What is the connection between kidney disease and hypertension?

Hypertension causes thickening of Small blood vessels in kidneys and leading to constriction and narrowing.

Eventually the blood flow to the kidneys is reduced. The function of the kidneys is gradually seduced of kidneys start accumulating Salt & water. Salt & water retention in the body further increases blood pressure Setting a visions cycle which may Prone lethal in ling sun.

Sometime this sudden rise in Blood pressure to extreme values may lead to stroke, intra cranial bleed, other end organ damage


High blood pressure
Hypertension due to kidney disease is a form of secondary hypertension and is either due to damage kidney tissue or Nar serving of kidney arteries.

Though kidney disease can cause hypertension due to any reason cause hypertensions can came temporary or permanent kidney damage Sometimes even requiring dialysis.

Sometimes wrong choice of antihypertensives in particular conditions like Renal artery Stenosis can cause renal failure and need for dialysis.

Hypertension during pregnancy requires specialized care, due evaluation and early management.

Any delay in diagnosis or treatment Can lead to pregnancy less, ore lethal complications in mother.

Resistant hypertension is one which is not controlled with maximum deses of 3 different antihypertensives and needs timely evaluation of kidneys and search for Causes. If allowed for longer duration can lead to chronic kidney. disease or kidney damage, heart failure, Seizure.

What helps to reduce BP other than or along with medications?
• DASH diet - Diet rich in fruits, vegetables, whole grains, low fat dairy products, less saturated & total fat
• Low sodium diet with goal of <1500mg/day Sodium
• 150 minutes of physical activity
• Reduction in alcohol intake.

Risk factors for kidney disease together
• Smoking
• Diabetes
• Dyslipidaemia
• Obesity
• Physical inactivity

Symptoms suggesting target organ damage

• Headache
• Transient weakness or blindness
• Loss of visual acuity
• 4 Chest Rain
• Dyspnea
• Claudication

(Dr Pradnya Harshe, consultant nephrologist and transplant physician, Bhailal Amin General Hospital, Vadodara, Gujarat)