Kidney Issues: Genetic Concerns and Military Service Implications - Internal Medicine

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Kidney problems


Our family has a hereditary disease, so the children's kidneys are not in good condition.
I would like to ask the doctor if the small bubbles on my kidneys will have a significant impact.
I have not yet served in the military; does this condition require me to enlist? Thank you.

Chen, 20~29 year old female. Ask Date: 2002/02/18

Dr. Chen Jili reply Internal Medicine


1.
The presence of bubbles in the kidneys is referred to as cystic kidney.
Generally, there are no symptoms in clinical practice, although hematuria may occur.
It is recommended to undergo an ultrasound evaluation by a nephrologist.
2.
Regarding military service issues, a decision should be made after assessing kidney function.

Reply Date: 2002/02/18

More Info


When it comes to kidney issues, especially those with a genetic background, it is essential to understand the implications for both health and military service. Based on your concerns regarding familial kidney conditions and the presence of small cysts on your kidneys, let's break down the situation.

Firstly, the presence of small cysts on the kidneys, often referred to as renal cysts, can be a common finding, especially in individuals with a family history of kidney disease. These cysts can be classified into simple cysts, which are usually benign and do not affect kidney function, and complex cysts, which may require further evaluation due to the potential for complications. In many cases, simple renal cysts do not lead to significant health issues and are often monitored through regular imaging studies.

However, if there is a family history of genetic kidney diseases, such as polycystic kidney disease (PKD) or other hereditary nephropathies, it is crucial to have a thorough evaluation by a nephrologist. Genetic kidney diseases can lead to progressive kidney damage, and early detection can help in managing the condition effectively. Regular monitoring of kidney function through blood tests (like serum creatinine and BUN) and imaging studies can help assess the progression of any kidney issues.

Regarding your question about military service, the requirements can vary significantly based on the country and the specific health regulations of the military. In many cases, individuals with chronic kidney disease or significant renal impairment may be disqualified from military service due to the potential for health complications that could arise during service. However, if your kidney function is normal and the cysts are simple and benign, you may still be eligible for service. It is advisable to consult with a military medical officer or a healthcare provider who specializes in military medicine to get a clear understanding of your eligibility based on your specific health status.

In conclusion, while small renal cysts may not have a significant impact on your overall health, the context of your family history and kidney function is vital. Regular follow-up with a nephrologist is recommended to monitor your kidney health and to discuss any concerns regarding military service. Maintaining a healthy lifestyle, including proper hydration, a balanced diet, and avoiding nephrotoxic substances (like certain medications and excessive alcohol), can also help in preserving kidney function. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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