What is Renal Failure?

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Renal failure is a serious medical condition affecting the kidneys. When a person suffers from renal 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. The kidneys also maintain a healthy balance of fluids and electrolytes, or salt compounds, in the body.

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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12
My mother is 85 and at end stage renal failure. Because she won't eat, we had to take her off dialysis as it was pulling the small amount of fluid that she takes in (usually only 2-3 ounces a day). I feel that she has given up. How long can she realistically last on 2-3 ounces of water a day?
- anon57805
11
I am the daughter of a 75 year old lady who has just recently passed away. My mom had a brilliant mind regardless of her age.

From July on, she complained of having a sensation of pins and needles in her hands and feet. This got progressively more severe as time went on. We offered to take her for a complete physical, but being my mum she continued to procrastinate and find every possible reason why she could not go in for a complete medical.

She also began to complain of severe leg cramps as well. In the last weeks of her life she had an awful body itch. Nothing we tried seemed to relieve her of that itch.Her symptoms went undiagnosed as chronic renal failure up until the last week of her life.

We now can relate all the symptoms to renal failure, however, if we had diagnosed it earlier, perhaps we could have treated it accordingly and saved mum all the pain towards the latter end.

Yes, we really did seek all the best medical care and medication, but we never knew the problem until the end. We loved and nursed her until the end.

- anon57328
10
jac5: Clear urine can simply mean you are well hydrated. Dark yellow urine can mean you are dehydrating. But i'm no doctor so don't take my word for it and assume everything is ok. It's good always to ask a professional.
- anon54200
9
Actually my dad was diagnosed with kidney failure. All he ever did was sleep and he said he felt like he was dying but would not go to the doctor.

well one day he got in a wreck and they took him to the hospital and they ran tests and found out that if he had not come in that night, he would have died not even two weeks from that day.

Well anyway, they put a port in him that very night in the hospital and started dialysis that morning. He is now doing so great and even doing home dialysis so there is hope!

- anon53525
8
Anon49279, I am so sorry about your husband. But two weeks from death by renal failure is pretty much the end of the line. Even dialysis would have probably just prolonged the inevitable. And unless I'm mistaken, to even get listed for transplant, you must have at least a six-month life expectancy. But once kidney damage gets to that point, it starts affecting all the other organs. It's hard on the heart, the liver and the brain.
- amypollick
7
My husband was diagnosed with renal failure two days before he dies. We found out that he had kidney failure 13 days prior to the two days before his death and no one did anything about it or even knew about it. He was in the hospital for two weeks, even though they had been running tests on him and had done a urine test. if they knew and did not say anything, could he been alive today?
- anon49279
6
sahug1955: I have hepatitis c and was also stage four. I had had it for at least 25 years. I did the peg intron and ribavarin treatment for 12 months. It was very very hard on me, but I stuck it out. I have been free of the disease for two years now, and my liver has repaired itself back to normal. The liver is the only organ that can do this. Get your hubby to a doctor even if you have to say it's for you. There is always hope.
- anon48768
5
I am a 44 year old female. I had a physical with blood work a couple of months ago and everything was normal.

My first morning urine was completely clear this morning. After breakfast, it was a normal, yellowish color. I know that in dogs, clear morning urine is a cause for concern and I was wondering if the same is true for humans. I feel fine otherwise.

- jac5
4
I am 30 yrs old Female and generally healthy recently diagnosed with renal failure. what is expected in diagnosing the problem?
- anon8973
3
My husband is 49 yrs. old. He has had Hepatitis c for at least 10 yrs., probably longer. Also, Fibrosis stage 4, cirrhosis. Today, his urine looks like a glass of coffee and he said he is passing painful clots. I can't get him to go to the doc or the er. He says he is dying anyway. What will happen if he doesn't go? What should I do? He will get extremely mad if I call anybody? Thanks, Sue
- sahug1955
2
What are the signs of kidney renal failure? How do you find out if you are at risk of this ?
- anon2529
1
with renal failure in the chronic stage, if a person refuses dialises, what could be expected?
- anon357

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Written by J.Gunsch
Last Modified: 27 December 2009

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