Dr. Juncor F. Gamboa - Adult Diseases and Kidney Specialist

22/07/2025

22/07/2025

Gabay sa LEPTOSPIROSIS

1. Ano ang leptospirosis?
2. Ano ang mga senyales at sintomas nito?
3. Ano ang mga maaring komplikasyon ng sakit na ito?
4. Paano ito maiiwasan?
5. Ano ang maaring gawin upang makaiwas sa leptospirosis?

Mga impormasyon mula sa Philippine College of Physicians, Philippine Society for Microbiology and Infectious Diseases, at Philippine Society of Nephrology

14/07/2025

Urine Clues You Shouldn't Ignore!

Ever noticed foamy urine after you p*e?

That bubbly appearance might seem harmless… but it could be a sign of protein leakage — one of the earliest signs of kidney damage. 😟

When your kidneys are damaged, they can let protein escape into your urine — a condition called proteinuria. This is a red flag for Chronic Kidney Disease (CKD).

💡 What to do?
If you see persistent foamy urine, don’t ignore it. Visit your doctor and ask for a urinalysis and serum creatinine test.

👀 Prevention is better than dialysis.

Have you ever noticed foamy urine? Share your experience or tag someone who needs to see this!

13/07/2025

03/07/2025

01/07/2025

Salt, Blood Pressure, and CKD: The Deadly Triangle You Should Know

🧂 Love salty food? Your kidneys and heart might not.
High salt intake is one of the leading drivers of high blood pressure, and together, they form a dangerous trio with chronic kidney disease (CKD).

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⚠️ Here’s How the Deadly Triangle Works:

1. 🧂 Too much salt raises blood volume

2. 🩸 High blood pressure damages blood vessels

3. 🧫 Kidneys lose filtering ability → leads to CKD

4. CKD then worsens hypertension and the cycle repeats

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🔬 The Science Says:

Filipinos consume twice the recommended sodium daily

Even “non-salty” food like bread, sauces, and canned goods contribute

CKD and hypertension often go undiagnosed until late stages

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✅ What You Can Do Today:

Aim for

30/06/2025

Painkillers and Your Kidneys: Relief Now, Regret Later?

😖 Got frequent headaches, dysmenorrhea, or back pain?
You might be reaching for ibuprofen, mefenamic acid, naproxen, or other NSAIDs.
But here’s the truth: Too much = trouble for your kidneys.

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🚨 What Painkillers (NSAIDs) Can Do to Your Kidneys:

🔻 Reduce kidney blood flow

💧 Cause water retention and raise blood pressure

🧪 Worsen protein in the urine (proteinuria)

🚑 Lead to acute kidney injury (AKI) or worsen CKD

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⚠️ High-Risk Situations:

Taking NSAIDs daily or long-term

Already have CKD, diabetes, hypertension, or you're elderly

Combining NSAIDs with diuretics + ACE inhibitors = “Triple Whammy” ⚠️

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✅ Safer Ways to Manage Pain:

Use paracetamol for mild pain (if cleared by your doctor)

Avoid taking NSAIDs on an empty stomach or while dehydrated

Stay hydrated

Talk to your doctor for chronic pain—don’t self-medicate!

📌 Don’t let pain relief become kidney grief.

🔖

29/06/2025

High-Protein Diets: Fuel for Fitness or Stress for Your Kidneys?

💪 Going high-protein to lose weight or build muscle?
That’s great—but if overdone or unmanaged, your kidneys might pay the price.

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🚨 What Happens With Excess Protein Intake:

Produces more nitrogen waste → kidneys work harder to filter

Increases glomerular pressure → long-term kidney strain

May worsen proteinuria in those with early CKD

Can dehydrate you → increases stone risk

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⚖️ So how much is too much?
✔️ General safe range: 0.8–1.0g/kg body weight
✔️ High-protein diets (1.2–2.0g/kg) need careful monitoring, especially in people with:

Diabetes

Hypertension

Family history of CKD

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🥗 Tips to Stay Balanced:
✅ Include plant proteins (munggo, tofu, beans)
✅ Stay hydrated
✅ Get regular serum creatinine and urinalysis
✅ If at risk, consult your doctor before shifting to high-protein plans

📌 You can build muscle and protect your kidneys—with balance.

🔖