The main manifestation of the disease of Polycystic Kidney Disease (PKD) is
that there are numerous cysts in the kidneys. As it is a type of genetic
disease, the cysts have formed before the birth of the patients. However, these
cysts are very small at the beginning and they won’t affect the normal health
and life of the patients. And there is no obvious sign at the early stage. With
the increase of the age, the cysts will enlarge gradually, and then there will
be series of symptoms. What are the early signs of Polycystic Kidney
Disease?
1, proteinuria: but the urine protein is little, usually the amount of urine
protein of 24 hours' urine is less than 2g and usually the amount of urine
protein won't lead to Nephrotic Syndrome.
2, hematuria: it can express as gross hematuria or microscopic hematuria. The
attack of hematuria has the characteristic of periodicity, and when it attacks,
the pain will be more serious. It can be aggravated by strenuous exercise,
injuries and infections. The cause of hematuria is that the various arteries
under the cysts wall are affected by the pressure and infections to rupture or
to be over-stretched.
3, hypertension: the cysts will gradually press kidney with their enlargement
and cause the ischemia of kidney, which will cause the increase of renin
secretion and further cause hypertension. There are more than 50 percent of
patients have the symptom of hypertension when their renal function is still
normal. When the renal function decreases, the morbidity of hypertension will be
higher.
4, abdominal phymas: sometimes, the abdominal phymas are the main reasons for
patients to see a doctor. About 60-80 percent of patients' swollen kidneys can
be touched. Generally speaking, the bigger the swollen kidney is, the worse the
renal function is.
5, pain and discomfort of waist and abdomen: the main cause of this is that
the enlarged cysts lead to the increase of water amount in kidney, which make
the kidney heavier or cause the change of kidney shape. And then the heavier
kidney will pull the organs nearby. The characteristic of the pain is dull pain.
The pain may be unilateral or bilateral and radiate downward or to the back. If
the cysts are infected or there is hematuria, the pain will be more serious.
There may be renal colic if the urinary tract is blocked by stones or clottages
after hematuria.
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