Which steroids affect kidneys?

Administering steroids to treat a variety of medical disorders can significantly affect the kidneys. These effects vary depending on the type of steroid, the period of use, and the dose. While steroids can save lives in certain situations, it is vital to understand how they affect kidney health.

What Are Steroids?

Steroids are synthetic hormones that mimic naturally occurring chemicals in the body. We divide them into two categories: anabolic steroids and corticosteroids.

• We use anabolic steroids to increase muscle mass and performance.
• Corticosteroids reduce inflammation by suppressing the immune system.

Both types can have varied effects on kidney function; therefore, it’s critical to investigate how they affect this key organ.

How Steroids Can Damage Kidneys?

Steroids can affect the kidneys in several ways. They directly affect the kidneys’ ability to filter waste, control fluid levels, and keep the body balanced. The key considerations are:

1. Acute Kidney Injury (AKI)

High dosages of steroids can cause acute kidney damage (AKI). This happens when the kidneys lose the ability to filter waste and poisons. AKI is associated with anabolic steroid usage, particularly among athletes and bodybuilders.

2. Glomerular Damage

The glomeruli are microscopic blood vessels in the kidneys that filter waste. Prolonged steroid use can inflame these tissues, resulting in glomerulonephritis. Symptoms can involve edema, elevated blood pressure, and blood in the urine.

3. Proteinuria

Steroids can cause proteinuria or the flow of protein into the urine. This happens because steroids disrupt the kidney’s filtration function, reducing its ability to retain essential proteins.

Steroids and Chronic Kidney Disease (CKD)

Prolonged use of steroids can increase the risk of chronic kidney disease (CKD). CKD occurs when the kidneys lose their function over time, leading to the accumulation of waste in the body. Here are some specific ways steroids contribute to CKD:

• High Blood Pressure: Steroids raise blood pressure, a leading cause of kidney damage.
• Fluid Retention: Corticosteroids can cause the body to retain excess fluid, putting strain on the kidneys.
• Increased Risk of Infections: Suppressed immune function from corticosteroids makes the kidneys more vulnerable to infections.

Anabolic Steroids and Kidney Health

Anabolic steroids, used for muscle growth, have been linked to severe kidney complications. Studies show that long-term use can result in kidney scarring and reduced filtration rate. Athletes using these steroids are at higher risk of kidney failure.

Corticosteroids and Kidney Effects

Corticosteroids, while helpful for conditions like lupus and asthma, also impact the kidneys:

• Electrolyte Imbalance: Corticosteroids can alter sodium and potassium levels, affecting kidney function.
• Increased Blood Sugar Levels: Long-term use can lead to diabetes, which is a major risk factor for kidney disease.

Signs of Kidney Damage from Steroids

It’s important to recognize the signs of kidney damage early. Symptoms may include:

• Swelling in the legs and face
• Reduced urine output
• Blood in the urine
• Persistent fatigue
• High blood pressure

If you experience these symptoms, consult a healthcare provider immediately.

Can Steroid Damage Be Reversed?

Rarely, early diagnosis can repair kidney damage due to steroids. Reduced or quitting steroid use under physician supervision can help improve kidney function. However, constant harm may be irreparable, emphasizing the significance of using it with caution.

How to Protect Kidneys While Using Steroids?

If you need steroids for medical reasons, take steps to protect your kidneys:

• Stay hydrated: Drink plenty of water to help your kidneys remove toxins.
• Monitor blood pressure: Keeping your blood pressure under range helps to lessen the load on your kidneys.
• Follow dosage Instructions:  Never surpass the recommended dosage.
• Get regular kidney testing: Routine testing such as blood and urine testing can help monitor kidney function.

Alternatives to Steroids

If you are concerned about kidney health, consider alternatives:

• Physical Therapy: For pain and inflammation, physical therapy can help without the need for steroids.
• Anti-Inflammatory Drugs: Medications like ibuprofen or naproxen can be safer options in some cases.
• Lifestyle Changes: Maintaining a healthy weight, eating a balanced diet, and exercising can reduce the need for steroids.

Final Thoughts

While steroids provide evident advantages in treating various illnesses, it’s crucial to acknowledge their influence on kidney function. Understanding the hazards is critical whether you use anabolic steroids to gain muscle or corticosteroids to treat medical issues. To preserve the health of your kidneys, always see a healthcare practitioner before beginning or stopping steroid use.