Mr. Li, 45 years old this year, has found that he often urinates frequently, and his urine has a very strong odor. His urine is rotten and smelly as a whole. Mr. Li thought it was caused by his diet and didn't care. A few days later, Mr. Li had urination pain, and his urine was d

Mr. Li, 45 years old this year, has recently found that he often urinated frequently and urinated , and his urine smell was very heavy. Urchive urine was rotten and smelly. Mr. Li thought it was caused by his diet and didn't care. A few days later, Mr. Li had urination pain, and the overall color of his urine was darker. It was suspected that hematuria . Mr. Li decided to come to the hospital for a check-up.

Through Mr. Li’s main complaint, the doctor initially suspected that Mr. Li had a urinary system disease, and then conducted a physical examination on Mr. Li, pressing Mr. Li’s urinary system area, and obvious tenderness occurred in the kidney area .

conducted a consultation on Mr. Li to understand that Mr. Li's urine is abnormal in color, abnormal urine odor, accompanied by symptoms such as urination pain, frequent urination; Mr. Li's urine was collected, and was used for routine urine tests. Through the test, it was found that the content of red blood cells in the urine was relatively high, and the overall color of the urine was brown, which was confirmed that Mr. Li had hematuria symptoms.

Actually, in addition to Red blood cells are high, the number of white blood cells is also high, which reminds us that inflammation may occur in the urinary system . At the same time, neutrophils are high, and neutrophils have a phagocytic function. The main function is to anti-inflammatory. leukocytes and neutrophils rise at the same time to determine inflammation in the urinary system and infection in the urinary system; also conducts bacterial culture tests on the urine, and the test results show that Mr. Li has urinary tract infection in .

Then ultrasound examination of the urinary system was performed. The urinary tract was not obstructed, and there was no abnormality in bladder , but it was found that the renal pelvis and calyx were deformed and constricted. was suspected of chronic pyelonephritis . In order to observe the kidney condition more clearly, the kidney was subjected to intravenous pyelonephrography. The examination results determined that the renal pyelonephritis was abnormal and confirmed to be chronic pyelonephritis.

pyelonephritis often occurs with renal tubular injury, so we need to perform renal function examination for Mr. Li. Through renal function examination, no abnormalities were found in serum creatinine , urea nitrogen and other indicators. excludes renal tubular injury and is finally diagnosed as chronic pyelonephritis .

Based on Mr. Li's condition, he formulated a personalized treatment plan for Mr. Li. The main treatment methods of are mainly used to treat drugs. The problem of urinary tract infection is improved through anti-infective drugs, and it can also effectively relieve abnormal symptoms of urine smell. During the treatment period, Mr. Li needs to drink more water, which is conducive to alleviating urinary tract infection .

Pyelonephritis is the main cause of urinary tract infection. The urine abnormalities that Mr. Li have are all caused by pyelonephritis. We effectively eliminate these symptoms by treating pyelonephritis.

Three months later, Mr. Li came to the hospital for a follow-up examination. His urine routine, renal imaging and renal function examination were all within the normal range, and Mr. Li's abnormal urine symptoms also disappeared. Mr. Li is the first to show urine abnormality when he develops kidney disease. If we experience urine abnormality like Mr. Li, we should be alert to whether kidney disease has occurred in time. If the kidney is good or not, we can observe the urine condition. When these three abnormalities in the urine occur, the kidneys need to be checked as soon as possible.

1. These three changes in urine may cause kidney disease.

Type 1: Foaming appears in urine

Normal people rarely have foam in urine. During the urination process, the surface tension of urine is strong and foam rarely forms. If the kidneys develop diseases, the urine components will change, and the liquid components will affect the surface tension. After the kidneys develop diseases, it may affect the kidney function, resulting in a decrease in the glomerular filtration function. A large amount of protein cannot be effectively filtered, resulting in an increase in the protein content in the urine.

The protein content in urine increases, and foamy urine is prone to occur when urinating. Protein will affect the surface tension of the liquid, resulting in a large amount of foam.

The reason why egg whites can be whipped into cream is because the egg whites have high protein content and low surface tension of the liquid, which is easy to be whipped into cream. Foamy urine is also caused by the increase in protein content in the liquid. Kidney diseases can affect urine components. When we experience kidney damage, renal tubular damage, pyelonephritis and other kidney diseases, they may lead to increased urine protein content, causing us to have foamy urine. If we have foam in urine, we should go to the hospital in time to check whether it is caused by kidney disease, so as not to miss the best treatment period.

Secondary: The color of urine becomes darker

Normal urine color is light yellow, and urine is mostly transparent and clear. If the urinary system is diseased, it will affect the color and characteristics of the urine. When the urinary system is inflamed, it may cause turbidity in urine. When the urinary system is traumatized, hematuria will occur .

Some foods will also affect the color of the urine. Eating too much carrots may cause the urine to be yellow, and eating too much Dragon fruit may cause the urine to be red; When the kidneys are sick, the color of the urine will also change. If we develop kidney stones , stones are very likely to damage the kidney tissue and cause the patient to have hematuria symptoms.

Remove kidney stones, nephritis and renal pelvis can also cause symptoms of hematuria. The kidneys will undergo inflammatory reactions when infected by bacterial viruses. If anti-infection treatment is not carried out in time, the kidney tissue will gradually be invaded by bacterial virus . causes necrosis of tissue cells. In severe cases, it will damage the kidney tissue, causing bleeding and suppuration of the kidneys. These pus and blood substances will be excreted from the body with the urine, causing the urine to be darker in color.

