In Stage 1 CKD, the damage to your kidneys is mild. Your kidneys are still working well, but you may have signs of kidney damage or physical damage to your kidneys. Stage 1 CKD means you have a normal estimated glomerular filtration rate (eGFR) of 90 or greater, but there is protein in your urine (i.e., your pee).
Generally, earlier stages are known as 1 to 3. And as kidney disease progresses, you may notice the following symptoms. Nausea and vomiting, muscle cramps, loss of appetite, swelling via feet and ankles, dry, itchy skin, shortness of breath, trouble sleeping, urinating either too much or too little.
Living with stage 1 kidney disease
There is no cure for kidney disease, but it may be possible to stop its progress or at least slow down the damage. In many cases, the correct treatment and lifestyle changes can help keep a person and their kidneys healthier longer.
CKD can range from a mild condition with no or few symptoms, to a very serious condition where the kidneys stop working, sometimes called kidney failure. Most people with CKD will be able to control their condition with medicine and regular check-ups.
While it's not possible to reverse kidney damage, you can take steps to slow it down. Taking prescribed medicine, being physically active, and eating well will help.
Signs and symptoms of Stage 1 CKD include: High blood pressure. Swelling in your hands or feet. Urinary tract infections.
People with kidney disease typically need to follow a low-sodium diet. This means avoiding foods such as salted snacks, cured meats, and processed foods. Some people may also need to manage their intake of potassium and phosphorus.
Stage 1 CKD means you have a normal eGFR of 90 or greater and mild damage to your kidneys. Your kidneys are still working well, so you may not have any symptoms. You may have other signs of kidney damage, such as protein in your urine.
Since your kidneys are still functioning well, you can potentially live with stage 1 kidney disease for many years. Factors that determine this include your age, sex, underlying health issues, and lifestyle. Early detection and intervention can help you live longer and better.
For a 60-year-old man, stage 1 kidney disease life expectancy will be approximately 15 years. That figure falls to 13 years, 8 years, and 6 years in the second, third, and fourth stages of kidney disease respectively. For a 60-year old woman, stage 1 life expectancy is 18 years, while stage 2 is only one year less.
Without dialysis or a kidney transplant, kidney failure is fatal. You may survive a few days or weeks without treatment. If you're on dialysis, the average life expectancy is five to 10 years. Some people can live up to 30 years on dialysis.
Reduced GFR is a red flag for six major complications in patients with CKD: acute kidney injury risk, resistant hypertension, metabolic abnormalities, adverse drug reactions, accelerated cardiovascular disease and progression to end-stage kidney disease.
Urine and blood tests are used to detect and monitor kidney disease. Currently, the key markers used include abnormal urine albumin levels and a persistent reduction in the estimated glomerular filtration rate (eGFR).
Research has not shown that drinking 3-4 cups of coffee a day increases the risk of kidney disease or increases the rate of decline of kidney function, however, moderating how much coffee you drink is a good idea. Those struggling with blood pressure control should especially drink less than three cups per day.
When your kidneys are failing, a high concentration and accumulation of substances lead to brown, red, or purple urine. Studies suggest the urine color is due to abnormal protein or sugar as well as high numbers of cellular casts and red and white blood cells.
Itching from kidney disease can be anywhere on the body. People with uremic pruritus tend to be itchy on their face, back, and arms.
Kidney checkup: two simple tests
CKD is evaluated using two simple tests – a blood test known as the estimated glomerular filtration rate (eGFR) and a urine test known as the urine albumin-creatinine ratio (uACR). Both tests are needed to have a clear picture of your kidney health.
Kidney disease progresses at different rates for different people, and it can take between two and five years to pass between different stages.
Because you can halt further kidney damage with diet modification and supportive treatment, patients can live an extra 30 years following their stage I CKD diagnosis.
When kidneys do not work well, they do not make enough urine to remove the extra fluid from the body, causing fluid weight gain.
A kidney-friendly diet should limit sodium, cholesterol, and fat, and instead focus on fruits, vegetables, whole grains, low-fat dairy, and lean meats (seafood, poultry, eggs, legumes, nuts, seeds, and soy products), says Maruschak.