What department is for uremia?

Written by Guan Hai Fang
Urology
Updated on September 13, 2024
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Patients with uremia are generally recommended to consult nephrology or urology departments. Uremia primarily results from the obstruction of toxic metabolic waste excretion, characterized by the accumulation of excessive protein metabolism products in the body, such as urea nitrogen and creatinine. This occurs due to amino acid metabolic disorders, leading to a reduction in essential amino acids, and consequently, symptoms of uremia manifest. Therefore, in the diet of uremic patients, it is important to restrict protein intake, particularly focusing on high-amino acid foods, mainly essential amino acids. It is generally advisable to adhere to a low-protein diet, with about 20 grams of protein supplied daily to alleviate the burden on the kidneys. Hence, choosing potassium-containing foods is crucial; if urine output is below 1000 milliliters, low-potassium foods should be selected to avoid consuming high-phosphorus foods like animal organs and brains, preventing an increase in blood phosphorus levels. Moreover, strict restrictions should be imposed on irritant foods, such as alcohol and chili peppers.

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Written by Zhou Qi
Nephrology
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How do you get uremia?

Uremia is actually a state of disease, not an independent disease. It refers to the condition where, due to certain reasons, a patient has long-term chronic damage to the kidneys, leading to the destruction of kidney tissue. When about 90% of the kidney tissue is damaged, a large amount of metabolic waste accumulates inside the body because it cannot be excreted. There may also be retention of water and electrolyte and acid-base imbalances. This condition is referred to as uremia. Diseases that can damage kidney tissue to such a severe extent commonly include diabetes, hypertension, chronic nephritis, systemic lupus erythematosus, and various forms of cancer in the elderly, including multiple myeloma. Obstructive factors in the urinary system can also cause this outcome, such as urinary system stones, tumor prostate hyperplasia, leading to urinary tract obstruction, and so on.

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Written by Zhou Qi
Nephrology
1min 7sec home-news-image

Does uremia cause blood in urine?

Patients with uremia may experience hematuria, but not all patients will do so. Uremia refers to a condition where over 90% of the patient's kidney tissue has been damaged. Due to the destruction of kidney tissue, when blood passes through the kidneys, it is indeed possible that red blood cells will leak from the glomeruli into the urine. Therefore, patients with uremia may exhibit signs of hematuria, especially those caused by primary chronic glomerulonephritis. If the uremia is caused by tumors or kidney stones leading to urinary obstruction, this situation can cause bleeding in the ureters or bladder, also resulting in hematuria. However, most patients with uremia have a very low chance of experiencing hematuria because the vast majority of their kidney tissue has been destroyed, even up to 100%, leaving no urine production, and thus no blood in the urine. If an anuric patient exhibits hematuria, the possibility of stones, tumors, or urinary tract infections should be considered.

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Written by Li Liu Sheng
Nephrology
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Causes of Uremia

Uremia is a syndrome caused by the progressive development of various chronic kidney diseases, eventually leading to renal failure in patients, where the kidneys are unable to promptly eliminate excess water, various electrolytes, and toxins from the body. There are many causes of uremia; chronic nephritis, diabetic nephropathy, and hypertensive nephropathy are the most common causes. Other causes include chronic tubulointerstitial nephritis, chronic pyelonephritis, chronic obstructive nephropathy, toxic nephropathy, hereditary nephritis, renal vascular diseases, and lupus nephritis. Once uremia occurs, the preferred treatment is dialysis therapy, which can be either hemodialysis or peritoneal dialysis. Only after dialysis treatment can the life of a patient with uremia be prolonged.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What causes uremia?

Uremia is very common in clinical practice. It is mainly caused by abnormal kidney functions, leading to abnormalities in glomerular filtration, as well as in the reabsorption and secretion functions of the renal tubules, which results in a series of symptoms. Once uremia occurs, it can disrupt the internal environment of the body, cause electrolyte abnormalities, and even lead to life-threatening arrhythmias. Uremia is very dangerous in clinical practice and often requires regular hemodialysis treatment. Therefore, once uremia occurs, medical attention must be sought promptly.

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home-news-image
Written by Guan Hai Fang
Urology
1min 15sec home-news-image

What department is for uremia?

Patients with uremia are generally recommended to consult nephrology or urology departments. Uremia primarily results from the obstruction of toxic metabolic waste excretion, characterized by the accumulation of excessive protein metabolism products in the body, such as urea nitrogen and creatinine. This occurs due to amino acid metabolic disorders, leading to a reduction in essential amino acids, and consequently, symptoms of uremia manifest. Therefore, in the diet of uremic patients, it is important to restrict protein intake, particularly focusing on high-amino acid foods, mainly essential amino acids. It is generally advisable to adhere to a low-protein diet, with about 20 grams of protein supplied daily to alleviate the burden on the kidneys. Hence, choosing potassium-containing foods is crucial; if urine output is below 1000 milliliters, low-potassium foods should be selected to avoid consuming high-phosphorus foods like animal organs and brains, preventing an increase in blood phosphorus levels. Moreover, strict restrictions should be imposed on irritant foods, such as alcohol and chili peppers.