Signs of impaired renal function, 4 signals detected early

The initial symptoms of kidney disease are often hidden and difficult to find. This requires us to do regular physical examinations, especially urine tests. If the following 4 signs appear, it is likely that kidney function has been damaged. Signs of impaired renal function. Early detection of 4 signals 1. When the eyelid and lower extremity edema and renal insufficiency, the metabolic capacity for sodium is reduced, which easily leads to the retention of water and sodium metabolism. Excess water accumulates in the subcutaneous tissues, and symptoms such as eyelid edema in the morning and edema of the lower limbs after fatigue can appear. Press and hold the skin of the ankle with your hand. If you press one pit and the elasticity is very poor, it is usually edema. 2. Proteinuria and hematuria When the kidney is damaged, the ability to recover protein is reduced, which makes protein easily appear in urine. People who already have kidney disease also need to regularly test urine protein levels to assess kidney function. If inflammation, stones, tumors or blood vessels rupture in the kidneys, red blood cells will be excreted in the urine to form hematuria. Some foods or medicines may also cause urine to turn red, which is pseudo-hematuria, so it cannot be judged by urine color alone, and a urine test is required. Urine test is positive, the urine contains a lot of non-dissipating foam, which is proteinuria. If the number of red blood cells in the urine exceeds the standard, it is hematuria. 3. Increased creatinine Creatinine is a product of muscle metabolism, which is mainly filtered through the glomeruli and excreted from the body. When the muscle is not consumed vigorously, the amount of creatinine produced by the human body is relatively constant. Urine creatinine is 7-18 mmol/d for men and 5.3-16 mmol/d for women; blood creatinine for men is 53-106 μmol/L for men and 44-97 μmol/L for women. Increased blood creatinine and urinary creatinine for unknown reasons may indicate impaired renal function. 4. Fatigue, weak waist and knees From the perspective of traditional Chinese medicine, the kidneys contain the body’s yang and energy. Chronic kidney disease can easily make the kidneys weak, causing fatigue, weakness in the waist and legs, frequent nocturia, and cold limbs. It is also easy to affect the spleen and lungs, leading to phlegm and stasis, at the same time causing chest tightness, shortness of breath, loss of appetite, indigestion and so on.

Diabetes hurts the kidney, don’t delay it into uremia, how to protect the kidney? The doctor gives 3 suggestions

Diabetic kidney complications are one of the most common complications in the long-term course of diabetes. Whether it is type 1 diabetes or type 2 diabetes, if there is no active blood sugar control, the chance of diabetic kidney complications is very high. What are the symptoms of diabetes affecting kidney function? How to prevent the occurrence of diabetic nephropathy? Today we will briefly introduce this knowledge. First of all, it is important to emphasize that for diabetics, it must be recognized that the harm of high blood sugar to kidney health is huge, and it is also slow and gradual. Once you understand this, you should actively control blood sugar and regularly It is not scientific to check the kidney function without waiting for the symptoms to suspect that high blood sugar hurts the kidney or even when the kidney function is abnormal. Although it is not too late to make up for it, it is better if we can plan ahead. The pathogenesis of diabetic nephropathy is diversified and more complicated, which is related to genetic factors of personal constitution and hemodynamic changes of high blood glucose on the formation of small arterial arteries of the kidneys, resulting in the sclerosis of small arteries of the kidneys. At the same time, abnormal glucose metabolism , It also causes abnormal metabolism of various substances in the kidney area, which also affects the health of the kidney. In addition, diabetes combined with high blood pressure is also an important risk factor for kidney disease. Under the function of these factors, our kidneys Health is gradually affected until renal function is impaired, and eventually it will eventually develop into renal failure. Diabetes-related clinical manifestations of kidney damage. Diabetic hyperglycemia can damage kidney health and cause gradual changes in kidney function. The most common sign of diabetes affecting kidney health is the appearance of trace proteinuria. However, it should be understood that the occurrence of trace proteinuria is not the initial stage of diabetes damage to the kidneys, but that diabetes has a clear sign of damage to the kidneys. From the occurrence of diabetes, it is pointed out that high blood sugar has begun to affect kidney health The health of the ball is affected, and it is not that the symptoms of proteinuria will occur at once, and under the long-term influence of high blood sugar, when trace proteinuria occurs, usually from the stage, diabetic nephropathy has reached the level of stage 3. Another manifestation of diabetic kidney damage is the emergence of high blood pressure. Almost all the complications of diabetic nephropathy will eventually cause high blood pressure. High blood pressure itself is also a chronic disease that damages kidney health. If the diabetic person’s blood pressure is not high, but the blood pressure gradually begins to rise or even diagnosed as high blood pressure, it is necessary to actively investigate the changes in kidney function. Usually, high blood pressure in type 1 diabetic patients is often accompanied by trace proteinuria There are many types of diabetes in people with type 2 diabetes, and many high blood pressures appear before the abnormal kidney function. However, no matter whether it is the increase in blood pressure caused by diabetic nephropathy or primary hypertension combined with diabetes affecting kidney health, it is worth noting that it should be As early as possible, actively regulate the problem of hypertension. If there are problems such as trace proteinuria and elevated blood pressure, you still do not pay attention to actively control blood sugar and protect kidney function. The kidney damage caused by diabetes will increase further. At this time, it will show continuous proteinuria and glomerular filtration The rate also began to decline, kidney function began to decline, and most patients will show symptoms of edema, and about 20% of patients will have problems with nephrotic syndrome. The most serious complication of diabetic nephropathy is renal failure, manifested by the loss of function of most nephrons, uremia symptoms, glomerular filtration rate of less than 10, and accompanied by increased blood creatinine, such a situation belongs to Diabetes end-stage renal disease, kidney failure, is generally maintained by dialysis or organ transplantation. How to reduce the risk of diabetic kidney complications If you want to reduce the health hazards of diabetes to the kidneys and reduce the risk of kidney complications caused by diabetes, the first thing to do is, of course, to be active and control your blood sugar levels as early as possible. Again, it is too late to control blood sugar when there are symptoms of kidney damage or a decline in kidney indicators. You should be aware of the rise in blood sugar and actively control blood sugar when new diabetes develops. If you can control the blood sugar as early as possible, you can greatly reduce the occurrence of diabetic nephropathy complications

Bad kidney, prophets! Once these 5 symptoms are present, there may be a kidney problem

Kidney is not good, can be divided into two situations, one is the “kidney deficiency” in the category of traditional Chinese medicine, but the kidney function is normal; the other is the “kidney insufficiency” in Western medicine, although the same kidney deficiency, but due to kidney function Decline, which can cause a series of changes in the body. Here may wish to combine kidney deficiency in the category of traditional Chinese medicine with poor kidney function in the category of western medicine to see which symptoms of the hands and feet need attention. Kidney is not good, what is the performance of hands and feet? 1. Weakness of hands and feet Whether it is kidney deficiency or renal insufficiency, patients can have weakness of hands and feet. From the perspective of traditional Chinese medicine, the kidney is the “innate foundation” and “source of life.” Traditional Chinese medicine believes that the kidney stores essence and essence as the basic substance for the human body to maintain life activities. Kidney deficiency can lead to loss of body essence and lack of kidney essence. Life activities of all aspects of the body are affected. Therefore, dizziness, headache, waist and knee weakness, and weakness in hands and feet can occur, so Chinese medicine needs kidney and essence. In Western medicine, the kidneys can maintain the balance of water, electrolytes and acid hydrolysis in the body, and play a role in excreting metabolic waste. As long as the kidney function is normal, there will be few signs of hand and foot fatigue, but when kidney dysfunction occurs, there will be a series of complications such as electrolyte disturbance, renal anemia, and hypocalcemia, which will lead to hand and foot fatigue. 2. When the hands and feet are swollen and renal insufficiency, on the one hand, the water in the body cannot be smoothly discharged through the kidneys, causing a large amount of liquid to stay in the body, the liquid will overflow through the blood vessels to the tissue gap, causing the hands and feet to swell; on the other hand, the albumin in the body A large amount of urine is excreted through the kidneys, which is also called proteinuria. After a large amount of albumin is excreted, it will cause the body to have low protein, and the plasma colloid osmotic pressure will decrease, resulting in a pressure difference between the inside and outside of the blood vessel. This will further increase the penetration of water in the blood vessel into the tissue and increase the swelling of the hands and feet. 3. Cold hands and feet If a man has cold hands and feet, it may be a manifestation of kidney yang deficiency in Chinese medicine. In traditional Chinese medicine, kidney deficiency is divided into kidney yin deficiency and kidney yang deficiency. As the saying goes, “yang deficiency is cold”, limbs are cold and cold, and cold hands and feet are typical manifestations of kidney yang deficiency. Men may also experience decreased libido, Problems such as impotence and premature ejaculation. 4. The number of erythrocytes in the body of nail whitening remains normal, and it needs to rely on the binding of erythropoietin to the surface receptors of erythroid progenitor cells to promote bone marrow differentiation of erythrocytes, and the erythropoietin in the body is mainly produced by the kidneys, and renal dysfunction It is the reduction of erythropoietin secretion, which will lead to the reduction of red blood cells. The most direct consequence is to cause renal anemia, which is manifested as whitening of lips, skin mucous membranes or nails, and the normal nail color is usually pale red. 5. Toe wear The toes are likely to be easily worn: If there is a problem with the kidney, it is easy to show that the body is weak, and the toes will be easily worn away, resulting in foot injuries. In short, no matter from the perspective of Chinese medicine or Western medicine, the kidney is one of the most important organs. When the above changes in the hands and feet occur, remember to check the kidney. It is likely that the kidney is not performing well. You need to go to the hospital to see the nephrology department. , Further examination of kidney function, including auxiliary examination of kidney morphology (ultrasound) and function (urinary routine, blood creatinine). (Part of the picture source network in the article, the copyright belongs to the original author, thank you for the picture author, if you find any violation of your copyright, please contact me, I will delete it.)