The color of Mr. Li’s urine mentioned above changed, and the overall color of the urine was brown. Through examination, it was found that Mr. Li had pyelonephritis, which is the main reason for the abnormal color of Mr. Li’s urine. If the color of the urine changes like Mr. Li, we should go to the hospital to check kidney in time.

Hematuria symptoms in the kidneys. Cancer cells will constantly invade the tissues and cells of the kidneys. When the cancer cells rupture, red blood cells will seep out. Red blood cells will be excreted from the body with the urine. Red blood cells will affect the color of the urine . Early kidney tumors have not easily detected urine color changes, and are mostly microscopic hematuria. Middle and late renal tumors will cause more red blood cells to seep out. Therefore, the symptoms of hematuria are more obvious and can be observed through the naked eye. If you find abnormal urine color, you should go to the doctor in time to eliminate kidney diseases in time.

Type 3: Urine odor becomes heavier

Normal urine odor slight ammonia odor. Urinary system diseases will affect urine odor, Diabetes will also affect urine odor, diabetes will cause urine odor to be smelly apple.

After the kidney disease occurs, the urine smell will become heavier, and some rot will occur after the kidney tissue is infected. These rotten substances will be excreted from the body along with the urine. The rotten substances will affect the urine smell, causing the urine to have a fishy smell and rotten smell .

Mr. Li mentioned above has nephritis . The kidneys are severely infected by bacteria, and some tissues are ulcerated, causing a severe fishy smell in Mr. Li's urine.

The occurrence of kidney disease will also cause the odor of ammonia in the urine to worsen. After kidney damage, it will affect the excretion function of the kidneys, causing some urine to not be excreted from the body normally. The body has urinary retention of . The urine stays in the body for a long time and releases more ammonia , causing the odor of ammonia in the urine to worsen . If we find that the odor of ammonia in the urine is severe, we should go to the hospital for examination in time. After the glomerular damage is damaged, the kidney's filtration function decreases and the toxins in the kidney cannot be excreted normally, resulting in the occurrence of uremia . The ammonia content in uremia patients increases, and the urine will emit a strong irritating smell, which is similar to the taste of fertilizer. The above three changes occur in urine, so you should go to the hospital for kidney examination in time.

2. There are three changes in urine, and the following tests are required for the kidneys

. Urine routine

Urine routine can intuitively reflect the urinary system condition, through urine routine It can be observed whether the urinary system is inflammation. can detect whether hematuria symptoms are detected through the content of red blood cells in the urine. The increase in white blood cells in the urine means that an inflammatory reaction may occur in the urinary system . Excessive protein in the urine means that the filtration function of the kidneys is reduced. Through the routine of urine, we can initially judge urinary system diseases, which is of great diagnostic value for kidney diseases.

. Renal function examination

renal function examination is an important examination for the diagnosis of renal diseases. Renal function examination mainly includes glomerular function examination, serum creatinine level, blood urea nitrogen level, glomerular filtration rate , etc.

Through these examinations, the changes in renal function can be effectively observed. The decrease in glomerular filtration rate means that the glomerulus is damaged, which is common in glomerulonephritis and nephrotic syndrome . serum muscle-liver rise means that the kidney may have a tendency to fail, which is common in acute renal failure and chronic renal failure . Food poisoning can also lead to an increase in serum creatinine.

Increased blood urea nitrogen level means that the renal artery has stenosis, which may also be caused by kidney stones. Renal tumors can also lead to an increase in blood urea ammonia levels. If we suspect that a kidney has a disease, we can check renal function.

The changes in the shape of the kidney can be seen through kidney color ultrasound, the structure of the kidney, and the presence of stones or lesions in the kidney can be clearly observed through kidney color ultrasound. Mr. Li, mentioned above, found that the renal pelvis and calyx were deformed through kidney color ultrasound, and was finally diagnosed with pyelonephritis.

If we find abnormalities in urine, we can use these three tests to screen for whether kidney disease has occurred. In the face of kidney disease, it is very important to screen as soon as possible and protect the kidneys in daily life.

3. How to protect the kidneys in daily life?

First, keep a low salt, low fat, light diet . High-salt and high-fat foods will increase the burden on the kidneys and increase the risk of urinary retention. In order to reduce the burden on the kidneys, we should maintain a low-salt, low-fat and light diet, eat more fresh vegetables and fruits, promote the body's metabolism , and help the toxins in the kidneys be excreted from the body.

Next, exercise. The kidneys and liver mainly help the body excrete toxins. Exercise can accelerate the circulation in the body, which is conducive to the rapid excretion of toxins from the body. We can choose to combine aerobic exercise and anaerobic exercise to improve the exercise effect.

Finally, keep a happy mood and avoid overwork. is in a state of fatigue for a long time and can accelerate organ failure, which is not conducive to kidney health.Therefore, we need to maintain our kidneys to keep a happy mood, avoid overwork, and maintain regular schedules. In daily life, you should also smoke less and drink less, and learn to release life pressure.

Is the kidney good? You can tell if you look at urine. There are foam in the urine, abnormal urine color, and worsen urine odor. If these three urine changes occur, the kidney needs to be examined. Mr. Li mentioned above had two conditions: abnormal urine color and worsening urine odor, and was eventually diagnosed with pyelonephritis. If we experience these three urine changes like Mr. Li, we should go to the hospital for examination in time.

References:

[1] Liu Huixia, Xiong Feng. Rational use of drugs in patients with acute pyelonephritis [J]. 2020,17(1):12-13.

[2] Fan Pengtao, Liu Qi,. Diagnosis of clinical internal diseases [M]. Changchun: Jilin Science and Technology Press. 2019.109-116.