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Hypertensive Nephropathy

Hypertensive Nephropathy basics

Hypertensive Nephropathy is a medical condition in which chronic high blood pressure causes kidney damages.


As the name suggests, hypertensive nephropathy is caused by high blood pressure. Why hypertension harms kidneys? Blood pressure means the force of blood against the walls of the blood vessels. Extra fluid in the body or the narrowed blood vessel will raise the blood pressure.

Chronic high blood pressure causes the heart working harder. Overtime, it damages the blood vessels throughout the body. Once the kidney blood capillary vessels are involved, kidney disease appears.


There are 2 types of hypertensive nephropathy, namely benign nephrosclerosis and malignant nephrosclerosis. Benign nephrosclerosis is most present in people over 60 years old while the rare malignant nephrosclerosis occurs only in 1 to 5 percent of people with hypertension.

Malignant nephrosclerosis only occurs in a case of hypertension with diastolic blood pressure exceeding 130mm Hg. This is present in patients that already have an existing kidney disease that developed into malignant hypertension

Risk factors

Some factors increase the risk to develop the hypertensive nephropathy as follows.

- hypertension

- Diabetes mellitus

- people of color

- pre-existing hypertension

- pre-existing renal disease

- male gender


The prognosis is different between benign nephrosclerosis and malignant nephrosclerosis.

The former one rarely leads to Renal Failure. Patients who develop this condition will have decreased renal reserve and may not cope very well with acute illness and surgical procedures.

The latter one usually leads to a poor prognosis. According to a research, 75% of patients are able to survive more than 5 years from the onset of the disease.

Hypertensive nephropathy is preventable, just like most other diseases, if you manage healthy lifestyle and take right treatments.

If you have been diagnosed with Hypertensive Nephropathy, we're here to help. Call us: +86-311-89262207 OR Email us: kidneyabc@hotmail.com(Monday through Sunday) to make an appointment.

Hypertensive Nephropathy is a common disease of the majority of middle-aged hypertensive nephropathy. In clinic, the symptoms vary from person to person. And here is an overview of hypertensive nephropathy symptoms.

- change in mental status, such as restlessness, sleepiness, fatigue, confusion, decreased ability to concentrate etc.

Hypertensive Nephropathy symptoms

- recurrent cough, cold, infections

- chronic high blood pressure

- weakness of the arm, legs, face, or other areas

- reduced urine and frequent urination at night

- chest pain

- dizziness and headache

- protein in urine, blood in urine

- back pain

Symptoms help your doctor to make a final diagnosis. If you have two or more symptoms above, you are suggested to talk with your doctor about your symptoms in details.

If you have been diagnosed with Hypertensive Nephropathy, we're here to help. Call us: +86-311-89262207 OR Email us: kidneyabc@hotmail.com(Monday through Sunday) to make an appointment.

Hypertensive Nephropathy treatment

Hypertensive Nephropathy, also known as hypertensive nephrosclerosis, is a kidney disorder that result from high blood pressure. Antihypertensive drugs are the most common treatment for the disease. Besides, blood pressure control, you can do more than you think.

Antihypertensive drugs

For patients who have chronic hypertension and kidney disease, the antihypertensive drugs, such as angiotensin II receptor blocker and ACE inhibitor are utilized to control the blood pressure.

Elevated blood pressure is the root cause of kidney damages. Antihypertensive Drugs helps alleviate the symptoms and prevent the kidneys from further damages.

Traditional Chinese Medicine

Traditional Chinese Medicine has a more than 2500-year-history, which treats the symptoms and resulting medical problems caused by insufficient blood flow to the brain and other organs. TCM helps widen your blood vessels, so as to lower the blood pressure. Meantime, some herbs aim at repairing the damaged blood vessels and kidney tissues.

TCM has various forms, such as Chinese herbs, Osmotherapy, medicated bath, acupuncture etc.

Micro-Chinese Medicine Osmotherapy

Micro-Chinese Medicine Osmotherapy is very popular in China currently, which has the similar functions of Traditional Chinese Medicine. It is designed on the basis of TCM, but it surpasses the traditional medicine in shortening the treatment course and lowering the side effects.


Immunotherapy is a systemic treatment which consists of several parts, that is, evaluating medical condition, cleaning out the toxins in the blood, blocking the kidney inflammation, improving kidney functions and rebuilding the immune system.

One thing should be pointed here is that more than 95% of kidney disease is associated with abnormal immune system. And so dose the hypertensive nephropathy. This is why immunotherapy is suggested for kidney disease patients.


Dialysis is suggested when hypertensive nephropathy develops kidney failure in which the kidneys cannot work properly to remove the toxins in the blood.

Dialysis works to filter the small sized toxins out of the blood. These waste products include BUN, serum creatinine, urea etc. If your condition is serious, only dialysis may be not enough. Hemoperfusion, hemofiltration and CRRT may be ordered.

Kidney Transplant

Kidney Transplant is a medical procedure which uses a donated kidney to replace the failed ones to improve kidney functions. Before and after the surgery, the blood pressure control will be a very important part. If it fails, hypertensive nephropathy may come back.

If you have been diagnosed with Hypertensive Nephropathy, we're here to help. Call us: +86-311-89262207 OR Email us: kidneyabc@hotmail.com(Monday through Sunday) to make an appointment.

