Minh purchased traditional medicine advertised to "completely cure kidney failure" and brewed it for daily consumption. After more than a month, he developed edema, anemia, and shortness of breath, requiring emergency hospitalization. His condition had progressed to stage 4, with an estimated glomerular filtration rate (eGFR) of approximately 29 ml/min/1,73m2 and protein in his urine.

Doctor Ho Tan Thong, from the Nephrology - Dialysis Unit at Tam Anh District 7 General Clinic, stated that Minh's failure to follow his treatment regimen caused his kidney failure to advance significantly. If not immediately controlled, the patient faced a high risk of long-term dialysis or a kidney transplant.

According to Doctor Thong, acute kidney injury caused by medication can recover if the problematic substance is identified and stopped promptly, combined with internal medicine treatment. This approach helps the kidneys recover and prevents further damage. Minh was advised to discontinue the traditional medicine and began internal medicine treatment to manage his edema, anemia, and other disorders resulting from impaired kidney function. His kidney function indicators, electrolytes, and blood pressure were closely monitored, and his medication was adjusted according to his disease progression. He also received guidance on an appropriate diet, limiting salt and water intake based on his kidney function, and was scheduled for regular follow-up appointments to evaluate treatment effectiveness.

After 10 days of treatment, Minh's eGFR increased to 46 ml/min/1,73m2, which is equivalent to chronic kidney disease stage 3A. Doctors maintained his medication regimen to control his symptoms.

At a follow-up appointment yesterday, Minh's eGFR was 65 ml/min/1,73m2, indicating almost complete recovery, and his proteinuria was negative. However, he still needs to continue his medication and undergo periodic monitoring.

Doctor Thong instructs Mr. Hung on diet, lifestyle, and regular follow-up appointments. *Photo: Tam Anh District 7 General Clinic*

Doctor Thong highlighted that social media features numerous advertisements for traditional medicines, herbal teas, and plants, claiming to support kidney health and detoxify the body. However, no scientific research has proven that traditional remedies can cure chronic kidney disease.

The doctor explained that some plants contain alkaloids or heavy metals absorbed from the soil, which can increase the risk of renal tubular toxicity and accelerate the progression of kidney failure. Decoctions made from certain leaves and roots may also contain high levels of potassium. For individuals with kidney failure, unexcreted potassium can lead to arrhythmias and even cardiac arrest. Furthermore, some products with undisclosed ingredients might contain various minerals or substances harmful to the kidneys. Unlike prescribed medications, patients using traditional medicine often lack guidance on adjusting dosages according to the different stages of kidney failure.

Many patients only seek medical attention when their kidney function has significantly deteriorated, losing the opportunity for conservative treatment. The doctor advises kidney patients against discontinuing prescribed treatment, skipping follow-up appointments, or using traditional medicine from unverified sources. Patients must adhere to regular treatment and follow-up schedules, allowing doctors to adjust medication, diet, and lifestyle appropriately for each stage of their condition.

Dinh Lam

* Patient's name has been changed