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SYMPTOMS OF NEPHROPTOSIS

SYMPTOMS 

  In rare cases of individuals who experience symptoms of nephroptosis can include:

  • Severe abdominal / loin pain when standing or in an upright position which can be temporarily relieved by laying flat

  • Severe abdominal / loin pain which can feel heavy and dragging in nature and can worsen with movement

  • Moveable abdominal mass   

  • Episodes of painful renal colic

  • Nausea 

  • Vomiting

  • Chills

  • Fast heart rate (tachycardia) in an upright position 

  • High Blood Pressure (hypertension) in an upright position 

  • Blood / protein in the urine 

  • Less frequent urine output 

  • Urinary Tract Infection Symptoms (UTI) such as frequent painful urination and cloudy urine 

  • Secondary Complications such as Hydronephrosis and Pyelonephritis

THEORIES IN RELATION TO THE ORIGIN OF NEPHROTIC PAIN CAN INCLUDE:

  

 

  • The elongation/ narrowing or kinking of the renal artery and vein

  • Intermittent obstruction of the ureter and hydronephrosis

  • Traction of the visceral nerves in the region of the opening of the kidney

  • Secondary symptoms such as kidney infection (pyelonephritis)

Individuals with nephroptosis suffering from nephrotic symptoms can have pain in the upright position which worsens with movement and tends to get more severe the longer the individual is upright. Pain severity can tend to increase over time in some individuals if nephroptosis is left untreated. 

When a person with nephroptosis experiences violent episodes of renal colic with symptoms of blood and protein in the urine, nausea, vomiting, rapid heart beat (tachycardia), and chills this is known as Dietl's crisis. These symptoms can be caused by an obstruction or kink in the ureter.

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