Kidneys are an important system of the person. When there is a nagging pain in the kidneys, a change of color of urine, impaired urination, then this is a significant reason to visit the doctor. Pain in the kidney is located in the lower back, right or left, depending on which one is affected.
When interested in both kidneys, pain are surrounding the character. However, the nagging pain in the kidneys can testify in favor of the diseases of another kind, namely, neurological, diseases of the spine or innards. To understand the reasons for this ailment only doctor, so a visit to him we must not tarry.
The cause of the pain
Of course, there is a whole list of factors that may explain why there is pain in the kidneys.
There are the following reasons:
- inflammatory diseases of the kidney (pyelonephritis, glomerulonephritis);
- the omission of the kidneys;
- kidney stones;
- chronic renal failure;
- a nodule is benign or malignant origin;
- pain during pregnancy because of the pressure of the child to the authorities;
- complications after infectious diseases of the urinary tract;
- congenital malformations of the kidneys;
- inflammation of the Appendix can cause pain right;
- inflammation of the intestine and the pancreas are capable of provoking pain near the left kidney.
To find out the cause of the stalling kidneys is possible only on the basis of detailed examination.
Inflammatory diseases of the kidneys
So one of the reasons that the buds pull, can be pyelonephritis or glomerulonephritis. The pain occurs as a result of development of the inflammatory process. In addition to this symptom is characterized by change in urine, for example, in glomerulonephritis, it takes on the color of meat slops, also can increase the body temperature, appear chills, weakness. Possible dysuric phenomenon: frequent and painful urination, or the violation of the outflow of urine.
There is often swelling. In the urine increased the number of leukocytes, cylinders, characterized bacteriuria, with glomerulonefrite in urine, numerous red blood cells. General analysis of blood shows signs of current inflammation.
Nephroptosis and hydronephrosis
The omission of the kidneys are usually affects the right kidney. The reason for such pathology could be a sharp loss of body weight, heavy physical labor, infection, pregnancy. When there is a progress of illness, the person obviously feels the pain in the lower back. The uneven nature of pain, it is amplified to unbearable, then decreases. Is characterized by changes in body weight, when severe, may develop hypertension, disorders of the gastrointestinal tract, neurosis-like States, tachycardia, severe headache. May increase the temperature of the body. The diagnosis put on the basis of ultrasound, CT or MRI. Connecting laboratory methods of examination.
Therapeutic measures include conservative (wearing the brace, physical exercise) or the operational method (fixation of the kidney in her bed).
It is recommended to implement preventive and therapeutic massages. Surgical intervention is performed when nephroptosis complicated by underlying medical conditions, which include pyelonephritis, kidney stone disease.
The right kidney is located slightly lower than the left, because it borders with the liver
If the kidneys based on ultrasound discovered fluid, it is referred to as hydronephrosis. It is an extension of the Cup-pelvis-plating system. The reason is violation of outflow of urine, resulting in increased pressure in the body. The clinic consists of a pain pulling character in the lumbar region, temperature can increase. Sometimes show signs of hypertension, nausea, vomiting, weakness, admixtures of blood in the urine are also signs of hydronephrosis, albeit nonspecific.
The difficult degree of hydronephrosis enlarged kidney can be felt. Therapeutic activities also are of two types. The conservative approach is necessarily used medications, namely, antibacterial agents, anti-inflammatory, analgesic. In surgical treatment, try to remove the cause of the disease is in its advanced stage is carried out nephrectomy.
Various kinds of tumors can also cause pain in the kidneys. If we are talking about benign tumors, when small amount of symptoms will be absent. They manifest themselves in the case of compression of any organ or its germination. Perhaps the emergence of dysuric phenomena in the compression of the ureters, urinary retention.
But when malignant neoplasms are also common manifestations: weakness, fatigue, lack of appetite and rapid weight loss. Signs of cancer will and sweating, pasty. Palpitations and hypertension. Pain is common not only for the kidney area, it covers the entire groin. The intensity of her great, she is a growing character.
Diagnose tumors is possible with ultrasound, CT and MRI. In addition, the diagnosis a biopsy is important.
The spondylosis is degenerative disease of intervertebral joints, which severely limits the mobility of the spine. This disease can mimic renal disease. His manifestation of this nagging lower back pain, a characteristic feature of which is morning stiffness in the mornings. Pain syndrome is closely associated with movement, and with the progression of the disease will be troubled and alone. In the vertebrae hear the crunch, there is a direct relationship of severity of symptoms and the weather.
The most correct instrumental method of diagnosis of spondylosis are x-ray, CT, MRI. It allows us to differentiate renal pathology with the spondylosis. Drug treatment includes NSAIDs, hormonal therapy, pain relief.
