There are certain genetic diseases or cystic diseases or you may be resorting to alternate medications chronically where you wont be having any symptoms as such but you can directly present with advanced renal failure.

A conventional Indian diet is pretty much deficient in protein in comparison to western diet. The daily protein requirement in CKD is 0.8gm/kg/day. While you need to minimise your salt intake,there is no need to curb down the regular pulses from your diet. Vegetables can be consumed after proper lynching and boiling and plant based proteins should be preferred over animal proteins.

While the salt restriction remains and water restriction as per your urine output,once you are undergoing dialysis your protein intake should be more than the normal- 1.2gm/kg/day.

Your disease course wont be altered but it can well be accelerated once you resort to. The indigeneous medications are often adulterated with heavy metals which in due course of time leads to a chronic interstitial nephritis where in your urine output may remain normal but your creatinine levels would show a steady increase with time.

There are two types of renal replacement therapy: Dialysis- where you can either opt for hemodialysis where your blood will be filtered via a machine and you need to get it done 2-3 times a week for 4 hours. Or you can undergo peritoneal dialysis at home where in your family member would assist you in the process in getting the bags exchanged or you can also be connected to a machine while sleeping and the dialysis process would continue overnight without the hassle of changing bags. Transplantion- where in someone from your family would come up to voluntarily donate one of their kidneys which is termed as live related renal transplant or someone after being declared brain dead offers you the kidney after the deceased’s family members consent to the same which is termed as cadaveric transplantation.

With the recent medical advancements blood grouping no more remains a barrier to renal transplantation. It can be done with an added immunosuppression and an extracorporeal therapy in the form of plasmapheresis prior to transplant surgery.

Renal transplant should be preferred over dialysis given the mortality benefits of the former; more so one can lead a normal life without those stringent dietary restrictions and weekly schedules of visiting a dialysis center. But being on immunosuppressive therapy, one should be vigilant in taking all precautionary measures after transplant.

You have to take the medications till your transplanted kidneys stop functioning and you again land up on dialysis.