Can people with hydronephrosis drink water?

Written by Zhou Qi
Nephrology
Updated on March 11, 2025
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Whether patients with hydronephrosis can drink water depends on whether the hydronephrosis has been resolved. Hydronephrosis occurs due to a blockage in the urinary system, often caused by inflammation, scarring, or adhesions of the ureters, or by obstructions such as stones or tumors in the urinary tract, or possibly by an enlarged prostate, leading to the inability of the bladder to properly expel urine. In summary, when the urine produced by the kidneys cannot be properly expelled from the body, it leads to the expansion of the renal pelvis and calyces, known as hydronephrosis. Drinking water at this time can certainly aggravate the condition of hydronephrosis if the body is already struggling to expel fluids. Therefore, if this blockage remains unresolved, patients should limit their intake of fluids. However, if the obstruction is cleared and the urinary tract is smooth, allowing urine to be expelled normally, drinking water is permissible.

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Written by Zhou Qi
Nephrology
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Is hydronephrosis scary?

Hydronephrosis is rather alarming, as it harms the body in two main ways: First, it creates increased pressure inside the kidneys due to fluid accumulation in the urinary system. This pressure can compress kidney tissue, and if not resolved, may lead to irreversible kidney damage and renal failure. However, if hydronephrosis formed in the short term is quickly addressed by clearing the urinary system, it typically has minimal impact on kidney function. Another aspect relates to the causes of hydronephrosis, some of which are complicated issues, such as bladder cancer, rectal cancer, or cervical cancer in females. These cancers can press on the ureter, leading to hydronephrosis. Other causes, such as urolithiasis or benign prostatic hyperplasia, are relatively easier to manage.

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Written by Zhou Qi
Nephrology
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symptoms of hydronephrosis infection

In cases of hydronephrosis, urinary tract infections are common, and these infections primarily manifest as pyelonephritis. The presence of fluid in the kidneys indicates that urine cannot be excreted smoothly, leading to an obstruction in the urinary tract. Therefore, bacteria can easily multiply in this area because normal urine, if it can be excreted smoothly, also serves to flush the urinary system, preventing the growth of bacteria. Thus, when fluid accumulates, pyelonephritis can easily occur, with the main symptoms being back pain and fever. If cystitis is also present, the patient will experience symptoms such as frequent urination, urgent urination, and painful urination. Hydronephrosis may be caused by issues such as urinary system stones or tumors, which can also lead to clinical symptoms like back pain and hematuria.

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Written by Li Yuan Wei
Urology
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Is hydronephrosis of the second degree severe?

Hydronephrosis grade two, this "grade two" is likely a classification used in ultrasound or CT imaging. For hydronephrosis, the presence of condition itself indicates that the pathology has already affected kidney function. The most common causes include ureteral obstruction, or obstruction at the renal pelvis exit, typically due to stones or tumors, or narrowing caused by plastic tubes. Once hydronephrosis occurs, these conditions have already altered kidney function, necessitating further diagnosis to identify the cause, with surgery possibly being required. The most common objective assessment is a CT scan of the urinary system, with enhanced CT being the most accurate for understanding the severity of the hydronephrosis. Also, it helps identify the location of the ureteral obstruction, and thirdly, it can help ascertain the cause and provide treatment.

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Written by Zhou Qi
Nephrology
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Does hydronephrosis cause pain?

Patients with hydronephrosis do not all experience pain. In fact, only a minority of patients experience pain. Hydronephrosis is caused by some form of urinary obstruction, such as urinary system stones, tumors, or problems like prostate enlargement, which prevent urine from being excreted smoothly. In this case, the accumulation of fluid can be a long-term, gradual buildup. Patients often adapt to the progression of the condition and do not exhibit obvious symptoms, especially in the early stages. However, some patients may experience pain, such as those with urinary system stones, or pain may occur when a tumor ruptures.

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Written by Zhou Qi
Nephrology
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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.