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People suffering from Chronic Kidney Diseases suffer from a very subtle symptoms which often go unnoticed. The time period between Chronic Kidney Disease (CKD) and Kidney failure is undetermined. It may take years and also may happen soon, depending on case-to-case basis. Kidney failures can be determined with early stage symptoms which are necessary to be identified. Let us discuss the symptoms of kidney failures: • The beginning is often asymptomatic which means there would be a very less amount of visible symptoms but as the disease advances the kidneys would be unable to regulate water, balance the electrolytes, remove the waste from the body, and produce red blood cells. Such a person would often undergo Lethargic behavior, uneasiness, weakness, short of breath, and general swelling. • The body would be unable to manufacture bicarbonate due to which the body acidity increases. It is known as metabolic acidosis. Such body dysfunction would alter the enzyme and oxygen metabolism which would end with an organ failure. • Kidney would not be able to excrete the potassium from the body thereby increasing its level in the serum and it causes fatal heart rhythm disturbance. • Urea level rises in the blood and it affects various body organs like brain, heart, muscles and would also be responsible for low calcium levels in the body. • Weakness may be due to anemia but in certain cases the red blood cell counts starts decreasing due to the lower level of erythropoietin which is caused due to the kidney failure. It reduces the oxygen carrying capacity of the blood and hence the body gets tired very soon. • Loss of appetite and fatigue becomes regular and if it continues, it may affect the mental balance which may end up in comma. • Rising blood pressure due to excess of fluid present in the body is another symptom for kidney failure and the fluid may start to deposit on lungs which ends with heart failure. The symptoms of kidney failure would vary a lot depending on patient to patient and also it depends on what kind of treatment you undergo. Test required to diagnose the Kidney Failure • Kidney failures can be diagnosed with blood test. The buildup of waste product would determine the kidney failures. BUN, GFR, and Creatinine are essential factors to determine the condition of kidneys. When the BUN and Creatinine level rises up in the blood and the GFR level decreases, the kidney failure is confirmed. The above mentioned three factors determines the rate with which the blood is filtered through the kidneys. The rate would always differ depending on the age, gender, and race of the person. • Urine can be used to determine the Kidney failure. With a urine test, the doctor would measure the amount of protein and the presence of abnormal cells in it. If protein is found in the urine, it points towards something abnormal in the body. Abnormally aggregated red and white blood cells in the kidney denotes the presence of Kidney Disease. • Abdominal Ultrasound test can determine the size of the kidney. If any obstruction is seen in he reports, it denotes presence of Kidney Disease. Centre for Robotic Surgery (CRS) is an initiative by Muljibhai Patel Urological Hospital (MPUH), Gujarat, Nadiad, India. Dr. Mahesh Desai is a Medical Doctor and Managing Trustee of MPUH. It is the second hospital in India which practices robotic surgeries in curing sever urological disease. Visit our website http://www.centreforroboticsurgery.com
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