2023-04-22 12:59:54
from Dr. medical Agnes Kneubühl, Specialist in Internal Medicine FMH and Nephrology FMH, Senior Physician in Nephrology and Dialysis Spital Lachen
The first thing to do is to clarify whether the pain is really coming from the kidneys and not from the spine or from the muscles or nerves in the back. Kidney pain, especially of a cramping character that radiates into the lower abdomen and bladder, is most likely due to migrating kidney stones. The pain is usually one-sided and so severe that you bend over and can no longer sit or lie still. This pain is often coupled with burning when urinating or even traces of blood in the urine.
Kidney pain can also be caused by infections. Typical is the inflammation of the renal pelvis, where bacteria rise from the bladder through the ureter to the renal pelvis. This illness is almost always accompanied by fever and chills and an influenza-like feeling of illness. There are also congenital/genetic disorders of the kidneys, where many cysts (a kind of bubbles) develop in the kidneys, so that one speaks of cystic kidneys. These kidneys can become painful as they grow in size, and the cysts can bleed or become inflamed by bacteria.
Other causes of kidney pain are kidney tumors, especially renal cell carcinoma. Blood in the urine in the second half of life can be a warning symptom. And last but not least, there is also a kidney infarction. This can also cause shooting, severe, usually one-sided kidney pain and is caused by a blockage of a blood vessel in the kidney area. In addition, kidney pain can occur as a result of accidents with strong impacts/impacts, resulting in kidney injury. Another cause of kidney pain is obstruction in the flow of urine. This can be caused by a severe enlargement of the prostate, which interferes with emptying the bladder and causes urine to back up into the kidneys. In women, the symptom of kidney pain is also often given in endometriosis.
The causes of kidney pain are varied and require careful clarification and elimination of the trigger. General practitioners, kidney specialists and urologists can diagnose and treat kidney pain. The Spital Lachen now has a certified hypertension center, because blood pressure can also play a very important role in kidney diseases.
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