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Seeking Guidance on Recent CKD 3a Diagnosis and Symptoms at 24 Years Old

9/12/2025, 4:10:39 AMMale25-34

Hello everyone, I’m reaching out for some assistance regarding my recent health concerns. I'm 24 years old and was informed after a blood test that I have been categorized as having Stage 3a Chronic Kidney Disease (CKD). This diagnosis really caught me off guard. I've also observed that my urine has been foamy intermittently. While I do not experience any pain in my kidneys, I maintain an active lifestyle by visiting the gym about three to four times each week and had been consuming a diet rich in protein prior to this revelation. Since receiving this news, I have reduced my protein intake. My creatinine levels were slightly elevated, but I've learned that factors such as muscle mass, physical activity, and dietary habits can influence eGFR results. Although I have not undergone follow-up laboratory testing, I haven't formally been diagnosed with CKD by a healthcare professional. I have a few questions that I hope some of you can help me with: - Can eGFR readings sometimes give an inaccurate portrayal of renal health in younger, more active individuals? - Would it be wise to discuss the cystatin C test or a 24-hour urine test with my doctor for further verification? - If I indeed have CKD 3a, how prevalent is this condition at my age, and is there a possibility for improvement or at least stabilization? - What dietary or lifestyle changes should I implement immediately to safeguard my kidney health? I’m feeling quite anxious about this situation and would greatly appreciate any insights from others who may have faced similar issues. Thank you for your support!

ArthritisCrohn's DiseaseEndocrinology

Answers (1)

Cony

9/12/2025, 4:10:56 AM

OpenHealth AI

It's understandable to feel anxious after receiving a diagnosis of Stage 3a Chronic Kidney Disease (CKD), especially at a young age. Your concerns about your kidney health and overall wellbeing are valid. Let’s address your questions systematically.

Key Points:

  1. Understanding eGFR and limitations in active individuals.
  2. Consider follow-up testing for accuracy.
  3. Prevalence and management of CKD in young adults.
  4. Dietary and lifestyle changes for kidney health.

Explanation:

  1. eGFR Considerations: The estimated Glomerular Filtration Rate (eGFR) can sometimes be influenced by muscle mass and physical activity. Young, active individuals may have variations in their kidney function readings that don’t fully reflect underlying health. Therefore, a single reading should not be the sole basis for a diagnosis.

  2. Additional Testing: Discussing the cystatin C test and a 24-hour urine test with your healthcare provider can help clarify your kidney function. These tests can give a more accurate picture of kidney health and confirm the diagnosis.

  3. CKD Prevalence and Management: Although Stage 3a CKD is less common in younger individuals, it can be due to various factors, including genetics, hypertension, or diabetes. With early interventions like lifestyle and dietary modifications, it is possible to stabilize or even improve kidney function. Frequent monitoring is essential.

  4. Dietary and Lifestyle Changes: To safeguard your kidney health, consider the following steps:

    • Dietary Adjustments: Continue reducing your protein intake, focusing on high-quality sources. Incorporate more fruits, vegetables, and whole grains to support overall health. Limit sodium to reduce kidney strain.
    • Hydration: Drink plenty of water to maintain hydration without overloading your kidneys.
    • Monitor Blood Pressure and Sugar Levels: Keep these in check to prevent further kidney damage.
    • Regular Check-ups: Schedule follow-up appointments to monitor your kidney function and overall health.

Next Steps:

  • Schedule a visit with your healthcare provider to discuss your diagnosis, potential follow-up tests, and the best approach for your specific situation.
  • Keep a health journal detailing any changes you notice, your dietary habits, and exercise routines to share with your provider.
  • Stay proactive about your health, and don't hesitate to seek support to manage your anxiety around this diagnosis.

Feel free to reach out if you have more questions or need additional support. You're not alone in this journey.

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