Hypertensive Nephropathy diagnosis

Routine Test

Urine test: blood or protein in urine is the most common signs for nephritis.

Blood test: kidneys work to remove harmful substances from the blood in normal conditions. Thereby, the elevated levels of these substances indicate kidney function decline.

Regular blood pressure checks: to monitor your blood pressure levels.

Special Tests

● Kidney Damage Tests: to whether your kidney are injured or not; which part of your kidney are injured, glomeruli or renal tubules; How severity your kidney damages is; the tests offer directions for your doctor to choose drugs for you.

● Blood Fat Tests: to find out whether blood fat levels increase or not; the severity and type of elevated blood fat levels; right method to cleanse out the excessive blood fat. The tests include the following 7 indexes, triglyceride, total cholesterol, high-density lipoprotein cholesterin, low density lipoprotein cholesterin, apolipoprotein A1, apolipoprotein B and lipoprotein A.

● Toxins in Blood Tests: to offer an overview of waste products in your blood, which helps your doctor choose right method to clean your blood. Various toxins need different blood dialysers. In addition, the tests give directions to improve your prognosis.

● Blood Urine Location Tests: to find out where the blood cells from, glomeruli or urinary tract; the severity of blood urine; to offer direction for the drug use.

● Heart Function Tests: It includes Accu Troponin and NT-proBNP. Accu Troponin > 14pg/ml, it indicates myocardial damage; Accu Troponin > 100pg/ml, it indicates myocardial infarction; Elevated NT-proBNP level marks heart failure.

If you have been diagnosed with Hypertensive Nephropathy, we're here to help. Call us: +86-311-89262207 OR Email us: kidneyabc@hotmail.com(Monday through Sunday) to make an appointment.

Hypertensive Nephropathy knowledge


Hypertensive nephropathy patients are not suggested to consider becoming a mother-to-be for it surely increases the risk for both mum and fetus. Firstly, the pregnancy decreases the blood flowing to the placenta. Secondly, placental abruption may happen in such a condition. Thirdly, you have to take measures to prevent premature delivery. In addition, pregnancy may lead to future cardiovascular disease for hypertensive nephropathy patients.

Sexual life

As many other chronic kidney disease, hypertensive nephropathy may also affect your sexual life.

High blood pressure damages the lining of blood vessels and causes arteries to harden and narrow, limiting blood flow. For some men, the decreased blood flow makes it difficult to achieve and maintain erections.

For women, high blood pressure can reduce blood flow to vagina, which leads to a decrease in sexual desire or arousal and vaginal dryness.

Besides, some medications may also have the side effects to your sexual life. The medications may include water pills and beta blockers.

Other suggestions

Avoiding pregnant. Pregnancy can be a life-threatening factor for both you and fetus. Pregnancy not only elevates your blood pressure, but also aggravates your kidney functions. In addition, birth control pills are bad choice that you should avoid for it develops the risk of blood clots.

Avoid staying at high altitudes. If you live or travel at a high altitudes, especially higher than 8,000 feet, you are suggested to change your plan, because it worsen the symptoms of pulmonary hypertension.

Reducing stress. Stress, especially constant stress, is a very common cause to aggravate hypertension. Patients who have high blood pressure and kidney disease, are suggested to spent 30 minutes every to relax, which is expected to improve your life quality.

If you have been diagnosed with Hypertensive Nephropathy, we're here to help. Call us: +86-311-89262207 OR Email us: kidneyabc@hotmail.com(Monday through Sunday) to make an appointment.

Hypertensive Nephropathy healthcare


Potassium food can be taken by high blood pressure patients for it helps to prevent and control the blood pressure. You can find enough potassium in vegetables, fruits, dairy food, fish etc.

Hypertensive nephropathy patients also are suggested to take magnesium foods, including green leafy vegetables, dry peas, beans and nuts.

You should take enough calcium food. Good sources of calcium food include cheese, yogurt, milk.

Some studies suggest that fish oil may have a modest effect on high blood pressure for it contain both EPA and DHA.

Some foods harmful for your medical condition, which should be avoided, such as salty food, alcohol, fats, cola and caffeine-related drinks and foods.


- Breathe deeply. Qigong, tai chi, yoga helps your breath deeply and try 5~10 minutes in the morning and at night.

- Walking. Walking helps the heart use oxygen more efficiently, so it doesn't work as hard to pump blood.

- Stretching. Stretching helps slow lengthening of the muscles which prepare the muscles for activity and prevent injury and muscle strain.

Other suggestions

- Be a smart shopper. Before you go supermarket, make a shopping list so as to avoid buying some foods that are bad for your health.

- Cut yourself some slack. It's OK to treat yourself occasionally to foods you wouldn't find on a DASH diet menu, such as a candy bar or mashed potatoes with gravy.

- Listen to relaxed music. The right tunes can help bring down your blood pressure a bit more than medications and lifestyle changes.

Exercise is good way to treat your hypertensive nephropathy, especially when you take a well-managed diet.

If you have been diagnosed with Hypertensive Nephropathy, we're here to help. Call us: +86-311-89262207 OR Email us: kidneyabc@hotmail.com(Monday through Sunday) to make an appointment.

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