Uremia is mostly dragged out. When 6 lights on the body are red, be careful

Many people have heard of uremia. It is medically called advanced chronic kidney failure, which is caused by chronic kidney disease. When there is a problem with kidney function, other organs of the body can also cause various complications. Therefore, when there are abnormal changes in the kidney, it is necessary to be alert whether it is an early signal of uremia, and early detection and early treatment. Uremia is mostly dragged out. When 6 lights on the body are red, be careful. Early signals of uremia 1. Nervous system symptoms are destroyed by renal function, causing accumulation of toxic substances to cause cell changes and peripheral neuropathy. The sensory nerves are impaired, and glove sock-like sensory disturbances, numbness, and disappearance of reflexes appear on the ends of the limbs such as fingers and toes. There are also symptoms of drowsiness, anxiety, self-talk, muscle unconscious jitter, headache, dizziness, memory In the case of decline, severe cases even convulsions and coma due to increased intracranial pressure. 2. Digestive system symptoms Changes in osmotic pressure in the body can lead to increased intracranial pressure, accompanied by nausea, vomiting, or diarrhea. Too much urea is broken down into ammonia in the intestine and mouth, causing a odor of urine in the breath. In addition, the incidence of oral ulcers and gastrointestinal bleeding is higher. 3. Skin performance In patients with advanced uremia, a large amount of toxin accumulates on the skin surface, resulting in dull, dry skin, increased dander, and peeling. Excessive urea is excreted from the sweat glands, causing uremic dermatitis, itching of the skin, local skin immunity is reduced, and it is easy to cause skin inflammation. 4. Respiratory symptoms When the lung secretes too much fluid in the body, the permeability of the lung capillaries increases, causing pulmonary edema, which can lead to shortness of breath and shortness of breath in the exacerbation; uremia leads to slower breathing rate and deep breathing in acidosis Big. 5. Symptoms of cardiovascular system in the late stage of uremia can cause hypertension, hyperkalemia, accumulation of toxic substances and excessive urea stimulation can cause myocardial damage, arrhythmia and eventually lead to heart failure. Studies have shown that patients with advanced uremia who have secondary cardiovascular disease are 15-20 times more likely than normal people. Cardiovascular disease has become one of the most serious complications of uremia and the highest mortality rate. When the coagulation system is affected, subcutaneous bleeding develops and purpura appears. Renal function is destroyed, erythropoietin is reduced, causing anemia. 5. Skeletal problems In the late stage of uremic disease, renal bone diseases are generally accompanied, including bone softening, osteoporosis, and poor bone formation. The calcium content of the dialysate is high. If such patients usually have additional calcium or vitamin supplements D, may cause the parathyroid gland in the blood to be too low, resulting in the lack of osteogenic factors and poor bone formation. 6. Symptoms of endocrine system: Abnormal renal function, which can easily cause endocrine disorders, abnormal menstruation, increased blood lipids, hyperparathyroidism and other symptoms. It is difficult to cure in the late stage of uremic disease, and the cost of medical treatment is high. Many people are discouraged. How long can they live in the late stage has become a major concern for patients with advanced uremia. The most important thing about the life span of uremia patients depends on some indicators. For example, whether the kidney can still produce urine, and it can indicate that the kidney has a certain function. If this part of the kidney function can be protected, the life span can be relatively extended. Complications are an important cause of uremic death. Actively treating dialysis, reducing the adverse effects of uremia on other organs of the body, and reducing the occurrence of complications are also important factors for the survival of uremia patients.

These four abnormalities appear, indicating that the kidney disease has deteriorated, please don’t delay it

There are almost no nerves inside the kidneys, and inflammatory lesions are not felt. Generally, when there is a decline in kidney function, or when kidney disease occurs, the body will send out some corresponding “distress signals”. But when the kidney disease worsens, some of the original abnormal details of the body will magnify and worsen accordingly. The occurrence of these four abnormalities indicates that the kidney disease has deteriorated. Please don’t delay it. 1. Urine changes and edema of the limbs are generated in the kidney. The kidney can help excrete garbage and metabolic waste in the body. When kidney function appears The frequency of urination when abnormal, the urine color, smell and traits will also change to some extent, such as the frequency of urination significantly increased, especially when the night frequently rises at night, blood in the urine or foam in the urine Can’t disperse. The kidney has a filtering function, which can help discharge excess water in the body and metabolic wastes in the blood. When the kidney is insufficiency, a lot of water will gather together, causing edema of the hands and feet. 2. High blood pressure and low back pain The kidney has the effect of regulating blood pressure. When the kidney function is damaged, renin is secreted, which activates some substances on the body and increases blood pressure. Only active blood pressure control can prevent kidney failure. When it reaches the state of renal failure, it will cause pain in the lower back, accompanied by persistent high fever, frequent urination, general weakness, nausea and vomiting. 3. Eyelid edema and shortness of breath will increase the excretion of urinary protein when the kidney’s filtration function is damaged, causing edema around the eyes. If there is persistent eyelid edema, especially when you wake up in the morning, it indicates abnormal kidney function. When the kidney function is damaged, water and sodium will be retained, and excess water will accumulate around or in the lungs, resulting in shortness of breath. In addition, it will cause anemia and prevent the body from getting sufficient oxygen supply, thereby speeding up breathing speed. 4. Itchy skin and headache will reduce when kidney function is abnormal, the production of erythropoietin, the decrease of red blood cells on the body will reduce its carrying capacity, the oxygen supply of the brain and muscles will be insufficient, which will cause fatigue of the body, accompanied by headache and dizziness And a feeling of total weakness. In the end-stage renal disease and chronic kidney disease patients will have itchy skin, which will generally show a symmetrical distribution. The skin itching is mainly concentrated on the face, back and arms. In addition, the accumulation of a large amount of waste in the blood will disturb the intestinal function, causing loss of appetite, nausea and vomiting, and bad breath. Warmly remind you to be vigilant when the above 4 symptoms appear, and go to the hospital for kidney function test in time, so as not to speed up the process of uremia and renal failure.

What should be paid attention to to prevent kidney failure?

The following three points should be paid attention to to prevent renal failure: 1. Regenerating the five internal organs: ordinary living, dietary, health-conscious, to avoid invasion of external evils, especially in seasons and regions where infectious diseases are endemic, preventive measures should be strengthened. Thick taste, so as not to breed damp heat. Adjust emotions, maintain a happy spirit, make qi and blood reach and avoid stagnation of blood stasis. Strengthen physical exercise, improve the body’s defense capabilities. 2. Prevention of poisoning: Relevant information indicates that 20% to 50% of acute renal failure is caused by drugs, and some are caused by exposure to harmful substances. Therefore, the use and contact with drugs or poisons that are toxic to the kidneys should be avoided as much as possible. In case of accidental use or contact, it should be discovered in time and treated early. 3. Prevention and treatment in a timely manner: Once the primary occurrence of acute renal failure occurs, it should be treated as soon as possible, pay attention to expanding blood volume, correct water and electrolyte disorders and acid-base imbalance, and restore circulatory function. If it is found that the disease is about to occur, measures should be taken early to supplement blood volume, increase cardiac output, restore renal perfusion flow and glomerular filtration rate, exclude obstruction in renal tubules, prevent infection, prevent DIC, renal ischemia Damage caused by renal parenchyma. At the same time, the application of drugs for promoting blood circulation and removing blood stasis has a positive effect on preventing the occurrence of this disease.

