Thursday, October 26, 2017

What is the high creatinine level and the urea level is delicious

In our daily life, meat, vegetables, fruits, grains, beverages and so are essential food. Some of which do help to reduce the increase in creatinine and urea levels. The following is a detailed explanation of our question.

fruit

Creatinine and urea are all metabolized into the blood and discharged from the kidney. When the renal filtration rate decreased, the blood creatinine and urea levels spontaneously increased. Some fruits such as cranberry can help improve kidney filtration speed, thus eliminating more waste, while other fruits such as blueberries and kiwi can protect kidney function and prevent creatinine and urea from rising.

vegetables

Like fruits, many vegetables also have diuretic or antioxidant functions. Bitter gourd, cucumber and other vegetables can help increase urine output to absorb more creatinine and urea, while red peppers, onions, etc. can protect damaged kidneys.

Herbal tea

For doctors with high creatinine and urea, doctors always recommend diuretics. In fact, some herbal tea is a natural diuretic. Such as dandelion root, corn silk, Salvia, nettle leaves, etc., can increase the glomerular filtration rate, increased renal excretion.

spices

Has proven that some spices such as cinnamon are good for home remedies to reduce high creatinine and urea levels. However, if additional intake or blind intake, these spices may have some side effects.

In addition to the above food or drink, meat is an important food, because it is one of the important sources of protein. However, the byproducts of meat decomposition can produce creatinine and urea. So you better control the intake of meat

And, natural therapy. There are natural remedies that can help you lower elevated creatinine and urea levels. Chamomile tea ensures a reduction in high creatinine and urea levels in the blood. The roots of dandelion are a very healthy herbs that can rinse toxic substances and discard the product from the blood.

As long as these foods and remedies are taken, simply can not solve the problem, you must seek effective treatment of kidney disease treatment. In the case of kidney disease in Shijiazhuang, patients with kidney disease provide a range of natural therapies, including liquid, acupuncture, foot bath and micro-Chinese medicine.

If you are interested in this topic and would like to know more, please send an email to chinakidneytherapy@gmail.com. We will reply you within two days.

Tuesday, October 24, 2017

Kidney failure can make your body smell worse

Kidney failure will make your body smell stinky kidney disease make your body smell bad? I heard that kidney disease patients often complain about foam urine, hematuria, fluid retention and fatigue, which may be caused by kidney disease. However, in other cases, the patient may complain of body odor. Why is that so? Why are these patients with kidney failure? Is there any way to get rid of it?
Why does kidney failure cause odor?
The kidneys are a good excretory organ that has an important function of removing metabolic wastes and toxins in the body and maintaining an electrolyte balance. However, renal failure, almost all of the renal function will disappear, leading to the accumulation of protein metabolites, including urea, guanidine compounds, creatinine, amine and so on. These uremic toxins tend to cause body odor.
High PTH may also be the cause of body odor in patients with renal failure. When the kidneys do not work properly, excessive phosphorus in the blood gradually accumulates, resulting in low calcium content. In this case, the parathyroid gland produces more hormones to maintain the patient's calcium content. Excessive active parathyroid glands can cause patients to sweat excessively. Once the sweat interacts with the bacteria on the skin, it is more likely to cause body odor.
Diabetes is another cause of body odor in some patients with renal failure. If your kidney failure is caused by diabetes, your body's smell is high.
How to manage this strange body odor kidney failure?
For a variety of reasons, the body odor of patients with renal failure is very different. If you are experiencing this problem and want to personalize your analysis, you can consult our online doctor free of charge at the bottom right of the dialog box.
Finally, the body smells are only symptoms of chronic kidney disease, and if we want to successfully remove this symptom, we need to improve renal function. Only the remaining kidney function is sufficient to maintain normal life in order to make all the symptoms, including the bad smell of the body, ease or permanent treatment.

Micro-TCM treatment: you can completely remove the body's metabolic waste, thus controlling the patient's odor.
If you want to learn more about home remedies to help you get rid of the smell of your body, or if you have any questions about today's topic, you can leave a message to the kidney specialist.

Monday, October 23, 2017

Can patients with nephrotic syndrome eat apples?


Apple is good for our health. Apple is full of vitamins, minerals, fibers, enzymes and so on. Nephrotic syndrome patients with nephrotic syndrome patients can eat apples? The answer is yes.

