Kidneys - age-related problems
Kidneys - age-related problems
Your kidneys can be affected or damaged by a variety of diseases and conditions. As you get older, you are more likely to suffer from
kidney
and
urinary tract problems
. Kidney problems can also increase the risk of other conditions such as cardiovascular (
heart
and
blood vessel
) disease.
Kidney diseases
can be serious, but early detection and good management can increase the life of your kidneys.
Kidney disease is not always accompanied by warning signs. If you have one of the risk factors for kidney disease, it is recommended that you have a kidney health check (blood test, urine test and blood pressure check) from your doctor at least every two years.
Types of age-related kidney disease
Older people are more at risk of some kidney and urinary tract diseases. These include:
inflammation or swelling of the kidneys
– this can be caused by conditions such as glomerulonephritis
diabetes
– this is the most common cause of kidney disease in Australia. Damage can occur to blood vessels and nerves, even when the diabetes is well managed
urinary tract infections
– if left untreated, a urinary tract infection may spread into the kidneys. It is important to see a doctor if a kidney infection is suspected, because lasting damage can occur if it is left untreated. Urinary tract infections are very common, particularly in women and with increasing age
urinary incontinence
– this is uncontrolled leaking of urine from the bladder, which can increase the risk of urinary tract infections. Your doctor should check any problems linked to passing urine, as they may indicate more serious kidney problems or other conditions, such as an enlarged prostate in men
renovascular disease
– fatty deposits, cholesterol, calcium and other substances are deposited in the inner lining of the arteries, causing narrowing or blockage of the renal artery. This affects the kidneys’ filters and reduces the blood supply to the kidneys, resulting in high blood pressure and reduced kidney function. 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
.
Scarring of the kidneys mainly affects young children and is caused by a condition called ‘urinary reflux’. In this condition, there is a backflow of urine from the bladder into the kidneys.
Symptoms of kidney disease
Kidney disease is called a ‘silent disease’ as there are often no warning signs. People may lose up to 90 per cent of their kidney function before getting any symptoms. The first signs of kidney disease may be general and can include:
high blood pressure
changes in the amount and number of times urine is passed (for example, at night)
changes in the appearance of urine
blood in the urine
puffiness of the legs and ankles
pain in the kidney area
tiredness
loss of appetite
difficulty
sleeping
headaches
lack of concentration
itching
shortness of breath
nausea and vomiting
bad breath and a metallic taste in the mouth.
Risk factors for age-related kidney disease
Some conditions that affect the kidneys and urinary tract are more common as people get older. You are more at risk of developing kidney disease if you:
are over 60 years of age
have diabetes
are obese
have high blood pressure
have established heart problems (heart failure or past
heart attack
) or have had a stroke
are a
smoker
have a family history of kidney failure
have a history of acute kidney injury
are of Aboriginal or Torres Strait Islander origin and 18 years and older.
Age-related kidney disease can affect your heart
People with chronic kidney disease are two to three times more likely to have a
heart attack
, and cardiovascular disease remains the leading cause of death for people on dialysis and those who have a transplanted kidney.
People at every stage of chronic kidney disease are at more risk of cardiovascular disease, although those in the later stages have the highest risk.
Keeping your kidneys healthy
There are a number of things you can do to keep your kidneys healthy, including:
If you have diabetes, make sure that your blood sugar control is excellent. Follow your doctor’s advice about insulin injections, medicines, diet, physical activity and monitoring your blood sugar.
Control high blood pressure. Have your blood pressure checked regularly. Medications used to lower blood pressure (anti-hypertensive medications), such as ACE inhibitors or angiotensin blockers, can slow the development of kidney disease.
If you have one of the risk factors for kidney disease, have a kidney health check (blood test, urine test and blood pressure check) at least every two years (every year if you have diabetes or high blood pressure).
Treat urinary tract infections immediately.
Control blood cholesterol levels with diet and medications if necessary.
Drink plenty of water and choose foods that are low in sugar, fat and salt, but high in fibre. Stick to moderate serving sizes.
Do not smoke.
Drink
alcohol
in moderation only.
Stay at a healthy weight for your height and age.
Try to exercise moderately for at least 30 minutes a day.
A reduction in kidney filtration is common in older people but can also indicate kidney damage and should be checked by your GP.
Where to get help
Your
GP (doctor)
Kidney Health
Australia
External Link
helpline Tel.
1800 454 363
Kidney Health Australia -
Keeping your kidneys healthy
factsheet
External Link