Hydronephrosis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
The majority of patients with hydronephrosis are asymptomatic.The most common symptoms of hydronephrosis include alteration in urine output, flank pain, hematuria and hypertension.
History and Symptoms
- The signs and symptoms of hydronephrosis depends upon whether the obstruction is acute or chronic.
- Unilateral hydronephrosis may even occur without symptoms.[1][2]
- Symptoms that occur regardless of where the obstruction lies include loin or flank pain.
- An enlarged kidney may be palpable on examination.
- The majority of patients with hydronephrosis are asymptomatic.
History
Patients with hydronephrosis may have a positive history of:[3][4][5][6][7][8]
- Kidney stone
- Congenital malformation
- Tumor or cancer
- Prostate enlargement
- Pregnancy
- Idiopathic retroperitoneal fibrosis
Symptoms
Common Symptoms
Common symptoms of hydronephrosis include:[9]
- Urge to urinate in mild cases
- Increased serum creatinine
- Hematuria
- Abdomen pain
- Burning sensation while urinating
- Fever
- Weak urine stream
Less Common Symptoms
Less common symptoms of hydronephrosis include
- Strong-smelling urine
- Weakness
- Malaise
- Chest pain
- Shortness of breath
- Leg swelling
References
- ↑ Kim DW, Yoon SK, Ha DH, Kang MJ, Lee JH, Choi S (October 2015). "CT-based assessment of renal function impairment in patients with acute unilateral ureteral obstruction by urinary stones". Abdom Imaging. 40 (7): 2446–52. doi:10.1007/s00261-015-0417-9. PMID 25852047.
- ↑ Weidmann P, Beretta-Piccoli C, Hirsch D, Reubi FC, Massry SG (October 1977). "Curable hypertension with unilateral hydronephrosis. Studies on the role of circulating renin". Ann. Intern. Med. 87 (4): 437–40. PMID 907242.
- ↑ Clautice-Engle T, Anderson NG, Allan RB, Abbott GD (April 1995). "Diagnosis of obstructive hydronephrosis in infants: comparison sonograms performed 6 days and 6 weeks after birth". AJR Am J Roentgenol. 164 (4): 963–7. doi:10.2214/ajr.164.4.7726057. PMID 7726057.
- ↑ Kim DW, Yoon SK, Ha DH, Kang MJ, Lee JH, Choi S (October 2015). "CT-based assessment of renal function impairment in patients with acute unilateral ureteral obstruction by urinary stones". Abdom Imaging. 40 (7): 2446–52. doi:10.1007/s00261-015-0417-9. PMID 25852047.
- ↑ Vanderpuye V (September 2002). "Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer". J Clin Ultrasound. 30 (7): 424–7. doi:10.1002/jcu.10092. PMID 12210460.
- ↑ Toka HR, Toka O, Hariri A, Nguyen HT (July 2010). "Congenital anomalies of kidney and urinary tract". Semin. Nephrol. 30 (4): 374–86. doi:10.1016/j.semnephrol.2010.06.004. PMID 20807610.
- ↑ dos Santos Junior AC, de Miranda DM, Simões e Silva AC (December 2014). "Congenital anomalies of the kidney and urinary tract: an embryogenetic review". Birth Defects Res. C Embryo Today. 102 (4): 374–81. doi:10.1002/bdrc.21084. PMID 25420794.
- ↑ Koh JS, Wong MY, Li MK, Foo KT (September 1998). "Idiopathic retroperitoneal fibrosis with bilateral lower ureteric obstruction--a case report with literature review". Singapore Med J. 39 (9): 416–7. PMID 9885722.
- ↑ Gottlieb RH, Weinberg EP, Rubens DJ, Monk RD, Grossman EB (March 1997). "Renal sonography: can it be used more selectively in the setting of an elevated serum creatinine level?". Am. J. Kidney Dis. 29 (3): 362–7. PMID 9041211.