Kidney disease Archives

Your Frequent Urination Could Be The Result Of Polyuria

Posted on November 5, 2021 by Michael Hinck

Frequent urination is an issue that many Americans live with but figuring out the cause can be a difficult task. Some of the possible reasons for this problem can include an overactive bladder, enlarged prostate or a urinary tract infection. One other possibility could be due to a medical condition called polyuria.

People with polyuria create more urine than normal. Most adults make approximately 3 liters of urine per day. However, those with polyuria generate up to 15 liters, or five times the normal amount of urine every day. While the other above-mentioned conditions make you feel as if you have to go, even if there isn’t much urine in your bladder, those with polyuria must go because they have excess urine.

Symptoms of polyuria often include frequently feeling thirsty. This is because people with the condition lose a great deal of fluid, which can lead to dehydration. Unfortunately, the urge to urinate when you sleep doesn’t go away, so those with polyuria also usually wake up multiple times at night to go.

Polyuria is usually an indicator of diabetes. This is because the condition makes sugar build up in your bloodstream. If your kidneys are not able to filter it out, it exits your body in your urine. As the extra sugar and fluids travel through your kidneys, you have to pee more.

Pregnant women with gestational diabetes can also develop polyuria as can those with kidney or liver disease. Other factors that can contribute to this condition include taking certain medications or consuming too much caffeine or alcohol.

How you control polyuria depends on what’s causing it. For example, if you have diabetes that isn’t under control, you may need to make changes to your treatments. If a medicine you take is the cause, talk to your doctor about switching to another drug or changing your dose. At home, cut back on how much fluid you drink, especially those that have alcohol and caffeine.

If you are experiencing symptoms of polyuria, schedule an appointment with your doctor. Through a detailed physical examination and battery of testing options, which may include urine, blood, glucose, and water deprivation tests, they can accurately diagnose polyuria and determine a course of treatment.

To make an appointment with a urologist at Flushing Hospital Medical Center’s Ambulatory Care Center, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is There an Underlying Cause for Your Hypertension?

Posted on April 6, 2018 by Michael Hinck

Over 75 million or one out of every three adults in the United States has high blood pressure, or hypertension. For most, hypertension is the result of either genetic or lifestyle factors such as obesity or smoking, but for approximately 10% of Americans, hypertension is caused by the existence of another disease.

When hypertension is the result of another medical condition it is referred to as secondary hypertension. Secondary hypertension can be caused by a variety of conditions that affect any number of different systems and organs. Some of the most common causes for secondary hypertension include:

Kidney disease -Secondary hypertension can be related to damaged kidneys or to an abnormal narrowing of one or both renal arteries.
Coarctation of the aorta.With this congenital defect, the body’s main artery (aorta) is narrowed (coarctation). This forces the heart to pump harder to get blood through the aorta and to the rest of your body. This in turn, raises blood pressure — particularly in your arms.
Adrenal disease – The adrenal glands sit on top of the kidneys and produce several hormones that help regulate blood pressure. Sometimes, one or both adrenal glands make and secrete an excess of these hormones.
Hyperparathyroidism – The parathyroid glands regulate levels of calcium and phosphorus in your body. If the glands secrete too much parathyroid hormone, the amount of calcium in your blood rises — which triggers a rise in blood pressure.
Pregnancy – Pregnancy can make existing high blood pressure worse, or may cause high blood pressure to develop (pregnancy-induced hypertension or preeclampsia).

Like primary hypertension, secondary hypertension usually has no specific signs or symptoms, even when your blood pressure has reached dangerously high levels. Secondary hypertension can also worsen an underlying medical condition and lead to other serious complications, such as heart attack or stroke, if left untreated.

In most cases, once an underlying medical condition causing hypertension is identified and appropriate treatment is provided, your blood pressure will return to normal.

If you have a condition that can cause secondary hypertension, it is important to see your doctor and have your blood pressure checked regularly.

If you have hypertension and believe there is an underlying cause, schedule an appointment with your doctor. If you do not have one, please call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to schedule an appointment.

Chronic Kidney Disease

Posted on February 20, 2018 by Xavia Malcolm

Approximately 30 million adults in the United States are living with chronic kidney disease (CKD). This condition causes damages to kidneys and leads to a loss of function over time. If your kidneys are unable to function properly, complications such as hypertension, nerve damage, weakened bones and anemia can develop. CKD also increases the risk of developing cardiovascular disease.

While high blood pressure can result from chronic kidney disease, it can also be the cause of it. Other conditions and diseases that can cause CKD include diabetes, recurrent kidney infections, prolonged obstruction of the urinary tract and vesicoureteral reflux.

Anyone at any age can develop chronic kidney disease; however, some people are more at risk than others. You may have an increased risk for CKD if you:

Have a family history of kidney failure
Have diabetes
Have hypertension
Are obese
Have cardiovascular disease
Are a smoker
Are of African American, Native American, Pacific Islander or Asian American descent
Are an older adult

Signs and symptoms of chronic kidney disease can vary by individual and may appear over time as the disease progresses. They can include:

Muscle cramps and twitches
Swelling of feet and ankles
Trouble concentrating
Fatigue
Frequent urination, especially at night
Itchy skin
Shortness of breath
Difficulty sleeping
High blood pressure
Vomiting

There are several things you can do to prevent CKD and keep your kidneys healthy. Maintaining a healthy diet and cutting back on food rich in sugar and salt is beneficial for your kidneys, as well as monitoring cholesterol levels, keeping hydrated, quitting smoking and drinking in moderation.

If you are living with chronic kidney disease, it is strongly advised that you keep blood pressure and blood sugar levels under control, moderate protein consumption, reduce salt intake, avoid NSAIDs (nonsteroidal anti-inflammatory drugs) and get the flu shot each year.