Kidney disease︳Middle-aged man with urination and urination bubbles dragged on for 10 years to seek medical treatment for uremia burst table and immediate dialysis

According to the Centre for Health Protection, in 2020, 1,721 new people in Hong Kong suffered from kidney problems such as nephritis, nephrotic syndrome and nephrotic disease, making it the sixth urban disease that year. A Taiwanese nephrologist shared a case. A middle-aged man asked him for medical treatment, but when the man walked into the consultation room, the doctor smelled a stench of urine from the man’s breath, and later revealed that he had excreted proteinuria for more than 10 years. For many years, but without actively seeking medical treatment, the uremia index in the body eventually became too high, and kidney dialysis was required immediately.


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Middle-aged man smells like urine

Hong Yongxiang, a Taiwanese nephrologist, recently shared a case on the health information program “The Doctor is Hot”, referring to a middle-aged man who asked him for medical treatment, but when the other person walked into the consultation room, he felt that something was wrong with him because he had asthma, His face was pale, and he breathed with the smell of urine, and he had acne on his face. He said bluntly,

“I’ve been a nephrologist for a long time, and I can tell it’s serious at first sight, and I’m probably going to have kidney dialysis.”

Having proteinuria for more than 10 years, reluctance to seek medical treatment leads to uremia index exceeding the standard

Hong Yongxiang continued to point out that when the man was repeatedly questioned, he revealed that he had discovered blistering in his urine more than 10 years ago. At that time, proteinuria was also detected, but he did not pay attention to it. However, with the decline of kidney function and the imbalance of electrolytes in the body, he would have cramps from time to time, but he still thought it was caused by too little exercise and poor circulation; later, when the uremia index became higher and higher, he began to feel nausea, Vomiting and loss of appetite, but he regarded it as indigestion. In short, he was reluctant to seek medical treatment for more than 10 years. I didn’t seek medical attention until I started to feel shortness of breath and felt that it was not good.

He said that after a blood test, the man was found to have a uremia index (creatinine) of 14 (normal value is 0.3 to 1.5 mg/dl). X-rays revealed that he had severe pulmonary edema, so he immediately told the man. Can not go home, must go directly to the emergency room, immediately dialysis.

5 major symptoms of bad kidney “bubble, water, high, poor, tired”

Hong Yongxiang explained that clinical experience shows that about 20% of patients are arranged for dialysis on the day of consultation, but it often takes 25 to 30 years to evolve from chronic renal failure to dialysis. I haven’t seen a nephrologist in over 20 years.

He reminded everyone that there are five main symptoms of bad kidneys: “water soaking and high fatigue”, that is, soaking in urine, edema, high blood pressure, anemia, and fatigue, indicating that the kidneys may have been severely damaged, and kidney dialysis is usually required within 5 years. Therefore, if you find that you have bubbles in your urine, dark urine, inexplicable edema of your lower extremities, etc., you should seek medical attention as soon as possible, otherwise kidney dialysis will be a very painful thing.

5 signs of kidney disease

Cai Wanquan, a nephrologist at Yadong Hospital in Taiwan, once pointed out that in addition to urination, there are five conditions that may be symptoms of kidney disease:

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Renal function is related to daily urination ability. If nocturia, dysuria, hematuria, etc. occur frequently, you should seek medical attention as soon as possible for urine examination. Dr. Cai pointed out that it is the best time to observe the changes in the first urination in the morning to make judgments, because drinking less water at night and the urine concentration increase, the observation is the most accurate at this time.

Dr. Cai also reminded that there are many reasons for urination, such as standing to urinate, urinating with more force, faster urine flow, and larger flow. However, these are mainly formed by air bubbles, which usually disappear within 30 seconds to 2 minutes. Therefore, if the bubbles persist for a long time and the bubbles are tight, you should pay attention to the condition of your kidneys and seek medical attention as soon as possible.

8 ways to prevent chronic kidney failure

If the kidney function is damaged, it may cause a variety of bodily function problems, so it should be prevented as soon as possible. You can pay attention to the following 8 tips provided by the Hospital Authority to prevent chronic renal failure:

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Written by: Guo Zifeng

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