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How to Control Hypertension in FSGS


2013-03-20 16:13

Hypertension is commonly seen in FSGS.If left untreated,it can accelerate the renal function deterioration.Therefore, it is important for the patients to seek for aggressive treatment to control hypertension.

How does hypertension occur in FSGS?

The healthy kidneys can filter extra fluids and wastes from body.In FSGS, the tiny filtering units in kidneys are scarred and fail to filter fluids from body adequately. Increased volume can raise blood pressure.

The renin-angiotensin system is the body’s most important long-term blood pressure regulation system. Renal ischemia and anoxia can cause increased production of renin, which can then increase the secretion of angiotensin II,thus resulting in hypertension.

How to control hypertension in FSGS?

Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blocker (ARBs) are first-line medications to control hypertension in kidney disease. They can help lower blood pressure, which also helps to slow kidney damage.

A diuretic may be helpful. Diuretics are called “water pills” because they can help increase the amount of urine created and get rid of excess fluids in body, thus reducing blood volume.

In addition to medicines for hypertension in FSGS, the following lifestyle changes may also help control high blood pressure.

* Quit smoking. Smoking can raise blood pressure.

* Limit daily sodium intake and avoid foods loaded in potassium.

* Avoid drinking too much alcohol.

* Keep regular exercise.

* Maintain normal body weight.

Medicines and lifestyle changes can help control hypertension and slow down progression of FSGS. However, they can not eliminate the causes of the condition.As mentioned above, hypertension is due to reduced renal function. To control the condition fundamentally, the patients should receive treatment to restore the impaired kidney structure and improve renal function. If the kidneys can work better to filter fluids and produce hormones, hypertension will be controlled fundamentally.




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