What should I do about tinnitus caused by uremia?

Written by Zhou Qi

Nephrology

Updated on January 19, 2025

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Tinnitus in uremia requires further consultation at the ENT department of a formal public hospital. Tinnitus is not a typical symptom of uremia and may not necessarily be related to kidney disease or caused by uremia. Some patients may experience tinnitus due to severe anemia, which leads to insufficient blood supply in the skull, or due to persistently high blood pressure caused by uremia, which can also potentially cause tinnitus. However, the probability of these scenarios is generally low, and it is still recommended that patients seek further consultation at an ENT department to clarify potential causes, such as infections or tumors in the inner ear system.

Other Voices

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Written by Li Liu Sheng

Nephrology

53sec

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Symptoms of pre-uremia

The pre-uremic stage is the period of chronic renal failure. During the pre-uremic stage, many patients may have no symptoms at all. However, some patients do experience many uncomfortable symptoms, such as back soreness and weakness, fatigue, and feeling cold easily. During this stage, patients may also experience nausea and vomiting, especially pronounced nausea after waking up in the morning, as well as weight loss. Some patients in the pre-uremic stage exhibit symptoms of edema, which can occur in the eyelids, facial area, or in both lower limbs. Additionally, patients may experience feeling cold, anemia, and an increased frequency of urination at night. Of course, some patients may also experience itching of the skin on both lower limbs.

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Written by Sun Chun

Urology

1min 32sec

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How to diagnose uremia

Uremia primarily refers to high levels of creatinine in the blood. Generally, a creatinine blood test can be used to evaluate kidney function, thus diagnosing whether the kidneys are in a compensatory stage, in a chronic stage, or during a period of uremia. Renal insufficiency, which causes uremia, has specific causes. It is essential to determine whether the causes are renal or post-renal by performing routine urinary system CT scans to identify any obstructions, stones, or space-occupying lesions that may lead to hydronephrosis and a decline in renal function. Other internal medical diseases, such as chronic nephritis syndrome and kidney disease, can also lead to increased creatinine levels. In such cases, renal biopsy and pathology are necessary to confirm the diagnosis. Once an individual reaches the uremic stage, the overall condition tends to deteriorate, characterized by fatigue, anorexia, and weight loss. Additional issues include toxin accumulation in the body leading to anemia and various other problems, including gastrointestinal issues and reduced digestive capacity resulting in loss of appetite. When the aforementioned symptoms occur, there generally are only two treatment options: dialysis to filter out the toxins or, if an appropriate kidney source is available and economically feasible, kidney transplantation can be considered.

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Written by Li Liu Sheng

Nephrology

52sec

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Does uremia cause fever in its early stages?

Fever is not an early clinical manifestation in patients with uremia; therefore, patients in the early stages of uremia do not exhibit fever. Typically, in the early stages of uremia, patients only show symptoms such as fatigue, poor spirit, lack of appetite, and easy fatigue, and may experience edema, such as swelling of the eyes and facial area after waking up in the morning, making it difficult for patients to open their eyes, and swelling of the lower limbs. In addition, patients also exhibit high blood pressure, such as increased systolic and diastolic pressures, which are difficult to control. Patients often exhibit clinical symptoms such as dizziness and headache. Patients also experience a significant increase in the frequency of urination at night and an increase in urine output, which are all early manifestations of uremia.

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Written by Li Liu Sheng

Nephrology

53sec

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Causes of Uremia

Uremia is a syndrome caused by the progressive development of various chronic kidney diseases that ultimately leads to bilateral renal failure in patients, unable to timely remove excess water, electrolytes, and various toxins from the body. The causes of uremia are many and complex. Common causes include chronic nephritis, diabetic nephropathy, and hypertensive nephropathy. Other diseases such as chronic interstitial nephritis, chronic pyelonephritis, uric acid nephropathy, chronic obstructive nephropathy, renal vascular diseases, and hereditary nephritis can also lead to uremia. Once uremia occurs, patients often exhibit symptoms of general discomfort and may need to choose dialysis treatment, which can be either hemodialysis or peritoneal dialysis, depending on individual circumstances.

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Written by Guan Hai Fang

Urology

44sec

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Is uremia serious?

Uremia is very serious. For patients with uremia who wish to be cured, the current method is to undergo kidney transplantation. Kidney transplantation is currently considered the best method for treating uremia. If no suitable kidney source is found, or economic conditions do not allow, or for some other reasons, it is recommended that patients undergo dialysis. Dialysis is also quite expensive, but if economic conditions permit, and physical health and mood among other factors allow, patients with uremia who undergo regular dialysis can generally have their lives extended by several years. It is not uncommon to see reports of lives being extended by more than a decade.