Blood Pressure
PKD Blood Pressure
Blood pressure for PKD kidneys needs to be consistently at 119/79 or lower. Elevations is blood pressure is a common first symptom with PKD. Gone are the days when the doctor would take your blood pressure, it might register 140/90 (or even 138/82) and you would be sent home for three months for it to be checked again three months later. This is long gone.Today it is known that a blood pressure of 138/82, is cause for concern that one's cystic kidneys can be harmed. Elevations or spikes in PKD'rs blood pressure to 138/82 or higher can create an immediate need to lower blood pressure aggressively. Try monitoring your own blood pressure.
2015 blood pressure trial results from the NIH showed that the top blood pressure number should only be 120 or less, not only for those with PKD but for all individuals. This prevents heart attack and stroke. The NIH trial had over 9000 participants. It is called the SPRINT trial. This news article also appeared on the SPRINT trial.To avoid the dizziness that can sometimes accompany lowered blood pressure, many have been advised to take blood pressure medication at night. Unlike other diseases, PKD'rs blood pressure is higher during the night. Many of the newer blood pressure medications will also help to increase renal perfusion or blood flowing to cystic kidneys, another reason to take it just before reclining.
According to the CRISP study, decreased renal blood supply is the first sign that PKD kidneys are going towards diminished functioning. Blood pressure that consistently measures 108/68 - 110/70 - 120/80 will maximize the chances for prolonging cystic kidney health. By self-monitoring blood pressure we can observe the direct daily result of gentle exercise, the direct daily result of eating a low sodium diet, and the direct daily result of maintaining a healthy lifestyle effects upon our own nightly blood pressure readings.
This can empower PKD'rs to self observe what different things help them in particular to keep blood pressure lower. Hopefully this eventually results in decreasing cyst size and increasing kidney functioning.
With Polycystic Kidney Disease the renin output increases to the point that almost everyone has to go on blood pressure medication as they age. Renin is triggered by a decrease in the blood supply to the kidney. Following a kidney transplant sometimes surgeons elect to leave our native kidneys in place. Due to their decresed blood supply natives can contribute to elevations in blood pressure. Some herbs diminish kidney perfusion i.e., Kava Kava, Gingko Biloba, and Ginseng. It would be prudent to avoid such herbs.
A Blood Pressure Lowering Experiment
In addition to limiting salt, daily exercise, staying warm (researchers have noticed that cold weather can cause ↑ in blood pressure), getting plenty of rest, walking daily also can be very helpful to help lower blood pressure. If you experience BP spikes try a walk in the morning. If it still spikes add a walk after dinner. If it continues to spike then try a third short walk at noon, perhaps just around the block.
I tried these things only for a week. I succeeded in lowering my own blood pressure.
Exercise
There was this wonderful sit down bicycle that resembled a low riding Harley Davidson motorcycle
with the extended front fork. I could only do about 3 minutes the first day. It was very difficult.
I continued to increase my exercise in one minute increments. I followed this exercise by drinking
3 glasses of mineral water with a squeeze of lemon juice.
Salt
I used no salt. I eat no prepared foods. If I need salt for baking bread, then I use Himalayan sea salt crystals (pink).
What makes table salt, the salt that pours are minute particles of aluminum. If you have a chance, taste the different
salts. I have done a taste test and found Himalayan to taste best. This salt has all the minerals in the same
proportions as the body. I don't know why, but it does not seem to cause a rise in my blood pressure when limited to 1200 mg / day.
Allergy
I eliminated all of the top 10 allergic foods. These foods cause the release of adrenaline which elevates blood pressure.
Wheat
Soy
Shellfish
Fish
Tree Nuts
Peanut
Eggs
Milk
Sesame
Celery
I eliminated all wheat, nuts, soy, dairy, animal proteins, grains except for brown rice. I have since learned that rice can contain arsenic due to the water used on it for growing.
Juice Freshly Prepared
I drank freshly prepared juice daily: carrots, parsley, cabbage, spinach, apple, oranges, pineapple, beets.
Concentrated Sugars
Eliminating all concentrated sugars, maple syrup, fructose, date sugar, honey helps lower blood pressure.
Caffeine was long gone from my diet, so was chocolate; two culprits which keep my blood pressure elevated
for three days standing.
Weight Loss I managed to lose a few pounds in the process. By the end of three days on this regime my blood pressure was consistently 98/68.
Herbs
Helpful for lowering blood pressure are parsley, saffron, hibiscus, asparagus
(however asparagus will change your urine to acidic due to its strong alkaline
affects in releasing stored toxins), chamomile, grape seed extract. and borage.
For saffron tea: take a half teaspoon of saffron simmer in a cup of water until the
the liquid remaining liquid is reduced by half. Strain and sip slowly. Saffron tea
also reduces liver pain.
What Raises Blood Pressure?
Avoid or limit table salt.
Try Solé
Limit salt:⅛ teaspoon Himalayan salt
in a salt shaker; toss unused daily.
Avoid commercial soups or restaurant soup or fast food soups.
Avoid commercially baked breads each slice ↑ sodium.
Avoid processed foods, ↑ salt and additives containing sodium.
