nagpur high blood pressure diabetes and obesity are the basic causes of chronic kidney diseases ckd in most of the persons suffering from these ailmentsbut lack of awareness and unwillingness to abide by the doctors instructions has increased the incidence of ckd by 810 in the last decade or so another major cause of ckd is selfmedication by patients especially pain killers which have a very telling effect on the kidneysspeaking to toi on the occasion of the world kidney day on thursday chairman of nephrology society of nagpur dr prakash khetan said that the theme of this year for the day is kidney and obesity almost 10 of the adult population in the country is obese and when obesity and diabetes come together it makes the body predisposed to ckd and kidney cancerit also leads to loss of protein in the urea but paradoxically obese people live longer on dialysis than thin persons dr khetan saidvicechairman of the society dr monali sahu said that since obesity results in insulin resistance it increases the load on the kidneys and to add to all the complexities the sedentary life style coupled with food habits like high salt intake and fast food put the patient in the vicious circle from where heshe is unable to walk outtobacco and gutka are also big killers they affect the small blood vessels in our body and since the kidneys have a network of small blood vessels they are worstaffectedpatients who have got high blood pressure but have got so used to it that they no longer feel the symptoms of hypertension are the worsthit these need individualized treatment and dose adjustments early detection can actually reverse ckd said dr sahushe said that selfmedication mainly buying and eating pain killers across the counter causes ckd but patients seldom realize this and compound the problem furtherdr sameer chaubey also strongly condemned the use of pain killers medicines containing bhasams lead to deposition of various metals in the kidney and affect its functioning very badly the incidence of ckd has risen by 810 in the last few years mainly due to increase in diabetes he saidthe need is to control sugar levels blood pressure to drink a lot of water or fluids avoid smoking and drinking reduce weight change lifestyle and stop eating fast food diabetic patients also get a disease called proteinurea in which the body secrets healthy protein in the urine which is very harmful for the body