Chapter 150 Diagnosis: Chronic Kidney Disease (Fourth Update)
The person who walked in from outside was a man in his fifties with a Mediterranean hairstyle.
He was wearing shorts at this time, but you could feel some swelling in his lower limbs.
So I walked very slowly.
I feel like I have no energy at all.
"Hello, Doctor Wei!" The man handed over his medical insurance card.
"Hello, what's wrong? Are you feeling uncomfortable anywhere?" Wei Ping discovered the problem with his leg.
"For the past two months, I've been experiencing back pain, sometimes with muscle twitching and even fatigue. I also feel a bit anxious after walking a lot. Could Dr. Wei please help me see what's wrong? What's wrong, and is it serious?"
With all these symptoms combined, plus the other person's swollen feet, Wei Ping should first suspect a kidney problem.
But I dare not confirm it finally.
So I asked again: "Do you urinate frequently at night?"
"A lot. I have to get up several times a night. And I'm very thirsty! I have to drink several bottles of water a day, and it still doesn't quench my thirst."
"Do you have diabetes?"
Diabetic patients are prone to thirst because their blood sugar levels are high and cannot be fully utilized.
Especially after being filtered out by the glomerulus, it cannot be completely reabsorbed by the renal tubules, which will form an osmotic diuresis and the patient will experience polyuria.
That’s why Wei Ping asked this question.
"Yes, it was diagnosed three months ago, and I didn't take it seriously. I still have high blood pressure! For many years!" the patient said again.
How could this patient be so careless about his own body?
Even though I have diabetes, I still don’t take it seriously.
This is a big deal and can cause a ton of complications if not handled properly.
Severe cases can be life-threatening.
"Does anyone in the family have a history of kidney disease?"
"No, my family is normal!"
"Have you taken certain medicines frequently in the past? For example, painkillers, Chinese medicine, etc..." Wei Ping asked again.
"No. I'm in good health and haven't taken any medicine!"
You've come to see a doctor, and you're still in good health?
Wei Ping probably had some judgment.
However, several interns were still puzzled.
What disease is that?
"Are there any symptoms of blood in the stool?"
He asked.
"Yes, it comes and goes. I think it's caused by a ruptured hemorrhoid!" said the patient after thinking for a while.
Wei Ping typed on the computer: Gastrointestinal bleeding.
He suspected it was chronic kidney disease!
The perspective was turned on in the middle.
"Perspective Experience +1,293/1000"
He was shocked when he saw this. Both of his kidneys were diseased.
As expected, I guessed it right.
He used his control to look around. This disease needed to be treated. Otherwise, it would be fatal.
There are many causes of chronic kidney disease, mainly kidney damage or decreased kidney function due to various reasons.
Common causes include chronic nephritis, diabetes, hypertension, etc.
Patients may have no special symptoms in the early stage.
The terminal stage of chronic kidney disease is the uremia stage.
At this point, internal medicine is basically unable to cure it.
Chronic kidney disease is a chronic disease that can easily be fatal and is easily ignored!
Its characteristics of onset are "three highs" and "three lows":
High morbidity, high prevalence of concomitant cardiovascular diseases, and high mortality;
The whole society has a low awareness rate of chronic kidney disease, a low prevention rate, and a low awareness rate of concomitant cardiovascular diseases.
Surveys show that the prevalence of chronic kidney disease in people over 40 years old is greater than 10%, but the awareness rate is less than 5%.
The most common chronic kidney disease patients suffer from glomerulonephritis, accounting for 40%.
"Hey patient, I suspect you have chronic kidney disease! I suggest you be hospitalized first, and I'll transfer you to the nephrology department. I'll give you a more comprehensive examination."
This disease cannot be cured by Wei Ping.
Because it’s not just about taking medicine.
He can't cure it at the moment.
But maybe it can be cured in the future.
And this disease cannot be delayed!
So, he planned to transfer him to the nephrology department.
"Is this disease serious?"
"This disease is divided into five stages. You are in stage three. You need interventional treatment and can't delay any longer. Otherwise, the consequences will be disastrous!"
This news is not good for patients.
The interns all wrote down Wei Ping's words.
Yang Ke didn't say anything.
Just listened to Wei Ping finish speaking.
"Then how many years do I have left to live?"
The patient said worriedly.
"If you cooperate with treatment, your life expectancy will be the same as the average. But if you don't, once it progresses to stage five, then..."
Wei Ping didn't say anything else, the future is unpredictable.
"So what's wrong?"
"There are two possible outcomes. First, life extension through dialysis, and second, kidney loss! But no matter which one, it will bring extreme pain!"
Wei Ping did not lie to him, this is the truth.
"Then what should I do?"
"I'll refer you to the Nephrology Department, and then tell you what to pay attention to."
"Okay, okay, thank you, Doctor Wei!"
"Pay attention to your diet. If your kidney function is normal, choose high-protein and low-fat foods, eat more fruits and vegetables rich in vitamins, and ensure adequate calories. However, if you have renal insufficiency, you should stick to a high-quality, low-protein diet.
Massage can also achieve improvement effects. You can massage both sides of the waist. Rub your hands together to warm them up, then rub them vigorously against your waist for 30 times. This can enhance kidney function by unblocking the meridians.
But these are only temporary solutions. To cure the root cause, you still need to take medicine or, if necessary, surgery!"
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