Management of side effects that may lead to dehydration such as nausea, vomiting, or diarrhea see specific symptoms for management tips that may help to prevent symptoms of kidney problems. Testing of Kidney Function: Your doctor or healthcare provider may order certain blood tests, including a blood urea nitrogen BUN and Creatinine test, to monitor your kidney function if signs of kidney problems are present. He or she may also ask you to save your urine for a hour period, in order to monitor how much creatinine is in your urine during a hour period.
Your doctor or healthcare provider may order some tests to evaluate your kidneys and bladder. He or she may order: An ultrasound of your kidneys An x-ray of your kidneys, ureter and bladder KUB He or she may place a tube in your bladder called a catheter , if you are not urinating, to see if there is a obstruction with urine behind the blockage, or if you are not making any urine at all Follow all of your health care provider's instructions.
Make sure that with each medication that you are given to take, your doctor or health care provider is aware of your kidney disease. Avoid any drugs that may cause you to have further symptoms of kidney problems. You may be advised to follow a "renal diet". This includes foods that are low in sodium, potassium, magnesium and protein. Reading the labels on food is helpful to know what kinds of calories, fat and protein you are taking in. Discuss this with your healthcare provider. Some general recommendations include: Limit Carbohydrates - Carbohydrates, either simple such as fruit and sugar or complex, such as pasta and cereals , have the greatest impact on blood sugar levels, which is important if you have kidney problems due to your diabetes.
In addition, excess carbohydrates that we take into our bodies are also converted into fat. Avoid sugar, and instead, use artificial sweeteners, such as nutrasweet, aspartame, or saccharin, to help you lose weight, or maintain your current weight. Protein - Foods that are high in protein include all kinds of meats. Long-term damage to your kidneys may be corrected by restricting protein, if you are diabetic, or experiencing symptoms of kidney problems.
Increase fresh vegetables and fiber intake - Up to 55 grams of fiber per day is recommended. Fiber and fresh vegetables help to maintain regular bowel habits, and may prevent certain cancers. However, you should avoid foods that are high in potassium and magnesium, if you are having kidney problems.
Foods that are high in potassium include most fresh fruits and vegetables. Some specific examples include: Oranges and orange juice Leafy green vegetables, such as spinach and greens collard and kale Potatoes There are many types of "good and bad" fats. The easiest thing to remember is to limit your intake of saturated fats and oils. Avoid excess magnesium in your diet, often found in laxatives such as milk of magnesia , or antacids unless specified by your healthcare provider.
Drugs That May Be Prescribed By Your Doctor For Azotemia: Depending on your overall health status, your doctor may recommend that certain drugs be used to treat or prevent your symptoms of kidney problems.
Some of the common drugs may include: Amifostine - Your doctor or health care provider may prescribe this medication to decrease toxicity with repeated doses of Cisplatin chemotherapy. If your blood sugar levels are not under good control, you may be ordered to take insulin alone, or in addition to an oral anti-diabetic agent.
Insulin injections may be temporary, while you are first diagnosed, or they may need to be continued for a longer period of time. Your health care provider will determine this.
Side effects of these medications may vary, but most include low blood sugar levels, weight loss, and improvement in your blood cholesterol levels. Some may cause slight nausea or loss of appetite, or diarrhea and bowel disturbances. It is important to follow your health care provider's recommendations for taking these pills.
When to Contact Your Doctor or Health Care Provider: If you begin urinating less frequently, or if your urine is dark, cloudy, or painful. Any unusual bleeding or bruising; black or tarry stools, or blood in your stools or urine Diarrhea episodes in a hour period , especially if it is becoming worse Nausea interferes with ability to eat and unrelieved with prescribed medications.
Vomiting vomiting more than times in a hour period. Dizziness or lightheadedness, "feeling faint", especially if severe. Any new rashes on your skin, itchy skin. Azotemia High Blood Nitrogen Levels Azotemia is a condition in which the blood urea nitrogen level becomes elevated, leading to acute renal failure. Ask your question. Written by Dr. Medically Reviewed by Dr.
Lakshmi Venkataraman, MD. Last Updated on Jun 28, What is Azotemia? What are the Types of Azotemia? It arises as a result of inadequate blood flow hypoperfusion to the kidneys. Thus, when the blood pressure is low, the kidneys are not able to adequately filter-out the waste products.
As a result, the level of urea and creatinine increases in the blood. However, this type of azotemia can usually be reversed. Intra-renal Azotemia: This type of azotemia is an intrinsic kidney condition, which is why it is also termed as intrinsic azotemia. This type of azotemia arises from damage to the kidney causing severe nephrotoxicity, often resulting in uremia. It can arise as a result of various types of kidney diseases, including acute tubular necrosis, glomerulonephritis , and renal failure.
Of these, acute tubular necrosis is the most common form of intra-renal or intrinsic azotemia. Post-renal Azotemia: Post-renal azotemia is caused by the blockage of urine flow below the level of the kidney. There may be several causes, the most common being blockage of the ureters or urethra by kidney stones. Those with kidney disease or other kidney issues can develop prerenal azotemia. Other complications may include:.
Prerenal azotemia in pregnancy can cause acute kidney injury and jeopardize the health of the baby and the mother. If you have any symptoms of kidney disease or injury, you should see a medical professional immediately or call During these checkups, your doctor will take routine blood and urine lab tests. These tests will help them find any issues with your kidneys early, before any outward symptoms are noticeable. If caught early, many forms of azotemia are treatable and manageable.
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