Thursday, June 4, 2009

SIGNS & SYMPTOMS OF RENAL FAILURE

`Acute renal failure

  • Bloody stools
  • Breath odour
    • Ammonia breath
    • Due to buildup of waste in the body
  • Bruising easily
    • Platelet dysfunction
  • Prolonged bleeding
  • Changes in mental status or mood
    • Anaemia
  • Decreased apetite
    • Due to buildup of waste in blood
  • Decreased sensation, especially in the hands or feet
  • Fatigue
    • Decreased erythropoietin synthesis
    • Anaemia
  • Flank pain (between the ribs and hips)
    • Polycystic kidney disease, which causes large, fluid-filled cysts on the kidneys and sometimes the liver, can cause pain.
  • Hand tremor
  • High blood pressure
    • Fluid overload
  • Metallic taste in mouth
    • Accumulation of uremic toxins
  • Nausea or vomiting, may last for days
    • Accumulation of uremic toxins
  • Persisent hiccups
    • Due to GI disturbance
  • Nosebleeds
    • Due to accumulation of toxic products
  • Seizures
    • Hypocalcaemia
    • because the impaired kidney no longer produces calcitriol and because hyperphosphatemia causes Ca phosphate precipitation in the tissues
  • Slow, sluggish movements
  • Swelling-generalised
    • fluid retention
  • Swelling of the ankle, feet, and leg swelling
    • Fluid retention
  • Urination changes
    • Decrease in amount of urine
    • Excessive urine at night (nocturia)
      • Peripheral oedema (abnormal infiltration of tissues with blood fluids) may be reabsorbed when the patient lies down in bed at night.
    • Urination stops completely (end stage)
  • Shortness of breath
    • Fluid retention in lungs
    • anemia


 


 


 


 

Chronic renal failure

Initial symptoms

  • Fatigue
    • Decreased erythropoietin synthesis
  • Frequent hiccups
    • GI disturbances
  • General ill feeling
    • Potassium accumulates in the blood
  • Generalised itching
    • Pruritis
    • Due to buildup of waste in blood
  • Headache
  • Nausea, vomiting
    • Due to accumulation of uremic toxins
  • Unintentional weight loss
    • Due to loss of appetite

Later symptoms

  • Blood in the vomits or in stools
  • Decreased alertness, including drowsiness, confusion, delirium, or coma
    • anemia
  • Decreased sensation in the hands, feet, or other areas
  • Easy bruising and bleeding
    • Platelet dysfunction
  • Increased or decreased urine output
  • Muscle twitching or cramps
    • Hypocalcaemia
  • Seizures
    • hypocalcaemia
  • White crystals in and on the skin (uremic frost)
    • Due to accumulation of urea in the body

Additional symptoms

  • Abnormally dark or light skin
    • Due to increased melanin production
  • Agitation
  • Breath odour
    • Ammonia breath
    • Due to buildup of waste in body
  • Excessive nighttime urination (nocturia)
  • Excessive thirst
    • High level of urea in the blood
  • High blood pressure
    • Fluid overload
  • Loss of apetite
    • accumulation of uremic toxins
  • Nail abnormalities
    • Due to increased melanin production
  • Paleness
    • anemia

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