The clinical picture depends on causes, like acute GN (allergic diseases of the kidneys), sudden acute rise in blood pressure (malignant hypertension), or it may be a case of acute infection of the kidneys (pyelonephritis) or an advanced case be dehydration (due to repeated vomiting, diarrhea, etc.), or by blood loss due to sudden bleeding or due to marked hypotension, ie fall in blood pressure in a case of myocardial infarction or acute renal failure can manifestby the use of toxic drugs, as already explained. Therefore, the symptoms vary with the underlying disease suffers.
Immediate treatment should be started, if you experience any of the above diseases / conditions and a watchful eye on the daily output of urine should be kept. A general awareness on the part of everyone that when a kidney patient starts passing less urine, he / she should remember that the function of the kidneys clearly necessarythreatened, and therefore it is advisable to limit the amount of urine collected each day and measure passed. It may seem very simple, but since collection of 24-hour urine is bulky and tasteless, how can people not to follow her. As a result, is the excretion of urine for reducing day by day until it. 400 ml, and at this amount of urine occurring renal failure. And serum creatinine or urea not parallel to the first damage of the kidneys.Therefore, it is important to keep a watchful eye on the volume of daily production of urine, in all these circumstances above, are for sudden kidney damage or failure.
Initially, during the first week of the disease, are the signs and symptoms of the underlying disease, ie acute GN, dehydration, etc., and the patient starts passing less urine than normal. If the condition remains undetected, ie, not paid attention, or the patient not to reportDoctor about the slow performance of the urine, the crucial time for the rescue of the kidney is lost and the volume of urine every day until it goes ondecreasing ml less than 400, when acute renal failure is said to have been taken, is. By developing the storage of water, swelling of the face and other parts of the body. The patient is marked symptoms of nausea / vomiting, drowsiness and convulsions and even death occur have. Both blood urea and serum creatinine israised.
Treatment
The patient should be treated in a hospital. In addition to immediate actions should be the underlying cause of ARF should be considered simultaneously. If the blood pressure increased significantly, it should be reduced with appropriate medication. If an infection is the only reason it has on the lines of UTI be treated already discussed. And if there is an obstruction of the urinary tract, say, as a result of an enlarged prostate, etc., it should immediately treated in theHospital by a team of doctors, including physicians and surgeons. In case of loss of fluids / blood, appropriate measures should be taken. If medications are the causal factors, they should be stopped immediately.
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