7 bad habits that harm the kidney

In recent years, many people are protecting the kidney through various medicines. In fact, the various bad diets and lifestyle habits formed in life are constantly hurting your kidneys, but you have not noticed it. So to protect your kidneys, you must start by changing bad diet and lifestyle habits. ●The wastes of metabolism in the body that do not like drinking water are mainly processed by the liver and kidneys. The most important thing for the kidneys is to regulate the balance of water and electrolytes in the body, and the wastes generated by metabolic physiological activities are discharged in the urine, but these are carried out When functioning, enough water is needed to assist. Solution: Develop a habit of drinking plenty of water to dilute the urine and let the urine discharge quickly. Not only can it prevent stones, but it can also help to lighten the urine when eating too much salt, thus protecting the kidneys. ● Drink beer if you have already suffered from kidney disease, and drink beer in large quantities, it will cause uric acid deposition and lead to blockage of the renal tubules, causing kidney failure. Solution: If a kidney problem is found during the blood test, I am afraid that the kidney function has been damaged at this time. Instead of waiting for the blood test to understand the kidney, it is better to conduct regular urine tests at ordinary times, because urine test is the most important thing to understand the kidney Quick and easy method. ●Inappropriate consumption of vegetables and fruits Eating more vegetables and fruits is beneficial to health. This is the general idea. However, for people with chronic renal dysfunction, vegetables and fruits, which are usually considered to help naturally lower blood pressure, contain high potassium components. Consumption will cause damage to their kidney function. Solution: If you suffer from chronic renal dysfunction, you should pay attention to proper consumption of vegetables and fruits to avoid affecting the kidneys. Do not drink too thick vegetable juices, hot pot soup, vegetable soup, light diet is appropriate. ●Replace boiled water with beverages Most people do not like the plainness and tastelessness of boiled water. In comparison, carbonated drinks such as soda and cola or beverages such as coffee naturally become the best alternative to boiled water. However, the caffeine contained in these drinks often causes blood pressure to rise, and high blood pressure is one of the important factors that damage the kidneys. Solution: Try to avoid drinking too much, replace it with plain water, and keep drinking 8 glasses of water every day to promote the timely discharge of toxins from the body. ●Eating too much meat The American Food Association has recommended that humans consume 0.8 grams of protein per kilogram of body weight per day, which means that a person with a weight of 50 kilograms can only consume 40 grams of protein per day, so they should not eat more than 300 a day. Grams of meat to avoid damage to the kidneys. Solution: The intake of meat and soy products per meal should be controlled at the size of the palm of about 0.5 cm. If you have chronic nephritis, this amount should be reduced. ●Eating too much salt is an important culprit that increases the burden on the kidneys. 95% of the salt in the diet is metabolized by the kidneys. Too much intake will increase the burden on the kidneys. Adding sodium in the salt will make it difficult for the body’s water to be excreted, which will further increase the burden on the kidneys, resulting in decreased kidney function . Solution: The scientific daily salt intake should be controlled within 6 grams, and 3 grams of them can be obtained directly from daily food, so the seasoning of food should be kept within 3 to 5 grams. It is worth noting that there is a lot of salt in instant noodles, and people who eat it often should eat it in reduced amounts. ●Eating unexplained medicinal foods It is not uncommon for acute kidney failure caused by eating exotic foods such as snake gall or grass carp gallbladder, and many people blindly take traditional Chinese medicine to aphrodisiac. In fact, many Chinese medicines contain aristolochic acid and other nephrotoxic ingredients, which will not only cause huge damage to the kidneys, and some may even cause harm to the whole body. Solution: Although the fish gallbladder or snake gallbladder is often claimed to have aphrodisiac, heat-clearing, detoxifying or acne-treating effects, even the fish gallbladder or snake gallbladder used in traditional Chinese medicine must be specially processed to remove its toxicity. Do not blindly take it food.

What “signals” appear in high uric acid, indicating that the kidneys have started to be damaged? This article explains for you

Many friends with high uric acid problems know that high uric acid can cause gout attacks, but they do not know another health risk of high uric acid, that is, the harmful effect of high uric acid on kidney health. Why does high uric acid hurt the kidneys? Why high uric acid hurts the kidney is actually very simple. If the content of uric acid in the blood exceeds the standard and exceeds the saturation concentration of uric acid in the blood, crystals of urate will be precipitated. The crystals of urate will follow the blood to travel around the body and may form deposits on the surface of the joints. In this case, it will cause an inflammatory reaction of the joint and form an attack of acute gouty arthritis; urate may also gradually deposit in the connective tissues such as the auricle, subcutaneous tissue, articular cartilage, etc., and long-term deposition will form chronic Gout stone problems may not only affect joint health, but also may affect the health of skin tissue cells at the deposition site. In addition to the above-mentioned health hazards, urate excretion in the body mainly passes through the kidneys. Therefore, urate crystals caused by high uric acid can not be ignored for kidney health. High uric acid is mainly harmful to kidney health. It is reflected in the following three aspects-first, high uric acid causes urate to precipitate and crystallize. During the process of kidney filtration and reabsorption, urate crystals will form deposits in the interstitial and medulla of the kidney. The deposition of these urates can cause acute and chronic interstitial inflammatory changes, fibrosis, renal tubular atrophy, glomerular sclerosis, and renal arteriosclerosis. Although these changes caused by high uric acid are mild and progressive lesions, they are one of the reasons that often cause chronic renal insufficiency. Second, urate crystals may also form deposits in the renal collecting duct, renal pelvis and calyx, and ureter. If they cause blockage of the urinary tract, they may cause acute kidney function damage or even acute renal failure. This kind of acute injury is more common in patients with severely increased uric acid, such as the acute obstructive renal function injury caused by the mass production of urate during the radiotherapy and chemotherapy of certain diseases. Third, in patients with high uric acid gout, there is a risk of uric acid kidney stones. Investigation data show that the incidence of kidney stones in patients with gout is 200 times higher than that in normal people, and the incidence is as high as 35%. Among patients with hyperuric acid who have kidney stones, 84% are pure uric acid kidney stones, and 4% are mixed uric acid and calcium oxalate stones. Therefore, high uric acid causes the risk of uric acid kidney stones. It cannot be ignored either. The incidence of uric acid kidney stones is directly proportional to the concentration of blood uric acid, and is also closely related to the increase of uric acid content in urine. What are the “signals” of high uric acid hurting the kidneys? Understand the mechanism of high uric acid causing kidney damage and the possible disease problems, then the signal of high uric acid hurting the kidney will be more clear. First of all, it is important not to try to judge whether high uric acid has caused damage to kidney health through symptoms. The so-called “foam urine” and so on are not specific signs and signals of high uric acid injuring the kidney. I want to know whether the kidney function is affected. In case of injury, regular kidney function check, according to the kidney function test indicators, to understand whether their own kidney function is normal, whether there has been a decline, is the true and correct method. The signal that chronic uric acid damage caused by high uric acid is abnormality of renal function-related indicators. At the same time, combined with its own high uric acid situation, it should be considered that high uric acid causes renal function damage. If it is an acute disease caused by high uric acid, such as urinary tract obstruction, kidney stones and other acute disease problems, once it appears, it is not necessary to observe the symptoms, there may be anuria, severe pain, hematuria and other symptoms, if these problems occur, It’s right to seek medical treatment as soon as possible. With the problem of high uric acid, it is necessary to actively regulate and control it. If it is not controlled for a long time, high uric acid will cause gout, and at the same time it will also damage the health of the kidney. Once it occurs, it is often difficult to reverse. Therefore, the best way to reduce high uric acid damage to kidney health is to regulate and control high uric acid as early as possible to control high uric acid to a stable range to achieve this. Compared with the uncontrolled high uric acid, every day I wonder if there will be any symptoms that indicate that high uric acid has hurt the kidneys, it is much more reliable.

