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A MyLupusTeam Member asked a question πŸ’­
Martin, TN

My eGFR keeps declining. My doctor is sending me to a specialist. How does this affect us lupies. Can someone tell what their experience was/is. I am scared, I guess because Ive never dealt with anything this bad before I worry about my adult son, we just lost his father on Christmas Eve.

April 24
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A MyLupusTeam Member

Lisa, I have also had a decline in my GFR over my 35 years with lupus nephritis, but it has been slow. The measures we can take to preserve our kidney function include drinking plenty of water, avoiding salt, avoiding over-the-counter meds without first double-checking with your doctor (especially NSAIDs), and keeping our BP controlled. Ideally, a BP under 120/80 helps preserve kidney function. ACE and ARB medications also help preserve it. The progression of kidney disease is highly variable and depends on the stage, too.

There are very effective meds to treat lupus nephritis, so try not to panic. Worst case scenario, even with advanced kidney failure, dialysis and transplant are options that compensate for the kidney failure. Take care, and keep us posted.😘

April 25 (edited)
A MyLupusTeam Member

I took a huge dive in a matter of 2 weeks. I had not been eating and did not drink the needed water. To offset my thirst I drank diet squirt. Big mistake! Ended up in hospital in serious dehydration. I also had food repulsion. My egfr went from the nineties down
to kidney failure gfr was six. I survived and worked with a kidney dietician to regain my health back.I cringe every time I look back at my diagnosis. I was blessed to return to a safe gfr and am still adhering to water and
Kidney safe foods.Ask to meet with a kidney dietician. Bless you.

April 24
MyLupusTeam

First, it's completely understandable to feel scared, especially while carrying the grief of losing someone so recently. That's a lot to hold at once β€” for both you and your son. You don't have to have it all figured out right now.

A declining eGFR means the kidneys are filtering less efficiently over time. In lupus, this is Show Full Answer

First, it's completely understandable to feel scared, especially while carrying the grief of losing someone so recently. That's a lot to hold at once β€” for both you and your son. You don't have to have it all figured out right now.

A declining eGFR means the kidneys are filtering less efficiently over time. In lupus, this is often connected to lupus nephritis, where inflammation affects the kidneys. The good news is that being referred to a specialist (a nephrologist) is exactly the right step β€” they can assess where things stand and what can be done. The progression looks different for everyone, but here's a general picture of what declining kidney function can involve:

- Early stages β€” often no obvious symptoms, caught through blood and urine tests
- As it progresses β€” fatigue, swelling, headaches, muscle cramps, itchy skin, or shortness of breath
- Advanced stages β€” some people with lupus nephritis may develop chronic kidney disease (CKD)
- In serious cases β€” a small percentage progress to end-stage renal disease (ESRD), which may require dialysis or a transplant

Up to 30% of people with lupus nephritis can develop ESRD, but many people stabilize with the right treatment. Lupus treatments can slow progression significantly. A MyLupusTeam member shared an inspiring experience: after a serious lupus nephritis diagnosis, they credited taking prescribed medications, eating a healthy diet, and exercising regularly with making a remarkable recovery.

Seeing a specialist gives you the best chance of understanding your specific situation and slowing things down. Write down your questions before the appointment β€” things like what to expect, what tests are needed, and what treatment options exist.

You're not alone in this. πŸ’™

April 24

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