Weakness is very common among patients suffering from Chronic kidney disease, almost 99% of patients complain about it. This weakness happens due to multiple reasons.
Let’s see some common causes and how to get rid of it—
Low Haemoglobin – Haemoglobin usually remain very low in renal failure , because kidney stops producing one important hormone called Erythropoetin , which plays an important roll in the formation of haemoglobin . That leads to anemia.
Uremic Gastritis – In uremic gastritis iron cannot be absorbed properly , sometime GI bleeding also occur , this all leads to anaemia.
Dietary Restriction – Folate and vit B12 deficiency in the diet due to restriction of foods also cause anemia. All these converted to anemia and eventually to weakness .
Macro and Micronutrient Deficiency-
To protect the kidney function and restricting the rise of creatinine , a lot of dietary restriction most of which are self imposed , non scientific makes the patients’ plate out of all nutritious foods and leads to macro and micronutrient deficiency.
So it is important to remember if you are feeling very weak , it is the time to revise your entire dietary regime by a qualified renal nutritionist , who will make you understand how much calorie , protein , carbohydrate and fat and micronutrients you should consume.
Restriction of fruits – Because of containing high potassium , patients are often advised to restrict the intake of fruits . But fruits are also rich in some other important micronutrients, minerals and isoflavonoids which helps to provide energy to the body . In CKD , because of imposed restriction of fruits , patients don’t get enough energy and feels weak.
Don’t worry you don’t need to restrict fruits always unless your serum potassium level is very high . Even if your potassium level is high , you can go for those fruits which are low in potassium . Also a renal nutritionist will provide you a diet regimen which will replace the nutrients which is usually obtained from the consuming fruit that you want to take. Restriction of vegetables- Similarly imposed restriction of vegetables leads to nutrient deficiency . And you need to know which to avoid and which to take in a proper way.
Lack of Exercise –
Exercise is very important to keep the body much more energetic , increase muscle strength to remain in specified standard and increase our flexibility and mobility .
Because of weakness , patients don’t do exercise and feel more weakness and eventually fall in vicious cycle. Somewhere it is important to break the chain . It is always recommended to start some exercise in moderate intensity as per your capacity but be regular to the exercise regime . Even simple walking or going up stairs – down stairs , gardening can increase exercise capacity , and gradually it improves with time and you will start to feel more energetic . Daily exercise can also help to reduce blood sugar.
We have a program Mukti, an online Yoga class – a specially for all chronic kidney disease patients , which can help you to get rid of the weakness and anxiety and control your diabetes and high blood pressure , also help to you a good quality sleep.
I met Dr. Pratim Sengupta at ILS hospital, Nagerbazar. I broke down in front of him, with folded hands prayed “Sir save my son, he is my life” He kept his hand on my shoulder and assured me that he will try his best. I admitted him under his care. By that time my son had already taken 24 sessions of hemodialysis. Serial blood test, CT scan, USG were done. Under the treatment of Dr. Sengupta and the team, my son started to respond positively.
Lack of Sleep-
Sleep disturbance is another factor for weakness. If you can’t sleep well, your neurotransmitters which is necessary for entire physical functionality will get exhausted and you will feel more weakness. Try to ensure at least 6-8 hours of sleep.
Also, there are some techniques which increase sleep hygiene . There is one meditation technique called Yoga Nidra which significantly improves sleep quality.
If , the sleep is still not improved after meditation , a mild dose of sedative pills can be taken by patients which may increase the intensity and duration of sleep .
Fluctuation of Blood Pressure-
Low blood pressure often cause weakness. It is important to keep the eye on fluctuating Blood pressure regularly.
Sometimes patients still feel less energetic even after right diet habit , regular exercise , good sleep , controlled blood pressure ,as this weakness could be secondary due to electrolyte imbalance such as low sodium , low potassium and vitamin D deficiency . This can cause muscle weakness or generalized weakness.
So , whenever you will disproportionate weakness, basic investigation is required to know whether all metabolic parameters is in normal range or not.
There is always a possibility to get rid of weakness , you just need to know how . Do yoga , follow diet regime , have plenty of sleep will help you to find the right path.