Nephrologist (Kidney Specialist) Questions High Blood Pressure

I have high blood pressure. How can I protect my kidneys?

Both high blood pressure and kidney issues run in my family. I want to do anything I can to protect myself from having the same issues down the road. Is there anything I can do?

9 Answers

Yes. You need to keep your BP well controlled, around 130/80 mm Hg, if possible. Try to be on a low salt diet, more fruits and vegetables. Regular exercise also will help. If you are obese, weight reduction will be of great benefit too. Make sure your kidney function is ok. Try to avoid processed food/meat. Also try to avoid nonsteroidal anti-inflammatory meds (NSAIDs).
Take BP meds
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Hypertension can lead to kidney failure if it remains uncontrolled as well. Hypertension can be a manifestation of already low grade or full blown kidney disease. Some familial kidney diseases also present with hypertension and protein in the urine. Certain BP meds and level of BP control varies with each person with other patients' medical conditions. Your family doctor or nephrologist can identify the cause and effect relationship of hypertension, appropriate BP medication, and goal BP for individual patients.
Good control of HTN is essential for prevention of kidney damage. If your primary doctor is unable to manage your BP with medications then you may breed further evaluations to find the cause as you may have secondary hypertension or may just need more aggressive medical management. Nephrologists specialize in hypertension management so you should see one.
Good blood pressure control with preference of certain medications will help. Dietary sodium restrictions, maintaining a good weight and exercise help. Avoiding certain medications and regular blood and urine tests are important
Keep BP under control, preferably below 130/90.
Low salt diet and exercise.
Take medications on time.
Monitor BP.
Work with your physician to achieve optimal control of BP and monitor kidney function.
Hi and thanks for your question. It seems like you do have a family history for high blood pressure and kidney disease so you are at risk. The best way I prevent getting kidney disease in the future is to have good blood pressure control and ohigh eat a low salt diet and of course exercise. Have your doctor check routine blood test and Irvine test to monitor your kidneys,
Keep Blood pressure controlled. target BO is 130/80.
Low Na diet
Avoid NSAIDs(Ibuprofen, Advil, Aleve, Naproxen)
Drink plenty of water.

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High blood pressure is the second most common cause of kidney disease in the US. With controlling high blood pressure and maintaining your blood pressure within the target recommended by the experts in the field, you can eliminate a major risk for developing kidney disease.