Uremia is a loss of more than 90% of kidney function. One of the following symptoms appears, go check

Chronic renal failure late (uremia) occurs on the basis of various chronic kidney diseases. After several months or years, there is a decline in kidney function, resulting in the metabolism of uremic toxins and water in the body that cannot pass through the kidney to urine Toxic form caused by excretion from the body. Uremia is a series of complex syndromes caused by the disorder of the body’s environment after the loss of renal function by more than 90% (at this time, the remaining renal function is less than 10%), not an independent disease, generally known as uremia syndrome . In the uremia period, in addition to the further aggravation of water electrolyte and acid-base balance disorders, anemia, bleeding tendency, high blood pressure and other symptoms, there may be clinical manifestations caused by dysfunction of multiple organ systems and substance metabolism disorders. (1) Symptoms of the digestive system: Patients may suffer from loss of appetite or indigestion, and anorexia, nausea, vomiting, and diarrhea may occur when the condition becomes worse. These symptoms are related to increased inflammation of the gastrointestinal mucosa and superficial small ulcers caused by increased ammonia content in the body. In severe cases, it can cause gastrointestinal bleeding. (2) Symptoms of the cardiovascular system: Patients may suffer from myocardial damage, arrhythmia, heart failure due to the effects of hypertension, hyperkalemia, acidosis, sodium and water retention, anemia, and toxic substances. Infective pericarditis, pain in the precordial area, doctors often hear pericardial friction sounds during examination. Cardiovascular complications are often the cause of death. (3) Neurological symptoms: Neurological symptoms are the main symptoms of uremia. Early manifestations of dizziness, headache, fatigue, comprehension and memory loss, irritability, muscle tremors, convulsions may occur when the condition worsens, and finally develops indifferent expression, lethargy and coma. The main reason is the toxic effect of metabolic harmful substances on the nervous system. (4) Respiratory symptoms: acidosis caused by uremia can make patients breathe deeper and slower. The patient’s exhaled breath smelled like urine. Severe patients may develop pulmonary edema, pleurisy, or pulmonary calcification. (5) Skin symptoms: Itchy skin is a common symptom. The patient’s skin is dry and desquamated and is yellowish brown or even dark brown. White crystals are visible at the opening of the sweat glands of the skin, called urea cream. Slight bruises on exposed skin can cause petechiae. Modern medical practice has proved that suffering from uremia is not terrible. As long as appropriate treatment measures are taken at the corresponding stage of the development of uremia, its impact on the quality of life and life span of patients has been limited. What is terrible is that the patients and their families are arbitrarily ignorant of the disease such as uremia. When renal failure, after using diet therapy and integrated Chinese and Western medicine therapy, still can not relieve the symptoms, it means that the condition has entered the uremia stage, and kidney replacement therapy is needed. After suffering from uremia, you must go to a regular comprehensive kidney disease Hospital visits should not be biased by the words “prescription” or “package treatment”, otherwise it will not only cost you money, but also delay the treatment. If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan

If there are kidney problems, 10 signals can’t be avoided. Seek medical treatment in time and don’t let the “small illness” drag you down

Kidney disease is a disease that seriously endangers human health. Not only is it prone to relapse, but it will prolong the condition and be difficult to cure. Especially when kidney disease progresses to renal failure, it will be accompanied by some complications, such as diabetes, hypertension, heart disease and so on. In addition, a decline in liver hematopoietic function can also lead to a series of diseases, making it more difficult to treat. If the following symptoms appear, it means that there is a problem with kidney disease. 1. Nausea and vomiting: When kidney failure occurs in diabetic patients, the blood urea nitrogen increases, and the urease in the intestinal bacteria will break down the urea into ammonia, which can stimulate the gastrointestinal mucosa, causing nausea and vomiting. In addition, at this time, the kidney’s reduced concentration of urine will increase the patient’s nocturnal urine volume, and the body’s water will be lost at night, the blood will be concentrated, and the blood urea nitrogen level will rise relatively in the morning. Therefore, nausea and vomiting are more likely to occur in the morning. 2. Urinary tract infections: People who often have urinary tract infections for a long time may cause renal insufficiency. 3. Abnormal urination: Healthy people urinate about 4-6 times a day, and the urine volume is about 800-2000 ml. If you have too many or too few urinations, you should pay attention to it. 4. There is foam in the urine: There are many reasons for the foam in the urine, and kidney disease can also cause this phenomenon. If the protein leaks from the kidneys into the urine, the urine will foam a lot. 5. Gout and hyperuricemia: Gout and hyperuricemia are all caused by too much uric acid in the blood. In people with high blood uric acid, uric acid will be deposited in the kidneys and impair renal function. 6. Hypertension: Hypertension can cause hypertensive nephropathy, also called hypertensive kidney damage, so people with hypertension should pay more attention. Of course, kidney disease can also cause high blood pressure. 7. Anemia: Patients with anemia often go to the hematology clinic. In fact, in addition to excretion of waste and other functions, the kidney also has the function of secreting hematopoietic hormones, which is also a major signal of kidney damage. 8. Urine protein and urine occult blood: There is protein or occult blood in the urine, which is an important indicator of kidney disease, which can be detected by routine urine. But sometimes doctors who are not specialized in nephropathy will ignore this, and it is recommended that you consult a nephrologist. 9. Poor appetite: The patient will have a variety of gastrointestinal symptoms, especially because of gastrointestinal edema, and often have symptoms of digestive dysfunction such as diet and abdominal distension. 10. Weakness: When the kidney function is not good, many wastes are difficult to excrete from the urine, and there will be feelings of lack of energy, fatigue, fatigue, etc. Kidney disease, protein and other nutrients leak out from the kidneys and excreted through the urine, there will also be signs of weakness. Some patients think they are overworked, or for other reasons, and ignore kidney problems.

People with bad kidneys will have “2 pain, 1 black” in their bodies

“The Yellow Emperor’s Internal Classic” records that the kidney is innate, responsible for the process of detoxification and urination, which can effectively metabolize toxins and garbage in the body, maintain the healthy development of the internal organs, and maintain the life span of people. Kidney is good, people are healthy, kidney failure, all kinds of diseases! For men, the kidney can play a crucial role. If a man has kidney deficiency, he will inevitably suffer from ridicule around him. In recent years, staying up late, drinking alcohol, Holding back urine, overwork and other bad habits makes the kidney gradually enter into the point of failure and induce disease. As the saying goes, nourishing the kidney is like nourishing the life. If your kidney function is good or bad, maybe the body will reveal some information. You may wish to self-test and do a good job of protecting the kidney. People with poor kidneys will have “2 pain, 1 black” in their bodies. 1. Heel pain. The kidney meridian starts from the sole of the foot. The kidney is good, just look at the foot! The foot is the second heart of the human body, which is the most burdensome , The most vulnerable. If the kidney is deficient, it will be involved in the heel and there will be obvious wear or pain. If it is not accounted for, the kidney is still healthy. 2. Backache Kidney is the most important organ of the body and maintains the balance function of the blood. Once the kidney is harmed, it will cause the body’s system to be disordered and induce various diseases! The kidney is located on both sides of the spine of the waist, directly corresponding to the kidney. Once the kidney is weak, it will be involved in the waist. In the morning, you will feel sore and difficult to bend, accompanied by weakness of the waist muscles and sore waist and knees. 3. Dark circles Regardless of men and women, if staying up late for a long time, it is easy to cause dark circles. There is a clear difference between the dark circles caused by staying up late and the dark circles caused by kidney deficiency. From 11 o’clock in the evening to 6 o’clock in the morning, it is the running time of the viscera. Long staying up all night makes the operation of the viscera turbulent, and the toxins and garbage in the body cannot be excreted effectively, and they will accumulate, which affects the balance of endocrine and causes melanin to precipitate Accompanied by dark circles, dark ears, and dark lips. People with bad kidneys usually have 3 “common points”. Keep in mind “3 drink 2 less”, the better the kidneys, the better. 1. Honeysuckle tea honeysuckle is a heat-clearing and detoxifying ingredient. It is sweet and cold, and enters the liver and kidney. Long-term staying up late, alcoholism and other behaviors can easily cause liver reversal, induce acne, dark circles, acne, etc., honeysuckle is used daily to soak water, maintain the normal operation of the body, promote metabolism, and protect liver and gallbladder The role. 2. Lycium lycium water lycium barbarum is sweet, enters the liver and kidney, and has the effect of nourishing yin and nourishing blood, nourishing liver and kidney. The polysaccharides and minerals contained in the wolfberry are easily digested and absorbed by the human body and enhance the body’s disease resistance Ability to promote the circulation of blood, repair damaged liver cells, and achieve the effect of kidney and qi. 3. Astragalus water Astragalus is a common Chinese medicinal material for invigorating qi and qi, and the effect of nourishing the kidney is very good! It is often said that “a cup of astragalus water can prevent diseases and maintain health”. Among them, the material components rich in astragalus can be effective Strengthen your own immunity and resistance, improve kidney function, replenish kidney qi, and achieve a good effect of prolonging life and benefiting qi and kidney. 1. Staying up late for men, facing the double pressure of society and family, which makes the mental and psychological state of high pressure for a long time. It is shown that high-quality sleep can enhance the body’s disease resistance and maintain physical and mental health development of. On the contrary, staying up late for a long time prevents normal sleep between the organs and directly damages the kidney function, which makes men’s premature “perfect essence” premature and very harmful. 2. Less urine Kidney is the main water, the kidney is the body’s largest urinary system, which accelerates the discharge of toxins and garbage in the body with urine. Long-term holding back urine makes the toxins stay in the bladder meridian, breeds bacteria, causes infectivity of the kidneys, reduces kidney function, and induces a high incidence of uremia.

