One sunny afternoon, when I was on duty at the hospital, the door of the ward was hurriedly pushed open, and an anxious middle-aged man walked in with a teenager.
"Which is the doctor, my son has been peeing his pants lately, and his condition is getting worse and worse, and his face is getting worse and worse. The father said anxiously.
I sat them down and took a careful history.
It turned out that the 16-year-old boy's name was Xiao Ming, and he had been suffering from kidney torture for the past six months.
At first, it is more frequent urination, accompanied by more pronounced discomfort in urinating. Later, the urine output increased, and the urination was frequent.
Xiao Ming's father has advised him to see a doctor many times, but adolescent children are often more stubborn, and Xiao Ming himself does not take it too seriously. Until recently, Xiao Ming's abdomen became more and more distended and painful, his whole body was weak, drowsy, and his appetite was reduced, so he had to be dragged by his father to the doctor.
After listening to the medical history, I asked the nurse to arrange a physical examination and related laboratory tests for Xiao Ming.
The results showed that Xiao Ming's blood creatinine value was as high as 600 micromol/L, and the glomerular filtration rate was only 15ml/min, which had reached the advanced level of uremia.
In a situation like Xiao Ming's, I explained to his father that dialysis treatment needs to be started immediately to replace the kidneys' functions such as detoxification and regulating the acid-base balance of body fluids.
At the same time, tests are done to find out the cause, such as whether a kidney transplant can be done. Although the treatment process is long and difficult, as long as he cooperates, Xiao Ming is still expected to regain his life in the future.
Faced with my diagnosis, Xiao Ming's father almost collapsed. "Why is this happening? I told him to have regular check-ups, but he was never obedient. As he spoke, his eyes turned red.
Uremia is not uncommon, but it is a dangerous disease.
It is often caused by acute and chronic glomerulonephritis, diabetes, renal artery stenosis and other primary diseases.
Once the condition worsens, a series of serious complications such as abnormal urination, renal anemia, indigestion, itchy skin, and neuromuscular dysfunction will occur. In the worst-case scenario, it can be life-threatening.
I have seen too many of these patients, the vast majority of whom are the result of delays in treatment due to the patient or their family members ignoring the symptoms at first.
It is precisely because of the complexity and diversity of the clinical manifestations of uremia that many people often ignore it. However, the more serious this disease is, the more we need to pay close attention to it, detect it as soon as possible, and diagnose and treat it in time.
I tried to soothe Xiao Ming's father's emotions and persuade him to mourn and change his ways, and to give his son courage and strength.
After all, young people have tenacious vitality, and as long as they are willing to persevere, they will definitely be able to tide over difficulties.
At the same time, I also told Xiao Ming that physical health is indeed the most valuable wealth in this life, and I hope that after this lesson, he can cherish himself in the future.
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