Chronic renal failure
Chronic renal failure arises as a result of incorrectly or ineffectively treated diseases (pyelonephritis, glomerulonephritis, gout, kidney stones, toxic or allergic kidney disease). Chronic renal failure implies a serious violation of all basic functions of the kidneys.
The initial symptoms of chronic renal failure is fatigue, chronic fatigue. Because of the frequent urination in the body would be dehydrated. The skin is dry, skin turgor is sharply reduced. Further develop disorders of all organ systems. Decreased appetite, develops, the decrease in sensitivity of receptors of taste, nausea, vomiting, violation of the chair. People suffering from spasms, as it is worried about itching, thirst. Observed tachycardia, heart pain, reduced blood clotting, develop bleeding of different localization. Common symptom become swollen with subsequent development of ascites.
In the terminal stage of a person develops uremic coma related to accumulation in the body products of metabolism that are not eliminated by the kidneys.
To identify chronic renal failure should take a lot of tests:
- General blood analysis (anemia, thrombocytopenia, increased erythrocyte sedimentation rate);
- urine analysis (protein particles, red blood cells, sediment);
- blood biochemistry (creatinine, urea in large quantities).
Symptomatic treatment anti-infective agents, diet therapy, antihypertensive drugs, also use various fluids to maintain homeostasis of blood. In the terminal stage apply hemodialysis.
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Trauma to the kidney.
Damage of this organ may at blows to the abdomen, lumbar region and retroperitoneal space. When kidney damage begins profuse bleeding, impaired urination, pain covering the lower back and lower abdomen, blood in the urine, and swelling in the lower back. Pain can be blunt, cutting, stabbing. Often there is nausea, vomiting, disorders of the gastrointestinal tract. This is due to the interest of the peritoneum. Diagnosis is based primarily on history.
Kidney stones can be one of the reasons that there is a pulling pain in the lumbar region. This disease is widespread among the elderly. It is well treatable. The reason for its occurrence is the violation of calcium-phosphorus metabolism in the body. If there is a large concentration of these substances, the formation of stones. The symptoms of this disease are extremely bright. At first it seems that it pulls a kidney, the pain increases to unbearable in a situation where there is a sand or is a stone of large size in the ureter.
Kidney stones and urinary tract often the cause of pulling back pain
The appearance of calculi is dependent on the presence of calcium and oxalic acid, or rather, from their content. If a large percentage, they form crystalline compounds capable of disrupting the normal functioning of the kidneys.
Diagnosis of calculi based on ultrasound, and fluoroscopy.
Treat ICD need, depending on the composition of concrements. When traces of sand is quite diuretics, and when large amounts of stones may require surgical intervention.
Diseases of the spine
Pain in the kidneys and can cause neurological disease. One of the very frequent causes is the vertebral lumboischalgia. This is a disease in which there is an infringement of the spinal roots.
Infringement can occur for various reasons:
- herniated disc;
- soft tissue swelling of the vertebrae due to the infection.
Symptoms of this disease, in addition to pulling pain in the kidneys, is their irradiation in the gluteus muscle and down the front of the thigh. To differentiate the symptoms with kidney disease, the doctor prescribes a number of tests (General blood and urine analysis according to Nechyporenko), and ultrasound. Therapeutic measures consist of nonsteroidal anti-inflammatory drugs, also drugs which relieve muscle spasm (Tolperison), the ineffectiveness of the above measures is used hormone therapy.
Pain in the lumbar region can be also triggered by a spinal injury
What to do if you pull the kidneys?
What to do if you pull the kidneys? Should examine whether enough fluid is consumed per day, because too much daily intake may lead to discomfort in the lumbar region. The average norm is half to two liters a day. However, the amendment should be done on a person’s weight, physical activity and season of the year.
You should not self-medicate, because it can lead to serious consequences. Therefore, it is necessary to seek help from a doctor. It can be the doctor of a therapeutic profile that will direct to a more narrow specialist (nephrologist, urologist, neurologist).
However, in most cases, the correct diagnosis cannot supply the the doctor physician. For this, he uses laboratory tests (General analysis of blood and urine, biochemical blood analysis, urine analysis according to Nechyporenko, a sample of the General). In diagnosis of great importance and instrumental methods (ultrasound of the abdomen and pelvis, CT and magnetic resonance imaging, radiography). But one should not devalue the history collection and examination of the patient. Based on these data, a specialist can accurately determine the cause pulling pain in the lumbar and appoint competent treatment.
If there is a suspected rupture of a kidney, the person should be laid on a horizontal surface, not to make any sudden movements. Should immediately call the ambulance.