Avoid luncheon meats & cheeses contain sodium-phosphate solution ↑ sodium.
Avoid commercially prepared salad dressings ↑ sodium.
Avoid soy sauce ↑ sodium.
Avoid or limit bread intake. It is ↑ sodium.
Cold weather
While traveling I noticed blood pressure spikes. I tried avoiding all of the top ten allergic foods and eating brown rice with vegetables, and exercising on a machine that looked like a low riding Harley Davidson motorcycle. I continued this regime only for a week. It worked for me. My own blood pressure did not spike during this entire week. I also drink hibiscus tea to help keep blood pressure low. I avoided travel food, prepared foods from restaurants, fast food, and frozen dinners. The extra salt in such foods was giving me BP spikes.
What Lowers Blood Pressure?
Many have had good luck in maintaining blood pressure levels 100/70 - 120/80 by:
Daily gentle exercise, walks
Salt restriction (1200 mg sodium diet)
Use no more than ⅛ teaspoon Himalayan salt daily
Eliminate allergic foods
Drink freshly prepared juice
Eat potassium rich fruits & vegetables
Remaining alkaline helps lower blood pressure.
Drink grape juice
Drink plenty of water
Eliminate sugars
Weight loss
Adequate Vitamin D
Warm weather
Get plenty of sleep
Cardamom
Buckwheat
Hibiscus
Kale
Garlic
Grape juice
Grape seed extract
Onion
Parsley
Pea protein
Saffron
Additionally ELIMINATE the following:
Caffeine
Chocolate
Coffee
Cola
De-caf chocolate
Ephedra
Ginger
Ginko biloba
Ginseng
Green tea
Hawthorne
Kava-kava
Kola nut
Licorice
Ma huang
Rosemary
Star anise
Tea
Limit meat & animal proteins
The Top 10 Allergic Foods
Allergic foods are capable of raising blood pressure as well as releasing histamines. This release of histamines leads to an increase in liver cholangiocytes creating more liver cysts which can stem only from cholangiocyte cells.
Wheat
Soy
Shellfish
Fish
Tree Nuts
Peanut
Eggs
Milk
The above eight foods are the notorious big eight. They account for nearly 90% of food-related allergic reactions in the United States. Allergenic foods cause the release of histamine. Histamine release stimulates liver cyst growth. Rounding out the top ten food allergies are numbers nine and ten: sesame and celery.
Sesame
Celery
Blood Pressure Spikes
Even with attempting all of the above, some continue to get blood pressure spikes. Sometimes this occurs only when we see our doctor, called
White Coat Syndrome
Blood Pressure Spikes
Bergamot Essential Oil
Fragrances, all fragrances are endocrine disruptors, and as such these can possibly increase PLD liver cysts. This has to be balanced
against White Coat Syndrome. I use bergamot essential oil to try and prevent White Coat Syndrome.
SCENAR
For everyday spikes their is a device made by SCENAR that is for lowering blood pressure. Some have tried the
SCENAR CARDIO 3
with good results.
The cost is about $200. Search the web for a good price.
High Blood Pressure a Common PKD Symptom
High blood pressure is the most common kidney complication in ADPKD. It occurs in 60 percent of individuals with normal renal function. Blood pressure elevations are associated with a faster rate of decline in kidney functioning. Activation of the renin-angiotensin-aldosterone system plays an important role in high blood pressure associated with PKD Polycystic Kidney Disease. Preliminary results from long-term studies suggest that angiotensin converting enzyme inhibition, in contrast to conventional diuretic therapy, may be beneficial in preventing progression to kidney failure with PKD Polycystic Kidney Disease. Care should be taken with over 70 year olds with PKD'rs taking ACEi or ARB blood pressure medications.
What Raises Blood Pressure?
↑ salt
nicotine
smoking
kidney hormones renin-aldosterone system
lack of exercise
dehydration
increased weight
aging
↓ potassium foods
and possibly skin salt
Skin Salt
Skin salt could be a new indicator of high blood pressure. Not only does the skin store sodium that is possibly related to
hypertension, but the amount of sodium can be assessed with an MRI scan. According to the above article, a researcher said
"We know that age
is a risk factor for hypertension. The main point of our study is that the sodium in the skin might be a more relevant marker for
hypertension than sodium in the blood."
Salt Restriction
Salt restriction is an effective means of maintaining low blood pressure especially avoiding table salt which is added to many many prepared and fast foods, including commercial breads. A retrospective study was done between (2) two dialysis centers. Those who used salt restriction had a lower incidence of left ventricular hypertrophy, fewer episodes of low blood pressure while on dialysis, and lower body weights. A recent article concludes in older individuals that perhaps colder weather contributes to high blood pressure. Cold weather also causes blood pressure to rise. A recent medical article talks about low Vitamin D levels creating a disparity in Blood Pressure levels. Shorter sleep duration predicted higher blood pressure, adverse changes in blood pressure, and an increased risk of hypertension over a five-year period.
