Kidney Size Changes and Urinary Symptoms: What You Need to Know - Urology

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The examination results indicate that each kidney has decreased in size by 0.1 centimeters?


Hello Doctor: Due to frequently taking Western medicine for minor issues like gastric ulcers and headaches in my youth, I recently went for a check-up at the hospital.
I noticed that my urine has bubbles, my creatinine level is 2.3, and I have 2++ protein in my urine.
Additionally, both kidneys are slightly smaller by 0.1.
I would like to know if this situation is serious.
I am currently receiving regular medical care, but is it sufficient to manage my diet? Should I be taking any specific medications or nutritional supplements? How can I prevent the condition from worsening? I recently read about a medication produced by Ketosteril that is said to delay kidney failure.
Can I purchase and take this medication on my own?

annya, 50~59 year old female. Ask Date: 2006/11/06

Dr. Xu Wencang reply Urology


Hello: In response to your inquiry, it has been noted that you have proteinuria and an elevated renal function index (creatinine level of 2.3), which indicates that you have chronic kidney disease.
The ultrasound examination revealed slight renal atrophy, suggesting that you may have progressed to stage 3 or 4 chronic kidney disease.
It is essential to have regular evaluations by a nephrologist and to maintain a low-protein diet.
If you experience hypertension, it is crucial to follow a low-sodium diet and use antihypertensive medications for control.
As for the medication Ketosteril, it is used to supplement amino acids to increase endogenous albumin when nutritional intake is low, but it does not have a direct effect on delaying renal failure.
The decision to use any medication should be made by your nephrologist during regular follow-up appointments.

Reply Date: 2006/11/06

More Info


When it comes to kidney health, understanding the implications of symptoms and laboratory results is crucial. Based on your description, you are experiencing several concerning signs, including foamy urine, elevated creatinine levels (2.3 mg/dL), and proteinuria (2++). Additionally, you mentioned that both kidneys are slightly smaller by 0.1 cm. These findings can indicate underlying kidney issues that warrant careful monitoring and management.


Understanding Your Symptoms and Lab Results
1. Foamy Urine: The presence of bubbles in urine can often be attributed to proteinuria, which is the leakage of protein into the urine. This can occur due to various kidney conditions, including glomerulonephritis, diabetic nephropathy, or hypertension-related kidney damage. The foamy appearance is a sign that your kidneys may not be filtering proteins effectively.

2. Elevated Creatinine: A creatinine level of 2.3 mg/dL indicates that your kidneys are not functioning optimally. Normal creatinine levels typically range from 0.6 to 1.2 mg/dL, depending on muscle mass and other factors. An elevated level suggests a decline in kidney function, which could be due to chronic kidney disease (CKD) or acute kidney injury.

3. Proteinuria: The presence of protein in your urine (2++) is significant and often correlates with kidney damage. Persistent proteinuria can lead to further kidney deterioration if not addressed.

4. Kidney Size: The slight reduction in kidney size (0.1 cm) may indicate chronic changes, often seen in conditions like CKD. While a small change may not seem alarming, it is essential to monitor kidney size and function over time.


Management and Treatment Options
Given your current health status, it is essential to maintain regular follow-ups with your healthcare provider. Here are some recommendations:
1. Dietary Control: A well-balanced diet is crucial for managing kidney health. You should consider a diet low in sodium, phosphorus, and protein, depending on your specific kidney function and dietary needs. Consulting a dietitian who specializes in renal nutrition can provide personalized guidance.

2. Medication: It is vital to discuss any medications you are currently taking with your doctor, especially since you have a history of using various medications for other health issues. Some medications can adversely affect kidney function, so your healthcare provider may need to adjust your prescriptions.

3. Monitoring: Regular monitoring of kidney function through blood tests (creatinine, BUN) and urine tests (protein, electrolytes) is essential. This will help track any changes in your kidney health and allow for timely interventions.

4. Preventing Progression: To prevent further deterioration of kidney function, controlling blood pressure and blood sugar levels (if applicable) is critical. Lifestyle modifications, including regular exercise, maintaining a healthy weight, and avoiding smoking, can also contribute positively to kidney health.

5. Ketosteril: Ketosteril is a medication that contains essential amino acids and is used to help manage patients with chronic kidney disease. However, it is crucial to consult your healthcare provider before starting any new medication or supplement. Self-medicating can lead to unintended consequences, especially in the context of kidney disease.


Conclusion
In summary, your current symptoms and lab results indicate that you are experiencing some degree of kidney dysfunction. It is essential to work closely with your healthcare provider to develop a comprehensive management plan tailored to your needs. Regular monitoring, dietary adjustments, and appropriate medication management are key components in preventing further kidney damage. Always consult your doctor before making any changes to your treatment regimen or starting new medications. Your proactive approach to your health is commendable, and with the right care, you can manage your kidney health effectively.

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