Post-Kidney Biopsy Care: Recovery Tips and Common Concerns

Q: Post-Kidney Biopsy Care: Recovery Tips and Common Concerns

According to your inquiry： 1. <br>After a kidney biopsy, there is no strict requirement for a specific number of days of rest; it depends on individual circumstances. <br>If you feel physically capable of returning to your usual work after a week, it should be fine. <br>2. <br>If

Regarding kidney biopsy?

Hello, doctor! I recently underwent a kidney biopsy and would like to ask a few questions...

1.
I found online that after a kidney biopsy, one should avoid lifting heavy objects for at least two weeks.
However, my attending physician is willing to allow me to lift up to 5 kg for my job (12-hour shifts) after one week, but is not willing to provide a longer rest period.
I understand that I cannot demand a specific duration from the doctor, but my company requires a certain number of days.
Is one week really sufficient? How can I assess whether I am ready to return to work? My attending physician has suggested that I obtain a medical certificate for leave from an occupational medicine specialist; is that a viable option?
2.
After the biopsy, I experienced a blockage due to a blood clot, which required the placement of a catheter to drain my urine.
Since being discharged, I have occasionally noticed blood clots in my urine.
Is there a possibility that blood clots could remain in my body? How can I expedite their expulsion? Is there a risk of embolism?
3.
Upon discharge, the hospital only advised me to monitor for hematuria.
After resting at home, I have started to experience pain during urination, left flank pain, and back pain, along with occasional bladder discomfort.
Is this normal? Are there any other symptoms I should be aware of? Thank you for your response!

Huang, 30~39 year old female. Ask Date: 2022/03/15

Dr. Wu Jiyu reply Internal Medicine

According to your inquiry: 1.
After a kidney biopsy, there is no strict requirement for a specific number of days of rest; it depends on individual circumstances.
If you feel physically capable of returning to your usual work after a week, it should be fine.
2.
If there is no edema, you can supplement with 1500cc to 2000cc of fluids per day.
3.
After a kidney biopsy, it is normal to experience some soreness at the biopsy site; however, if you experience pain during urination or a feeling of pressure in the bladder, it may be necessary to check for signs of a urinary tract infection.
This should be confirmed with your primary physician.
Thank you for your inquiry; the Nephrology Department at Changhua Hospital cares about your well-being.

Reply Date: 2022/03/15

More Info

Post-kidney biopsy care is crucial for a smooth recovery and to minimize complications. Here are some important considerations and tips based on your questions and general medical knowledge.

1. Activity Restrictions: After a kidney biopsy, it is generally recommended to avoid heavy lifting and strenuous activities for at least one to two weeks. This is to prevent any potential bleeding or complications at the biopsy site. While your doctor has suggested a one-week restriction, it's essential to listen to your body. If you feel any discomfort or pain, it may be a sign that you need more time to recover. You can observe your recovery by monitoring for any signs of bleeding, pain, or changes in urination. If you experience significant pain or any unusual symptoms, it’s best to consult your healthcare provider. If your workplace requires a specific number of days off, consider discussing this with your doctor, who may provide a note for your employer.

2. Blood Clots and Urination: Experiencing blood clots in your urine after a kidney biopsy can be concerning. It is not uncommon to have some bleeding post-procedure, but if you are seeing significant clots or if urination is painful, you should contact your healthcare provider. To help flush out any remaining clots, staying well-hydrated is essential. Drinking plenty of fluids can help dilute your urine and may assist in clearing out any clots. However, if you notice persistent pain, significant blood in your urine, or any signs of a urinary obstruction, such as difficulty urinating or a feeling of fullness in your bladder, seek medical attention immediately. There is a risk of urinary obstruction or even embolism if a clot becomes lodged, so it’s crucial to monitor your symptoms closely.

3. Pain and Other Symptoms: It is not uncommon to experience some pain in the flank area or back after a kidney biopsy. However, if the pain is severe or accompanied by other symptoms such as fever, chills, or worsening blood in the urine, you should seek medical attention. Mild discomfort can be managed with over-the-counter pain relievers, but always consult your doctor before taking any medication. Additionally, if you notice any new symptoms, such as increased pain, swelling, or changes in your urinary habits, these should be reported to your healthcare provider.

4. Follow-Up Care: After a kidney biopsy, follow-up appointments are essential to monitor your recovery and kidney function. Your doctor may recommend blood tests to check for any signs of complications, such as bleeding or infection. It’s also important to keep track of your blood pressure and any changes in your overall health.

5. When to Seek Help: If you experience any of the following symptoms, you should contact your healthcare provider immediately:
- Persistent or severe pain in the flank or abdomen
- Significant blood in the urine (more than just a few drops)
- Fever or chills
- Difficulty urinating or a feeling of fullness in the bladder
- Any new or unusual symptoms that concern you
In summary, while a one-week restriction may be sufficient for some individuals, it’s essential to listen to your body and prioritize your recovery. Stay hydrated, monitor your symptoms closely, and don’t hesitate to reach out to your healthcare provider with any concerns. Your health and safety should always come first.

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