Increased foamy urine requires alertness to diabetic nephropathy

I do n’t know if you have had such an experience: Recently, you often get up at night to go to the toilet, and a small layer of foam often floats on the surface of the urine, and the foam does not disappear for a long time, that is, “foam urine”. Beware of this situation! Especially for those who are old and have abnormal blood sugar, they must be alert to diabetic nephropathy! What is diabetic nephropathy? The kidney is an important organ for our body to “detox”, excrete, and maintain electrolyte balance in the body, and diabetic nephropathy is one of the most important complications of diabetes. Diabetic nephropathy is glomerular sclerosis caused by diabetic microangiopathy, also known as diabetic glomerulosclerosis, which is a series of kidney diseases such as proteinuria, hematuria, hypertension, edema, and renal insufficiency that occur during the course of diabetes. It is clinically characterized by persistent proteinuria and progressive renal decline and eventually progressing to end-stage renal failure. In China, with the increase in the number of diabetic patients, the incidence of diabetic nephropathy has also increased. It has become the second cause of end-stage renal disease, second only to various glomerulonephritis. However, many people do not yet know the dangers of diabetic nephropathy. There is no special performance in the early stage of diabetic nephropathy. If there is no regular blood test to check renal function, it is easy to be ignored by patients. If the glomerular damage continues to intensify, it will develop into progressive renal function damage, and there will be a lot of proteinuria, that is, “foam urine”. Since then, the kidneys have become increasingly overwhelmed. Symptoms such as high blood pressure and puffy eyes have also appeared one after another, and even evolved into renal failure and uremia. Once a large amount of proteinuria is entered, the rate of progression to uremia will be 14 times that of other kidney diseases, and serious cardio-cerebrovascular complications will occur. Many people have encountered foaming in the urine after urination, so is it more proteinuria in the urine? That’s not necessarily the case. & nbsp. First, normal people will inevitably produce some foam when urinating, this is a normal phenomenon, because urine contains a certain amount of organic and inorganic substances, these substances will make urine tension become stronger, so Will foam up. Second, if you drink less water or urinate, the difference in angle and speed will also produce some foam. Third, some people overeat and eat large amounts of protein-containing foods at once, and foam will also be generated in the urine at this time. Fourth, some people may also experience transient proteinuria due to strenuous exercise, mood swings, and standing for long periods of time. Therefore, the foamy urine that we usually appear is normal, and there is no need to make any fuss. But some people have foamy urine, it is indeed due to kidney problems. If a thin layer of foam floats on the surface of urine and does not disappear for a long time (normally, the foam will disappear in 3-5 minutes), then it may be true proteinuria, it is recommended to go to the hospital to check and confirm. Therefore, there is a lot of foam in the urine, which does not mean that it is proteinuria, we need to analyze the specific circumstances. Foam urine that causes a lot of protein has many causes. For diseases such as cystitis, urethritis, and pyelonephritis, due to the large number of bacteria in the urine, the original components in the urine are used and changed, or a large amount of gas production leads to foam in the urine, which can also form foamy urine. & nbsp. Diabetic patients are also prone to urinary tract infections due to abnormally high blood sugar and increased urine sugar content, which is also one of the reasons that diabetic patients are prone to foamy urine. Although the phenomenon of foamy urine alone cannot determine the specific cause, after all, foamy urine is an important symptom of nephropathy. Once found, you should go to the hospital for urine routine, urine albumin / creatinine ratio and related examinations as soon as possible. The culprit. In particular, treatment emphasizes the word “early”, that is, early diagnosis and early treatment, and only early intervention in time can prevent the progression of the disease and even reverse the condition. In the later stage, especially when entering the clinical stage of diabetic nephropathy or renal insufficiency, it is often difficult to obtain full effect, and the prognosis is poor. All in all, the key to dealing with diabetic nephropathy and its complications is prevention. I hope that everyone will pay attention to the details of life in the future, take regular physical examinations, and embrace a healthy life.

“Sweet killer” star fruit actually killed people directly?

Carambola, alias: carambola, carambola, star fruit, etc., is a fruit produced in the tropics and subtropics, and is more common in southern China. The “Compendium of Materia Medica” records that carambola has the effects of “clearing heat, regenerating water, water, detoxification” and so on . It has a clear outline and a five-pointed star shape, which is very interesting. The taste is sweet, the taste is crisp, it contains a lot of water and vitamins, and it has very high nutritional value, so it is quite popular. But for “uremia patients”, under the delicacy is “the honey of ru, my arsenic”, eating star fruit can be fatal! After research by Brazilian scientists, carambola does contain a neurotoxin. Eating too many carambola can easily lead to nerve excitement and poisoning. The neurotoxicity of carambola is related to a neurotoxin caramboxin. Caramboxin is a non-protein amino acid, which has an obvious agonistic effect on the NMDA receptor of glutamic acid, causing excessive brain excitement to produce neurotoxic symptoms. In animal experiments, after injecting caramboxin into the brains of experimental animals, the experimental animals will have behavior changes and symptoms of epilepsy. In general, it is fine for normal people to eat one, but for patients with kidney disease, toxins cannot be excreted in time after renal function declines, and too much carambola is ingested, causing toxin accumulation damage to glomerular capillary basement membrane damage, which is extremely easy Cause kidney failure, coupled with poisoning, easily lead to uremia. As the star fruit is a southern fruit and eats more in the south, it has also been reported that carambola poisoning has occurred in Taiwan and Malaysia. Starfruit poisoning can be divided into digestive symptoms such as severe hiccups and vomiting; mental symptoms such as insomnia, irritability, unconsciousness, and coma; neurological symptoms such as epilepsy, and even shock, which is life-threatening. Even people with normal kidney function, when hungry or lack of water in the body, after eating a lot of carambola or its related products, because it contains a lot of oxalic acid, excessive intake will cause oxalic acid to accumulate in the renal tubules, causing renal tubular necrosis , Acute renal failure occurred. The uremic patients who eat carambola lightly can get better after timely dialysis, and the severe ones can cause death. Patients with hypertension and diabetes must pay attention to their kidney function when consuming star fruit. Elderly people, even if they don’t have kidney disease, don’t eat on an empty stomach. Don’t even eat when you are a little dehydrated after strenuous exercise. Do not eat more than one small carambola at a time after meals, that is, no more than two or two. People with kidney disease, who have suffered from kidney disease, do not eat carambola. For patients who have undergone kidney transplantation or have renal failure for hemodialysis and peritoneal dialysis, carambola and carambola juice and canned carambola must never be touched. Some children will urinate after eating carambola, usually just not eating. However, little babies will not make this attempt. Healthy children can still eat, be careful not to eat on an empty stomach. Healthy people can enjoy the delicious star fruit, but do not eat a lot in a short time.

