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Chronic Kidney Failure Stage 3 Overview

What is Chronic Kidney Failure Stage 3?

If patients’ disease develop to Chronic Kidney Failure Stage 3, it refers to patients’ kidney function has a moderate reduction. Patients’ kidney function can be reflected in GFR, and a test called the estimated glomerular filtration rate (eGFR) can estimate the volume of blood that is filtered by the glomeruli in your kidneys over a given period of time. In kidney failure stage 3, eGFR is approximately 30-59 mL/min/1.73 m2.

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What’re the symptoms of chronic kidney failure stage 3?

In kidney failure stage 3, patients’ kidney function have a moderate decline, so symptoms are mild, such as feeling tired, having less energy than usual, and just not feeling well. Symptoms firstly occur in stage 3 include:

1. Fatigue: Feeling tired is a common complaint for patients of kidney failure stage 3.

2. Edema or swelling: With the kidney function decline, too much fluid stays in the patients’ body. Edema firstly occurs in patients’ lower legs and hands.

3. Urination changes: Patients’ Urine may turn foamy if there is protein in it, while if it contains blood, it will become dark orange, brown, tea colored or red. The symptom is usually accompanied by increased urination frequency and nocturia (excessive urination at night).

4. Sleep problems: Due to itching, muscle cramps or restless legs, patients may have trouble falling asleep or staying asleep.

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What is the treatment for kidney failure stage 3?

The treatment aims include: treating the underlying kidney condition, preventing or slowing down the disease progression, reducing the risk of cardiovascular disease or stroke and relieving the symptoms.

1. Treating any underlying causes

If the kidney disease is due to other underlying causes, patients should receive specific treatment to treat the underlying causes. For example, control blood glucose and blood pressure for patients with diabetes or high blood pressure. Take antibiotics, if patients have recurrent kidney infections.

2. Preventing or slowing down the progress of kidney failure

Even if the underlying cause has been treated, the disease may progress. Patients need to take regular test to monitor their condition and ask doctor for advice to prevent or slow down the progression of kidney failure. The methods include:

a. Well control high blood pressure

High blood pressure is a common complication of kidney failure, and high blood pressure can aggravate patients’condition. Keeping a relative low blood pressure not only helps to control patients’condition, but also reduce the risk of heart diseases. The recommended blood pressure ranges are as bellows:

125/75 for those with diabetes

130/85 for non-diabetes and non-proteinuria

125/75 for non-diabetes with proteinuria

b. Keep their blood sugar or diabetes under control

c. Have regular checkups with their doctor and include a serum creatinine test to measure GFR

d. Take medicines as prescribed by their doctor

3. Reducing the risk of developing cardiovascular disease

Chronic kidney failure may not be a fatal disease, while it may induce to some fatal disease, which can increase the mortality rate. That is the reason to reduce the risk of developing cardiovascular disease. The followings are some recommended methods.

Reduce intake of caffeine.

Quit smoking and drinking.

Have a regular life.

Keep the blood pressure at stable and low range.

Keep a light heart.

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How to develop a healthy diet plan for Chronic Kidney Failure Stage 3?

Dietary treatment also has effective curative effect on patients. There is a healthy diet for kidney failure stage 3:

- Eat some grains, fruits and vegetables. If blood tests show phosphorus or potassium levels are above normal, grains, fruits and vegetables - contain these elements should be limited.

- Develop a low-salt diet and avoid high-sodium foods

- Choose food containing high quality protein, animal protein replacing vegetable protein.

- Take in enough calories for normal activity and healthy weight.

- If patients have anemia, they should increase intake of iron.

- Patients with bone disease should eat food containing Vitamin D, because Vitamin D helps to absorption of calcium.

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In Summary

In kidney failure stage 3, some mild symptoms occur to patients. If patients find and manage their disease timely, they can have a better prognosis. We hope the above information could help patients to choose their treatment and diet plan. If you still have some questions about stage 3 chronic kidney failure, you can leave a message below or send email to

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