What should I do about tinnitus caused by uremia?

Written by Zhou Qi
Nephrology
Updated on January 19, 2025
00:00
00:00

Tinnitus in uremia requires further consultation at the ENT department of a formal public hospital. Tinnitus is not a typical symptom of uremia and may not necessarily be related to kidney disease or caused by uremia. Some patients may experience tinnitus due to severe anemia, which leads to insufficient blood supply in the skull, or due to persistently high blood pressure caused by uremia, which can also potentially cause tinnitus. However, the probability of these scenarios is generally low, and it is still recommended that patients seek further consultation at an ENT department to clarify potential causes, such as infections or tumors in the inner ear system.

Other Voices

doctor image
home-news-image
Written by Zhou Qi
Nephrology
58sec home-news-image

What tests are involved in checking for uremia?

Uremia refers to the final stage of chronic renal failure, also known as end-stage kidney disease. Therefore, the first step in examining a patient with uremia is to check renal function. The patient's blood creatinine level must reach a certain level to diagnose uremia. Secondly, it is necessary to examine the urinary system through color Doppler ultrasound, and to conduct blood tests for routine blood indicators, electrolytes, parathyroid hormone, etc. The color Doppler ultrasound shows a reduction in kidney size, which provides evidence for the diagnosis of uremia. Patients with uremia often also suffer from various complications, including anemia, electrolyte disorders, hyperparathyroidism, and so on. Therefore, such patients also need to undergo examinations for routine blood parameters, electrolytes, and parathyroid hormone levels, among other indicators.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
54sec home-news-image

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.

doctor image
home-news-image
Written by Li Fang Xiao
Internal Medicine
48sec home-news-image

Is high creatinine uremia?

High creatinine levels do not necessarily indicate uremia, but during uremia, creatinine levels will certainly increase. Clinically, we consider creatinine levels above 707 as uremia. Once uremia is diagnosed, treatment mainly involves renal replacement therapy or transplantation. Renal replacement therapy mainly includes hemodialysis and peritoneal dialysis, each with its own advantages and disadvantages, and the choice should be based on the patient's individual condition. Renal transplantation is currently the best treatment option, which can be done through relatives or donations. After a kidney transplant, one can live and work like a normal person, but long-term oral immunosuppressive medication is required.

doctor image
home-news-image
Written by Li Liu Sheng
Nephrology
58sec home-news-image

How should uremia patients rest?

Adequate rest plays a very important role in the recovery of patients with uremia. If the condition of the uremia patient is in an acute phase, for example, if the patient feels palpitations, chest tightness, shortness of breath after activities, or even has obvious edema and high blood pressure, the patient should rest in bed and try to avoid getting out of bed. They should eat and take care of personal hygiene while in bed. If they feel chest tightness, they can also use oxygen. Once the condition of the uremia patient has stabilized, especially after undergoing hemodialysis treatment, and the symptoms of uremia have improved, they can rest out of bed and should ensure they get seven to eight hours of sleep daily. Only through sufficient sleep can the patient's mental state significantly improve. During the rest period, patients can also engage in appropriate recreational activities, such as outdoor walks, singing, and other activities.

doctor image
home-news-image
Written by Zhou Qi
Nephrology
40sec home-news-image

The precursors of uremia

The so-called uremia refers to the end result of chronic kidney disease causing long-term damage to the kidneys in patients. Patients with uremia often have long-standing conditions, as it takes time to progress from mild kidney failure to uremia. Before the onset of uremia, patients may experience symptoms related to kidney failure, such as swelling of the limbs and face, reduced urine output, proteinuria which leads to foamy urine, and visible blood in the urine due to hematuria. Patients are also prone to developing high blood pressure. These symptoms can be precursors to uremia, although other diseases can also cause similar symptoms.