Will kidney disease develop into uremia? Do these 5 things well, can effectively prevent

Will nephropathy worsen to uremia, and how long does it take for nephropathy to uremia? This is an issue that we are all concerned about. Although kidney disease is irreversible, not all kidney diseases will worsen to uremia. Some kidney friends have controlled the disease in the first three stages. At this time, the condition is stable and the development is slow. Without external stimulation, you will not easily get uremia. Kidney friends need to have a clear understanding of the condition, recognizing that the main task of nephropathy treatment is to control the disease and maintain stable renal function to avoid deterioration of renal function. Not to cure kidney disease. Persistently doing these 5 things can well control the disease and effectively prevent the development of uremia. 01Choose high-quality low-protein protein as an important nutrient for the human body, especially the essential amino acids that the human body cannot synthesize and must be ingested from outside! When ingesting protein, try not to use vegetable protein. Vegetable protein is mainly crude protein, which is why patients with kidney disease do not advocate complete vegetarian diet. And the metabolic waste of crude protein is relatively large, which will increase the burden on the kidneys. Patients with kidney disease advocate ingesting animal protein, which contains essential amino acids, such as fish and lean meat. But be careful not to overdose, many patients who progress to uremia are because of big fish and meat, and diet is not controlled. 02 Do not use multiple drugs together. Some people will take multiple drugs together when they are sick. The effects of the drugs may cancel each other out, and the toxicity will increase. The therapeutic effect is not only not achieved, 80% may cause to the human body New damage. For example: simultaneous use of sulfonamide and vitamin C will increase kidney poisoning; simultaneous use of penicillin and aspirin will reduce the antibacterial efficacy of penicillin, etc. In recent years, patients with nephropathy caused by taking the wrong medicine, or patients with nephropathy taking medicine indiscriminately, lead to the increasing phenomenon of uremia. If patients with kidney disease need to take medicines not prescribed by a doctor, it is best to consult a doctor in advance. 03 Don’t delay the time for cold treatment. Cold is a manifestation of the body’s immune system. At this time, a large number of immune complexes will appear in the patient’s body. For patients with better physical fitness, immune complexes can be discharged normally, while patients with poor physical fitness, especially In patients with kidney disease, immune complexes will stay in the kidneys, causing direct damage to the kidneys. Therefore, if you find that you have a cold, especially if you have a kidney disease, you should go to a regular hospital for examination and treatment in a timely manner, and do not delay the treatment time. 04 Controlling blood sugar and hypertension Diabetes patients are many times more likely to develop kidney disease than normal people. Nearly 30% -40% of diabetes will develop into diabetic nephropathy, and about one quarter of diabetic nephropathy will develop into uremia ; High blood pressure can directly cause kidney damage, leading to hypertensive nephropathy, and most patients with nephropathy also have different degrees of hypertension. Whether it is diabetes or high blood pressure, severe patients will have symptoms such as glomerular sclerosis and tubular atrophy, and eventually develop into uremia. 05Using regular urine tests and kidney function tests. Urine is a mirror that reflects kidney health. Regular urine tests are the most effective way to find kidney disease; kidney function is a mirror that reflects kidney progress. Regular kidney function tests help to discover kidneys in time Changes in his condition. Therefore, regular follow-up visits are important. Many patients do n’t even know that they do n’t care about regular follow-up visits and check urine and kidney function. Establish a correct concept of medical treatment, do not blindly treat, find a regular hospital, insist on treatment, avoid taboo, overwork, and do not get infected. Kidney disease can be controlled and will not deteriorate so quickly. If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan

Eat low sodium and high potassium salts to prevent cardiovascular disease

“British Medical Journal (BMJ)” published a study on Chinese residents on April 23, the results show that Chinese residents use low sodium high potassium salt instead of common salt, can prevent more than 460,000 people die of cardiovascular disease (equivalent 1/9 of the total deaths from cardiovascular diseases), including 208,000 stroke patients and 175,000 heart disease patients; it can also prevent about 743,000 non-fatal cardiovascular diseases, including 365,000 strokes and 147,000 Had a heart attack and reduced the incidence of chronic kidney disease by about 120,000 cases per year. From this point of view, replacing low-sodium and high-potassium salts with ordinary salts is indeed an important health promotion measure, which is of great significance for the prevention and treatment of hypertension and other cardiovascular diseases. What is low sodium high potassium salt, low sodium high potassium salt, also known as low sodium salt, generally a certain proportion (about 30%) of potassium chloride is used to replace part of the sodium chloride, so that the sodium content is reduced and the potassium content is significantly increased . The sodium content in the low-sodium and high-potassium salt is 30% less than that of common table salt, and the potassium content is dozens of times higher (the amount of potassium in ordinary table salt is very small), and the iodine content is unchanged (low sodium salt is also fortified with iodine). The limit of low sodium and high potassium salt is similar to or slightly lighter than that of ordinary table salt. The amount added during cooking is the same, but it can reduce the intake of sodium, achieve a low salt diet, and at the same time add potassium. Because the intake of salt (sodium) in Chinese generally exceeds the recommended standard (5 g / day), this low-sodium and high-potassium salt is not only suitable for patients with hypertension, but also recommended to ordinary adults, instead of ordinary iodized salt. At present, low-sodium and high-potassium salts are available in many supermarkets and are slightly more expensive, but after all, salt is not eaten much and will not increase the actual economic burden. But be careful not to buy it wrong, some “health salts” added with iron, zinc, or selenium, such as selenium-rich salts, iron-added salts, and zinc-added salts, are also sold in supermarkets. Not very meaningful and not recommended. Low-sodium and high-potassium salts are actually nothing new. I have eaten low-sodium and high-potassium salts for decades in my own family. Many domestic institutions also recommend it, such as the Chinese Medical Association “China Hypertension Guide 2018”, China Nutrition “Three reductions and three healths” activities of the Society / National Health and Health Commission, etc. But in other countries, there are very few similar recommendations. Why? The most important reason why low sodium and high potassium salts are more important for Chinese residents may not be that Chinese residents have too much salt intake (10.5 grams per day per person, which is twice the recommended limit), or even the prevalence of hypertension among Chinese residents. Too high (crude rate is 27.9%, standardization rate is 23.2%), but it is because among the risk factors of hypertension in Chinese residents, high sodium and / or low potassium diet is the first to be the most important one. Sensitive to sodium. Academically (“Chinese Hypertension Guidelines 2018”), excessive sodium intake and / or insufficient potassium intake, and low potassium and sodium intake ratio are important risk factors for hypertension in China. Reducing sodium intake and increasing potassium intake (for ordinary people) can reduce the risk of hypertension, (for patients with hypertension) can effectively reduce blood pressure. 75.8% of the sodium in the diet of our residents comes from home cooking salt, so it is indeed a wise choice to replace common table salt with low sodium and high potassium salts. It reduces both sodium and potassium, and it does both. However, such good, cheap and good things are not popular, and many people are not aware of low sodium and high potassium salts. What’s more sad is that many people only know it because of the negative news of low sodium and high potassium salt, and think it is harmful to the kidneys! In recent years, there have been many sensational claims that low sodium salt harms the kidneys, low sodium salt is equal to “death salt”, and even some medical personnel with lack of knowledge have helped, saying that high potassium in low sodium and high potassium salt causes blood Potassium rises, impairing kidney function. There is no doubt why the low-sodium and high-potassium salt packaging should be reminded that “nephrotic patients are not suitable”. Patients with renal insufficiency need a low-salt (sodium) diet. What about potassium? Speaking of it is complicated. Simply put, during the progression of renal insufficiency and treatment, sometimes a complication occurs-elevated blood potassium, hyperkalemia is a very dangerous situation, and it may be fatal if you fail to do so. In this case, the intake of potassium in the diet must be reduced, and even fresh fruits and vegetables rich in potassium must be restricted, not to mention low sodium and high potassium salts. However, healthy people should not be afraid, as long as the kidney function is normal, eat fresh fruits and vegetables rich in potassium, or eat low sodium and high potassium

Renal function decline? Kidney damage? May be related to this habit!

