What tea to drink for hydronephrosis

Written by Zhou Qi
Nephrology
Updated on September 28, 2024
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Before hydronephrosis is adequately treated and before the obstruction in the urinary system is resolved, in areas such as the renal pelvis and calyces where there is fluid accumulation, it is advised that patients should not drink tea and should try to reduce their fluid intake. This is because the fluids cannot be excreted through the kidneys, and drinking large amounts of water at this time could worsen the obstruction and may also lead to edema. Therefore, patients are advised not to drink tea until the hydronephrosis is resolved. Once the causes of urinary tract obstruction, such as urinary system stones or tumors, have been removed, patients can increase their water intake, but it is still recommended not to drink tea because tea contains considerable amounts of oxalate, which can lead to the recurrence of kidney stones.

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Written by Zhou Qi
Nephrology
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Is hydronephrosis serious?

Whether the condition of hydronephrosis is serious depends on various factors such as the duration of hydronephrosis, the cause, the extent of fluid accumulation, and more. For example, some patients may have mild hydronephrosis in only one kidney and it may have developed recently; generally, this condition is not very serious. Some patients might have urinary obstructions caused by urinary system stones, and the issue could be resolved using extracorporeal shock wave lithotripsy or surgical stone removal, making the condition not serious. However, in some cases, the cause could be bladder cancer or a tumor near the urinary system compressing the ureter, and if the tumor is difficult to remove, the hydronephrosis might be hard to manage. Long-term fluid accumulation might lead to kidney failure, and these scenarios are considered quite serious.

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What are the symptoms of hydronephrosis?

Patients with hydronephrosis may not exhibit any symptoms. Whether symptoms are present depends on factors such as the extent of renal damage caused by hydronephrosis, the severity of the hydronephrosis, and the duration of hydronephrosis. Some patients might only notice the issue due to a lump in the abdomen or a swelling sensation in the lower back, prompting them to undergo ultrasound imaging that reveals hydronephrosis. Hydronephrosis can cause renal colic, and patients may also experience nausea, vomiting, and reduced urine output. When hydronephrosis is complicated by infection, symptoms like chills, shivering, fever, and headache can occur. Some patients may first present clinically with a urinary tract infection, showing symptoms like fever, frequent urination, urgent urination, and painful urination. In rare cases, hydronephrosis can rupture and lead to bleeding.

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What should I do if I have hydronephrosis and atrophy?

Hydronephrosis leading to kidney shrinkage indicates that the condition has persisted for a long time. Long-term hydronephrosis places significant pressure on the kidneys, which in turn compresses the kidney tissues causing tissue shrinkage. The destruction and shrinkage of tissues result in the kidneys' inability to function properly, leading to azotemia. Patients will experience chronic kidney failure, a situation that is difficult to reverse. Even if surgery is performed to relieve the obstruction and allow urine to be excreted, the damaged kidney tissue cannot regenerate. Therefore, it is still necessary to relieve the obstruction as soon as possible to avoid further damage to the remaining kidney tissue. For patients who have progressed to uremia, it may be necessary to consider hemodialysis or peritoneal dialysis, or undertake a kidney transplant to sustain life.

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How is hydronephrosis caused?

The causes of hydronephrosis can be divided into congenital, acquired, and external factors. Among these, acquired causes are the most common, primarily referring to obstructions in the urinary tract, such as stones that block the ureter, leading to hydronephrosis, inflammation, or ischemic damage. Scarring of the ureter can also result in hydronephrosis. Tumors or polyps in the renal pelvis and ureter may also cause obstructions leading to fluid accumulation. External causes mainly include diseases of retroperitoneal organs, such as abscesses, bleeding, tumors in the retroperitoneum, and pelvic tumors, like rectal cancer. Congenital causes mainly involve intrinsic narrowing of the ureter, ectopic vessels causing compression, and high insertion of the ureter, which are less common.

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Is hydronephrosis with hematuria serious?

Whether hematuria in patients with hydronephrosis is serious cannot actually be determined by the amount of blood in the urine. It is important to identify the cause and assess kidney function, because hydronephrosis can lead to serious consequences, mainly kidney failure. If the hydronephrosis persists for a long time, it can compress the renal cortex and cause kidney shrinkage, leading to chronic kidney failure. The dangers of hematuria mainly include: first, it may cause significant bleeding, leading to anemia. Second, this type of hematuria could be caused by certain conditions, such as bleeding caused by a tumor in the urinary system, which is quite serious. Whereas bleeding caused by urinary tract infections or urinary system stones, in terms of the nature of the cause, is not considered very serious. However, significant bleeding can also lead to severe anemia and even shock, which would be more serious.