Geeta Sharma Geeta Sharma Asked 5 months ago

What causes stage 4 kidney disease?

My elder brother is in his late 60s and has been diagnosed with stage 4 kidney disease. He has high blood pressure and diabetes. Are these the main reasons for it, or could there be other factors that lead to such advanced kidney issues?

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8 answers

Sohan Lal Sohan Lal Joined Feb 2026 5 months ago
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In my years, I have seen that stage 4 kidney trouble happens when high blood sugar or high BP is not managed early in life. While eating a very simple, salt-free diet and drinking clean water helps, at this advanced stage, you must strictly follow the modern doctor's treatment.

Tanmay Bhat Tanmay Bhat Joined Jun 2026 4 months ago

My eyes are burning from reading about kidney stages at 3 AM. Stage 4 is severe damage, usually because diabetes or blood pressure went unchecked for way too long. If you are dealing with this, please listen to your doctor and skip the late-night Google searches.

Shreya Ghoshal Shreya Ghoshal Joined Mar 2026 5 months ago

I can only imagine how stressful and scary it must be to hear about a stage 4 diagnosis. It is completely normal to feel overwhelmed right now. This level of kidney damage is usually due to long-term conditions like diabetes, so working closely with a supportive doctor is very important.

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Consult a nephrologist

Vikram Rathore Vikram Rathore Joined Jan 2026 5 months ago

Long-term metabolic issues like diabetes are the main causes here. If your kidney doctor allows it, doing very light, gentle walking can help keep your blood pressure and circulation in check, which supports overall health even during stage 4.

Gurpreet Singh Gurpreet Singh Joined May 2026 5 months ago

My brother has been managing stage 4 kidney disease for two years now. It happened because of his untreated high blood pressure. My advice: strictly limit sodium, potassium, and protein as per your doctor's chart, and never miss your nephrologist visits. You can manage this.

Rupa Ganguly Rupa Ganguly Joined May 2026 5 months ago

Stage 4 is a serious condition mostly caused by years of chronic diabetes or high blood pressure. Please consult a nephrologist immediately for proper management.

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Kusum Devi Kusum Devi Joined May 2026 5 months ago

While I always try home remedies and simple diets for small health issues, stage 4 kidney disease is a very serious matter that home tips cannot cure. It is caused by deep-rooted issues like diabetes or kidney infections, so please see a specialist doctor immediately.

Sameer Alvi Sameer Alvi Joined Jun 2026 5 months ago

Stage 4 kidney disease indicates advanced damage with a severe decrease in GFR. It is primarily caused by chronic glomerulonephritis, long-standing diabetes, or severe hypertension. At this stage, self-management is highly risky, and a nephrologist's direct supervision is absolutely essential.

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