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Hypertensive Kidney Disease Stage4, Kidney Shrinkage, Protein in Urine

A patient who has hypertension for 20 years and Kidney Disease for 10 years. He sent his medical report and we found his protein in urine and kidney shrinkage.

From the medical report, we can say your kidney damage is caused by hypertension. In clinic, we call it “Hypertensive Nephropathy”. Generally, over 10 years' high blood pressure will cause kidney damage, and it will not cause high serum creatinine in short time, but just starts with slight protein in urine. Therefore, you may have glomerulonephritis for many years and then it caused hypertension, or you have both CKD and hypertension at the same time.

From your ultrasound, your both kidneys have shrunk. Hypertension and large dose of antibiotics had aggravated the condition.

According to the reports you sent, your Protein in Urine is well controlled. What we should focus on is improving your kidney function. Your serum creatinine, BUN and uric acid are all high. We have to lower the toxins level in time.

For your condition, we suggest combined therapy of both Chinese medicine and western medicine. We have to expand the blood vessels, improve the blood circulation and increase the blood flow in the kidneys. In this way, the self renewal of the damaged cells will be reactivated, thus recovering the kidney function. The process of renal fibrosis has already started.

We cannot make the kidneys to its normal size, but we have to stop the process of renal fibrosis and protect your remaining kidney function and prevent kidney failure. You still have some kidney function, so there is hope of reversing the disease.

Your disease is already in CKD stage 4. Once there are some inducing factors, it may develop to stage 5. Therefore, we suggest you well control your blood pressure, take low protein, low fat, low salt diet and avoid catching a cold or any kind of infection. Your blood sugar is also high. We suggest you do an oral glucose tolerance test.

More important, you'd better receive systematic treatment early. Any follow-up, email to

  • Tag: Hypertensive Kidney Disease
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