If you always feel waist discomfort, is it kidney problems? These 7 lifestyles can help prevent chronic kidney disease

Doctor, doctor, oh no!

I saw online that

Every 10 people

One person has kidney disease

I always feel uncomfortable in my waist.

Is it bad?

Are kidney problems really that common?

How can we prevent it before it happens?

Today I will show you how

In our hospital, we call chronic kidney disease CKD, which actually means that the kidney structure or function is abnormal for more than 3 months .

This disease has a high prevalence, low awareness, poor treatment effects and high medical costs , so we also call it the "silent killer"!

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Data from 2016 showed that 14.3% of the world's population suffers from chronic kidney disease, which is more than the number of patients with non-communicable chronic diseases such as diabetes, chronic obstructive pulmonary disease, and asthma, which sound more familiar!

The latest data shows that the CKD prevalence in my country's population over 18 years old is 8.2%, and the number of patients exceeds 100 million.

And with the aging of the population and the increasing incidence of chronic diseases such as diabetes and hypertension, the number of people suffering from chronic kidney disease will only increase!

Although the prevalence of chronic kidney disease is so alarming, researchers have actually said that most patients are in the early stages (stages 1-3) and the condition is not very serious. As long as it is discovered early and the patient actively cooperates with treatment, the body will still be in good health.

Especially for those who are in stage 3, you must actively seek treatment to avoid regrets when you reach stage 4 or 5!

Although many patients with chronic kidney disease do not show any obvious abnormal characteristics in the early stages, their bodies may also show some "health alarms."

Once you find the following signals, it is best to go to the hospital as soon as possible.

Foamy urine

Normal urine is clear and transparent without foam. If there are many small bubbles like beer foam in the urine and they take a long time to dissipate **, it may be a sign that a large amount of protein has "leaked" into the urine**, and you need to be alert to kidney disease.

Of course, the presence of foam does not necessarily mean that there is a problem with the kidneys. Some conditions, such as urinary tract infection, diabetes, strenuous exercise, standing too high, or urinating too quickly, can also cause foamy urine . In this case, you can observe it for a while, and it will disappear on its own after about 10 minutes.

So here comes the point! ↓↓

If your urine contains bubbles for most of the time over a period of time, and the bubbles do not dissipate after 10 minutes or so, it is best to go to the hospital.

hematuria

Hematuria means that the urine is like the water used to blanch raw meat, or even bright red with small blood clots. This is something wrong.

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But don't panic. Think about whether you have eaten dragon fruit, beets, rifampicin (an antibiotic) recently. Eating too much may cause red urine.

However, not everyone can detect kidney disease through hematuria. In most cases, early kidney damage is not serious, with only a few red blood cells in the urine and no color changes. Only when the urine is magnified under a microscope in the hospital can the abnormality be discovered.

Therefore, regular physical examinations are also very important.

Changes in urine output

The normal daily urine volume for an adult is 1000-2000mL, which is about 2-4 bottles of mineral water. Too much or too little is abnormal. If there is a long-term change in urine volume, it is recommended to go to the hospital for medical treatment.

Increased nocturia

After falling asleep at night, you usually can't hold back the urge to go to the toilet more than once. If you get up 2-3 times or more every night , it's either because you drank too much water or your kidneys are sending out alarms!

Swelling on the body

The eyelids and face are a little swollen, especially in the morning when you just get up, and there is a swollen lump on the calf, and it takes a while to bounce back when you press it . These are all characteristic manifestations of kidney disease, so be alert!

Low back pain

Although most low back pain is not a kidney problem, if you do not have any low back bone or muscle diseases but still experience low back pain frequently, you need to be alert!

Because the kidneys are adjacent to the waist, when there is a problem with the kidneys, the waist may be affected and cause pain.

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Of course, the symptoms of chronic kidney disease are more than these, and it is not possible to explain them in detail in a short popular science article. The most important thing is to take care of your body. If you feel uncomfortable, don't be stubborn and go to the hospital for treatment in time.

If the disease is delayed until the later stages, it will not only be difficult to treat but the cost of treatment will also be higher. It is not worth it!

Even if you don't experience the above discomfort, kidney health problems cannot be ignored. Some special groups of people are more likely to suffer from kidney disease, so you should be vigilant!

Bad living habits

☞ Staying up late for a long time, high work pressure, and drinking strong tea and coffee frequently;

☞ Eating too salty food;

☞ Holding urine for a long time may even lead to urinary tract infection;

☞ Long-term use of nephrotoxic drugs (some special types of painkillers, contrast agents, antibiotics, traditional Chinese medicine).

Special Populations

☞ Elderly people over 65 years old;

☞ People with diabetes, hypertension, cardiovascular disease, hyperuricemia, systemic lupus erythematosus, and hepatitis B;

☞ Parents and many relatives have unexplained kidney disease.

