What is Bright's Disease?

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Bright's Disease is an older classification for different forms of kidney disease. It was named after Dr. Richard Bright, who described the condition in the early 19th century. Lack of understabreinding of kidney function naturally meant that several different conditions could be considered Bright's Disease. These include inflammation of the kidney, commonly called nephritis. Inflammation may be the result of too much protein being shed through the kidneys, called proteinuria, or hematuria, which causes blood in the urine. As well, Bright's Disease might describe kidney failure due to high blood pressure or retention of fluids.

Those symptoms most commonly associated with Bright's Disease were intense pain on either or both sides of the lower back. Fever might be present and intense edema, or retention of fluids, might cause the extremities to appear extremely swollen. Breath could be labored and difficult, particularly if kidney failure caused fluid to accumulate in the lungs, or was caused by metastasized cancer.

Analysis of urine in diagnosing Bright's Disease might show extremely cloudy, dark or bloody urine. Those affected might also find eating difficult, or might have periods of nausea or vomiting. All of the symptoms meant a very serious disease, which was usually not treatable, particularly in the 19th century.

Some types of kidney inflammation might be treated if they were not indicative of progressive kidney illness. Some people suffered attacks that could respond to early diuretics or laxatives. Physicians might also propose special diets, but this was still relatively uncommon.

Those with progressive kidney disease labeled as Bright's Disease usually did not respond to treatments, which might also include bloodletting, and the treatments above. Those unresponsive to treatment were simply unlucky to be born in a time when medical knowledge was minimal. Current treatments for kidney failure of various types, like kidney transplant or dialysis, can significantly lengthen the lives of those who would once have been diagnosed with Bright's Disease.

Bright's Disease may be used in reference to Dr. Richard Bright, or one may find reference in literature and in older biographies, or medical texts. Today medical researchers and practitioners know that an all-inclusive label such as this obscures appropriate methods for cure, since not all kidney disease can be treated in the same manner. However, most honor Dr. Bright for at least localizing these diseases to the kidneys and pointing the way toward further research.

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New: Discuss this Article

Posted by: anon12536
I just started to get pain in my lower back but i have always had bloody urine. Why is it that I only sometimes suffer from pain?
Posted by: anon12320
I have a three year old who has extremely poor eye sight and Strabismus, asthma and ADHD ODD with no sense of fear. She always shows blood in her urine. Just found out my father had bright's disease 55 years ago and has ongoing kidney problems..Who should I consult?
Posted by: anon11563
do minors get it?
Posted by: anon9187
I also had Bright's disease when I was 3. Now at almost 50, I have had arthritis for many years, multiple bone spurs in the feet and on the spine. My eyesight was also compromised and it is very poor even with corrective lenses. I had to fight off many kidney infections, especially throughout my teens and 20's. My kidneys are still vulnerable and I treat them cautiously avoiding kidney or bladder infections or treating them at the first sign.
Posted by: anon6762
I did too and I sometimes still get pain in my lower back and wonder if this has anything to do with it.
Posted by: anon5145
i had brights disease as a child, i want to know as an adult what problems i may have?

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