IMG-20150901-WA0001The ROADWALK is a monthly social/community enlightenment initiative of the EX STUDENTS OF COMMAND DAY SECONDARY SCHOOL, ENUGU. Members come together and walk a specified distance across the metropolitan city of Enugu. Through this exciting event, awareness is created on a chosen social/health/environmental theme. The public is enlightened on the chosen theme through word of mouth, flyers/printed notifications, signs and music.


The September 2015 edition took place earlier today, the 12th of September with focus on the theme: ‘KIDNEY DISEASE/CANCER AWARENESS’! Dozens of members of the energetic alumni association trooped out en masse, covering the wide distance from the School premises in 82 Division, to New Haven and back to the school premises!




With live music provided by DJ BuchiSteve, the energy was palpable, the message was clear and the response from the public was inspiring! Check out beautiful pictures from the lovely event and be sure to download the non-stop music mix used for the event.


Also look out for the October edition, it promises to be as lovely as ever! Peace!

DJ BuchiSteve – EXCDSSE ROADWALK MIX SEPT.2015 [Free Download].


KIDNEY DISEASE – Causes, Signs and Symptoms, Prevention and Treatment.

Kidneys are the organs that help filter waste products from the blood. They are also involved in regulating blood pressure, electrolyte balance, and red blood cell production in the body.

CAUSES of kidney failure?

Kidney failure may occur from an acute situation that injures the kidneys or from chronic diseases that gradually cause the kidneys to stop functioning.
The list of causes of kidney failure is often categorized based on where the injury has occurred.

Prerenal causes include:

  • Hypovolemia (low blood volume) due to blood loss.
  • Dehydration from loss of body fluids (for example, vomiting, diarrhea, sweating, fever) and poor intake of fluids. Medication, for example, diuretics (“water pills”) may cause excessive water loss.
  • Abnormal blood flow to and from the kidney due to obstruction of the renal artery or vein e.g. by a tumor or cancer or thrombus.

Renal Causes of Kidney failure include:

– Sepsis: The body’s immune system is overwhelmed from infection and causes inflammation and shutdown of the kidneys.

– Medications: Some medications are toxic to the kidney including:

– Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin, and others), and naproxen (Aleve, Naprosyn).

– Antibiotics like aminoglycosides, gentamicin (Garamycin), tobramycin lithium (Eskalith, Lithobid).
Iodine-containing medications such as those injected for radiology dye studies etc.

– Multiple myeloma

– Acute glomerulonephritis or inflammation of the glomeruli, the filtering system of the kidneys. Many diseases can cause this inflammation including: Systemic lupus erythematosus, Wegener’s granulomatosis, Goodpasture syndrome.

Post Renal causes of kidney failure are due to factors that affect outflow of the urine including:

– Obstruction of the bladder or the ureters can cause back pressure because the kidneys continue to produce urine, but the obstruction acts like a dam, and urine backs up into the kidneys. When the pressure increases high enough, the kidneys are damaged and shut down.

– Prostatic hypertrophy or prostate cancer may block the urethra and prevents the bladder from emptying.Tumors in the abdomen that surround and obstruct the ureters.

– Kidney stones. Usually, kidney stones affect only one kidney and do not cause kidney failure. However, if there is only one kidney present, a kidney stone may cause the remaining kidney to fail.

– Chronic renal failure develops over months and years. The most common causes of chronic renal failure are related to: poorly controlled diabetes, poorly controlled high blood pressure, and chronic glomerulonephritis.

Less common causes of chronic renal failure include:
– Polycystic kidney disease.
– Nephrotic syndrome.
– Alport’s disease.
– Interstitial nephritis.
– Kidney stones.
– Prostate disease.
SIGNS AND SYMPTOMS of kidney failure?
Initially, kidney failure may not produce any symptoms (asymptomatic). As kidney function decreases, the symptoms are related to the inability to regulate water and electrolyte balances, clear waste products from the body, and promote red blood cell production.

If unrecognized or untreated, the following symptoms of kidney failure may develop into life-threatening circumstances.

– Lethargy
– Weakness
– Shortness of breath
– Generalized swelling (edema)
– Generalized weakness due to anemia
– Loss of appetite
– Fatigue
– Congestive heart failure
– Metabolic acidosis
– High blood potassium (hyperkalemia)
– Fatal heart rhythm disturbances (arrhythmias) including ventricular tachycardia and ventricular fibrillation
– Rising urea levels in the blood (uremia) may lead to brain encephalopathy,pericarditis (inflammation of the heart lining), or low calcium blood levels (hypocalcemia).

How is kidney failure DIAGNOSED?

 – Blood tests: Diagnosis of kidney failure can be confirmed by blood tests such as Blood Urea Nitrogen, creatinine, and Glomerular Filtration Rate; that measure the buildup of waste products in the blood.

– Urine tests: Urine tests may be ordered to measure the amount of protein, detect the presence of abnormal cells, or measure the concentration of electrolytes.

– Other tests are used to diagnose the type of kidney failure such as:
Abdominal ultrasound.
Kidney biopsy.


What puts you at risk for kidney disease? Major risk factors include: diabetes, high blood pressure, a family history of kidney failure, and being age 60 or older.

Kidney disease often has no symptoms, and it can go undetected until very advanced. But a simple urine test can tell you if you have kidney disease. Remember, it’s important to get tested because early detection and treatment can slow or prevent the progression of kidney disease.


Prevention is always the goal with kidney failure.
Chronic diseases such as hypertension (high blood pressure) and diabetes are devastating because of the damage that they can do to kidneys and other organs.

Lifelong diligence is important in keeping blood sugar and blood pressure within normal limits. Specific treatments depend upon the underlying diseases.

Once kidney failure is present, the goal is to prevent further deterioration of renal function. If ignored, the kidneys will progress to complete failure, but if underlying illnesses are addressed and treated aggressively, kidney function can be preserved, though not always improved.

If the kidneys fail completely, the only treatment options available may be:


And/or transplant.

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Exercise regularly
Control weight
Follow a balanced diet
Quit smoking
Drink (alcohol and soft drinks containing carbonated water and caffeine) in moderation.
Stay hydrated i.e. drink lots of water.
Monitor cholesterol levels.
Get an annual physical check up.
Know your family medical history
Lower high blood pressure
Keep blood-sugar levels under control if diabetic.
Reduce salt intake.
Avoid NSAIDs, a type of painkillers.