Doctors Lounge - Nephrology Answers
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Forum Name: Renal Failure
Question: New Kidney Pain with Hypertension
|fearuvhorses - Sun Jun 22, 2003 11:07 pm||
I am a 42-year old female currently being treated for Hyperlipidemia, Angina and Hypertension. I have recently begun experiencing new pain in my lower back. A recent emergency room visit for Angina confirmed this as kidney pain, with further investigation recommended. I often have a low-grade fever and had a recent UT/bladder infection. Would this new kidney pain be a result of the bladder infection? Also, what are the kidney complications of hypertension? How does hypertension cause kidney problems?
|Dr. Safaa Mahmoud - Mon Jun 23, 2003 4:33 pm||
To answer the first part of your question. Yes it is highly possible that this new renal pain is due to ascending infection along the urinary tract. This can be confirmed by urine analysis and urine culture to determine the possible causative organism and prescribe the best treatment to which the organism is sensitive.
Uncontrolled hypertension is the second common cause of chronic renal failure in the United States of America.
Hypertension causes renal damage by many mechanisms that lead to damage of the renal vessels (vascular nephropathy). This damage results in a condition called nephroscelrosis in which the vessels become narrowed, leading to insufficient renal blood supply and subsequent renal failure
Hypertensive nephrosclerosis may be responsible for a progressive renal disease only in a subset of hypertensive patients. In these patients, hemodynamic factors might with other non-hemodynamic factors, such as genetic determinants, metabolic abnormalities and local immune reaction, thus inducing progressive renal insufficiency.
More informations can be found in these sites:
http://www.kidney.org/general/atoz/cont ... dneys.html
http://www.niddk.nih.gov/health/kidney/ ... potens.htm
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