Kidney hydronephrosis atrophy symptoms

Written by Zhou Qi
Nephrology
Updated on December 31, 2024
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Severe hydronephrosis may cause kidney atrophy. The symptoms of the patient can be divided into two aspects: Firstly, hydronephrosis may cause some clinical symptoms, such as some patients may experience swelling in the lumbar and back area, and a decrease in urine output. Patients may suffer from spasms of the ureter due to obstruction of the urinary system, resulting in severe pain, and some patients may also have hematuria. On the other hand, the atrophy of kidney tissue caused by this hydronephrosis actually means the loss of kidney function. Patients may exhibit symptoms of renal failure, such as swelling of limbs, increased blood pressure, nausea, vomiting, loss of appetite, anemia, and other clinical symptoms.

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Nephrology
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How is hydronephrosis detected?

The kidneys have a very strong compensatory ability. In the early stages of hydronephrosis, the amount of fluid may not be large, or the duration may not be long, and usually, the patient may have no symptoms. Hydronephrosis is often discovered during health examinations or through ultrasound or CT scans performed during hospital stays. Of course, if the hydronephrosis persists for too long and the volume is very large, the patient can gradually feel discomfort or a distended sensation in the lower back or upper abdomen. Moreover, if the hydronephrosis is caused by kidney stones, the patient often experiences severe back pain, and there might even be visible blood in the urine. Hydronephrosis can also lead to symptoms of urinary tract infections such as frequent urination, urgent urination, and painful urination. Prolonged hydronephrosis can lead to a decline in kidney function, resulting in symptoms like fatigue, loss of appetite, and poor overall health. Therefore, it is crucial for patients to undergo regular ultrasound examinations of the kidneys to detect hydronephrosis early.

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Nephrology
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Causes of hydronephrosis

The so-called hydronephrosis often occurs because there is some factor in the patient's kidney or ureter that prevents the urine from being excreted smoothly, causing fluid accumulation and dilation in the renal pelvis, renal calyx, and ureter. The causes of this obstruction are often mechanical, such as urinary system stones, tumors, urinary tract deformities, or compression of the ureter caused by enlargement or tumors in nearby organs of the urinary system. In a few cases, it may also be related to a decline in the function of the ureter itself, such as a neurogenic bladder, ureteral reflux, or decreased ureteral motility.

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Nephrology
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What is hydronephrosis?

The so-called hydronephrosis is a morphological description, referring to an obstruction in the urinary system caused by various reasons. After the kidneys produce urine, it cannot be normally delivered to the bladder. This leads to fluid accumulation in the renal pelvis and calyces, which can be detected through imaging as hydronephrosis. The causes of hydronephrosis are numerous. The most common cause is acquired obstruction, primarily due to urinary system stones, scarring from injuries, or tumors in the urinary system compressing the ureter, which often results in urinary tract obstruction. In addition, some congenital causes can also lead to urinary tract obstruction. Examples include segmental dysfunction of the ureter, intrinsic stenosis of the ureter, and twisting of the ureter. However, these congenital obstruction causes are relatively rare.

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What tea to drink for hydronephrosis

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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Can you have sex with hydronephrosis?

Before the complete resolution of hydronephrosis, it is recommended that patients avoid sexual intercourse. This is because hydronephrosis indicates the presence of obstructive factors in the urinary system, causing urine to not be excreted smoothly. Urine accumulates within the urinary system, causing dilation of the renal pelvis, calyces, and ureter. If urine cannot be excreted, bacteria can easily ascend from the urethral opening into the urinary system, causing an inflammatory response. If patients engage in sexual intercourse during this time, bacteria at the urethral opening can easily be pressed into the bladder, ascending and potentially causing pyelonephritis or cystitis. Therefore, it is best for such patients to avoid sexual intercourse until the hydronephrosis has been thoroughly addressed.