How do you get uremia?

Written by Zhou Qi
Nephrology
Updated on April 04, 2025
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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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Symptoms of Uremia

Once diagnosed with uremia, patients exhibit numerous clinical symptoms, though these symptoms are not completely identical across different individuals. Typically, the primary symptoms of uremia include nausea, vomiting, loss of appetite, with these symptoms becoming more pronounced after eating. There might even be diarrhea, an increase in the frequency of bowel movements, and gastrointestinal bleeding. Additionally, patients show signs of edema, particularly around the eyelids and face, with very noticeable swelling in the lower limbs. Severe cases may also present with pleural effusion and ascites, accompanied by a reduction in urine output. Patients may also experience dizziness, headache, elevated blood pressure, and even exhibit pallor, anemia, itchy skin, bone pain, and intolerance to cold, among various other clinical symptoms.

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How to diagnose uremia

Uremia is the final state of chronic renal failure. This disease cannot be diagnosed through physical examination and medical history inquiry alone. Diagnosis requires testing, combined with the patient's physical examination and medical history, to comprehensively determine the diagnosis. Patients with uremia first need to have a blood test to check kidney function, with blood creatinine levels needing to exceed 707μmol/L. Secondly, they should undergo an ultrasound of the urinary system. Typically, the kidney size in such patients is reduced, which can be detected by the ultrasound. These two diagnostic methods used together can diagnose uremia. Patients also need to be checked for potential complications caused by uremia, such as measuring blood pressure and performing a complete blood count to check for renal anemia, among others.

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Can uremia be cured?

First, it is necessary to clarify the cause and the severity, so it is important to visit the nephrology department for comprehensive tests. Once the cause is determined, the next steps can be planned based on the results, and dialysis may be necessary if required. If there is no improvement, treatments such as kidney transplantation can be considered. It is also crucial to rest, avoid fatigue, reduce activities, especially strenuous activities, maintain a positive mood, adjust your mentality, and have regular follow-ups. Therefore, this issue needs to be actively addressed, as it can be very troublesome to manage and the prognosis may be very poor if not taken seriously.

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Is uremia cancer?

Uremia is not cancer. Chronic kidney failure refers to the presence of various kidney diseases that lead to a progressive and irreversible decline in kidney function, culminating in a series of symptoms and metabolic disorders that form a clinical syndrome, commonly known as chronic kidney failure. The end stage of chronic kidney failure is what is often referred to as uremia. Uremia is not a separate disease, but a clinical syndrome common to various late-stage kidney diseases. It is a symptom consisting of a series of clinical manifestations that occur when chronic kidney failure enters its terminal stage. Typically, this includes disturbances in water and electrolyte acid-base metabolism, with metabolic acidosis and water-electrolyte imbalance being the most common.

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Written by Zhou Qi
Nephrology
1min 3sec home-news-image

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.