Apple reduces the risk of heart disease

Patients with nephrotic syndrome usually have hyperlipidemia and increase your risk of heart disease. The apple contains pectin, which is attached to cholesterol and is discharged from the body, thereby reducing the risk of heart disease. Help to reduce high blood pressure, reduce heart disease.

Apple prevents osteoporosis.

With the decline of renal function, patients with renal syndrome due to calcium deficiency lead to high risk of osteoporosis. Apple releases calcium and other minerals from the food you eat, so your body absorbs and uses them to strengthen the bones better.

Apple reduces glucose levels.

If your nephrotic syndrome is caused by diabetes, the apple can help you control blood sugar levels and prevent diabetic complications.

Apple has other health benefits.

It can also help your body maintain proper pH, improve intestinal irregularities, remove toxins from the body, strengthen the immune system and so on.

While apple cider vinegar has so much health benefits, it does not mean you can take a lot of diet. Excessive consumption of vinegar can cause many problems. Therefore, it is advisable to consult your doctor's recommended daily intake.

Sunday, October 22, 2017

Chronic kidney failure can eat pineapple?

Patients with chronic renal failure must choose the fruit is good, because some fruits in the potassium or phosphorus content is high, which may make the disease worse, accelerate the kidney problem. Pineapple is a common nutritious fruit that has many health benefits, but due to restrictions on diet, chronic kidney failure should avoid eating too much pineapple.

The health benefits of pineapple

Pineapple is a vitamin C high, the body's main water-soluble antioxidant, resistance to attack and damage free radicals of normal cells.

Pineapple helps to relive sore throat, bronchitis and arthritis.

3. It is a good source of vitamin B1, vitamin B6, coconut and dietary fiber.

Pineapple contains manganese, it is our body used to build bone and connective tissue trace minerals. Therefore, eating pineapple regularly will help build and maintain strong bones.

Pineapples help improve digestion.

Pineapple is a high antioxidant that helps our body suffer from free radical damage, which can lead to atherosclerosis and diabetic heart disease and increase the risk of developing certain cancers such as colon cancer.

Why chronic kidney failure can not eat too much pineapple?

Pineapple high potassium. Kidney helps keep the level of potassium within the normal range; however, when the kidney function is severely affected, the potassium content in the blood will rise, causing heart problems and breathing problems.

2. Pineapple is useful for patients with heart disease, but it seems to reduce the time required for blood clotting, which is detrimental to patients with kidney and liver disease.

Chronic renal failure is an incurable disease that seriously affects the patient's life. Therefore, although pineapple has many health benefits, but patients with chronic renal failure before eating pineapple should be careful, prior to the doctor's permission.

If you want to know more please leave a message to me chinakidneytherapy@gmail.com.

Saturday, October 21, 2017

GFR 8 and creatinine 6 are close to death

GFR 8 and creatinine 6 mean death in kidney surgery patients with kidney disease that means death is close. In the last few days, if you have a risk of death for patients with GFR 7 and creatinine 6.5, please contact us. In order to help him, we analyzed his situation, where we will give him an overview.
What does GFR 7 mean?
GFR describes how many blood glomeruli can be filtered within a minute. For healthy people, GFR ranges from 100 to 130 ml / min. However, for kidney disease patients, kidney damage, decreased renal function, GFR decreased. In addition, a significant decline in renal function, GFR lower. Therefore, GFR is used as a measure of renal function, according to GFR, chronic kidney disease is divided into five. In the late kidney disease, GFR less than 15ml / min. So we can know that GFR 8 patients are in the end of the kidney disease. Now look at the condition of end-stage renal disease:
Kidney can hardly completely remove waste and toxins from the body. Many symptoms can occur obviously, as follows:
-no appetite
- nausea or vomiting
-headache
-fatigue
-skin itching and change
- Variety
-edema
- muscle spasms
Worse still, some life-threatening complications can occur, such as heart disease and cardiovascular problems. In general, kidney transplantation and dialysis are always recommended for patients with end-stage renal disease.
What does creatinine mean?
In clinical practice, the use of creatinine levels as an important indicator of decreased renal function. Creatinine is a waste produced by muscle metabolism. Due to kidney disease, the kidneys can not eliminate large amounts of creatinine from the body, resulting in high creatinine levels. According to the study, when the creatinine level increased to 5, the need for dialysis to help the kidneys to remove waste. Normal creatinine levels between 0.5 and 1.2 mg / dL. So we can know that creatinine 6.5 is much higher than normal.
Do patients with creatinine 6 and GFR8 have a risk of death?
From the above we can see, creatinine 6 and GFR8 patients are really threatened, must be effective treatment to alleviate the disease. They should dialysis to remove body waste and toxins, reduce heart disease and cardiovascular problems and other complications. But this is not enough, because dialysis can not help repair kidney damage and restore renal function, which is the fundamental factor in controlling the disease. Chinese medicine is very effective in recovering kidney damage and recovering renal function. Chinese medicine is a modern science and technology and Chinese medicine has a long history of more than 2000 years. According to statistics, Chinese medicine in the recovery of renal function has made great success.
In general, creatinine 6 and GFR8 patients need to take active measures to reduce creatinine levels and restore renal function. Chinese medicine and dialysis can help them get good results. If you want to know more please leave a message chinakidneytherapy@gmail.com

