What do people with poor kidneys do

The kidney is located on both sides of our spine, in the retroperitoneal space, and is a substantial organ outside the peritoneum, one on each side. Because of the squeezing of our liver, our right kidney is lower than the left one, about 1-2cm lower. Because of the structure of these two kidneys, our human kidney has a strong compensatory function. To put it simply, if one of your kidneys is not good, as long as it is not a serious kidney injury, it can be compensated by the function of the other kidney without affecting our normal physiological functions. In other words, you too Will not feel when and where you will be uncomfortable. Therefore, if the kidney is not good, even if it is chronic kidney disease of 1-3a, there are basically no symptoms, and there is no bad kidney. When will it be the most obvious? However, if our kidneys are damaged to a certain degree, for example, our current chronic kidney disease, which has a very high incidence, reaches CKD3b, then the symptoms will be very obvious, and the patient is likely to show the following discomfort at this time! First, when I got up in the morning, I saw that my eyelids were swollen and my lower limbs were also swollen, and I pressed a "pit"! This is mainly because after our kidneys are not good, it may cause the content of the blood vessels to increase, and our kidneys cannot excrete them, so the result is that there is too much water in the blood vessels, and then the water pressure is too high. Water squeezes into the gaps between our tissues, and areas with loose skin tissues such as our eyelids and vulva can easily accumulate water and cause edema. And the lower parts like our lower limbs are often swollen more severely. If you press with your hands, press the front of our tibia and the bone under the skin, you will find that after a while, let go of your hand, and there will be a The more obvious pit, this is actually our typical renal edema. Second, the first bubble in the morning, there is a long-lasting, foamy urine. This is actually a very typical feature of proteinuria. Under normal circumstances, our urine is protein-free after glomerular filtration, renal tubules and collecting ducts are reabsorbed, but if we have kidney problems, it will Lead to protein urine extraction, and the manifestation is the appearance of long-lasting fine foam-like proteinuria. If at this time, you still have oliguria, it is even more necessary to go to the hospital for a urine routine to rule out our kidney disease If in the end your urine routine shows that it does contain protein, it is proteinuria, then more than 70% can determine that your "kidney is not good", it is caused by kidney disease! Third, premature ejaculation occurs, and it is also accompanied by symptoms such as backache, weak legs, tinnitus, and long urination. This situation is generally considered to be a high probability of premature ejaculation caused by kidney deficiency. Because the kidney is the congenital foundation, some men’s premature ejaculation is related to kidney deficiency, but it is not entirely due to kidney deficiency. Although we all know that the kidneys store essence, if the kidney qi is not solid, premature ejaculation is indeed prone to It's just one aspect of the reason. Like the previously mentioned damp and heat, as well as emotional internal injuries such as liver depression, these can actually cause premature ejaculation! Therefore, purely premature ejaculation is not necessarily a sign of poor kidneys, but if you have premature ejaculation, and have backache, weak legs, tinnitus, long urine and other symptoms, then the relationship between this and the kidneys will be instantaneous. Because under normal circumstances, after a normal married life, there will be no such obvious symptoms of backache, weak legs, or even tinnitus. The reason for this is often related to our "kidney"! Need to pay attention to Increased nocturia: ●This performance is mainly for the analysis of chronic kidney disease such as hypertensive nephropathy, diabetic nephropathy, gout-related nephropathy, etc. From the perspective of pathogenesis, this type of chronic disease has similar pathological characteristics in the kidney, that is, it causes benign arteriole nephrosclerosis (such as arcuate arteries, interlobular arteries, and spherical arterioles). ●These small arteries of the kidneys are prone to stenosis of the arterial intima and stenosis of the official lumen, which will lead to insufficient blood supply to our kidneys. To put it simply, our kidneys need ample blood supply, so if the blood supply to the kidneys continues to develop, it will come to the stage of ischemic nephropathy. ●Under the background of insufficient blood supply to our kidneys, the glomeruli and tubules will all be ischemic and hypoxic. But relatively speaking, the renal tubules are more sensitive, so the damage of the renal tubules will show "increased nocturia, low specific gravity urine, low osmotic pressure" and other manifestations. So what is increased nocturia? That is to say, the daily urine output of normal people is about 1500ml, and the urine output during the day can account for 2/3 of the total urine output and 1/3 at night. ●When the nighttime urination increases by more than 500ml or even the nighttime urine output is similar to the daytime urine output or exceeds the daytime urine output, this situation is "increased nocturia". Note that this must not be compared with the increased frequency of nocturia and urination caused by prostate hyperplasia, which is a completely different pathogenesis. Therefore, when suffering from hypertension, diabetes, gout and other chronic diseases, if there is an increase in nocturia, you need to pay special attention. Edema is light and severe in the morning and evening: Regarding the question of why kidney disease causes edema, I had a question and answer a few days ago to explain in detail. I won't go into too much here. From experience, renal edema mostly starts on the eyelids and feet. The degree of edema is not dramatic in the morning, and the degree of edema will be more obvious after a day of activity. This is because the excess water in the body will go to the sagging and loose parts of the human body. This is a relatively early manifestation. If the diagnosis and treatment is not done in time, the edema will continue to increase and will not subside at any time. Oliguria or anuria: This manifestation may occur in many kidney diseases, because our kidneys are responsible for expelling toxins and excess water from our body. From the perspective of the composition of urine, elements such as toxins, microglobulin, potassium, and calcium are relatively microscopic, so the macroscopic view is mostly based on water. Therefore, when the kidneys have problems, this metabolic function of the kidneys is impaired, and clinically, there will be oliguria (<400ml/day) or anuria (<100ml/day). The body will have toxin accumulation, water and sodium. A series of side effects such as retention and increased blood pressure. Abnormalities during urination: To say that the more obvious abnormalities during urination should be hematuria and foamy urine. This is the manifestation of impaired kidney function. Hematuria means that there are red blood cells that shouldn't exist in the urine, while foamy urine means that there are proteins that shouldn't exist in the urine. Like IgA nephropathy, the most common manifestation is hematuria, and the most common manifestation of nephrotic syndrome is proteinuria. Therefore, it is necessary to pay special attention to hematuria and foamy urine during urination, and seek medical treatment in time. How to take good care of the kidneys? This speaks of a wide range. Some kidney diseases cannot be avoided, but some can really be avoided. The main thing I need to emphasize here is not to replenish the kidney blindly and at will. Let alone everyone, some people are reluctant to go to see a doctor, but they are really willing to spend money on health care products. Some businesses like to use certain special plants and marine organisms to extract what is good for the kidneys in marketing. Rare kidney-tonifying element, which advocates its curative effect, has not been confirmed by any clinical trials. As a doctor, I never recommend everyone to eat so-called health products. The second is to always maintain a healthy lifestyle, pay attention to nutritional balance, seek medical treatment in time if there is any discomfort, and maintain good compliance is the correct way to protect the kidney.