Non-Medications Affecting ↓ or ↑Blood Pressure
Asparagus | Borage | Berries | Broccoli | Black beans | Dandelion |
Garlic | Grape juice | Lemons | Melon | Onions | Rose hips |
Hibiscus | Saffron | Chamomile | Parsley | Grapeseed | Greens |
RESPeRate | Potassium citrate | Magnesium prescribed | Calcium citrate | Biofeedback | Intimacy |
Exercise | Sleep | Rest | Walks | Stretching | Pilates |
Visualization | Beach | Tropics | Tai Chi | Stress relief | Yoga |
Weight loss | Solé | Lo sodium | Øtake out | Øweight gain | Øsalt, especially table salt |
Self-prepare food | Øcan food | Øfrozen food | Øprocess food | Øfastfood | Øpre-prepared food |
Alcohol | Allergic foods | Animal proteins | Bleach | Brazil nuts | Caffeine |
Canned goods | Candy | Cheese | Celestial season-herb teas | Cheese | Chocolate |
Coffee | Coffee espresso | De-caf | Cola including de-caf | Dairy | Dark chocolate |
Hawthorne | Licorice | Ginseng | Ginger | Rosemary | Maca |
Decaffeinated drinks | Dextrose | Egg | Ephedra | Concentrated sugar | Sugar |
Fructose | Corn Syrup | Frozen foods | Margarine | Green tea | Black tea |
Hazelnut | Ice cream | Kola nut | Butter | Deli meats | Macadamian |
Maple syrup | Milk | No-caffeine chocolate | Olives | Pastries | Peanuts |
Pizza | Crackers-salt | Prepared food | Pseudofed | Raw chocolate | Fried food |
Salt, table salt | Salty snacks | Salty chips | Sedentary | Soup canned | Soy |
Sodium Gluconate | Star anise | Sweets | Bread-salt | White tea | Weight gain |
Wheat | White rice | MSG | Windex | Yeast | Yoo-hoo drink |
French fries | Bacon | Sauerkraut | Chicken noodle-soup | Pickles | Pot pies |
Biscuits | Donuts | Ramen | Miso | Soy sauce | Red meat |
Cold weather | Sleepless nights | Sugar | Concentrated sugars | ↑ Skin salt | Aging |
What does lowering blood pressure do?
Lower blood pressures helps diminish proteinuria, proteins from spilling in the urine. Lower blood pressures minimizes cyst expansion. Lower blood pressures prevent heart symptoms. The majority of individuals with PKD succumb to cardiac disease. Yes our kidneys sometimes fail; yes our kidneys decrease their functioning; but it is our hearts that eventually give out in the end. When given blood pressure medication you want one that lowers blood pressure; decreases proteinuria; and increases kidney blood flow. Ask about grapefruit while taking blood pressure medication.
Does Diet Help?
Urine Alkalization Facilitates Uric Acid Excretion 2010
In Japan they used two types of diets, one of meats (acidify urines); the other fruit and vegetable rich, converts the urine to alkaline. This was a 5 day consecutive study. They collected all day urines from participants and found that after three days urine pH reached a steady state. Researchers conclude that alkalization of urine by eating nutritionally well-designed alkaline foods are effective for removing uric acid from the body.
Uric acid is elevated in PKD.
Support for Less Salt, More Potassium 2013
The idea that reducing salt intake -- and increasing potassium intake -- can lower blood pressure and improve disease outcomes has received additional support from three systematic reviews.
Diet vs Alkalizers in Chronic Kidney Disease 2013
Conclusion:
One year of fruits and vegetables or NaHCO in individuals with stage 4 CKD yielded eGFR that was not different, was associated with higher-than-baseline PTCO, and was associated with
lower-than-baseline urine indices of kidney injury. The data indicates that eating fruits and vegetables improves metabolic acidosis and reduces kidney injury in stage 4 CKD
without producing hyperkalemia.
Saving Failing Kidneys
This is a very interesting Malaysian newspaper article. From this article one can learn that for most of the citizens of Malaysia there are very few treatment alternatives to save their their failing kidneys and according to this article, dietary changes is good place for one to start. Those who can make the switch to all vegetarian proteins seem to have a much easier time with maintaining their health.
BP Medication or Who Ate My Ham Sandwich?
Through observations while living in a body with a cystic liver and kidneys, I have discovered some interesting things. One is a possible means of keeping my cystic kidneys working optimally. Potassium citrate eliminates spilling of protein in my urine. Proteinuria is the first symptom doctors look toward as an indicator that kidneys are beginning to slow down in their functioning. I attributed this increase in proteinuria to the passage of time, to aging. I tried atacand and cozaar, two high blood pressure medications known to reduce proteinuria. Each successfully got rid of protein in my urine. Both were prescribed for the sole purpose of abolishing proteinuria not for high blood pressure. I found that by following a low sodium alkaline diet (less than 1200 mg/day), these blood pressure medications gave me an uncontrollable craving for salt. I craved ham sandwiches on rye with a dill pickle for breakfast lunch and dinner. I stopped the atacand and the craving left. I started Atacand and once again and the craving returned. I am normally a vegan vegetarian. I was wandering around my home questioning anyone nearby if they had eaten my ham sandwich. The culprit was me.
Optimal blood pressure for individuals with Polycystic Kidney Disease is between 120/80 - 110/70 - 100/60