Poor Kidney Function in Elderly: Causes and Treatment Options (2024)

As people age, it seems like they must start worrying about all sorts of health issues that would never have occurred to them when they were younger. That’s true when it comes to your kidney function as well. Before you start having issues, it’s a good idea to understand what causes poor kidney function in the elderly and what your treatment options are.

Causes of Decreased Kidney Function in the Elderly

As you age, you have a higher risk of urinary tract and kidney diseases. The bad news is that kidney disease can be quite serious if not addressed quickly. The good news is that the right treatment and early detection can increase the function of your kidneys.

One of the most common causes of decreased kidney function in elderly patients is diabetes. Diabetes can cause damage to the kidney’s nerves and blood vessels even if your diabetes is well controlled.

There are several other causes of kidneys not functioning properly. Elderly people, especially women, are more likely to get urinary tract infections as they age. If untreated, the infection can spread to the kidneys. In addition, older adults are more likely to have urinary incontinence issues than younger adults.

Urinary incontinence is uncontrolled leaking of urine from a person’s bladder. This can increase the likelihood of having a urinary tract infection which, in turn, increases the likelihood of kidney damage.

Most people know that high blood pressure can damage your heart, but you might not realize it can cause damage to your kidneys as well.

Finally, renovascular disease, which is the narrowing or even blockage of the renal artery, can reduce the blood supply to your kidneys and reduce function. It is the most common reason for kidney failure in senior adults.

Improving Kidney Function in the Elderly

There are treatments for low kidney function in elderly. The goal of this treatment is to correct what is causing your kidney disease by reducing protein in your urine, controlling phosphorus levels, controlling your diabetes, reducing blood pressure, and improving your cholesterol levels.

Your doctor may attack your kidney disease from several different directions at the same time. The first step is to look at your medications and determine if you are taking any that need to be reduced or discontinued completely.

Some of the medicines that can cause issues are:

  • Blood-thinners
  • Antibiotics
  • Antihistamines
  • Ibuprofen

Your doctor may also have you take iron pills, vitamin D supplements, or medicines that will lower phosphate levels.

In addition, you doctor will take a close look at your diet to determine how much protein, potassium, and phosphorus you are taking in daily. All three might need to be reduced.

If the decreased kidney function in elderly is due to a fluid or electrolyte imbalance, it can be dealt with by changing your water intake or consuming additional electrolytes. For more serious kidney issues, temporary dialysis may be necessary to avoid severe complications.

For those concerned about or dealing with kidney malfunction in elderly loved one, it’s important to make sure they are eating right, are not overly medicated, and keeping their doctor informed of any urinary tract infections or incontinence issues sooner rather than later. It’s the best way to keep a small issue from becoming a much larger one down the line.

Poor Kidney Function in Elderly: Causes and Treatment Options (2024)

FAQs

What is the treatment for low kidney function? ›

medicine – to control associated problems, such as high blood pressure and high cholesterol. dialysis – treatment to replicate some of the kidney's functions, which may be necessary in advanced (stage 5) CKD. kidney transplant – this may also be necessary in advanced (stage 5) CKD.

What not to drink if you have kidney problems? ›

What drinks should people with kidney disease avoid?
  • Cola beverages: Studies show that drinking 2 or more cola drinks a day may be harmful for people with kidney disease. ...
  • Alcohol: Drinking alcohol makes the kidneys less able to filter the blood and increases blood pressure, which can lead to kidney damage.
Sep 7, 2023

Can you recover from low kidney function? ›

Acute kidney failure (injury) is usually short term and your kidney function will recover over time. Chronic kidney failure is often called chronic kidney disease. Chronic kidney failure can be treated with dialysis, a kidney transplant or supportive care.

How to treat kidney problems in the elderly? ›

This usually means:
  1. Reducing blood pressure.
  2. Improving cholesterol levels.
  3. Controlling diabetes (blood sugar)
  4. Balancing electrolytes (minerals in the body that have an electric charge)
  5. Reducing protein in urine.
  6. Controlling phosphorus levels.
  7. Avoiding medications that cause kidney problems.