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☆ Urinate in time and pay attention to urinary tract hygiene;

☆ Quit smoking;

☆ Proper exercise : Do 150 minutes of moderate-intensity aerobic exercise per week, such as brisk walking, for 5 days, once a day, at least 30 minutes each time. But don't do it too much, because excessive exercise will consume muscles and is also harmful to the body and kidneys. In particular, be careful not to do a lot of intense exercise at once!

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☆ Reduce sodium intake : The government recommends that each person should not eat more than 5g of salt per day. Do you put too much salt in that dish?

☆ Reduce the intake of saturated fatty acids and trans fatty acids : Frying food in high temperature oil for a long time will produce saturated fatty acids and trans fatty acids, which can damage the kidneys. Fried foods at roadside stalls are the most common sources of these two harmful substances.

☆ Follow the doctor's advice and use drugs with kidney toxicity with caution;

☆ Have regular physical examinations.

When it comes to diseases, we must ensure early detection, early diagnosis, and early treatment to prevent them from happening. We must be responsible for our own bodies.

The most economical and health-friendly approach is to detect problems in time and nip the disease in the bud before kidney damage progresses!

Statement: This article is a medical-related educational popular science article. It does not involve specific treatment methods or medical behaviors and cannot replace hospital visits.

Author

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Chen Xinghua West China Clinical Medical College, five-year clinical medicine undergraduate student, class of 2021

Liu Wenjing, 2021 undergraduate student of the five-year clinical medicine program at West China School of Clinical Medicine

Qi Guoyou, 2021 undergraduate student of the five-year clinical medicine program at West China School of Clinical Medicine

2021 undergraduate student of the five-year clinical medicine program of Sinovac West Clinical Medical College

Wu Dijia, 2021 undergraduate student of the five-year clinical medicine program at West China School of Clinical Medicine

Zhou Boyan, 2021 undergraduate student of the five-year clinical medicine program at West China School of Clinical Medicine

Zhou Junji, 2021 undergraduate student of the five-year clinical medicine program at West China School of Clinical Medicine

This article is guided by the teacher

References

[1]Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. “KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.” Kidney international vol. 105,4S (2024): S117-S314. doi:10.1016/j.kint.2023.10.018.

[2]Global Burden of Disease 2019 Cancer Collaboration et al. “Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019.” JAMA oncology vol. 8,3 (2022): 420-444. doi:10.1001/jamaoncol.2021.6987

[3] Expert Group of Shanghai Nephrology Clinical Quality Control Center. Guidelines for early screening, diagnosis and prevention of chronic kidney disease (2022 edition) [J]. Chinese Journal of Nephrology, 2022, 38(05): 453-464. DOI: 10.3760/cma.j.cn441217-20210819-00067

[4]Zhang L , Wang F , Wang L ,et al. Prevalence of chronic kidney disease in China: a cross-sectional survey[J]. Lancet, 2012,379(9818):815-822. DOI: 10.1016/S0140-6736(12)60033-6

[5]Wang, Limin et al. "Prevalence of Chronic Kidney Disease in China: Results From the Sixth China Chronic Disease and Risk Factor Surveillance." JAMA internal medicine vol. 183,4 (2023): 298-310. doi:10.1001/jamainternmed.2022.6817

[6] Chen Xiangmei. Renal damage caused by hypertension[J]. Chinese Journal of Nephrology, 2005, (10): 13-15.

[7] Expert consensus group on multidisciplinary diagnosis, treatment and management of diabetic nephropathy, Jiang Shimin, Fang Jinying. Expert consensus on multidisciplinary diagnosis, treatment and management of diabetic nephropathy[J]. General Practice Clinical and Education, 2020, 18(06): 484-487. DOI: 10.13558/j.cnki.issn1672-3686.2020.006.002.

[8] Member of the Chinese Expert Consensus Group on Diagnosis and Treatment of Hypertensive Nephropathy. Chinese Expert Consensus on Diagnosis and Treatment of Hypertensive Nephropathy (2022)[J]. Chinese Journal of Hypertension, 2022, 30(04): 307-317. DOI: 10.16439/j.issn.1673-7245.2022.04.003.

[9] Zhang, L., Zhao, MH, Zuo, L., Wang, Y., Yu, F., Zhang, H., Wang, H., & CK-NET Work Group (2020). China Kidney Disease Network (CK-NET) 2016 Annual Data Report. Kidney international supplements, 10(2), e97–e185. https://doi.org/10.1016/j.kisu.2020.09.001

[10]Wang, L., Xu, 298–310. https://doi.org/10.1001/jamainternmed.2022.6817

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Editor: Zhang Fuyao