Living with One Kidney: Symptoms and Seeking Help - Internal Medicine

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Congenital renal agenesis


I was born with a missing left kidney, and my right kidney is enlarged.
Since the discovery, I have been undergoing regular check-ups every year, and all tests have been normal.
However, in recent years, I often feel fatigued and mentally drained, and I occasionally experience dizziness.
I am unable to lift heavy objects or perform household chores.
Could this be related to my kidney condition? In the past couple of years, ultrasound examinations have shown small cysts, but the doctor said they are normal.
Should I seek a second opinion from another doctor? Additionally, can I apply for a disability certificate? I also occasionally experience involuntary urinary leakage, although it is not frequent.
Should I get this checked as well?

Hiseh, 30~39 year old female. Ask Date: 2008/11/02

Dr. Wu Jiyu reply Internal Medicine


1.
As long as kidney function is normal, having only one kidney is acceptable.

2.
Q: In recent years, I often feel fatigued and lack energy, and occasionally experience dizziness, making it difficult to lift heavy objects and do household chores.
Could this be caused by my kidneys? A: It is unlikely.

3.
Q: During an ultrasound examination in the past couple of years, I was found to have small cysts, but the doctor said they are normal.
Should I seek another doctor for a second opinion? A: The original doctor's assessment is correct.

4.
As long as kidney function is normal, one cannot apply for a disability certificate.

5.
Q: I occasionally experience involuntary leakage of urine, though not frequently.
Should I get this checked? A: You may consult a urologist or gynecologist for urodynamic testing.

Reply Date: 2008/11/02

More Info


Living with a single kidney, especially when it is a result of a congenital condition, can present unique challenges and concerns regarding health and well-being. Your experience of fatigue, occasional dizziness, and difficulty with heavy lifting or household chores may indeed be related to your kidney condition, but they could also stem from a variety of other factors. It is essential to approach these symptoms holistically and consider both physical and psychological aspects.

Firstly, the fatigue and dizziness you are experiencing could be attributed to several causes. Chronic fatigue can result from a range of conditions, including anemia, which is not uncommon in individuals with kidney issues. The kidneys play a crucial role in producing erythropoietin, a hormone that stimulates red blood cell production. If your kidney function is compromised, even slightly, it could lead to lower levels of this hormone, resulting in anemia and subsequent fatigue. Additionally, dehydration, electrolyte imbalances, or even psychological factors such as anxiety or depression could contribute to feelings of tiredness and dizziness.

Regarding the small cysts (or "water bubbles") noted during your ultrasound, these are often benign and common in individuals with one kidney. However, it is always prudent to monitor any changes in size or number of cysts, as well as any new symptoms that may arise. If your current healthcare provider has reassured you that these findings are normal, it may not be necessary to seek a second opinion unless you feel your concerns are not being adequately addressed. However, if your symptoms persist or worsen, it would be wise to consult another physician for further evaluation.

As for the issue of occasional urinary incontinence, this is another symptom that warrants attention. While it may not seem directly related to your kidney condition, it could indicate underlying issues with bladder control or pelvic floor dysfunction. A urologist could provide insights into this matter and recommend appropriate treatments or exercises to help manage the situation.

In terms of applying for a disability certificate, eligibility can vary significantly based on your location and specific circumstances. Generally, to qualify for disability assistance, you would need to demonstrate that your condition significantly impairs your ability to perform daily activities or work. Consulting with a healthcare provider who understands the criteria for disability in your area can help you navigate this process.

In summary, while your symptoms may be linked to your kidney condition, they could also arise from other health issues. It is essential to maintain regular check-ups with your healthcare provider and communicate openly about any new or worsening symptoms. If you feel your concerns are not being addressed, seeking a second opinion is always a valid option. Additionally, addressing urinary incontinence and considering the possibility of applying for disability support could provide you with further assistance in managing your health and daily life. Remember, taking proactive steps in your healthcare journey is crucial, and you deserve to have your concerns heard and addressed appropriately.

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