Saturday, October 14, 2017

Kidney Disease 4, Can I drink lemon juice?


Lemon is a nutritious fruit that is good for our body and is often used as a fruit juice. However, for patients with stage 4 chronic kidney disease, they need a restrictive diet. With this problem, kidney disease can drink lemon juice 4

Lemon is rich in vitamin C, potassium and folic acid. In addition, it is rich in protein, vitamin B1, vitamin B2, vitamin C, sugar, calcium, phosphorus and so on. Because of these nutrients, lemon juice can bring the following health benefits to patients with stage IV CKD.

Improve the digestive system

Lemon juice can cause the stomach to secrete protease to stimulate gastrointestinal motility, thus helping to digest food. Patients with stage 4 kidney disease usually lose their appetite, so improving the digestive system is critical.

2. Lower blood pressure

When the kidneys can not remove the extra liquid and sodium from the body, the blood pressure gradually increases. As mentioned above, lemon juice is rich in potassium, can resist the impact of sodium on blood pressure, thereby reducing high blood pressure.

3. bactericidal effect

Nicotinic acid and other organic acids in the lemon has a strong bactericidal effect, can protect the body from bacterial infection and other issues.

4. Treatment of renal anemia

Iron in lemon juice can prevent and treat anemia caused by iron deficiency. Therefore, patients with renal anemia can drink some lemon juice.

It should be noted that if the patient's high potassium level or its kidney disease is caused by diabetes, should control the consumption of lemon and lemon juice. If you want to use lemon juice healthily, consult your doctor first.

Friday, October 13, 2017

8 ways to naturally reduce your creatinine levels


Creatinine is a blood chemical waste that is produced when using muscle. Eating a lot of protein may also produce a small amount.

Blood transfers creatinine to your kidneys and filters your body through urine. But your kidneys do not work properly, the level of creatinine in the blood may increase. This can lead to uremia, life-threatening.

Your body needs clean blood to play the best role, the best way to reduce creatinine levels is to treat. Dialysis is a common treatment for kidney problems. This is an important medical procedure when your kidneys can not remove waste from the body. However, you can supplement these treatments by different remedies and lifestyle changes to reduce creatinine.

How to reduce creatinine levels, including the following eight natural options:

Exercise the body

Exercise is usually a good thing, but excessive exercise will stimulate your creatinine level. As the muscle metabolism will produce creatinine, muscle tissue through the excessive use of excessive activity may rise.




A study shows that intense exercise increases creatinine levels as a response to increased muscle breakdown, at least temporarily.




Let the doctor tell you what you should do and what type of exercise. Try to walk instead of running, or do yoga instead of weightlifting.

2. Do not take creatine supplements

Creatine is a natural compound made in your liver. It is transported to your muscles, it is used for energy. Unused creatine can not be used for energy conversion to creatinine, a waste.




In addition to the natural form, creatine can also be used as an oral supplement. Some athletes use these supplements to help enhance athletic performance. Like natural creatine, supplements containing this substance produce creatinine.




Anyone who wants to lower the creatinine level should not take creatine supplements. There are limited studies of creatine and their overall safety.

3. Reduce protein intake

Studies have shown that eating a lot of protein can increase creatinine levels, at least temporarily. Cooked red meat can particularly affect creatinine. Cooking heat can cause muscle to develop creatine, producing creatinine.




