Your Good Health: Fibromuscular dysplasia causes poor blood flow to kidneys

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Your Good Health: Fibromuscular dysplasia causes poor blood flow to kidneys
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Rare disorder, affecting about 12 people per 100,000, 90% of which are female, usually requires medication, angioplasty, stenting of the blocked renal arteries and/or surgery.

Dear Dr. Roach: My mom was diagnosed with “fibromuscular dysplasia” and understands that there is no known medical procedure to treat it. She claims this is a blood disease that is affecting her kidneys, and she had a stent placed near the opening of her kidney to relieve any blockage. Can you please provide more information on fibromuscular dysplasia and what is recommended for this disorder?FMD, or fibromuscular dysplasia, is rare , but by no means unheard of.

For FMD of the kidneys, blockage of the blood vessels means the kidneys sense low blood pressure, even when the blood pressure in most of the body is normal. The kidneys respond by secreting a substance, renin, which starts a cascade that causes the blood pressure to go up. A procedure is indicated for those who don’t have good blood pressure control or who have progressive kidney disease despite medicines. When the diagnosis is found in children or young adults, the cure rate is higher, so a procedure may be effective in preventing the need for lifelong medications.

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