Is lumbago nephropathy?

In daily life, many people have the experience of backache. In the outpatient department of nephrology, doctors often meet patients who come to see a doctor because of backache. Once many people have symptoms of backache, they will think of whether there is something wrong with their kidneys. People's judgment is understandable, because the anatomical position of the waist and kidney is relatively close, and some kidney diseases do cause discomfort symptoms such as backache. However, back pain is not a "patent" for kidney disease. Excessive exercise or lack of exercise, long-term bad posture, lumbar muscle strain, lumbar disc herniation, lumbar hyperosteogeny, gynecological diseases and so on may all lead to low back pain. Judging whether the symptoms of low back pain are caused by kidney disease can be analyzed from the following two aspects. In addition to low back pain, patients with kidney diseases are often accompanied by some "characteristic" manifestations: ① foam in urine. When there is protein in the urine of patients with kidney disease, foam urine will appear. ② The amount and color of urine will be different from that in peacetime. For example, when suffering from acute renal failure, there will be a decrease in urine volume or even no urine; When suffering from acute nephritis, the color of urine will turn red. In addition, the frequency of getting up at night is obviously higher than before (nocturia increases), which may also be a signal of kidney disease. ③ Eyelid, calf and instep are a little edema. If you get up in the morning and find that your eyelids are swollen, your calves and instep are also swollen, which is probably an early manifestation of kidney disease. ④ Blood pressure increased. If young people are found to have high blood pressure, the possibility of kidney-related diseases should be considered. 5 gastrointestinal discomfort, such as loss of appetite, and even nausea and vomiting. Patients with low back pain are more likely to suffer from kidney disease if they are accompanied by the above symptoms. To determine whether you have kidney disease, you need to do three tests, urine routine, renal function and renal ultrasound. If the urine routine is obviously abnormal, the diagnosis of renal diseases can be considered initially, and further examination (such as renal function, renal ultrasound, renal puncture, etc.) can be made. ) to understand the extent of renal damage. If urine routine is normal or slightly abnormal, renal function and renal ultrasound should also be checked to determine whether renal function and renal structure are normal. If the above three tests are normal, it means that the symptoms of low back pain are not caused by kidney disease, and doctors will advise patients to go to other specialties (such as orthopedics). ) in order to determine the cause of low back pain as soon as possible and carry out targeted treatment. A: After suffering from kidney disease, many patients are very nervous, afraid to go to work, or even dare to exercise, for fear that their condition will deteriorate. In fact, this is not wise. In the acute stage of nephropathy, if severe edema, moderate and severe hypertension, gross hematuria, lung infection and cardiac insufficiency occur, it is really necessary to stay in bed. When the condition tends to be stable, if the patient stays in bed for a long time, it is not conducive to the recovery of the disease. Studies have shown that high-intensity exercise aggravates proteinuria and hematuria, but proper exercise (such as walking and jogging) can not only enhance physical fitness and improve immunity, but also help control blood pressure, which is of great benefit to the rehabilitation of nephropathy. A: Because the incidence of chronic kidney disease is hidden, about half of the patients are in uremia stage when they are diagnosed and need dialysis treatment. Clinically, many patients and their families feel that dialysis is too painful because they don't know much about dialysis technology, and most of them are unwilling to do it. They hope that the doctor can "delay". In fact, receiving dialysis treatment in time can help uremia patients to excrete all kinds of toxins accumulated in their bodies, alleviate discomfort symptoms such as loss of appetite, nausea and vomiting, and greatly improve their quality of life. On the question of when to have dialysis, it is unwise to take the practice of "putting it off as long as possible". I once met an elderly female patient and was very impressed. At that time, her condition had reached the point where dialysis was needed, but she repeatedly refused to do dialysis because of fear. To this end, she endured a lot of pain, nausea and vomiting, and dared not eat anything or drink water. It was not until all the examination indexes were very bad that she would be in danger of life without dialysis that she reluctantly agreed to do dialysis treatment. After a period of dialysis, the old lady's discomfort symptoms have been significantly improved. Later, she said to me with emotion, "If I had known that dialysis was the result, I would have started dialysis."