Creatinine levels in people with higher food intake with red meat or other protein sources (including dairy products) may be higher than those with less food. If you eat a lot of red meat, you can choose more vegetable dishes. Try to change the vegetable pie, the rich vegetables stew or lentil soup beef burger.

4. eat more fiber

More research is needed to determine the effect of dietary fiber on creatinine levels. However, a study shows that patients with chronic kidney disease creatinine levels decreased significantly, increased fiber intake.




Fibers can be found in many foods, including:




fruit

vegetables

Whole grain

beans

5. How much liquid should you drink?

Dehydration can increase creatinine levels. For people with kidney disease, liquid intake may also be a problem. Tell your doctor how much water you should drink every day and other liquids, and when to drink them best.

6. Try using chitosan supplements

Chitosan is a dietary supplement that is used primarily in people who want to lose weight or lower cholesterol. Some studies have shown that chitosan can also effectively reduce creatinine levels in patients with renal failure.




Talk to your doctor before you start using chitosan or any other dietary supplements. You need to know how to take and the appropriate dose.

7. Take WH30 +

Many herbs are natural diuretics that may help some people lower creatinine levels. However, the exact scientific data lacks herbs and their effectiveness in lowering creatinine levels.




An animal study shows that in the case of Chinese herbal medicine called WH30 +, the creatinine level is elevated.




Salvia




8. Use Salvia

In China, people use Salvia to treat renal failure. And a review of several studies suggests that Salvia may have a positive effect. However, Salvia is a hallucinogenic agent, so it should be used very carefully.




Even ordinary herbs may interfere with drugs. Talking with your doctor about her use of herbs, including herbal tea, is very important.




Other herbs discussed with your doctor include:




Sting nettle (nettle leaf)

Huang Chunju

cinnamon

Senate

Dandelion root

Sunday, October 8, 2017

Routine recipes for patients with chronic kidney disease


Breakfast: sweet milk (250 grams of milk, 10 grams of sugar), bread or bread (flour 50 grams), boiled eggs (50 grams of eggs).  lunch: buns (50 grams of meat, 200 grams of cabbage, flour 100 grams), soup 1 bowl (25 grams of eggs, 50 grams of cucumber, tomato 50 grams).  snack: peach 100 grams.  Dinner: rice (rice 100 grams), burning eggplant (lean meat 50 grams, 200 grams of eggplant), fried cabbage (100 grams of cabbage).  full cooking oil 30 grams, less than 3 grams of salt.  The above recipe contains heat 1763  7 kcal (740 kJ).
● chronic nephritis therapeutic side  (1) longan porridge: longan 60 grams, 100 grams of rice, brown sugar a little. ① Astragalus cut into thin slices, rice washed clean. ② Astragalus into the pot, add appropriate amount of water, with the fire after boiling, to slag to take concoction. ③ japonica rice pot, add juice, the amount of water, with the fire after the fire mixed, switch to slow fire to rice rotten into porridge. 2 times a day, sooner or later the 1, for the elderly edema, chronic nephritis, physical weakness, but the red tongue Jifu.  (2) ginger jujube porridge: fresh ginger 12 grams, jujube 6, 90 grams of rice. Ginger washed after chopping, with jujube, rice porridge. 2 times a day, do breakfast and dinner, can be taken perennial. Selected for mild floating, looking for chlorosis.  (3) black sesame Poria porridge: black sesame seeds 6 grams, 20 grams of Poria, rice 60 grams. Poria cut, into the pot of decoction, and then into the black sesame rice porridge instantly. 2 times a day, morning and evening meals, even for 15 days. Applicable to the spirit of withers.  (4) Shuangpi Tang: gourd shell 50 grams, 30 grams of melon skin, red dates 5. The above-mentioned herbives were added to 400 ml of water to 150 ml, to the residue to stay juice. Daily 1, served until the swelling subsided, apply to swollen.  (5) yam porridge: dry yam 60 grams or fresh yam 120 grams, 60 grams of rice. Yam washed and sliced, and boiled rice common porridge. 2 times a day, morning and evening meals, can often take, should warm the spleen and kidney, Tongyang water-based.  (6) melon melon soup: melon 1000 grams, 30 grams of Amomum villosum. Melon, Amomum cohosh stew into soup. Every day a dose, even for 20 days to diarrhea mainly.  (7) turtle shell drink: 30 grams of yam, turtle shell 30 grams. First turtle shell fried 2 hours, and then add yam, yellow with fry, to slag juice. 2 times a day, morning and evening taking, even for 1 week. Applicable to less urine, swollen below the waist.  (8) Carp porridge: 2 carp, 60 grams of rice, fresh reed root 6 grams. Net fish to remove the internal organs washed, and the rushes grass, rice co-Zhu Chengyu. 2 times a day, early, dinner taking, and even served 20 days, should warm the spleen and kidney, Tong Yang Li water.  (9) Gorgon porridge: Gorgon 30 grams, 30 grams of glutinous rice, 10 ginkgo. First ginkgo peeled to the core, the ginkgo and Gorgon, glutinous rice common porridge. Day 1, 10 days for a course of treatment, should be flat liver yang, mainly to the solid kidney.  (10) persimmon leaves sugar: fresh persimmon leaves 1000 grams. Will be fresh persimmon leaves washed chopped, add water, fried, to slag juice, small fire concentrated to sticky. Add sugar to dry medicine, dried crushed, bottled with. 3 times a day, each blunt 15 grams, apply to mild edema, backache legs, sleep, sweating.

