00:00 In a human body, we have five vital organs.
00:04 Heart, brain, liver, lungs, and kidney.
00:09 These organs have their own functions in our body.
00:13 That's right, Audet.
00:14 This morning, we will know the function of one of the five vital organs, which is the kidney.
00:20 We will be joined to talk about that
00:23 Dr. Eladio Miguel Penaranda Jr., a nephrologist
00:27 and the section chief of the Nephrology of Makati Medical Center, or MMC.
00:32 Good morning to you, Doc. This is Dian and Audrey.
00:35 Good morning, sir.
00:36 Good morning, Audrey. Good morning, Dian.
00:40 Okay, Doc. As a starter, for everyone's information,
00:44 what is the function of our kidneys?
00:47 Okay. Our kidneys are the ones that filter out the waste from the blood.
00:54 It's not necessary.
00:57 It also removes the extra fluids from our body.
01:03 Our kidneys also have the ability to control our blood pressure
01:09 because they can see the hormones that are needed to regulate blood pressure.
01:16 It also produces red blood cells.
01:20 It also has hormones that stimulate our bone marrow to regulate or normalize hemoglobin.
01:29 And lastly, our bones make our kidneys strong and healthy.
01:39 Clearly, as explained by the doctor, the role and function of the kidneys are important.
01:45 But, Doc, there are rumors that some people sell their kidneys to buy cell phones.
01:54 Others even buy concert tickets.
01:57 We know that we can live with just one kidney.
02:00 But what are the risks that a person can experience with just one kidney?
02:08 Okay. God created our bodies to have two kidneys.
02:15 Now, our kidneys are used to filtering or removing waste products from our bodies.
02:26 They are two.
02:27 But if we have just one, our kidneys will overwork.
02:33 We have to be careful not to damage our kidneys in the future because we only have one.
02:42 The risks are, for example, if you have an infection in the future
02:50 and you have an accident where you hit your kidney and it's left behind,
02:56 there's nothing you can do.
02:59 Those are the possible risks.
03:04 That's true, Dayan. We hear rumors, especially in Western countries,
03:09 that it's easy to get money.
03:11 But, Doc, kidney or organ selling is illegal.
03:16 It's dangerous.
03:19 Aside from the consequences that a person can experience when selling,
03:23 is there a risk that a person can experience getting this organ?
03:28 And is it possible for organ selling to be legal
03:32 compared to saving lives and other things that are really needed?
03:36 Regarding whether selling is legal or not,
03:43 during the time of President GMA,
03:47 he made an administrative order that prohibits the sale of kidneys
03:54 because it's against human trafficking.
03:57 So, it's prohibited.
03:59 And the risk of receiving the kidney is not high
04:09 because before the donor sends the kidney,
04:11 there's a thorough examination of the donor
04:18 to see if it's compatible or if it can be donated to the recipient.
04:23 Okay. Doc, speaking about kidney, what are the most common kidney problems now?
04:30 And what are the symptoms that a person may have?
04:35 Okay. Let's make the kidney problem simple.
04:40 There are two aspects.
04:42 First, acute.
04:44 Acute kidney injury or sudden kidney injury
04:48 can be experienced by a patient who suddenly has a high BNN creatinine.
04:52 It can be due to a severe infection.
04:56 Second, a person may be dehydrated and cannot be replaced.
05:05 And if you have kidney stones, it's obstructed
05:12 and the urine cannot come out.
05:14 Those are the acute, temporary or reversible.
05:18 The second aspect is chronic kidney disease.
05:23 It's a gradual progression of our creatinine.
05:31 And the most common cause of high creatinine is uncontrolled diabetes.
05:37 If you have diabetes for more than 10 years,
05:41 regardless of your age or your serum creatinine or weight,
05:46 you are labeled as having diabetes or kidney disease.
05:50 The second is high blood pressure that is also uncontrolled.
05:54 It can also be a sign of kidney damage in the future.
05:58 And number three is chronic pyelonephritis or infection or glomerulonephritis.
06:04 It's a progression of the kidney that we don't know about.
06:07 But if you check your urinalysis for incidental reasons or for routine,
06:14 you can see that there are bubbles in the urine and red blood cells.
06:21 Well, Dayan, we know a lot of people who have dialysis and it's a big expense.
06:28 To avoid this or the diseases that come from the kidneys,
06:35 to keep our kidneys healthy,
06:37 Doc, what advice can you give to our viewers?
06:41 Okay. The simplest advice we can give to maintain a healthy kidney is to drink enough water.
06:51 We should make sure that we drink at least 1.5 to 2 liters of water.
06:56 You can't force yourself to drink too much water because it's bad for you.
07:03 Number two, in your diet, avoid eating high protein foods like steak, beef, and pork.
07:17 You should eat those everyday.
07:19 It's not good because our kidneys are also hard to metabolize.
07:25 Avoid salty foods.
07:29 Eating salty foods can cause high blood pressure.
07:34 If you have diabetes, you should control your sugar intake.
07:39 Avoid eating foods that are not too sweet.
07:46 We like salty foods.
07:49 Filipinos like salty foods.
07:53 Is it true that if you have kidney problems, you should drink buko juice instead of water?
08:10 Is that true?
08:12 Buko juice is rich in potassium.
08:17 If you're not sure that you have chronic kidney disease, don't drink it.
08:25 If you're not sure and the doctor doesn't check your kidney problem,
08:31 and you drink buko juice, you might have hyperkalemia,
08:36 which is a high potassium level in our blood.
08:39 It will affect your heart and it can stop the heart from beating.
08:46 You mentioned kidney stones.
08:49 I know of people who have kidney stones.
08:54 What should an individual doctor do to make sure that our kidneys are healthy
09:01 so that we won't have to go to the doctor to check and find out if we have kidney problems?
09:08 The most basic thing is urinalysis.
09:13 In urinalysis, we can see a lot of things.
09:17 First, if there is protein in our kidneys, it should not happen.
09:23 We have secreted or released protein, but it should be a small amount within the range.
09:32 If there are red blood cells in our kidneys that are too much in the reference range,
09:40 it is not good because it will tell us that we have kidney stones that are always passing through.
09:48 We won't know if we have kidney stones.
09:50 And infection.
09:52 That is the most basic thing.
09:54 Urinalysis and BUN and creatinine are the waste products of metabolism that we need to know.
10:00 Doc, we have read that one of the signs of kidney problems is the pain in the lower back. Is that true?
10:12 It may be true, but not all of them are like that.
10:17 If it is the lower back, it may be just a muscle or a bone.
10:21 You know, if the lower back is hurting because of kidney disease,
10:26 it should be an infection. It is a bad infection that comes from the outside going up to the kidneys.
10:33 We call it acute pyelonephritis.
10:36 If you have kidney stones, it does not hurt when there are stones.
10:44 It just moves and wants to go out to our urinary bladder and it may be itchy.
10:50 Doc, how about the color of the itch?
10:54 Okay.
10:56 The color of the itch also depends on what we eat.
11:02 There are fruits that if you eat, it will be like a dragon fruit, red.
11:13 If we eat that, our itch will also turn red.
11:16 But if you consider that the color of your itch is abnormal,
11:22 for example, you do not eat fruits or medicine,
11:27 and it will suddenly turn red, like blood.
11:31 That is abnormal.
11:33 Okay. Well, thank you very much for the information you shared with us and Libring Telemed.
11:38 Dr. Eladio Miguel Penaranda, Jr., is a nephrologist.
11:42 Again, thank you, Doc. Thank you.
11:44 Thank you, Doc.
11:45 Thank you for having me.
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