.
      2. Activating all the internal organs to make each & every organ to function up to optimum levels.
      3. Supplying vitamins, nutrients, micro-nutrients, minerals, trace elements for invigorating the entire Immune system to produce antibodies.
      Acupressure techniques & Natural Remedies [comprising Ayurveda, Homeopathy, Bio-chemic salts, Herbal Remedies, Yoga/Meditation, Magneto-therapy, Sidha, etc.,] can meet all the requirements.Acupressure Techniques—NO MEDICATION. NO SIDE EFFECTS. NO HOSPITALIZATION. NO COSTS. IT IS SAFE ALSO. U can, not only diagnose any disease instantaneously, but, also prevent/treat any disease& or the affected organ[s] with the aid of natural remedies.All stipulated instructions must be followed most religiously. The % of success depends upon the extent of compliance.
      If U r satisfied, U may tell others to visit ‘Yahoo Answers’ on any health issue.


renal parenchymal disease treatment