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What should be done for kidney hydrocele in the elderly?

Nov 18, 2024 Source: Cainiu Health
Dr. Yang Guang
Introduction
In general, kidney swelling (hydronephrosis) in elderly individuals may be caused by factors such as strenuous exercise, insufficient water intake, benign prostatic hyperplasia (BPH), neurogenic bladder, or kidney stones. If the aforementioned conditions occur, it is recommended to visit a reputable hospital and follow a physician's guidance regarding general treatment or medication. In their daily lives, elderly individuals should maintain regular作息 (作息 translates to作息 habits or rest patterns), follow a balanced diet, and drink an appropriate amount of water.

Generally, kidney hydronephrosis in elderly individuals may be caused by factors such as strenuous exercise, insufficient water intake, benign prostatic hyperplasia, neurogenic bladder, or kidney stones. If the above situations occur, it is recommended to visit a正规 hospital for standard medical care and follow a physician's guidance regarding general treatments, medication, and other therapeutic approaches. A detailed analysis is as follows:

1. After Strenuous Exercise

During intense physical activity, renal blood vessels may become congested and experience increased blood flow, which can lead to temporary kidney hydronephrosis in elderly individuals. Adequate rest and proper hydration are generally recommended.

2. Insufficient Water Intake

Due to a decreased sense of thirst or lifestyle habits, elderly individuals may not drink enough water, leading to concentrated urine and the formation of crystals that can block the urinary tract and cause kidney hydronephrosis. Increasing daily water intake and maintaining sufficient hydration are important preventive measures.

3. Benign Prostatic Hyperplasia

Benign prostatic hyperplasia mainly results from hormonal imbalances in aging males, causing noncancerous enlargement of the prostate gland. The enlarged prostate compresses the urethra, leading to bladder outlet obstruction and subsequent urine reflux into the kidneys, causing hydronephrosis. Symptoms such as frequent urination and urgency may also occur. Patients may follow medical advice to use medications such as finasteride tablets, tamsulosin hydrochloride sustained-release capsules, or Pule'an tablets.

4. Neurogenic Bladder

Neurogenic bladder may result from causes such as chronic alcohol abuse or drug misuse. Neurological damage may lead to weak detrusor muscle contraction or dysfunction of the urethral sphincter, resulting in kidney hydronephrosis in elderly individuals. Common symptoms include difficulty urinating and incomplete bladder emptying. Patients may follow their physician's guidance to use medications such as tamsulosin hydrochloride sustained-release capsules, terazosin hydrochloride tablets, or doxazosin mesylate sustained-release tablets to improve symptoms.

5. Kidney Stones

Excessive intake of substances such as oxalate and calcium in the diet, or inadequate water intake, may lead to the formation of kidney stones. When stones block the urinary tract, urine outflow becomes obstructed, causing hydronephrosis. Symptoms such as hematuria, nausea, and vomiting may also occur. Patients may follow medical advice to use medications such as Shenshitong Granules, Pishi Granules, or Lysimachiae Herba Granules for treatment.

In daily life, elderly individuals should maintain regular作息, follow a balanced diet, drink adequate water, avoid prolonged urine retention, and undergo regular physical examinations to detect and manage potential urinary system issues early, thereby maintaining urinary tract health.

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