Consult Doctors. FREE.

Your trusted medical source by doctors!

Continue with Facebook

or

PLEASE FILL IN THE ABOVE AND PRESS ENTER TO SIGN IN or CREATE YOUR ACCOUNT.
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Register Email & Password
Step 2: Indicate Topics of Interests
Step 3: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Register Email & Password
Step 2: Indicate Topics of doctors
Step 3: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

MESSAGES TO
DXD Admin from Singapore asked a question

Can I still exercise and participate in triathlons if I have IgA nephritis?

Hi. This might be of an odd place to ask such a question but I wanted to see if you may have a differing opinion even tho i feel that the answer is already given to me.

I’ve been diagnosed with IGA Nephritis for the last 21 years and have been keeping with medication, strict diet (no salts, red meat etc). I’m quite an active person, having done alot of swimming in the past and in recent years, I’ve taken up running and in the last 2 years or so, I’ve started triathlons.

I’m seeing a nephrologist at a hospital here and his advice has always been – dont over do it, drink alot of water and just plain water only. He knows about my exercise regime but I dont think he fully understands the extent of e.g. a triathlon (he thinks it’s a marathon when i’ve told him it’s not). My lab results have been quite good so far and even tho my GFR has been around 20 for past 2 years, my creatinine has gone down a fair bit from it’s high of 300+ to 220.

I’ve been participating in mostly short distance triathlon races e.g. mini / sprints. My last race was olympic distance (a first time covering such a long distance) and given the distance i had to cover that day, I was dehydrated that day and fell sick during the race. I went to the A&E immediately after the race and got some lab tests done, and creatinine went up to 280 and some other markers as well e.g. WBC, Potassium (was consuming quite a lot of electrolytes that day). After a few days I saw my neph and we did some more tests and I was feeling better then, some of my results came back in my ‘normal’ (and acceptable) range and creatinine dropped to about 240. I’m being monitored closely but I’ve been warned not to do anymore endurance sports from now on which is a big blow to me. He is of the view that I’m overexerting myself which will harm my kidneys.

I would like to hear your opinion, especially if you are familiar with triathlons and also a condition like mine.

DOCTOR’S ANSWER (1)
Dr Ethan
Singapore
Consult Doctor
FOLLOW
Dr Ethan
Singapore
Answered on Fri Jan 26 2018 04:17:10 GMT+0000 (UTC)

Dear Bobba,

I can completely understand your disappointment at being told to cut back on sports, being an avid sports person myself.

I shall attempt to break down and explain the situation for you:

1. The evidence about whether IgA nephropathy patients should completely avoid strenuous exercise is equivocal, to my knowledge. Data has shown that even though significantly increased levels of proteinuria are noted after intense exercise (maximal treadmill Bruce test), this lasts for less than 120 minutes. The study concludes that there is no need to reduce acute physical activity in patients with IgA nephropathy, but clearly a triathlon can be more strenuous.

2. IgA nephropathy is a disease with highly variable rates of progression, with no reliable way of predicting how the disease will progress in any one individual – some people will inevitably progress to kidney failure and require dialysis/transplantation, while others will be completely unaware that they have the condition, and their kidneys will continue to work normally in the long term.

3. Consequently, many doctors will advise patients to just “get on with life”. One patient has even competed for Team GB at the Olympics a few years after diagnosis! It is likely that before this incident, your nephrologist did not want to let IgA nephropathy define your entire life, especially knowing how how much sports and exercise means to you. Thus, he did not want to give you any hard limits for exercise, taking into consideration that exercise does have many benefits.

4. However, in this instance as there has been a precedent for your kidneys being unable to cope with one of your recent triathlon events, it’s a clear signal that you are pushing them too hard.

5. Your kidney’s primary function is to clear waste products, and maintain a normal blood pressure and fluid level. In triathlon and other endurance sports, it is not uncommon, even for healthy people, to see an increase in creatinine levels (a break down of waste products generated by exercise). This is further compounded by dehydration. In a normal person, his kidneys can generally cope with this additional stress.

6. In your case, your kidney has to be pushed doubly hard to cope with the extra stress, due to IgA nephropathy. The worst thing that could happen is that your kidney is tipped into acute kidney failure by the stress of the triathlon, and you end up on short/long-term dialysis. It is your nephrologist’s main goal to prevent kidney failure from happening, hence the warning to not do anymore endurance sports.

7. This is probably not the second opinion that you are hoping for – I’d strongly encourage you to have a proper discussion with him over your considerations, which would help you and him to establish parameters as to the limits of your exercise.

8. I’d also highly recommend consulting a Sport Medicine specialist, who is more attuned with the physical requirements and nature of various sports. Sport Medicine doctors are “exercise specialists”, and often look after endurance athletes such as yourself. Conceivably, both your Sport Medicine doctor and Nephrologist can work together to come up with an appropriate exercise programme for yourself.

Cheers

1 215 views 0 Doctors agree Fri Jan 26 2018 04:17:10 GMT+0000 (UTC)
Consult Doctor

Get Doctor Quotes

We promise that we'll ask our doctor friends to give you their best possible price!
Name of Treatment
Category
Budget
Full Name
Email
Contact Number
Other Information