Can you live a normal life with low kidney function? ›

Many people with chronic kidney disease (CKD) are able to live long lives without being unduly affected by the condition. Although it's not possible to repair damage that has already happened to your kidneys, CKD will not necessarily get worse. CKD only reaches an advanced stage in a small proportion of people.

What are two drugs not to be used in kidney disease? ›

What medications to avoid with kidney disease
  • Pain medications also known as nonsteroidal anti-inflammatory drugs (NSAIDs) ...
  • Proton pump inhibitors (PPIs) ...
  • Cholesterol medications (statins) ...
  • Antibiotic medications. ...
  • Diabetes medications. ...
  • Antacids. ...
  • Herbal supplements and vitamins. ...
  • Contrast dye.

What are the worst foods for kidney function? ›

A dietitian may ask that individuals following a renal diet avoid the following foods:
  1. Canned foods. Sodium, a main ingredient of salt, is a natural mineral often found in canned foods in high quantities. ...
  2. Whole wheat bread. ...
  3. Dark-colored drinks. ...
  4. Avocados. ...
  5. Bananas. ...
  6. Oranges and orange juice. ...
  7. Dried fruits. ...
  8. Tomatoes.
Feb 28, 2024

What foods worsen kidneys? ›

1. Salt
  • Canned soups.
  • Processed meats like lunch meats, hot dogs, sausages.
  • Frozen pizza.
  • Frozen dinners.
  • Snack foods like chips, crackers, pretzels.
  • Condiments like ketchup, BBQ sauce, soy sauce.
  • Salad dressing.
  • Pickled foods like pickles, olives, beets.

What is the best drink to restore kidney function? ›

Here Are the Best Drinks for Your Kidneys. Key takeaways: Staying hydrated by drinking water is one of the best ways to keep your kidneys healthy. There's some research to suggest that drinks like cranberry juice, carrot juice, and beet juice may also play a role in kidney health.

Will drinking more water increase my GFR? ›

Will Drinking Water Increase My GFR? Increasing your water intake likely won't affect your GFR in the long run. If your water intake is already at normal levels, drinking more won't slow your kidney disease. In fact, drinking too much water can be harmful.

Should I worry if my kidney function is low? ›

Most people who have a minor reduction in kidney function can take steps to not keep the kidneys from getting worse. If the function is somewhat low but stable, you may need to see your doctor only once per year. If the GFR is declining or it is already under 50, it's best to see a kidney doctor.

How long can you go with low kidney function? ›

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.

How long can an 80 year old live with kidney disease? ›

Furthermore, according to the literature, life expectancy in patients that are ≥80 years of age who initiate HD is 2–2.4 years. In our study, almost one-third of patients that were ≥80 years of age survived 12–24 months; and one-third of them survived between 24–60 months.

What percentage of 80 year olds have kidney disease? ›

Chronic kidney disease (CKD) in older adults is a worldwide epidemic that affects nearly 40% of people aged 65 or older. In the United States, CKD in people aged 65 years and older is more common (38%) than in all other age groups.

What causes kidneys to shut down in the elderly? ›

This is the most common cause of kidney failure in the elderly. high blood pressure – if left untreated, high blood pressure can increase the risk of heart attack, stroke and loss of vision, and cause kidney damage. hereditary kidney diseases – including polycystic kidney disease.

What is the best thing to drink for your kidneys? ›

Whilst all fluid counts towards your fluid intake, water is one of the healthiest choices when it comes to maintaining kidney health. Sip water little and often.

What is the best way to improve kidney function? ›

What can I do to keep my kidneys healthy?
  1. Make healthy food choices. ...
  2. Make physical activity part of your routine. ...
  3. Aim for a healthy weight. ...
  4. Get enough sleep. ...
  5. Stop smoking. ...
  6. Limit alcohol intake link. ...
  7. Explore stress-reducing activities. ...
  8. Manage diabetes, high blood pressure, and heart disease.

How serious is low kidney function? ›

A severe decrease in kidney function can lead to a buildup of toxins and impurities in the blood. This can cause people to feel tired, weak and can make it hard to concentrate. Another complication of kidney disease is anemia, which can cause weakness and fatigue.

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