Kidney disease diet which fruit can eat

Fruit nutrition is very rich, but many people are on the fruit of the food taboo, some of the fruit they can not touch the touch. Then for patients with kidney disease can eat fruit? What can eat the fruit? Nephrotic patients diet should pay attention to what? Let Xiaobian let you explain it!

The type of kidney disease is not the same, there are many types, there are chronic and acute, so the fruit is not the same, the election is the most important food.

Kidney disease can eat fruit

Kidney disease can eat fruit
Kidney disease is acute and chronic. Acute kidney disease caused by colds caused by glomerulonephritis, generally 8 weeks can be cured; uremia is the end of chronic kidney disease. Speaking of kidney disease can eat fruit, different kidney disease can eat the fruit is not the same, the following Xiaobian for you.

If it is acute nephritis patients, patients are often recommended to eat apples; if diabetic nephritis patients can eat some hypoglycemic effects such as apples, pineapples and grapes and other fruits.

If nephritis patients with gastric ulcer symptoms, you can eat an appropriate apple, but can not use lemon and plum are acidic fruit Oh!

If it is edema, it may also be appropriate to eat some apples, but this kind of nephritis patients should not eat more water, such as watermelon, pear, pineapple, banana and other fruits.

If it is nephritis accompanied by anemia, it is not eat oranges, persimmons and other fruits, because these fruits easily combined with iron, will hinder the absorption of iron with other food.

If it is accompanied by anemia nephritis it, should not eat oranges, persimmons and other fruits
If it is nephritis dialysis patients, generally not limited, but if the nephrotic patients appear low potassium need to encourage eating some potassium-rich fruit, such as citrus, orange and so on.

In addition, if the nephritis is more serious, and also accompanied by poor renal function, the phenomenon of increased potassium increased, do not eat some high potassium fruits, such as oranges, walnuts, red dates, grapefruit, apricot, red fruit, bananas The

Saturday, October 7, 2017

Can nephrotic syndrome eat ejiao?


