2014年10月6日星期一

Does Pain in Waist mean Kidney Problem

‘I have pain in waist, does it mean that I have kidney problem?’. A lot of people often ask me this question. Is there some relationship between pain in waist and kidney problem?
Pain in waist is a most common clinical symptom. It might be that there are kidneys in the waist, when people talk about ‘pain in waist’, they will consider whether they are being attacked by kidney problem firstly. Actually, there are so many reasons that can cause pain in waist, and most of the patients with kidney problem don’t have pain in waist.
Taking the middle of the waist for an example, there are skin, muscle, ligament, back bone, rib, spinal membrane, spinal cord and other tissues. Lesion in any one of the above tissues can cause pain in waist. Such as excessive strength when carrying heavy things, falling from high place, accident damage when doing sports and so on can cause traumatic pain in waist. For some founders, miners, actors, and porters and so on, if they have pain in waist without any history of traumatic pain in waist, it might be related with chronic damage of fascia, muscle tendon, ligament and so on. Long time bending and sitting can cause pain in waist due to chronic damage of muscle. Senile Osteoporosis, protrasion of the lumbar intervertebral disci, spinalosteoarthritis, Andylosing spondylitis and other disease all can cause pain in waist.
Kidney belongs to substantial organ, which are located in the two sides of spinal column behind peritoneum, one at both side, and shaped like broad bean. There is no sensory nerve in the renal tissues, and patients cannot feel any pain when they have lesions in their kidneys. Even some patients with end stage renal failure, they go to digestive department due to nausea, vomiting, poor appetite, or they go to blood department due to weakness or anemia. But there is sensory nerve in renal capsule, ureter, and pelvis, patients can have pain in renal region when these places have lesions. Stones, blood mass, necrotic tissues blocking in ureter, can cause renal colic. Pain caused by acute nephritis, acute pelvis nephritis, formation of thrombus in renal vein, hydronephrosis, PKD and kidney cancer is usually caused by the damage of renal capsule due to the swelling kidneys. Abscess in renal region, renal infarction complicated by rupture of renal cysts, and Perinephric hematoma and other perinephric disease can also cause pain in waist. Nephroptosis can cause pain in waist as well.

Then, if people have pain in waist, what should they do? And what kind of test they should take? The most simple method is taking a urine test, if there is occult blood, protein, blood, blood cells, and other abnormal cells in the urine, people should go to renal department to have a further test, so that the disease can be diagnosed in the early stage.

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