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When a diagnostic statement lists hypertension and chronic kidney disease,?
which gets coded first?
I am going crazy trying to figure this.
I just want to know which should be coded first? The hypertension or the chronic kidney disease
9 Answers
- 1 decade agoFavorite Answer
I feel the chronic kidney disease should come first. It is more than likely the reason for the hypertension.
- Anonymous5 years ago
My son has Kidney Reflux disease and he is 15. It has caused severe atrophy and scarring to one of his kidneys, because it went undiagnosed for so long. He will be having surgery on the affected kidney, but we won't know what kind of surgery until later this month. Hopefully after the surgery he will be fine. As for lifestyle changes there aren't to many we had to make. He is currently on antibiotics and he drinks more water. We eat pretty healthy and gets lots of exercise. The worst thing about any disease, especially when you are young is that we predict the worst possible outcome. Once you have gone to a kidney specialist and he/she lets you know what your options are, you will find that usually the worst possible outcome is not the one that happens. Good luck to you and remember the waiting for all the referrals and tests and finally finding out what treatment will be used is the worst part.
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- 1 decade ago
Well, this is vicious circle and in this hypertension will destroy the kidneys and then kidneys will eventually start loosing protein along with urea and ammonia which will cause multiple organ failure and fluid retention causing hypertension.
At this moment you need to check hypertension by the following means:
1. Use of calcium channel blocker such as Amlodepine.
2.Use of vaso dilators such as Omlesartan hydrochloride.
3.Reduction in excess fluid volume(if present due to edema) by the use of diuretics such as Lasiclactone or sprinilactone.
Now what is to be monitored and diagnosed clearly is that is it the kidney disease which is causing hypertension( like renal vessel constriction or low glomerolous filtration rate) or the hypertension damaging the kidneys(destroying the nephrons and renal vessels by hyper volume of fluid and high nephritic pressure).
What ever the cause is, must be isolated and then the prognosis done accordingly.
Hypertension is a silent killer, it will show only symptoms after it has done organ damage and all organs are at risk, since the general venous and osmotic pressure is high in the body.
Heart must be checked by echo cardiography and ECG, since hypertension destroys the heart first, it will stiffen the left ventricle and will cause hypertrophy in it leading to HOCM(hyper obstructive cardiomyopathy) and then heart failure.
If the kidney has developed its own disease then it should be diagnosed and controlled as suggested.
Another serious situation with hypertension and kidney disease is that it will damage the kidneys and as the kidneys are damaged, the nephrons will become more porous causing even the big protein molecules to pass through it along with micro molecules like ammonia and urea and will cause hypertension as fluid will remain in the body due to low protein volume in the blood and will cause hypertension.
At this moment, all things must be checked like 24 hour urine protein output test, cretanine levels in urine and blood, Albumin in blood and urine.
Ecocardigraphy and ECG for cardiac functions and Venous blood pressure monitoring.
- KatieLv 45 years ago
I couldn't just sit around and do nothing like my doctors suggested.
They didn't want me to do anything or to take herbs or herbal remedies, but I had to try something - they just wanted me to do dialysis!
This program allowed me to take control of my health. I went from Stage 4 to Stage 3 kidney disease.
It was easy to do and my BUN, creatinine and anemia are all in better ranges.
Reversing Your Kidney Disease?
Source(s): https://bitly.im/aMYtQ