2023-04-21 09:49:50
[Voice of Hope April 21, 2023](Editor: Li Wenhan) In Taiwan, more than 90% of the causes of kidney dialysis are chronic renal failure. However, the initial symptoms of kidney disease are not obvious, and many people do not take it seriously, and end up entering the life of “kidney dialysis”. In this regard, the doctor sorted out the top 10 symptoms of kidney disease, and the number one is “severe fatigue”. He also reminded the public that when these symptoms appear, they must be actively treated to avoid increasing the risk of kidney dialysis in the future.
“Liberty Times” reported that Hong Yongxiang, the director of the Hong Yongxiang Clinic, shared a case on the Facebook page “Dr. Hong Yongxiang’s Chronic Renal Failure Siege Therapy” and pointed out that a 45-year-old man had never seen a doctor and had been urinating intermittently when he was young. Unexpectedly, I was very tired like a severe cold recently, and I mightn’t eat, so I went to the doctor. After a blood test, it was found that the urine toxin exceeded the standard, and I was transferred to the emergency room on the same day to start kidney dialysis.
Hong Yongxiang reminds that it usually takes 20-30 years from chronic renal failure to damage the kidneys to dialysis. If the following 1-2 symptoms appear, it is not necessarily a kidney disease, but further differential diagnosis needs to be made by a doctor. If more than 3 symptoms appear at the same time Symptoms, the chances of suffering from kidney disease are greatly increased, and more than 5 are almost not far from the day of dialysis. Therefore, if the following symptoms appear, it is recommended to go to the hospital for an examination as soon as possible to determine whether there is a problem of renal function decline and treat it early to avoid the nightmare of kidney dialysis in the future.
No. 1 severe fatigue
Due to the continuous accumulation of uremia, anemia, acidemia, and abnormal electrolytes, the human body is in a state of severe fatigue, which cannot be recovered by rest. It is similar to the fatigue that persists during a severe cold, heavy head, dizziness, and brain fog. Drowsiness is directly proportional to the severity of kidney function, and even drowsiness and coma. It is prone to occur in kidney friends with severe anemia, diabetes and aging brain degeneration. This fatigue will become more severe with the increase of urea toxin.
No. 2 nausea and vomiting
Nausea and vomiting are uremic symptoms that occur almost in end-stage renal disease. It is also the reason why many kidney friends who do not want to undergo kidney dialysis end up having to undergo kidney dialysis. If there is no dialysis to wash away the uremia, they may have nausea and vomiting all the time, and they will not be able to eat the last bite.
Urine toxins in human blood are of course produced by the metabolism of food eaten by the mouth. When the metabolic waste in the body cannot be discharged normally, the body will not allow you to continue eating. Usually, severe anemia, diabetes and people with gastrointestinal diseases have nausea and vomiting Symptoms appear earlier.
No. 3 Anemia, dizziness, weakness
Anemia, dizziness, and weakness are symptoms that almost everyone with chronic renal failure will experience. The kidney secretes erythropoietin to stimulate bone marrow hematopoiesis. It is one of the key organs in the body to produce red blood cells. As the concentration decreases, the ability of the bone marrow to produce red blood cells will decrease. In addition, uremic toxins in the blood will destroy mature red blood cells, shorten the life of red blood cells, and cause renal anemia.
In addition, women usually appear earlier than men, and even start to appear in the third period, and boys do not appear until the fourth period. Iron supplements or vitamin B complex are ineffective, and erythropoietin must be injected to effectively correct renal anemia.
No. 4 Hypertension
Hypertension is a very common symptom of chronic renal failure, and some even appear in the third stage. The kidney is one of the key organs to regulate blood pressure. The kidney can regulate the body’s blood pressure by regulating water, electrolytes and renin-angiotensin system , When the kidney function is damaged, it will affect the body’s ability to regulate blood pressure, and then cause renal hypertension. High blood pressure is one of the dysfunctions of the kidneys and the main factor leading to the further deterioration of kidney diseases.
No. 5 lower extremity edema and bubble urine
Lower extremity edema combined with bubble urine usually occurs in kidney friends with various severe acute and chronic glomerulitis, because long-term glomerular inflammation leads to proteinuria loss, in addition to bubble urine, it is also easy to cause low albumin in the blood, at this time Severe lower extremity edema occurred very early even though the glomerular filtration rate score was still high.
There is another kind of kidney friend without glomerulitis, such as diabetes, high blood pressure or gout, etc. The kidney disease caused by kidney disease usually occurs when many glomeruli with a glomerular filtration rate lower than 30 points are destroyed. Foamy urine and edema may occur.
No. 6 muscle cramps
Declining kidney function often causes symptoms of muscle cramps. This situation is usually due to the imbalance of electrolytes in the body, and kidney disease. Restricted diet leads to insufficient nutrients, such as low blood calcium, low blood magnesium, etc., plus anemia leads to insufficient oxygen supply to muscles, and blood acidity caused by urea toxins. It is easy to cause cramping symptoms, and it is more likely to occur in the elderly and diabetic kidney friends.
No. 7 Asthma and chest tightness
The decline in kidney function can also cause symptoms of dyspnea, wheezing and chest tightness. This symptom is usually due to the decline of cardiopulmonary function caused by the inability to excrete water and uremic toxins in the body, such as hydropleural effusion, pulmonary edema, heart failure, arrhythmia, hydropericardium, etc., which in turn cause symptoms of dyspnea.
No. 8 Nocturnal frequent urination
Nocturnal frequent urination in chronic renal failure is usually prone to calf muscle weakness and lower extremity edema. Usually, water accumulates in the lower body during the day, and a large amount of water accumulated in the lower extremities returns to the body and enters the blood circulation when sleeping and lying down, just like drinking a lot of water before going to bed. , I keep getting up to go to the toilet at night, and frequent nighttime urination leads to a decline in sleep quality. If I don’t sleep well, the secretion of antidiuretic hormone at night decreases and the urine cannot be concentrated, which worsens the frequent urination at night, thus entering a vicious circle.
No. 9 skin itching and darkening
Kidney dysfunction can also cause itching and darkening of the skin. This symptom is usually caused by the failure of the body to excrete metabolic waste products normally. It is usually a symptom of late renal failure, and is often seen in diabetes, blood phosphorus, hyperparathyroidism, or eating too much processed food and heavy metals.
Studies have shown that kidney friends with declining kidney function often have symptoms of skin itching, especially at night. There are even uremic acnes that are extremely itchy like pimples. The scientific name is penetrating folliculitis. Common ointments are ineffective. You need a special kidney lotion for long-term maintenance or go to a dermatologist for phototherapy. Usually, the symptoms of uremic itching will be greatly reduced following the initiation of dialysis.
No. 10 Lumbago and back pain
The kidneys are located on both sides of the waist. When there is a problem with the kidneys, it usually causes back pain in the waist. But being listed at No. 10 means it’s not a very common symptom. It is more likely to appear in polycystic kidney disease, urinary tract infection or urinary tract stones, renal edema caused by congenital kidney disease or autoimmune disease nephropathy, such as lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, etc.
Editor in charge: Li Zhi
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