Gillian disease is a lot of women are very popular with a nourishing nutrients, then for patients with nephrotic syndrome can eat ejiao it? Eat gum for patients with nephrotic syndrome in the end there is no Influence? Expert solution.
Kidney disease syndrome diet is very important, many patients think that sick, the body is relatively weak, it should be doubly.But, kidney disease experts must remind the patient is that different conditions There is a different adaptation, for the nephrotic syndrome is very important for the diet, not just nephrotic syndrome, any chronic kidney disease are not suitable for tonic, but to a reasonable diet, pay attention to taboo, because the kidneys are the body's detoxification Organs, unreasonable too much diet will increase the burden on the kidneys, resulting in exacerbations.
Nephrotic syndrome can eat ejiao it? So in the end nephrotic syndrome patients can not Ejiao? Patients friends, donkey-hide gelatin is mainly used for blood deficiency chlorosis, dizziness, palpitations and so on. For the blood of the Jiapin. Often with Rehmannia, Angelica, Astragalus and other replenishing qi and blood with the use. For patients with nephrotic syndrome can take Ejiao, need to be based on the patient's condition of the specific circumstances, this is the patient must be clear friends, so the use of donkey-hide gelatin must be carried out under the doctor's advice.
Nephrotic syndrome can eat ejiao it? So, patients with nephrotic syndrome in the diet to pay attention to what? Nephrotic syndrome in the diet of the total need to do the following three points:
1, nephrotic syndrome can eat ejiao it? - protein intake
For patients with chronic renal insufficiency in nephrotic syndrome, the need to limit the intake of protein, which can reduce the blood nitrogen retention, reduce the burden on the kidneys, thereby delaying the process of chronic renal failure. Generally advocate intake of protein daily 0.4 ~ 0.6g / kg body weight, should use high-quality protein, such as eggs, milk, lean meat and other animal protein, which contains a high degree of amino acids, and decomposition in the body after the nitrogen content of less , Plant protein such as soy products, corn, flour, rice and so on.
2, nephrotic syndrome can eat ejiao it? - salt intake
Nephrotic syndrome patients without edema or high blood pressure in the case of salt, can be the same as normal daily salt 10 grams, limiting salt intake mainly for edema and hypertension in patients, because the salt can not increase the salt Retention, so that edema is difficult to subside, causing high blood pressure.
3, nephrotic syndrome can eat ejiao it? - water intake
For patients with nephrotic syndrome edema should be based on the degree of urine and edema to grasp the amount of water intake, in general, if the edema is obvious, the beginning of eating, the water intake is best limited to 500-800ml / Day is more appropriate.
Nephrotic syndrome can eat ejiao it? The above is the nephrotic syndrome can eat ejiao, and nephrotic syndrome, other related diet to explain, presumably patients have a certain understanding, more kidney disease syndrome diet patients You can communicate directly with online experts, detailed access to nephrotic syndrome diet program.

Tuesday, September 19, 2017

treatment and diet of kidney disease : Polycystic kidney diet

treatment and diet of kidney disease : Polycystic kidney diet: Polycystic kidney disease diet to light the main, eat fresh vegetables and fruits such as carrots, high vitamin C content of kiwi, oranges, ...

Polycystic kidney diet

Polycystic kidney disease diet to light the main, eat fresh vegetables and fruits such as carrots, high vitamin C content of kiwi, oranges, jujube, etc., appropriate consumption will strengthen the immune system, not easy to catch cold. In addition, polycystic kidney disease patients also appropriate absorption of high quality protein foods such as eggs, milk, lean meat and some soy products. In addition, if it is simple renal cyst patients, if there is no obvious edema, heart failure, high blood pressure and other phenomena, can be appropriate intake of water. Because simple renal cysts in patients with renal function decreased, the body of metabolites need more water to be discharged from the kidneys. Of course, for the polycystic kidney disease diet should pay attention to what? Polycystic kidney diet: adhere to moderate principles of polycystic kidney disease in the diet should pay attention to "saturation" and "heat". Eating less than enough to cause malnutrition, too full is often hurt the spleen and stomach digestion, absorption function, and even blood circulation disorders; compared to eat too cold, will hurt the spleen and stomach yang, and the diet Xin Wen hot Will make gastrointestinal heat. 1, limit the excessive intake of protein: to eat less chicken, duck, fish, meat and other animal high protein, high fat and greasy food; eat less plant protein content, such as Beans, soy products (especially renal insufficiency of polycystic kidney disease). To achieve low protein diet, to reduce the burden on the kidneys, reduce the disease play an important role. 2, restrictions on spicy stimulating food: such as pepper, alcohol, smoking, chocolate, coffee, fish, shrimp, crab and so on. 3, limit the taste of heavy class of food: such as pickled salted food. Of course, the control of salinity, according to the patient's condition and renal function to adjust, not all renal cyst patients should be strictly limited salt. 4, restrictions on contaminated food: such as rancid, unsanitary, barbecue food. 5, restrictions on the use of drugs on the kidneys toxic side effects. Of course, when the emergence of high blood pressure and edema, sodium salt intake in the limit at the same time, or the need to use antihypertensive drugs (although some side effects, but high blood pressure will make kidney damage greater). If you have a daily diet in the relevant food problems, be sure to consult experts, not by their own speculation, which led to eating bias, resulting in unnecessary physical injury.
If you want to know more, send email to pkd-treatment@hotmail.com