Kidney Issues: Symptoms, Diagnosis, and Treatment Options - Internal Medicine

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Kidney problems


Hello, previously I mentioned the issue of dull pain in the upper right abdomen.
I had an abdominal X-ray done, which only showed slight fecal retention in the left colon.
When there are gastrointestinal issues, can abdominal X-rays reveal conditions like small ulcers? Could you explain which organs can be seen on an abdominal X-ray? Also, I haven't experienced the dull pain in the past few days.
Does excessive masturbation harm the kidneys? Is this what is referred to as kidney deficiency? What standard steps should be taken for kidney examinations?

Xiao Liang, 20~29 year old female. Ask Date: 2003/12/29

Dr. Yang Jun reply Internal Medicine


Hello: In response to your question, abdominal X-ray examinations primarily focus on identifying issues within the intestines, such as feces, intestinal gas, or other foreign objects.
Additionally, some information regarding kidney and liver problems can be obtained, but ultrasound examinations are preferred for those organs.
Masturbation does not affect kidney function.
The term "kidney deficiency" in Traditional Chinese Medicine refers mainly to reproductive and urinary tract issues, which are different from the kidney's role in detoxification and urine production.
Kidney function tests include urine analysis, blood biochemistry, renal ultrasound, computed tomography (CT), and kidney biopsy.

Reply Date: 2003/12/29

More Info


Understanding kidney issues is crucial for maintaining overall health, especially given the complexity of renal diseases and their potential impact on various bodily functions. Based on your previous inquiries and the information provided, let’s delve into the symptoms, diagnosis, and treatment options related to kidney problems.


Symptoms of Kidney Issues
Kidney diseases can manifest through a variety of symptoms, which may include:
1. Pain: This can be localized in the flank area (the sides of your lower back) or the abdomen. Pain may indicate kidney stones, infections, or other renal issues.

2. Changes in Urination: This includes increased frequency, urgency, or changes in urine color and consistency. Foamy urine may indicate proteinuria, while blood in urine (hematuria) can signal various conditions.

3. Swelling: Edema, particularly in the legs, ankles, or around the eyes, can occur due to fluid retention when kidneys are not functioning properly.

4. Fatigue: A general feeling of tiredness can result from anemia, which is common in chronic kidney disease (CKD).

5. Nausea and Vomiting: These symptoms can arise from the accumulation of toxins in the blood due to impaired kidney function.


Diagnosis of Kidney Issues
Diagnosis typically involves a combination of medical history, physical examination, and various tests:
1. Blood Tests: These include serum creatinine and blood urea nitrogen (BUN) tests to assess kidney function. Elevated levels may indicate impaired kidney function.

2. Urine Tests: Urinalysis can detect the presence of protein, blood, or other abnormalities. The Urine Albumin-to-Creatinine Ratio (UACR) is particularly useful for assessing proteinuria.

3. Imaging Studies: Ultrasound is commonly used to visualize kidney structure and detect abnormalities such as cysts, stones, or tumors. X-rays can show certain gastrointestinal issues but are less effective for detailed kidney assessment.

4. CT or MRI: These imaging modalities provide more detailed views of the kidneys and surrounding structures, especially when a mass or abnormality is suspected.


Treatment Options
Treatment for kidney issues varies based on the underlying cause and severity of the condition:
1. Lifestyle Modifications: For conditions like fatty liver or early-stage kidney disease, dietary changes, regular exercise, and weight management can significantly improve outcomes. Avoiding nephrotoxic substances (certain medications, excessive alcohol) is also crucial.

2. Medications: Depending on the diagnosis, medications may be prescribed to manage symptoms or underlying conditions. For example, antihypertensives can help control blood pressure, which is vital in kidney disease management.

3. Dialysis: In cases of severe kidney failure, dialysis may be necessary to artificially remove waste products from the blood.

4. Transplantation: For end-stage renal disease, kidney transplantation may be the only viable option.


Addressing Specific Concerns
Regarding your question about the impact of excessive masturbation on kidney health, there is no scientific evidence to support the idea that it directly causes kidney damage or "kidney deficiency." However, excessive sexual activity can lead to fatigue or discomfort in some individuals, which may be misinterpreted as kidney issues.

As for your abdominal pain and the results from the X-ray, while X-rays can show certain gastrointestinal issues, they are not the best tool for diagnosing kidney problems. Conditions like ulcers or other gastrointestinal disorders may not be visible on X-ray unless they cause significant changes in the structure of the organs involved.


Conclusion
If you continue to experience symptoms or have concerns about your kidney health, it is essential to consult a healthcare professional for a thorough evaluation. Regular monitoring and proactive management of kidney health can prevent the progression of kidney disease and improve overall well-being.

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