Although kidney function gradually declines with age, some life habits or behaviors often become important causes of kidney damage. In order to protect the kidneys, everyone must be alert to this “injury to the kidney” factor-drug abuse. The kidney is the main excretory organ of the human body, and most of the drugs must be excreted through the kidney. Many of these drugs have a harmful effect on the kidney function. Especially patients with original kidney disease should use the drugs with caution and do not abuse the drugs. Which drugs hurt the kidney most? Today, I will come to know about these drugs that may harm kidney health! Kidney damage caused by drugs, including acute damage, such as acute tubular necrosis or acute tubular interstitial nephritis caused by direct toxicity or allergic reactions of drugs, and chronic interstitial nephritis caused by drug-induced chronic diseases. Drugs that are likely to cause kidney damage are mainly found in the following categories: 01 Antipyretic and analgesic drugs such as paracetamol, ibuprofen, aspirin, indomethacin, contac, analgin, Tylenol, acetaminophen, phenaphen Xiting, Antipyrine, Baotaisong, Yantong Xikang, Fenbid and various analgesic tablets, etc. What needs special explanation here are some “cold medicines”, cold medicines containing antipyretic and analgesic ingredients that are easily overlooked. In fact, the cold medicines that we usually take often contain “paracetamol”, whose chemical name is “acetaminophen”, which is “antipyretic analgesic”, which has analgesic, cooling and anti-inflammatory effects. These cold medicines can be used to reduce fever and relieve cold symptoms, such as headache, joint pain, neuralgia, and migraine caused by cold. Therefore, do not abuse cold medicines containing such ingredients (not cold medicines, but not abuse), and do not mix cold medicines, cold medicines, which will contain the same ingredients. If you take them blindly at the same time , It is likely to cause an increase in dose, but it is unhealthy. 02 Antibiotic drugs Most antifungal drugs, antibiotics and antiviral drugs are cleared by the kidneys. Improper use can damage the kidneys; some drugs should reduce the amount of medication for those with renal insufficiency. The following drugs should be used with caution. Aminoglycosides such as gentamicin, streptomycin, kanamycin, amikacin; polypeptides such as colistin, polymyxin B, bacitracin; sulfonamides such as sulfadiazine, sulfamethoxazole , Sulfamethoxazole, co-trimoxazole, etc .; glycopeptides (including vancomycin, teicoplanin); first-generation and second-generation cephalosporins (cefradine and cefprozil, etc.); semi-synthetic penicillins such as ampicillin ; And amphotericin B, rifampicin, tetracycline (except doxycycline), fluoroquinolones, etc. 03 Proton pump inhibitors such as omeprazole, rabeprazole, lansoprazole, pantoprazole and other “prazole” drugs. 04 Antitumor chemotherapy drugs mitomycin-C, brilliant mycotoxin, nitrosourea, cisplatin, 5-fluorouracil, etc., doxorubicin, methotrexate, vincristine and bleomycin etc. 05 Prescription laxatives Generally speaking, it is safer for most people to use over-the-counter laxatives. However, prescription laxatives such as sodium phosphate used to clean the intestine before colonoscopy may cause kidney damage. Such as: age ≤18 years old or ≥55 years old; patients with chronic kidney disease; patients with dehydration; patients with intestinal obstruction or active colitis; taking diuretics, prednisolone, sartans, anti-inflammatory drugs, non-steroids Patients with anti-inflammatory drugs should be used with caution. 06 Contrast agents (contrast agents) Contrast agents are widely used in angiography, enhanced CT, pyelography, etc. Acute kidney injury caused by contrast agents often occurs, especially those with original underlying kidney disease. Among contrast agents, especially hypertonic contrast agents are more likely to cause kidney damage. 07 Heavy metal and metal complexing agents mercury, lithium, cadmium, uranium and gold preparations, penicillamine, escitate, etc. 08 Other medicines cyclosporine A, tacrolimus, cimetidine, allopurinol, mannitol and low molecular dextran, etc. Everyone knows that “the drug is three-part poison”. Although the above drugs may cause kidney damage and reduce kidney function, some diseases use the “toxicity” of these drugs to treat the disease, so if the condition requires, the pros and cons can still be weighed. Consider using it. It should be remembered that the medicine must be used under the guidance of a doctor, and it cannot be used blindly, especially our kidney friends. So how should we use medication correctly? Seek medical treatment in time when you are sick, and take medicine under the guidance of a doctor. The patient is proceeding

Are kidney patients afraid of high creatinine? Doctor: This way can reduce creatinine!

When creatinine reaches a certain index, it will cause uremia, and creatinine is too high, which largely means that kidney function has declined. So avoiding elevated creatinine is the common goal of nephrologists and kidney friends. What is blood creatinine? Creatinine is a product of muscle metabolism in the human body. 20g of muscle will metabolize 1mg of creatinine, including blood creatinine and urine creatinine. Among them, blood creatinine is more meaningful to measure renal function. Nephropathy patients often say that high creatinine refers to high blood creatinine. Creatinine is a small molecular substance that can be filtered through the glomeruli and is rarely absorbed in the renal tubules. Almost all of the creatinine produced in the body is excreted with urine and is generally not affected by urine output. When renal dysfunction occurs, creatinine accumulates in the body and becomes harmful to the human body. What does creatinine level mean for the kidneys? When the kidney is only inflamed, creatinine will be higher than 106μmol / L; when the kidney has renal insufficiency, creatinine will be higher than 186μmol / L; when kidney has renal failure, creatinine will be higher than 451μmol / L; when creatinine is higher than 707μmol / L, the kidney enters the end stage of renal insufficiency, also known as uremia. Due to the strong compensatory function of the kidney, under normal circumstances, when the glomerular damage reaches more than 60%, the rapid increase of creatinine will occur only when the kidney excretory waste has a certain obstacle. Therefore, there is no very sensitive response to the early renal function damage. If creatinine is already significantly higher than normal, it often means that the damage to kidney function is already very serious. Decreased creatinine, which means that kidney function is restored? In the absence of complete loss of kidney filtration function, blood creatinine will also decrease if creatinine is produced less. Therefore, the decline in creatinine is not necessarily a recovery of kidney function, it may also be because you have not eaten meat for a long time, and have not exercised for a long time … Do n’t be discouraged, this at least shows that your kidney function is stable. The index of blood creatinine only reflects the concentration of creatinine in the blood, and does not strictly reflect the situation of renal function. Therefore, do n’t panic if creatinine rises, and relax when creatinine drops. Let ’s first check the reason for the change in creatinine. What medicine should I use to lower creatinine? Let me talk about it first. There are no drugs that can directly reduce creatinine … but it is. Even though many drugs that are indicated for creatinine lowering therapy are “selling sheep’s meat”, they cannot completely solve the problem of increased creatinine. Creatinine is mainly excreted by the kidneys, and a small part can pass through the intestines. Some creatinine-lowering drugs promote excretion through the intestine, and the effect can be imagined. If the treatment of nephropathy only wants to reduce the creatinine index, rather than solving the problem of nephropathy that causes creatinine from the root cause, the treatment is the ultimate inversion! Uremia will also approach you quickly. Realizing the reduction of creatinine will either cure the kidney disease or keep the condition stable and the kidney function is guaranteed. The key to human language is the treatment of kidney disease, rather than staring at creatinine indicators. What are the causes of increased creatinine? 1 Loss of water in the body, such as fever, sweating, decreased drinking water, and polyuria can cause blood concentration, decreased renal blood flow, and increased creatinine. 2 It is difficult to rest in life and not pay attention to the details of life. It can also cause a certain range of elevated blood creatinine. 3 People who have abnormal urine for a long period of time have hematuria and proteinuria. If the kidney damage is to a certain extent, the phenomenon of elevated creatinine will occur unknowingly. Patients with kidney disease who take drugs that damage the kidneys under unknown circumstances can have elevated or even irreversible creatinine. 4. People with renal insufficiency will have a short-term rise in creatinine when they are infected (including colds, pneumonia, intestinal infections, urinary tract infections, etc.). In patients with hypertension, blood pressure is unstable, and creatinine will be high. In patients with kidney disease, creatinine increases due to relapse. Let’s take a look at the daily diet. What are the ways to reduce creatinine? 1 Control the intake of salt. In the case of high creatinine, kidney function damage is serious, and salt intake needs to be strictly controlled. Usually you must pay attention to avoid the intake of invisible salt, you can try alternate methods such as unsalted breakfast and low-salt breakfast. If the patient has high blood pressure, severe edema, heart failure and other serious conditions, salt should be strictly restricted. 2 Eat more fresh fruits and vegetables with high creatinine, especially foods rich in vitamin B2, vitamin A and vitamin C. 3 Intake of high-quality protein In order to avoid further deterioration of renal function, attention should be paid to reduce the burden on the kidneys, so to control the total amount of protein intake, you should choose a high-quality protein diet. 4

Is ureteral calculus painful or not?

& nbsp. & nbsp. The pain caused by ureteral calculi is called “renal colic”. It is said that the area of ​​renal colic is similar to that of women’s birth, so if ureteral calculi occurs, is it good or not? Recently, two patients with upper ureteral calculi were treated. One case had acute renal colic and one case had no sensation (examination revealed). All patients underwent percutaneous nephroscope laser lithotripsy. The patients with acute renal colic completely returned to normal after operation. Another patient estimated that the stones had been incarcerated for more than ten years. The kidneys had severe water accumulation. How much kidney function can recover can only be destined. CT showed the upper ureteral stones. Ureteral stones cause moderate hydrops in the right kidney. Acute “renal colic” CT suggests that the right upper ureteral stones cause severe hydrops in the right kidney, but the patient is unaware. & nbsp. Both patients underwent percutaneous nephroscope laser lithotripsy. The first patient has completely recovered, and the second patient has currently unknown renal function. Of course, the postoperative obstruction is relieved and the renal function will be restored to varying degrees, but it can How much to restore depends on the destiny. & nbsp. & nbsp. For ureteral stones, we must be vigilant, especially painless ureteral stones. Never cause kidney function damage or even kidney loss due to painlessness!

