By Jay Wish, MD Anemia is defined as a lower-than-normal level of hemoglobin in the blood. Hemoglobin is the protein in red blood cells that carries oxygen to all tissues and allows those tissues to carry on their functions, including the creation of building blocks for energy. Hemoglobin is what makes red blood cells red, and this explains why people with low hemoglobin levels may appear pale. Hemoglobin levels less than 13 in men and less than 12 in women is considered anemia. Anemia is common in people with chronic kidney disease (CKD) and may have many causes. It [...]
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Anemia and Kidney Disease Anemia can make you feel weak, tired, and short of breath. You may also have headaches and trouble sleeping. You may also experience a loss of appetite and a more rapid heart rate. Anemia (uh-NEE-me-eh) comes from the Greek work that means “without blood”. Anemia is common in people with chronic kidney disease (CKD) When kidneys are healthy, they make a hormone called erythropoietin, or EPO. This hormone helps the bone marrow to produce the amount of red blood cells (RBC) that the body needs to carry oxygen to vital organs. When the kidneys are damaged, they [...]
Anemia is a complex topic. You can learn more about anemia and its treatment in greater detail by visiting the following websites: Kidney School Anemia Module https://www.kidneyschool.org/m06/ Kidney School is a free, on-line, interactive kidney learning center offered by the Life Options program. There are 16 modules, including one on anemia. You can also download this module. Anemia in Kidney Disease and on Dialysis https://www.niddk.nih.gov/health-information/kidney-disease/anemia Online information from the National Institute of Diabetes and Digestive and Kidney Diseases. What You Should Know About Anemia https://www.kidney.org/atoz/content/what_anemia_ckd Online basic information from the National Kidney Foundation.
Anemia is common among individuals with chronic kidney disease. Take this quick quiz to find out if you might have anemia: Do You Have These Symptoms of Anemia? I am very tired all/a lot of the time I feel like my muscles are weaker than they used to be I feel dizzy or lightheaded-like I might pass out I feel short of breath after even a little bit of activity I am cold when others around me are not I feel confused or have trouble thinking clearly I have very pale skin and/or bluish fingernails or lips I crave to chew [...]
This fact sheet answers some questions for people with chronic kidney disease (CKD) or on dialysis who are receiving Erythropoiesis Stimulating Agents (ESAs) to treat their anemia. This fact sheet also provides some questions to help you talk with your doctor or anemia management nurse about your treatment. Why am I getting this information? You are getting this information because you have been prescribed an ESA or you and your doctor may be considering whether you should take one. The common brand names for these drugs are Aranesp®, Procrit® and Epogen®. You may have heard or read about risks with [...]
New research suggests that pregnancy outcomes are improving for women on dialysis or with a kidney transplant. Hayet Baouche, MPH, of APHP-Necker-Enfants Malades Hospital, REIN Registry in Paris, France and colleagues reported in Clinical Kidney Journal that from 2010 – 2020, the frequency women on dialysis becoming pregnant increased. There was a decrease in hypertensive disorders of pregnancy and polyhydramnios, as well as lower rates of neonatal and perinatal deaths compared to previous decades, likely attributed to advancements in obstetric and neonatal care, and progress in fetal monitoring and dialysis treatments. A systematic review of 14 retrospective and prospective studies [...]