Kidney Failure

Kidney failure is a serious medical condition affecting the kidneys. The word renal refers to kidneys. When a person suffers from kidney failure, their kidneys are not functioning properly or no longer work at all. Renal failure can be a progressive disease or a temporary one depending on the cause and available treatment options.



The kidneys are glands that are located in the abdominal region just above the pelvis on either side of the body. When functioning normally, the kidneys separate and filter excess water and waste from the blood stream. The kidneys are responsible for producing urine, which is used to flush away the toxins. Besides that, the kidneys maintain a healthy balance of fluids and electrolytes, or salt compounds, in the body. The kidneys also produce the hormone that signals bone marrow to make red blood cells and control the blood pressure.

In renal failure, the kidneys undergo cellular death and are unable to filter wastes, produce urine and maintain fluid balances. This dysfunction causes a build up of toxins in the body which can affect the blood, brain and heart, as well as other complications. Renal failure is very serious and even deadly if left untreated.

There are two types of renal failure: acute and chronic. Acute renal failure occurs suddenly and is usually initiated by underlying causes, for example dehydration, infection, serious injury to the kidney or the chronic use of over the counter pain medications like Tylenol (acetaminophen) or Advil (ibuprofen). Acute renal failure is often reversible with no lasting damage.

Chronic renal failure is more serious than acute renal failure because symptoms may not appear until the kidneys are extremely damaged. Chronic renal failure can be caused by other long term diseases, such as diabetes and high blood pressure. Chronic renal failure can worsen over time, especially when the problem has gone undiagnosed and treatment is delayed.

The symptoms of renal failure include edema, which is an accumulation of fluid characterized by swelling, and a decrease in urination. Other symptoms may include a general ill feeling, exhaustion and headaches. Often, a person with renal failure does not experience any symptoms.

With treatment, a person with kidney failure can live a relatively normal life. Depending on the severity of kidney failure, renal function may be restored by treating the primary disease that is responsible for the damage, or by treating the kidneys with medication. In severe cases of renal failure, a person might require dialysis and a kidney transplant.

In renal dialysis, the patient must be connected to a machine that mechanically filters the blood. Dialysis does not treat renal failure, but instead keeps a person alive by performing the crucial functions of the kidneys. A person may have to undergo dialysis as often as several times a day or as little as weekly, depending on the severity of the renal failure. A person with acute, reversible renal failure may need dialysis while the kidneys recover.

When the kidneys fail completely, the patient will need a kidney transplant. Fortunately, human beings can function with only one kidney, so relatives and other living donors are an option. This reduces the need for deceased donors that is common with other organ transplants and requires long waiting lists. However, it is necessary to find a donor that has a similar tissue and blood type, which means that finding a kidney may still be difficult. Most people who need a kidney transplant must also be on dialysis until a match is found.

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