Treatment Options for Chronic Kidney Disease
There is no cure for chronic kidney disease. Treatment aims to ease symptoms, reduce complications, and slow the progression of kidney decline. Upon total renal failure, a successful kidney transplant is the only definitive solution.
Treatment options include dialysis (haemodialysis or peritoneal dialysis), dietary management, medication, and kidney transplantation. The right approach depends on the stage of disease, individual health status, and personal circumstances.
Treatment Options for Kidney Failure — Dr. Francisco Salcido-OchoaThe Main Treatment Options
Haemodialysis
An artificial kidney machine removes excess fluids and waste products from the blood. Blood is drawn from the body, filtered through the machine, and returned clean. Sessions are typically performed 3 times per week, each lasting around 4 hours, either at a dialysis centre or at home.
Peritoneal Dialysis
Uses the lining of the abdomen (the peritoneum) as a natural blood filter. A dialysis solution is introduced into the abdomen via a catheter, absorbs toxins and excess fluid, and is then drained out. This can be done at home and, with an automated machine, overnight while you sleep.
Renal Diet & Medication
In earlier stages of CKD, dietary adjustments and medication can meaningfully slow disease progression. A kidney-friendly renal diet typically involves restricting sodium, potassium, phosphorus, and protein intake. Medications may be prescribed to control blood pressure, manage anaemia, protect the kidneys from further damage, and address other complications.
Kidney Transplantation
For eligible patients with kidney failure, a kidney transplant offers the best long-term outcomes. A healthy kidney from a living or deceased donor is placed in the lower abdomen. In most cases, the damaged kidney is left in place.
After transplantation, immunosuppressant medications are required for life to prevent the body from rejecting the new kidney. These medicines reduce immune system activity and require careful ongoing management.
In rare cases, the diseased kidney may need to be removed prior to transplantation. Your nephrologist will advise if this is necessary in your situation.
A Personalised Approach to Treatment
Managing chronic kidney disease is a long-term journey that looks different for every patient. Treatment decisions depend on the stage of disease, medical history, co-existing conditions, lifestyle, and individual goals.
Dr. Francisco Salcido-Ochoa provides specialist nephrology consultations with a strong focus on tailored management — helping patients at every stage make informed decisions, protect their remaining kidney function, and maintain the best possible quality of life.
For patients nearing Stage 4 or 5, early planning for renal replacement therapy — whether dialysis or transplantation — is strongly recommended. Starting this process before it becomes urgent leads to significantly better outcomes.
Get Personalised Advice on CKD Treatment
Dr. Francisco Salcido-Ochoa offers specialist nephrology consultations in Singapore and via international teleconsultation.
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