Still afraid of high creatinine? Doctor: This way can reduce creatinine!

When creatinine reaches a certain index, it will cause uremia, and creatinine is too high, which largely means that kidney function has declined. So avoiding elevated creatinine is the common goal of nephrologists and kidney friends. What is blood creatinine? Creatinine is a product of muscle metabolism in the human body. 20g of muscle will metabolize 1mg of creatinine, including blood creatinine and urine creatinine. Among them, blood creatinine is more meaningful to measure renal function. Nephropathy patients often say that high creatinine refers to high blood creatinine. Creatinine is a small molecular substance that can be filtered through the glomeruli and is rarely absorbed in the renal tubules. Almost all of the creatinine produced in the body is excreted with urine and is generally not affected by urine output. When renal dysfunction occurs, creatinine accumulates in the body and becomes harmful to the human body. What does creatinine level mean for the kidneys? When the kidney is only inflamed, creatinine will be higher than 106μmol / L; when the kidney has renal insufficiency, creatinine will be higher than 186μmol / L; when kidney has renal failure, creatinine will be higher than 451μmol / L; when creatinine is higher than 707μmol / L, the kidney enters the end stage of renal insufficiency, also known as uremia. Due to the strong compensatory function of the kidney, under normal circumstances, when the glomerular damage reaches more than 60%, the rapid increase of creatinine will occur only when the kidney excretory waste has a certain obstacle. Therefore, there is no very sensitive response to the early renal function damage. If creatinine is already significantly higher than normal, it often means that the damage to kidney function is already very serious. Decreased creatinine, which means that kidney function is restored? In the absence of complete loss of kidney filtration function, blood creatinine will also decrease if creatinine is produced less. Therefore, the decline in creatinine is not necessarily a recovery of kidney function, it may also be because you have not eaten meat for a long time, and have not exercised for a long time … Do n’t be discouraged, this at least shows that your kidney function is stable. The index of blood creatinine only reflects the concentration of creatinine in the blood, and does not strictly reflect the situation of renal function. Therefore, do n’t panic if creatinine rises, and relax when creatinine drops. Let ’s first check the reason for the change in creatinine. What medicine should I use to lower creatinine? Let me talk about it first. There are no drugs that can directly reduce creatinine … but it is. Even though many drugs that are indicated for creatinine lowering therapy are “selling sheep’s meat”, they cannot completely solve the problem of increased creatinine. Creatinine is mainly excreted by the kidneys, and a small part can pass through the intestines. Some creatinine-lowering drugs promote excretion through the intestine, and the effect can be imagined. If the treatment of nephropathy only wants to reduce the creatinine index, rather than solving the problem of nephropathy that causes creatinine from the root cause, the treatment is the ultimate inversion! Uremia will also approach you quickly. Realizing the reduction of creatinine will either cure the kidney disease or keep the condition stable and the kidney function is guaranteed. The key to human language is the treatment of kidney disease, rather than staring at creatinine indicators. What are the causes of increased creatinine? 1 Loss of water in the body, such as fever, sweating, decreased drinking water, and polyuria can cause blood concentration, decreased renal blood flow, and increased creatinine. 2 It is difficult to rest in life and not pay attention to the details of life. It can also cause a certain range of elevated blood creatinine. 3 People who have abnormal urine for a long period of time have hematuria and proteinuria. If the kidney damage is to a certain extent, the phenomenon of elevated creatinine will occur unknowingly. Patients with kidney disease who take drugs that damage the kidneys under unknown circumstances can have elevated or even irreversible creatinine. 4. People with renal insufficiency will have a short-term rise in creatinine when they are infected (including colds, pneumonia, intestinal infections, urinary tract infections, etc.). In patients with hypertension, blood pressure is unstable, and creatinine will be high. In patients with kidney disease, creatinine increases due to relapse. Let’s take a look at the daily diet. What are the ways to reduce creatinine? 1 Control the intake of salt. In the case of high creatinine, kidney function damage is serious, and salt intake needs to be strictly controlled. Usually you must pay attention to avoid the intake of invisible salt, you can try alternate methods such as unsalted breakfast and low-salt breakfast. If the patient has high blood pressure, severe edema, heart failure and other serious conditions, salt should be strictly restricted. 2 Eat more fresh fruits and vegetables with high creatinine, especially foods rich in vitamin B2, vitamin A and vitamin C. 3 Intake of high-quality protein In order to avoid further deterioration of renal function, attention should be paid to reduce the burden on the kidneys, so to control the total amount of protein intake, you should choose a high-quality protein diet. 4

Kidney friends eat the wrong fruit, it can be life-threatening

When it comes to eating fruits, I believe everyone will think of the benefits of eating fruits. For example, beauty and beauty, lowering blood fat and blood pressure and so on. In daily life, there are also many people who care about us often tell us & quot.Be sure to eat more fruits! & quot. However, there are actually restricted areas for eating fruits. If you eat them wrong, it will not only do no good, but may “quote” to the hospital. The variety of fruits is delicious and delicious. It is a food that everyone likes to eat. However, if you do not pay attention to the amount you eat and the type of fruit you eat, it may increase the burden on the kidneys. The long-term non-intermittent and high-load operation of the kidneys can easily lead to increased kidney disease. Why people with kidney disease cannot eat fruits at will Some people think that people with kidney disease are in poor health and are too guilty to eat things that are not cold; or they eat fruit in question, which makes the condition worse. None of these conjectures are the root of the problem. The root cause is that potassium in fruits can cause cardiac arrest and respiratory arrest in some kidney friends. You may be wondering, as such, potassium is a very dangerous bad thing, and patients with kidney disease should touch less? Don’t worry, then look down. Why is potassium so unfriendly to kidney friends? Potassium itself is not a bad thing. Potassium is essential for the normal operation of human cells, tissues and organs. It participates in and maintains the normal metabolism of cells, maintains the osmotic pressure of the intracellular fluid and the acid-base balance, and maintains the excitability of neuromuscular tissues. Especially the heart and muscle contract. This is why doctors always encourage patients with high blood pressure and cardiovascular diseases to eat more fresh fruits and eat more healthy foods with high potassium content. Although potassium has some good effects on some people. But the same is to eat more fruit, kidney failure, uremia, these kidney friends may be fatal. why? This is because the kidney’s ability to expel potassium varies widely. The kidney is a blood purification organ, and everyone knows it well. A person with no kidney function problems can “cleanse and filter” the whole body blood 3 to 4 times a day, and filter about 25 times a week. When kidney function is severely impaired, the ability to purify blood decreases. If the kidneys do not work by themselves, even if regular hemodialysis is performed weekly, the blood can only be “cleaned and filtered” about twice a week, and the gap between them is obvious. Therefore, the efficiency of potassium removal is completely different in different renal function states. If too much potassium cannot be removed by the kidneys, it will accumulate in the blood and cause cardiac arrest. The vast majority of cases of “fruit fatal” occur in renal insufficiency (CKD stages 4-5) and dialysis of these kidney friends with weak potassium excretion ability, and rarely occur in kidney friends with normal kidney function. Seeing this, you must understand why kidney friends with weak potassium excretion ability and high blood potassium are prone. The doctor will advise some fruit taboos, such as eating less bananas, oranges, mangoes, cantaloupes and melons (all high Potassium food), and kidney friends with normal kidney function do not have these requirements. What are high potassium foods? 1. The fruit with the highest potassium content is jujube. 100g jujube contains 375mg potassium. Secondly, banana 100g contains 330mg potassium, jackfruit 100g contains 330g potassium, and black currant 100g contains 322mg potassium. 2. Potassium per 100g of other fruits: banana 256mg, red fruit 299mg, apple 119mg, pear 92mg, sand fruit 123mg, peach 166mg, apricot 226mg, cherry 232mg, grape 104mg, pomegranate 231mg, persimmon 151mg, strawberry 131mg, orange 159mg, Citrus 154mg, pomelo 119mg, lemon 209mg, pineapple 113mg, pomegranate 235mg, longan 248mg, bayberry 149mg, cantaloupe 190mg, melon 139mg, watermelon 87mg. For kidney friends, the diet needs to be moderate, and these fruits must not be released. If you are not sure whether you can eat the fruit, you should consult the attending doctor and eat under the guidance of the doctor. If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan