PART1 ACUTE RENAL FAILURE VERSUS CHRONIC RENAL FAILURE

Acute Renal (Kidney) Failure:

Kidney failure occurs when the kidneys lose their ability to function. To treat kidney failure effectively, it is important to know whether kidney disease has developed suddenly (acute) or over the long term (chronic). Many conditions, diseases, and medicines can create situations that lead to acute and chronic kidney disease. Acute kidney injury, also called acute renal failure, is more commonly reversible than chronic kidney failure since the chronic condition has lasted longer in the body affecting systems for several months to years (some decades). Acute Renal Failure is new to the body as opposed to chronic; making it higher odds this can be treated and cured.

When acute kidney injury occurs, the kidneys are unable to remove waste products and excess fluids, which then build up in the body and upset the body’s normal chemical balance.*

The most common causes of acute kidney injury are:

-dehydration

-blood loss from major surgery or injury

-medicines such as nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, or the dyes (contrast agents) used in X-ray tests.

Symptoms depend on the cause of the problem of acute renal failure and can include:

  • -Little or no urine output.
  • -Dizziness upon standing.
  • -Swelling, especially of the legs and feet.
  • -Loss of appetite, nausea, and vomiting.
  • -Feeling confused, anxious and restless, or sleepy.
  • -Pain in the flank, which is felt just below the rib cage and above the waist on one or both sides of the back.*                                                                                                                                                                                                                                                                                Further your doctor will do the following to diagnose the condition other than blood tests:
  • Most cases of acute kidney injury occur in people who are already in the hospital for other reasons. In these people, acute kidney injury is usually diagnosed when routine tests show a sudden increase in creatinine and blood urea nitrogen (BUN) levels. A buildup of these waste products in the blood points to a loss of kidney function.
  • -Your doctor will compare these levels to previous tests to find out if kidney disease is acute or chronic.
  • -Also commonly done is an ultrasound of the kidneys which may help determine whether kidney problems are acute or chronic. Normal-sized kidneys may be present in either condition, but when both kidneys are smaller than normal, chronic kidney disease is usually the problem.  This helps rule out acute from chronic.correcting the cause and supporting the kidneys with dialysis until proper functioning is restored. Most people who develop acute kidney injury are already in the hospital.In giving a short and easily understandable definition Chronic kidney disease happens when your kidneys no longer filter your blood the way they should, so wastes (toxins, usually end products of an acid) build up in your blood. This has probably been going on for years, and it may keep getting worse over time. Just like a car engine damaged but still using the car without getting the engine repaired sooner or later in time the engine no longer functions the same with any organ of the body getting damaged by some long term condition. If your disease gets worse and worse over time, you could have kidney failure for some multi organ failure, depending on the condition causing this.*-Diabetes (uncontrolled diabetes (Type 1 or 2) for many years. *-High blood pressure for many years.                                   These are the top 2 causes of most chronic kidney disease. Controlling these diseases can help slow or stop the damage to the individual’s kidneys who has one of these, if not both.-A narrowed or blocked renal artery. A renal artery carries blood to the kidneys.Know this for starters, each of your kidneys has about a million tiny filters, called nephrons.The nephron is the tiny filtering structure in your kidneys. Each of your kidneys contain more than a million tiny filtering nephrons that help clean your blood removing toxins dumping them into your urinary bladder so you can evacuate them though urine (urea, urine; get it). Your nephrons play a vital role to our essential daily living. They help all humans do the following if there kidneys or one kidney is functioning properly. They:
  • -Long-term use of medicines that can damage the kidneys. Examples include nonsteroidal anti-inflammatory drugs (NSAIDs), such as celecoxib and ibuprofen.
  • Other causes that can lead to chronic kidney disease include:   -Kidney diseases and infections, such as polycystic kidney disease, pyelonephritis, and glomerulonephritis, or a kidney problem you were born with.
  • The most common causes of Chronic Renal Failure are:
  • Chronic Renal (Kidney) Failure:
  • The treatment of acute kidney injury includes:
  • -Remove excess water, wastes (like urea, ammonia, etc.) & other substances from your blood.
  • -Return substances like sodium, potassium or phosphorus whenever any of these substances run low in your body.
  • If nephrons are damaged by the high sugar content or high blood pressure in the kidneys, they stop working. For a while, healthy nephrons can take on the extra work or overload. But if the damage continues, more and more nephrons shut down. After a certain point, the nephrons that are left cannot filter your blood well enough to keep you’re blood filtered properly to keep you healthy. Just like running from a bear in the street chancing you. We can run only so long but sooner or later we will run out of energy and not be able to run anymore, same concept for the kidney nephrons when they run out of enough not properly working.

 

 

 

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